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It advocates sexual orientation and gender identity data collection and an organ-based screening approach, supports cervical screening per national guidance, recommends risk-based screening for additional HPV-related cancers, and encourages HPV vaccination for at-risk individuals up to age 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is the main purpose of the document for SGM populations?","Question",{"text":63,"@type":64},"To clarify inclusive language for sexual and gender minority care and to provide recommendations for screening and prevention of HPV-related cancers in SGM populations.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What approach do the authors advocate for screening?",{"text":68,"@type":64},"An organ-based screening approach supported by knowledge of patient anatomy, sexual behaviors, and clinical history, combined with collection of sexual orientation and gender identity data.",{"name":70,"@type":61,"acceptedAnswer":71},"Which HPV-related cancers are addressed in the screening recommendations?",{"text":72,"@type":64},"Cervical cancer is recommended per national guidance, and screening for anal, vulvar, vaginal, penile, and oral cancers is recommended based on risk factors and shared clinical 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Papillomavirus–Related Cancers  \nDominique Jodry, MD,1 Juno Obedin-Maliver, MD, MPH, MAS,2 Lisa Flowers, MD, MPH,3 Naomi Jay, PhD, NP,4 Serina Floyd, MD,5 Deanna Teoh, MD,6 Christine Conageski, MD, MSc,1  \nLevi Downs, MD, 7 and Michelle J. Khan, MD, MPH2  \nObjectives: Sexual gender minority (SGM) populations are at risk for human papillomavirus (HPV)–related cancers ofthe anogenital tract and oropharynx and often face barriers to health care. The goals of this document are to clarify language to provide inclusive care for SGM populations and to provide recommendations for screening and prevention of HPV-related cancers in SGM populations.  \nMaterials and Methods: An expert committee convenedby the American Society for Colposcopy and Cervical Pathology performed a narrative review of the literature through February2023. A comprehensive MEDLINE database search was performed for relevant studies. The literature review was divided into categories by organ/topic and by SGM population. Given the variability in available data for several of the categories, recommendations were made based on national guidelines where appropriate or expert opinion where there were less data to support risk-based guidelines. Results: Definitions and terminology relevant to SGM populations arepresented. The authors advocate the adoption of sexual orientation gender identity data collection and an organ-based screening approach, which is possible with knowledge of patient anatomy, sexual behaviors, and clinical history. This includes screening for cervical cancer per national recommendations, as well as screening for anal, vulvar, vaginal, penile, and oral cancers based on risk factors and shared clinical decision making. The authors recommend consideration of HPV vaccination in all SGM individuals up to age 45 years old who are at risk.  \nConclusions: An organ-based screening approach is part ofa global strategy to create an inclusive care environment and mitigate barriers to screening and prevention of HPV-mediated cancers in SGM populations.  \nKey Words: HPV, sexual gender minority, human papillomavirus, neoplasia (J Low Genit Tract Dis 2023;27: 307–321)  \nH uman papillomavirus (HPV) is responsible for cancers ofthe  \nanogenital tract (cervix, anus, vulva, vagina, and penis) and cancers ofthe oropharynx. Sexual and/or gender minority (SGM) populations face barriers to health care and as a result experience disparate outcomes in cancer prevention. The goals of this docu-  \n1University ofColorado, Aurora, CO; 2Stanford University School ofMedicine, Stanford, California; 3Emory University School of Medicine, Atlanta, GA; 4University of California, San Francisco School of Medicine, San Francisco, California; 5Planned Parenthood of Metropolitan Washington, DC, Washington, DC; 6Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN; and 7Park Nicollet Health Services, Minneapolis, MN  \nReprint requests to: Michelle J. Khan, MD, MPH, Department of Obstetrics and Gynecology, Stanford University School of Medicine, 453 Quarry Road,  \nMail Code 5317, Palo Alto, CA 94304. E-mail: [drkhan@stanford.edu](drkhan@stanford.edu)[ ](drkhan@stanford.edu)The authors have declared they have no conflicts of interest.  \nIRB status: Exempt.  \nCopyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASCCP. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.  \nDOI: 10.1097/LGT.0000000000000763  \nment are to define SGM populations, to review the literature on HPV-related disease in SGM populations, and to provide recommendations for screening and pre","cbCaigXQDEnRPGMS","https://ap.wps.com/l/cbCaigXQDEnRPGMS","pdf",304261,15,"English","# Objectives\n# Materials and Methods\n# Results\n# Conclusions\n# Background: HPV and SGM-Related Barriers\n# Terminology and Inclusive Language","[{\"question\":\"What is the main purpose of the document for SGM populations?\",\"answer\":\"To clarify inclusive language for sexual and gender minority care and to provide recommendations for screening and prevention of HPV-related cancers in SGM populations.\"},{\"question\":\"What approach do the authors advocate for screening?\",\"answer\":\"An organ-based screening approach supported by knowledge of patient anatomy, sexual behaviors, and clinical history, combined with collection of sexual orientation and gender identity data.\"},{\"question\":\"Which HPV-related cancers are addressed in the screening recommendations?\",\"answer\":\"Cervical cancer is recommended per national guidance, and screening for anal, vulvar, vaginal, penile, and oral cancers is recommended based on risk factors and shared clinical decision-making.\"}]","Understanding Sexual and Gender Minority Populations and Organ-Based Screening Recommendations for Human Papillomavirus–Related Cancers | PDF",1790224007,38]