{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:51:40Z","timestamp":1791301900723,"version":"4.1.0"},"reference-count":44,"publisher":"Harborside Press, LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,6]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This qualitative study sought to understand factors related to low rates of screening mammography among transgender and gender-diverse (TGD) individuals and how these rates might be improved.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Individuals who self-reported as TGD were recruited from multiple sites and national patient advocates. Consenting participants completed an individual interview using a semistructured guide informed by the Health Belief Model (HBM). Interview data were analyzed using thematic analysis.\n                    <jats:bold>Results:<\/jats:bold>\n                    A total of 44 individuals completed the interview (median age, 44.9 years; range, 19\u201377 years); 11% were a racial\/ethnic minority; and 52%, 20%, and 25%, respectively, self-identified as a transgender woman, transgender man, or nonbinary. Three themes emerged around constructs in the HBM. First, individuals voiced a hope to be treated equally (\u201cI just want to go to work, pay my taxes, love my family, and go along my day and be a good human\u201d) and described how such equitable treatment during screening guarded against gender dysphoria and favored gender affirmation (\u201cit is affirming\u2026being treated as any other woman\u201d). Second, barriers and facilitators related to mammography were identified, including the need to address cost\/low cost (\u201cscreenings are a luxury\u201d); prior negative\/positive experiences (\u201cthey would call my name and look at me but dismiss me\u201d); absence\/presence of education (\u201cnone of the doctors\u2026ever told me what that process looks like\u201d); and perceived low\/high cancer risk (\u201cmy mom died pretty young from breast cancer\u201d). Finally, practical recommendations were offered, including individual changing\/waiting rooms, hiring gender-diverse staff, and engaging clinicians who provide whole-person, trauma-informed care.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Mammographic screening among TGD individuals could be improved by proactively creating safe, affirming spaces; working to lower costs; providing educational materials tailored to the TGD community about cancer risk and the practical aspects of screening; and hiring gender-diverse staff. These recommendations from TGD participants merit implementation as well as further study.\n                  <\/jats:p>","DOI":"10.6004\/jnccn.2026.7050","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:53:07Z","timestamp":1791298387000},"source":"Crossref","is-referenced-by-count":0,"title":["\u201cI Just Want People to See Me as a Decent Human Being\u201d: Perceptions of Screening Mammography in an Underserved Group"],"prefix":"10.6004","author":[{"given":"Elizabeth","family":"Cathcart-Rake","sequence":"first","affiliation":[{"name":"Department of Oncology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelliann C.","family":"Fee-Schroeder","sequence":"additional","affiliation":[{"name":"Department of Oncology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Davidge-Pitts","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandy M.","family":"Looney","sequence":"additional","affiliation":[{"name":"Department of Oncology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn M.","family":"Phelan","sequence":"additional","affiliation":[{"name":"Department of Oncology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Herndon","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany M.","family":"Olswold","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Ridgeway","sequence":"additional","affiliation":[{"name":"Health Care Delivery Research, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn F.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NFN","family":"Scout","sequence":"additional","affiliation":[{"name":"The Cancer Network, Providence, RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmett E.","family":"Oldham","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar A.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN"},{"name":"Department of Family Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrys","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noreen","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Community Outreach and Engagement, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Le-Rademacher","sequence":"additional","affiliation":[{"name":"Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrisandra L.","family":"Shufelt","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminah","family":"Jatoi","sequence":"additional","affiliation":[{"name":"Department of Oncology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4047","reference":[{"key":"B1","series-title":"J Natl Compr Canc Netw","first-page":"e245017","article-title":"Cancer risk reduction strategies for transgender, non-binary, and gender-diverse people with hereditary cancer syndromes","volume":"22","author":"Mak JS","year":"2024","unstructured":"Mak JS, Rodriguez D. 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