Abstract
Problem Significance
Cervical cancer is typically caused by exposure to human papillomavirus (HPV). People with a cervix are recommended to receive regular cervical cancer screenings through a Pap smear, an HPV test, or a co-test. There are lower cervical cancer screening rates and higher rates of abnormal results for trans men compared to cisgender women.
Analysis and Objectives
Analysis of the problems includes the use of a modified PRECEDE model. The multi-level intervention objectives, aim to increase provider understanding and preparedness at the individual level and provide inclusive intake forms and electronic health record system changes, at the policy level.
Intervention (Solution) Proposal
I-Pap or Inclusive Pap Initiative includes a quarterly continuing education seminar for OB/GYN providers, advanced practice clinicians, and medical directors at Sutter Health in Sacramento County. The I-Pap Initiative also provides recommended intake form changes for medical directors to implement within OB/GYN medical offices.
Recommendations and Conclusions
This project addresses cervical cancer morbidity and mortality by attempting to improve trans and non-binary patient experiences with cervical cancer screenings. Increasing provider understanding and preparedness and implementing inclusive healthcare policies may increase patients' likelihood of receiving a cervical cancer screening.