TY - CHAP M1 - Book, Section TI - Screening for Cancer and Cardiovascular A1 - Gonzalez, Alex A2 - Keuroghlian, Alex S. A2 - Potter, Jennifer A2 - Reisner, Sari L. PY - 2022 T2 - Transgender and Gender Diverse Health Care: The Fenway Guide AB - Heart disease and cancer are the two leading causes of death in the general population in the United States,1 but their impact on transgender and gender diverse (TGD) people is poorly understood. Gender-affirming hormone therapy (GAHT) can play a role in the development of certain cancers, and may worsen some risk factors for cardiovascular disease. Societal and health care sector marginalization of TGD people—via economic disenfranchisement, increased risky behavior, decreased access to care, decreased patient willingness to seek care, and increased stigma—can contribute to higher oncologic and cardiovascular risk as well. This chapter will review what we know about cancer and cardiovascular disease epidemiology in TGD people as well as how to approach screening for these diseases in a primary care setting. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/25 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184177127 ER -