4 years ago

Breast cancer screening in transgender patients: findings from the 2014 BRFSS survey

Elizabeth Morris, Lizza Lebron-Zapata, Anand Narayan



Transgender patients undergoing transitions often receive cross-sex hormonal therapies, placing them at uncertain risk for developing breast cancer. There is limited population-based information about the extent to which transgender patients undergo mammography screening. Our purpose was to determine the extent to which transgender patients undergo mammography screening using nationally representative survey data.


Transgender participants between ages 40–74 in the 2014 Behavioral Risk Factor Surveillance System survey were included. Proportions undergoing mammography screening in the last year or two years were calculated stratified by age category and transition status [male to female(MtF), female to male(FtM), non-conforming]. For each transition status, predictors of mammography screening were calculated using logistic regression.


220 transgender patients were within 40–74 years old(35% were MtF, 51% were FtM, 14% were non-conforming). 60.0% underwent mammography screening within the last year (MtF—54.5%, FtM—64.3%, non-conforming—58.1%). 74.1% underwent screening within the last two years(MtF—70.1%, FtM—75.9%, non-conforming—77.4%). For all transgender patients, income category (OR 1.16, 0.82–1.64), higher education category (OR 1.09, 0.31–3.86) and health insurance (OR 0.38, 0.10–1.41) were not associated with increased adherence to mammography screening. Transgender patients were comparably likely to undergo mammography screening compared with non-transgender patients (Adjusted OR 0.97, 0.58–1.62).


High proportions of transgender survey respondents undergo mammography screening (57.9–66.1% within the last year, 71.9–74.4% within the last two years) in our sample, proportions comparable to non-transgender survey respondents.

Publisher URL: https://link.springer.com/article/10.1007/s10549-017-4461-8

DOI: 10.1007/s10549-017-4461-8

You might also like
Discover & Discuss Important Research

Keeping up-to-date with research can feel impossible, with papers being published faster than you'll ever be able to read them. That's where Researcher comes in: we're simplifying discovery and making important discussions happen. With over 19,000 sources, including peer-reviewed journals, preprints, blogs, universities, podcasts and Live events across 10 research areas, you'll never miss what's important to you. It's like social media, but better. Oh, and we should mention - it's free.

  • Download from Google Play
  • Download from App Store
  • Download from AppInChina

Researcher displays publicly available abstracts and doesn’t host any full article content. If the content is open access, we will direct clicks from the abstracts to the publisher website and display the PDF copy on our platform. Clicks to view the full text will be directed to the publisher website, where only users with subscriptions or access through their institution are able to view the full article.