{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:41:11Z","timestamp":1787244071137,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,4,2]],"date-time":"2023-04-02T00:00:00Z","timestamp":1680393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Background<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Little is known about experiences and barriers for trans and non\u2010binary (TGNB) people eligible for cervical screening in Aotearoa New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify uptake, barriers and reasons for delaying cervical cancer screening among TGNB people in Aotearoa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      The 2018 Counting Ourselves data on TGNB people assigned female at birth aged 20\u201369\u2009years who had ever had sex, were analysed to report on experiences of those who were eligible for cervical screening (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0318). Participants answered questions about whether they had taken part in cervical screening and reasons behind any delays in receiving the test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Trans men were more likely than non\u2010binary participants to report that they did not require cervical screening or were unsure if they needed it. For those who had delayed cervical screening, 30% did so due to feeling worried about how they would be treated as a trans or non\u2010binary person and 35% due to another reason. Other reasons for delay related to general and gender\u2010related discomfort, previous traumatic experiences, anxiety or fear of the test and pain. Material barriers to access included cost and lack of information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The current cervical screening program in Aotearoa does not consider the needs of TGNB people, leading to delayed and reduced uptake of cervical screening. Health providers require education on the reasons TGNB people delay or avoid cervical screening in order to provide appropriate information and affirmative healthcare environments. The human papillomavirus self\u2010swab may address some of the existing barriers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.13674","type":"journal-article","created":{"date-parts":[[2023,4,2]],"date-time":"2023-04-02T21:43:05Z","timestamp":1680471785000},"page":"448-453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Uptake, experiences and barriers to cervical screening for trans and non\u2010binary people in Aotearoa\u00a0New Zealand"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6177-6043","authenticated-orcid":false,"given":"Rona","family":"Carroll","sequence":"first","affiliation":[{"name":"Department of Primary Health Care and General Practice University of Otago Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle K. H.","family":"Tan","sequence":"additional","affiliation":[{"name":"Trans Health Research Lab, School of Psychology University of Waikato Hamilton New Zealand"},{"name":"Faculty of M\u0101ori and Indigenous Studies University of Waikato Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Ker","sequence":"additional","affiliation":[{"name":"School of Health Victoria University of Wellington Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack L.","family":"Byrne","sequence":"additional","affiliation":[{"name":"Trans Health Research Lab, School of Psychology University of Waikato Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaimie F.","family":"Veale","sequence":"additional","affiliation":[{"name":"Trans Health Research Lab, School of Psychology University of Waikato Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,2]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Ministry of Health.Cervical cancer. [Cited 26 October 2022.] Available from URL:https:\/\/www.health.govt.nz\/your\u2010health\/conditions\u2010and\u2010treatments\/diseases\u2010and\u2010illnesses\/cervical\u2010cancer#:~:text=In%20New%20Zealand%2C%20about%20160 about%2050%20die%20from%20it"},{"key":"e_1_2_7_3_1","unstructured":"SmithM WalkerR ClementsM CanfellK LewisH NealH.National cervical screening programme: Monitoring Report Number 32. [Cited 26 October 2022.] Available from URL:https:\/\/www.nsu.govt.nz\/system\/files\/page\/ncsp_monitoring_report_32_final.pdf"},{"key":"e_1_2_7_4_1","volume-title":"Review of Cervical Cancer Occurrences in Relation to Screening History in New Zealand for the Years 2013\u20132017","author":"Sykes P","year":"2019"},{"key":"e_1_2_7_5_1","unstructured":"Ministry of Health.NCSP New Zealand District Health Board Coverage Report: Period ending 31 March 2018. [Cited 26 October 2022.] Available from URL:https:\/\/www.nsu.govt.nz\/system\/files\/page\/ncsp_new_zealand_all_district_health_board_coverage_report_\u2010_period_ending_31_march_2018.pdf"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106071"},{"key":"e_1_2_7_7_1","first-page":"e30","article-title":"Cancer screening rates among transgender adults: cross\u2010sectional analysis of primary care data","volume":"65","author":"Kiran T","year":"2019","journal-title":"Can Fam Physician"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.07.031"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000890"},{"key":"e_1_2_7_10_1","unstructured":"CanWe.Can we invite you to The Inner Circle. [Cited 26 October 2022.] Available from:https:\/\/canwe.org.au\/staying\u2010healthy\/cervical\u2010screening\/"},{"key":"e_1_2_7_11_1","unstructured":"Ministry of Health.Cervical screening. [Cited 26 October 2022.] Available from URL:https:\/\/www.timetoscreen.nz\/cervical\u2010screening\/"},{"key":"e_1_2_7_12_1","volume-title":"Counting Ourselves: The Health and Wellbeing of Trans and Non\u2010binary People in Aotearoa New Zealand","author":"Veale JF","year":"2019"},{"key":"e_1_2_7_13_1","unstructured":"Ministry of Health.Health Information Standards Organisation 10001: 2017: Ethnicity data protocol2017."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0736-z"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0262213"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000189"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jasc.2021.01.004"},{"key":"e_1_2_7_19_1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1080\/26895269.2020.1861574","article-title":"\u2018None of my providers have the slightest clue what to do with me\u2019: transmasculine individuals' experiences with gynecological healthcare providers","volume":"22","author":"Pulice\u2010Farrow L","year":"2021","journal-title":"Int J Transgend Health"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13285"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12933"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2019.0202"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2016.0143"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2020-001860"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gore.2017.03.010"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T10:56:28Z","timestamp":1729162588000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,2]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1111\/ajo.13674"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13674","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,2]]},"assertion":[{"value":"2022-10-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}