Nationwide mammographic screening among a large population of underserved subgroups.

Equitable access to screening is a valuable strategy for early cancer detection. This national study examines screening mammography rates among transgender and gender diverse individuals. Results show cisgender women and transgender men have higher screening rates, indicating clinicians offer mammography primarily to those at average or high breast cancer risk. Recommendations should be tailored to a person's anatomy, hormones, family history, and genetics rather than sex assigned at birth, improving identification of those needing screening.