{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:04:14Z","timestamp":1789772654995,"version":"4.0.1"},"reference-count":65,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"11","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["J Clin Oncol"],"published-print":{"date-parts":[[2026,4,10]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>This national study was undertaken to determine screening mammography rates among transgender and gender diverse (TGD) individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>TGD individuals and cisgender women who qualified to receive screening mammography based on American College of Radiology guidelines were identified in the longitudinal OptumLabs Data Warehouse. The primary end point was the percentage of patients who had high rates of screening (&gt;75% recommended screenings). Multivariable analyses were conducted in a matched population of transgender men to cisgender women to identify and adjust for factors associated with high adherence. Individuals were matched at a 1:4 ratio (transgender men: cisgender women) on age, race\/ethnicity, year of enrollment in their health care plan, and duration of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      This study focused on 10,478 TGD individuals (3,778 transgender men; 1,294 transgender women; 5,406 with gender dysphoria not meeting other TGD criteria, NMOT) and 6,218,369 cisgender women. For transgender men, transgender women, individuals with gender dysphoria NMOT, and cisgender women, high mammography rates were observed in 41.1% (95% CI, 39.5 to 42.6), 7.4% (95% CI, 6.0 to 8.8), 11.9% (95% CI, 11.0 to 12.7), and 38.3% (95% CI, 38.3 to 38.4), respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001). When transgender men were compared with 15,112 matched cisgender women, an age-based differential association was observed between sex and high mammography rates (interaction\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .0003); compared with cisgender women, transgender men appeared more likely to manifest high rates of screening at age 40-49 years (odds ratios [ORs], 1.38 [95% CI, 1.28 to 1.50];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001) and 50-59 years (OR, 1.57 [95% CI, 1.35 to 1.81];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001) but not in the older age groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The relatively high rates of screening mammography in cisgender women and transgender men suggest clinicians are offering mammography to individuals who are at average or high breast cancer risk, as compared with cisgender women, and not to transgender women at low risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/jco-25-01659","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T20:59:22Z","timestamp":1772571562000},"page":"981-991","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":2,"title":["Nationwide Mammographic Screening Among a Large Population of\u00a0Underserved Subgroups"],"prefix":"10.1200","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3532-4913","authenticated-orcid":true,"given":"Elizabeth J.","family":"Cathcart-Rake","sequence":"first","affiliation":[{"name":"Department of Medical Oncology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2136-3540","authenticated-orcid":true,"given":"Viengneesee","family":"Thao","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. 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