Abstract PO-248: A UK-based pilot cervical screening clinic tailored to trans men and non-binary people
Authors: Berner Alison M. , Suchak Tara , Wolton Aedan , Bayliss Jacob , Craven Katue , Pinnell Imogen , Ostrov Ricki , Burchill John 
Published: January 2022

Trans men and non-binary people experience numerous barriers to accessing cervical screening, including dysphoria related to the procedure, anticipated or experienced stigma and discrimination, lack of provider knowledge and exclusion from routine recall systems. As a result, this population are less likely to attend regularly and a recent UK study showed that the majority prefer to access screening via a trans-specific sexual health service. This pilot sought to trial a weekly dedicated cervical screening clinic for trans men and non-binary people to gauge acceptability and to explore how best to promote the service. Organisations with the expertise of working with this population in the UK collaborated on the project. A communications plan was developed which included promotion of the project to local area stakeholders. A promotional video was produced as well as three patient testimonials from trans people who had attended for screening. The social media campaign comprised initial promotional material on six platforms with post-hoc analysis and a second stage using the two most popular platforms. The clinic commenced in October 2019 within an existing trans-specific sexual health service in London, UK. It was staffed by healthcare professionals with training and experience in performing cervical screening for trans people, including sensitive communication and techniques to facilitate a more comfortable procedure. Appointments could be accessed via a dedicated booking email and telephone number. Patients were asked to complete an evaluation after the procedure. From October 2019, nine people were screened prior to the outbreak of Covid-19 in March 2020. The project was suspended immediately after the first social media campaign launched, having had over 40,000 views over 10 days. In July 2020 the project recommenced, and the second social media campaign ran on Facebook and Twitter for 14 days, with over 50,000 views. A targeted email advertising the service was sent to eligible patients currently under the Gender Identity Clinic London in August 2020 and the service advertised via their website. Between July and February 2021, 35 trans men were screened in the clinic, despite another lockdown. Participant surveys from 20 attendees showed 100% positive feedback. The majority of respondents stated that if the service was unavailable, they would not have attended cervical screening (12/20 respondents). However, when asked if their GP could provide a similar service, nine respondents stated that they would attend (9/20 respondents). This pilot suggests that bespoke cervical screening clinics for trans men and non-binary people are highly acceptable, and support patients to engage with screening who otherwise would not have done so. Patients may benefit from such clinics embedded within services across several healthcare settings, in order to maximise access. Targeted promotion via social media is effective and may encourage screening beyond the service being advertised but should be concentrated on platforms most accessed by the community.

Citation Format: Alison M. Berner, Tara Suchak, Aedan Wolton, Jacob Bayliss, Katue Craven, Imogen Pinnell, Ricki Ostrov, John Burchill. A UK-based pilot cervical screening clinic tailored to trans men and non-binary people [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr PO-248.