{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:46:05Z","timestamp":1790207165608,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"14","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2026,7,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexual orientation and gender identity (SOGI) minorities experience disparities in health care access and quality of care, however national evidence regarding adherence to recommended cancer screening remains limited. This study aimed to evaluate associations between SOGI status and adherence to US Preventive Services Task Force\u2010recommended colorectal, cervical, and breast cancer screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults eligible for colorectal (CRC; 45\u201374 years old), cervical (25\u201364 years old), or breast cancer (40\u201374 years old) screening were identified from the 2018\u20132022 Behavioral Risk Factor Surveillance System according to guideline\u2010concordant criteria. Respondents were categorized as sexual orientation minorities (SOM) versus heterosexual and as gender identity minorities (GIM) versus cisgender. Univariable results were reported as unweighted frequencies with survey\u2010weighted proportions. Survey\u2010weighted Poisson regression models were used to estimate adjusted prevalence ratios (aPRs) for screening adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 663,924 unweighted screening\u2010eligible respondents, weighted 1.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a08108) identified as SOM and 0.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02315) as GIM; 33.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0223,065) were assigned male at birth and 67.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0522,845) identified as White. After adjustment for covariates, SOM was associated with lower adherence to cervical (aPR, 0.92; 95% CI, 0.87\u20130.97) and breast cancer screening (aPR, 0.84; 95% CI, 0.77\u20130.92) compared with heterosexual women. CRC screening adherence among SOM men was slightly higher (aPR, 1.10; 95% CI, 1.00\u20131.21). GIM status was associated with substantially lower adherence to cervical (aPR, 0.58; 95% CI, 0.37\u20130.90) and breast cancer screening (aPR, 0.24; 95% CI, 0.08\u20130.74) compared with cisgender respondents, with no difference in CRC screening (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Disparities in cervical and breast cancer screening persist among SOGI minorities. These findings underscore prevalent structural and systemic barriers in preventive cancer care and highlight the need for inclusive, culturally sensitive interventions to promote equitable screening access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.70462","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T07:01:23Z","timestamp":1783321283000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sexual orientation and gender identity based disparities in colorectal, cervical, and breast cancer screening in the United States"],"prefix":"10.1002","volume":"132","author":[{"given":"Lorenza","family":"Arena","sequence":"first","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qaidar","family":"Alizai","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz","family":"Elemosho","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8377-0263","authenticated-orcid":false,"given":"Odysseas P.","family":"Chatzipanagiotou","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7994-9870","authenticated-orcid":false,"given":"Timothy M.","family":"Pawlik","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization.Cancer. Accessed March 8 2026.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/cancer"},{"key":"e_1_2_8_3_1","volume-title":"U.S. Cancer Statistics Data Visualizations Tool","author":"U.S. Cancer Statistics Working Group","year":"2025"},{"key":"e_1_2_8_4_1","unstructured":"United States Preventive Services Taskforce[cited March 12 2026].https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2025.1575820"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2023.02.005"},{"key":"e_1_2_8_7_1","volume-title":"Adult LGBT Population in the United States","author":"Flores AR","year":"2023"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnma.2023.02.005"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20101253(25)00320\u20106"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.13229"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2023.101579"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2025.01.004"},{"key":"e_1_2_8_13_1","volume-title":"The National Intimate Partner and Sexual Violence survey: 2010 findings on victimization by sexual orientation","author":"Breiding MJ","year":"2013"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans\u20102016\u2010052536"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21801"},{"key":"e_1_2_8_16_1","unstructured":"CDC.2020 BRFSS Survey Data and Documentation;2022. Accessed March 6 2026.https:\/\/www.cdc.gov\/brfss\/annual_data\/annual_2020.html"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.5989"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.6238"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.10897"},{"key":"e_1_2_8_20_1","unstructured":"US Preventive Services Task Force.Archived: breast cancer: screening. Accessed March 6 2026.https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/breast\u2010cancer\u2010screening\u2010january\u20102016"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.43198"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35355"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31817d697f"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2023.102230"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.8886"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35852"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2025.108228"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2017.6866"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552\u2010024\u201001927\u20108"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1393"},{"issue":"1","key":"e_1_2_8_31_1","first-page":"e30","article-title":"Cancer screening rates among transgender adults","volume":"65","author":"Kiran T","year":"2019","journal-title":"Can Fam Physician"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010020\u201005724\u20102"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nwh.2017.12.008"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.2196\/73843"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(19)32319\u20100"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2023.151452"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2020.0905"},{"key":"e_1_2_8_38_1","volume-title":"The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding","author":"Institute of Medicine (US) Committee on Lesbian Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities","year":"2011"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549241308401"},{"key":"e_1_2_8_40_1","volume-title":"Best Practices for Asking Questions to Identify Transgender and Other Gender Minority Respondents on Population\u2010Based Surveys","author":"The GenIUSS Group"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010025\u201002082\u20102"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.02.027"}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.70462","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cncr.70462","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.70462","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:38:56Z","timestamp":1788950336000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.70462"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":41,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2026,7,15]]}},"alternative-id":["10.1002\/cncr.70462"],"URL":"https:\/\/doi.org\/10.1002\/cncr.70462","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"value":"0008-543X","type":"print"},{"value":"1097-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"assertion":[{"value":"2026-03-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70462"}}