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For Black women in particular, these experiences are not aberrations. They are patterned."}],"markDefs":[{"_key":"748282fc46cb","_type":"externalLink","linkType":"text","url":"https://www.theguardian.com/us-news/2026/jan/27/black-women-healthcare-self-advocate"}],"style":"normal"},{"_key":"fd6ff97a573c","_type":"block","children":[{"_key":"5778954ed3920","_type":"span","marks":[],"text":"What’s striking is not that these stories exist, but how little medicine has actually studied their downstream impact. It’s a well-understood fact that BPOC women have a higher risk of preterm birth, labor and postpartum complications. It’s also well documented that BPOC women have an increased incidence of chronic condition onset like hypertension, diabetes and mental health diagnoses. And yet, research has done little to really disentangle what we can do to dramatically stave off this effect."}],"markDefs":[],"style":"normal"},{"_key":"5676b06e43fe","_type":"sectionHeader","headerLevel":"h2","title":"We See the Outcomes, But Not the Full Explanation"},{"_key":"a3173e498e0f","_type":"block","children":[{"_key":"33bf783dbdde0","_type":"span","marks":[],"text":"Across the U.S. healthcare system, Black women experience worse outcomes across a range of conditions, including maternal health, cardiovascular disease, autoimmune disorders, and certain cancers. In preventive care, the gaps are especially visible."}],"markDefs":[],"style":"normal"},{"_key":"4b03e2da6b71","_type":"block","children":[{"_key":"6b5a150510a60","_type":"span","marks":[],"text":"Black women are less likely than White women to be up to date on cervical cancer screening and more likely to be diagnosed at later stages, when treatment is more complex and survival rates are lower. These differences persist even after accounting for income, insurance status, and education."}],"markDefs":[],"style":"normal"},{"_key":"ce4b72a594e3","_type":"block","children":[{"_key":"35545dff3be80","_type":"span","marks":[],"text":"The usual explanations—access, socioeconomic status, comorbidities—are real, but incomplete. They tell us "},{"_key":"35545dff3be81","_type":"span","marks":["em"],"text":"where"},{"_key":"35545dff3be82","_type":"span","marks":[],"text":" disparities appear, not "},{"_key":"35545dff3be83","_type":"span","marks":["em"],"text":"why"},{"_key":"35545dff3be84","_type":"span","marks":[],"text":" they persist so stubbornly even when guidelines, coverage, and clinical tools are ostensibly the same across all populations."}],"markDefs":[],"style":"normal"},{"_key":"46c476199167","_type":"block","children":[{"_key":"dd60716dbff00","_type":"span","marks":[],"text":"One hypothesis, supported by lived experience but insufficiently explored by research, is cumulative strain: the cognitive, emotional, and physiological toll of navigating a system that repeatedly signals disbelief."}],"markDefs":[],"style":"normal"},{"_key":"24f5b53339a0","_type":"block","children":[{"_key":"95880141206f0","_type":"span","marks":["em"],"text":"What happens to care-seeking behavior when appointments feel adversarial?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"99e8f921e089","_type":"block","children":[{"_key":"c45df7cf6409","_type":"span","marks":["em"],"text":"What happens to disclosure when patients expect to be minimized?What happens over years when trust erodes slowly, visit by visit?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7d1d68192881","_type":"block","children":[{"_key":"bdd20d4185440","_type":"span","marks":[],"text":"Today’s establishment treats these as “soft questions” but they are not – they are meaningful questions that we can see impact clinical outcomes."}],"markDefs":[],"style":"normal"},{"_key":"7fe7b2eb9495","_type":"sectionHeader","headerLevel":"h2","title":"Recognizing the history behind these outcomes"},{"_key":"12a27c07cdf7","_type":"block","children":[{"_key":"fec364fefd480","_type":"span","marks":[],"text":"Modern gynecology itself was shaped through experimentation on Black women who could not consent. In the mid-19th century, physician J. Marion Sims developed and refined surgical techniques and instruments that would later become foundational to gynecological practice, including early forms of the vaginal speculum, through repeated experimental surgeries on enslaved Black women such as Anarcha, Lucy, and Betsey."