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The MyBodyMyTest-3 Trial recruited low-income women (&lt;\u2009250% of federal poverty level) aged 25\u201364\u00a0years who were 1+\u2009year overdue for cervical cancer screening. We compared perceptions of cervical cancer screening among those who self-identified as lesbian, gay, bisexual, or queer (LGBQ; <jats:italic>n<\/jats:italic>\u2009=\u200970) to straight\/heterosexual women (<jats:italic>n<\/jats:italic>\u2009=\u2009683). For both LGBQ and straight respondents, the greatest barriers to screening were lack of health insurance (63% and 66%) and cost (49% and 50%). LGBQ respondents were more likely than straight respondents to report forgetting to screen (16% vs. 8%, <jats:italic>p<\/jats:italic>\u2009=\u2009.05), transportation barriers (10% vs. 2%, <jats:italic>p<\/jats:italic>\u2009=\u2009.001), and competing mental or physical health problems (39% vs. 27%, <jats:italic>p<\/jats:italic>\u2009=\u2009.10). Addressing access remains important for improving cervical cancer screening among those under-screened. For LGBQ women, additional attention may be needed for reminders, co-occurring health needs, and transportation barriers.<\/jats:p>","DOI":"10.1007\/s10508-024-02844-2","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T18:02:53Z","timestamp":1713290573000},"page":"1645-1652","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9508-1525","authenticated-orcid":false,"given":"Jennifer C.","family":"Spencer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany M.","family":"Charlton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peyton K.","family":"Pretsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip W.","family":"Schnarrs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa P.","family":"Spees","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Hudgens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Barclay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie B.","family":"Wheeler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel T.","family":"Brewer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer S.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"issue":"1","key":"2844_CR1","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1363\/psrh.12087","volume":"51","author":"M Ag\u00e9nor","year":"2019","unstructured":"Ag\u00e9nor, M., Jahn, J. 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