We sought to examine cervical cancer screening barriers by sexual orientation among low-income women in North Carolina. The MyBodyMyTest-3 Trial recruited low-income women (< 250% of federal poverty level) aged 25–64 years who were 1+ year overdue for cervical cancer screening. We compared perceptions of cervical cancer screening among those who self-identified as lesbian, gay, bisexual, or queer (LGBQ; n = 70) to straight/heterosexual women (n = 683). For both LGBQ and straight respondents, the greatest barriers to screening were lack of health insurance (63% and 66%) and cost (49% and 50%). LGBQ respondents were more likely than straight respondents to report forgetting to screen (16% vs. 8%, p = .05), transportation barriers (10% vs. 2%, p = .001), and competing mental or physical health problems (39% vs. 27%, p = .10). Addressing access remains important for improving cervical cancer screening among those under-screened. For LGBQ women, additional attention may be needed for reminders, co-occurring health needs, and transportation barriers.

我们试图通过北卡罗来纳州低收入女性的性取向来检查宫颈癌筛查障碍。 MyBodyMyTest-3 试验招募了年龄在 25-64 岁、逾期 1 年以上的低收入女性（<联邦贫困线的 250%）。我们比较了自我认定为女同性恋、男同性恋、双性恋或酷儿 (LGBQ；n  = 70) 与异性恋/异性恋女性 ( n  = 683) 的宫颈癌筛查看法。对于 LGBQ 和异性恋受访者来说，筛查的最大障碍是缺乏健康保险（63% 和 66%）和费用（49% 和 50%）。 LGBQ 受访者比异性恋受访者更有可能报告忘记筛查（16% vs. 8%，p  = .05）、交通障碍（10% vs. 2%，p  = .001）以及相互竞争的心理或身体健康问题（39% 与 27%，p  = .10）。解决宫颈癌筛查问题对于改善筛查不足人群的宫颈癌筛查仍然很重要。对于 LGBQ 女性来说，可能需要额外关注提醒、同时发生的健康需求和交通障碍。