}],"markDefs":[],"style":"normal"},{"_key":"e9be26bb9f5a","_type":"block","children":[{"_key":"6f166a02b7c10","_type":"span","marks":[],"text":"These procedures were performed without anesthesia—not because anesthesia did not exist, but because Sims believed Black women did not feel pain, a belief rooted in racist pseudoscience. And, at the time, these women had no legal ability to refuse. This history is embedded in the tools, norms, and power dynamics of women’s healthcare. For many Black women, gynecological care is not merely uncomfortable—it carries generational memory of exploitation, disregard, and harm."}],"markDefs":[],"style":"normal"},{"_key":"335c91e7077d","_type":"block","children":[{"_key":"7ed47762027b0","_type":"span","marks":[],"text":"That legacy extends beyond gynecology, from the Tuskegee syphilis study to other non-consensual or deceptive research practices performed on Black people that have been well documented. Research shows that awareness of these histories correlates with higher medical mistrust among Black Americans and lower engagement with preventive care."}],"markDefs":[],"style":"normal"},{"_key":"5007331b75fa","_type":"block","children":[{"_key":"8cef1c946a230","_type":"span","marks":[],"text":"Against that backdrop, we must take this mistrust and outsized strain Black women experience when using the medical system seriously."}],"markDefs":[],"style":"normal"},{"_key":"acc9e67b68bd","_type":"sectionHeader","headerLevel":"h2","title":"What we still haven’t studied enough"},{"_key":"0b1a2f06ea93","_type":"block","children":[{"_key":"353a825a5e6d0","_type":"span","marks":[],"text":"Despite this history—and despite persistent outcome gaps—research into how disbelief, bias, and relational dynamics affect long-term health outcomes has been limited."}],"markDefs":[],"style":"normal"},{"_key":"17463eabf9f6","_type":"block","children":[{"_key":"ed7647e0cd9c0","_type":"span","marks":[],"text":"More concerning, several NIH-funded programs that supported research on health equity, patient experience, and structural drivers of disparities were recently shut down or deprioritized as part of broader efforts to defund initiatives labeled as “DEI.” The consequence is clear: fewer resources to study how trust, listening, and lived experience interact with biology over time."}],"markDefs":[],"style":"normal"},{"_key":"5dc75aec3b33","_type":"block","children":[{"_key":"b1a129cb78c80","_type":"span","marks":[],"text":"This leaves medicine in an uncomfortable position. We can observe correlations between mistrust and worse outcomes, but we lack the kind of longitudinal, mechanistic evidence that healthcare systems typically demand before changing practice."}],"markDefs":[],"style":"normal"},{"_key":"87fbde2301e9","_type":"sectionHeader","headerLevel":"h2","title":"What we do know: Listening changes outcomes"},{"_key":"30b8c9469ba9","_type":"block","children":[{"_key":"30a5cc1b5a3b0","_type":"span","marks":[],"text":"Even without perfect data, one signal is consistent across care settings: when women feel listened to, they engage differently with healthcare. In environments where patients report feeling heard and respected, preventive screening rates increase. Follow-up improves. Chronic conditions are managed more consistently. Mental health needs surface earlier, before they become crises."}],"markDefs":[],"style":"normal"},{"_key":"6ab9520ea0b5","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"ce847870c106","_type":"block","children":[{"_key":"3c4782710ab0","_type":"span","marks":[],"text":"Patients at Tia have described the difference clearly:"}],"markDefs":[],"style":"h3"},{"_key":"f2124e526ac4","_type":"block","children":[{"_key":"2b030dc3e05f","_type":"span","marks":["em"],"text":"“She listened to my concerns and suggested actions I hadn’t considered… it was so refreshing to have a doctor who was both Black and a woman.”"}],"markDefs":[],"style":"normal"},{"_key":"53e30aa29733","_type":"block","children":[{"_key":"35f87265af31","_type":"span","marks":["em"],"text":"“I have never felt more ‘human’ in healthcare.”"}],"markDefs":[],"style":"normal"},{"_key":"5085b4735bdc","_type":"block","children":[{"_key":"fc8a06b1585a","_type":"span","marks":["em"],"text":"“I feel safe. My concerns are taken seriously.”"