Cancer screening in LGBTQIA+ populations.

BACKGROUND

Lesbian, gay, bisexual, transgender, queer/questioning, intersex and asexual/aromantic (LGBTQIA+, the plus referring to other sexuality and gender diverse groups) peoples in Australia experience lower levels of cancer screening and preventive activities when compared with the general population. This is especially the case for transgender and gender diverse (TGD) peoples, who experience additional barriers to access and discrimination above the rest of LGBTQIA+ peoples.

OBJECTIVE

This article seeks to enhance cancer screening engagement among LGBTQIA+ individuals by addressing underscreening within these populations and offering strategies for improvement within primary care, including specific examples relevant to TGD peoples.

DISCUSSION: Enhanced, individualised patient assessment, education and practitioner recommendations for cancer screening and prevention - supported by practitioner upskilling, LGBTQIA+ inclusivity training and the development of safer healthcare environments - may increase participation in screening programs, ultimately leading to earlier detection and better cancer outcomes.