}],"markDefs":[],"style":"normal"}]},{"_key":"46f3827c2e46","_type":"block","children":[{"_key":"2a37e0ceac510","_type":"span","marks":[],"text":"We believe there is no better indicator that women are going to continue to engage in their core preventive care services if (and when) they feel heard, seen, supported and most of all believed. Systems where patients spend less energy defending their credibility and more energy participating in their health mean there is more time for finding solutions that will work for them. While this issue of “not feeling believed” is prevalent across women of all colors and socieconomic backgrounds, the persistence and detriment of this effect for black women stands out to such a degree that it merits an intensive focus on adopting attentive practice to support black women in particular."}],"markDefs":[],"style":"normal"},{"_key":"bf967b4c6a36","_type":"sectionHeader","headerLevel":"h2","title":"Preventive care can lead the change"},{"_key":"269aeaa2a07d","_type":"block","children":[{"_key":"28c609073cbe0","_type":"span","marks":["8f9cd7cba92b"],"text":"Cervical cancer screening"},{"_key":"42d09f76e546","_type":"span","marks":[],"text":" is often cited as a clear example of racial disparity in preventive care. Nationally, Black women are less likely than White women to be up to date on Pap testing and more likely to experience delayed diagnosis and higher mortality from a disease that is largely preventable with routine screening and follow-up."}],"markDefs":[{"_key":"8f9cd7cba92b","_type":"internalLink","linkType":"text","reference":{"_id":"ee61b496-4752-4b56-ac59-841c74e24f58","_type":"editorial","_createdAt":"2026-02-24T18:30:09Z","_rev":"UF1nvQ8PWGva9AGx3aRrxp","_system":{"base":{"id":"ee61b496-4752-4b56-ac59-841c74e24f58","rev":"vFe2o0RwXKaanKvO3lC0tE"}},"_updatedAt":"2026-02-27T18:59:44Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_id":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"articleType","_createdAt":"2020-07-02T17:16:49Z","_rev":"SGRUYYXjUz90R9gvybxv4g","_updatedAt":"2022-09-15T12:22:05Z","slug":{"_type":"slug","current":"tia-tackles"},"title":"Tia Tackles","id":"defceb8f-23cf-565c-877f-6076b6eecbd4","parent":null,"children":[],"internal":{"type":"SanityArticleType","contentDigest":"663c7c34b9699afdb618806dbdabde2a","counter":1839,"owner":"gatsby-source-sanity"}},"authors":[{"_id":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"team","_createdAt":"2020-07-21T15:06:58Z","_rev":"UKYXCDD2MpHvi2JmKEnwm8","_updatedAt":"2023-09-21T20:39:07Z","content":{"_type":"teamTabs","main":{"_type":"teamContent","image":{"_type":"image","asset":{"_ref":"image-c5514b81e64c85ef2d077e99ffc2b06c8eccf754-4252x4252-png","_type":"reference"}},"slug":{"_type":"slug","current":"tia"},"title":"Tia"},"meta":{"_type":"metaCard","noIndex":true}},"id":"a6ca04e3-f627-5079-b58d-1d4334592e9c","parent":null,"children":[],"internal":{"type":"SanityTeam","contentDigest":"1b974f3c8c2ba79d1f59f6e8b64bfd0b","counter":1823,"owner":"gatsby-source-sanity"}}],"cardImage":{"_type":"image","asset":{"_id":"image-b580a3bf317342057f0f862dc29b1e6e128e93f3-1920x614-webp","_type":"sanity.imageAsset","_createdAt":"2026-02-26T20:15:00Z","_rev":"vFe2o0RwXKaanKvO3ki1KK","_updatedAt":"2026-02-26T20:15:00Z","assetId":"b580a3bf317342057f0f862dc29b1e6e128e93f3","extension":"webp","metadata":{"_type":"sanity.imageMetadata","blurHash":"DHJk1M00?]Vs?H?bt7jGWBWV","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":3.1270358306188926,"height":614,"width":1920},"hasAlpha":false,"isOpaque":true,"lqip":"data:image/jpeg;base64,/9j/2wBDAAYEBQYFBAYGBQYHBwYIChAKCgkJChQODwwQFxQYGBcUFhYaHSUfGhsjHBYWICwgIyYnKSopGR8tMC0oMCUoKSj/2wBDAQcHBwoIChMKChMoGhYaKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCj/wAARCAAGABQDASIAAhEBAxEB/8QAFwABAAMAAAAAAAAAAAAAAAAAAAUGB//EAB4QAAEEAwADAAAAAAAAAAAAAAEAAgMFBBESITFR/8QAFgEBAQEAAAAAAAAAAAAAAAAAAwIE/8QAGBEBAAMBAAAAAAAAAAAAAAAAAAECMQP/2gAMAwEAAhEDEQA/AIayuHtdNkYkUcR6G2n0QrLXW9c/NqpDX8vDwXFgA2fqIjtjXxjWz4sExhBdLvflEREh/9k=","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#6a374a","foreground":"#fff","population":0.39,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#681c32","foreground":"#fff","population":0,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#fce0de","foreground":"#000","population":1.98,"title":"#000"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#d0b4ac","foreground":"#000","population":0.12,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fce0de","foreground":"#000","population":1.98,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#91696f","foreground":"#fff","population":1.07,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#d97290","foreground":"#fff","population":0.27,"title":"#fff"}},"thumbHash":"ZCgOCoKwp1iad1eXUIcrcLc="},"mimeType":"image/webp","originalFilename":"Cervical_Cancer_Header.webp","path":"images/8qqycr4y/production/b580a3bf317342057f0f862dc29b1e6e128e93f3-1920x614.webp","sha1hash":"b580a3bf317342057f0f862dc29b1e6e128e93f3","size":158032,"uploadId":"0ZbjfM28ZajGg8iL21PnxUByWmdymlGg","url":"https://cdn.sanity.io/images/8qqycr4y/production/b580a3bf317342057f0f862dc29b1e6e128e93f3-1920x614.webp","id":"image-b580a3bf317342057f0f862dc29b1e6e128e93f3-1920x614-webp","parent":null,"children":["521a1c0c-cc0c-5a9d-a4e3-9d04ef1afcb3"],"internal":{"type":"SanityImageAsset","contentDigest":"5bdb8f2d8dc679edc3ccbef5d7429638","counter":621,"owner":"gatsby-source-sanity"}}},"editorialText":[{"_key":"3d56c57887d3","_type":"block","children":[{"_key":"a9dce286ca110","_type":"span","marks":[],"text":"Cervical cancer is one of the most preventable cancers — yet millions of women miss life-saving screenings every year. Learn what cervical cancer screening involves, when you need it, and how Tia's integrated care model is helping women stay ahead of this disease."}],"markDefs":[],"style":"normal"},{"_key":"90e3855aeeef","_type":"sectionHeader","headerLevel":"h2","title":"Cervical Cancer by the Numbers: Why Screening Saves Lives"},{"_key":"0922f311c143","_type":"block","children":[{"_key":"d033ecd983bb0","_type":"span","marks":[],"text":"A century ago, cervical cancer was the leading cause of cancer death among women in the United States. Today, it doesn't even crack the top 10 - and that shift is almost entirely thanks to two things: routine cervical cancer screening and Human Papilloma Virus (HPV) vaccination. But there's a troubling catch. Despite having the tools to detect this cancer early, national screening rates remain dangerously low."}],"markDefs":[],"style":"normal"},{"_key":"f131924bf59e","_type":"block","children":[{"_key":"9b03475fc19b0","_type":"span","marks":[],"text":"According to "},{"_key":"a8acdd1134c1","_type":"span","marks":["b10db73d5408"],"text":"Tia's 2025 State of Women's Healthcare Report"},{"_key":"2f2743c567bb","_type":"span","marks":[],"text":", Tia’s patients and members had an 81% cervical cancer screening rate - nearly 2.5 times the national average. That number is remarkable, but it also puts a spotlight on how underserved women remain in the broader healthcare system. The national screening rate hovers around 36%, which means nearly two-thirds of eligible women are not getting a potentially life-saving test."}],"markDefs":[{"_key":"b10db73d5408","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/2025-state-of-womens-healthcare/"}],"style":"normal"},{"_key":"1c415f7dbf47","_type":"block","children":[{"_key":"45e1b628d3790","_type":"span","marks":[],"text":"That gap has real consequences. Early-stage cervical cancer almost never produces symptoms - no pain, no unusual discharge, no warning signs. When symptoms do appear, the cancer has often already advanced. Screening is the only reliable way to catch it early, when treatment is most effective and least invasive."}],"markDefs":[],"style":"normal"},{"_key":"908586f18c4b","_type":"sectionHeader","headerLevel":"h2","title":"What Is Cervical Cancer Screening?"},{"_key":"261fd167d0a7","_type":"block","children":[{"_key":"13d5925290180","_type":"span","marks":[],"text":"Cervical cancer screening refers to tests designed to detect abnormal cells on the cervix before they develop into cancer. There are three main options:"}],"markDefs":[],"style":"normal"},{"_key":"e9fdb62a0b6f","_type":"sectionHeader","headerLevel":"h3","title":"1. The Pap Smear (Pap Test)"},{"_key":"b24f17c0f096","_type":"block","children":[{"_key":"8ca23f7bd5480","_type":"span","marks":[],"text":"A "},{"_key":"6a80fc2ce8bf","_type":"span","marks":["4c325f5db501"],"text":"Pap smear"},{"_key":"129a31b5664c","_type":"span","marks":[],"text":" involves a clinician using a speculum to collect a small sample of cells from the cervix during a pelvic exam. Those cells are then examined under a microscope for abnormalities. The test is quick, generally painless, and has been the cornerstone of cervical cancer prevention for decades."}],"markDefs":[{"_key":"4c325f5db501","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pap-test/"}],"style":"normal"},{"_key":"62b83a748131","_type":"block","children":[{"_key":"cc01ed680a4d0","_type":"span","marks":[],"text":"Named after Dr. George Papanikolaou, who developed it in the 1920s, the Pap test has driven a massive reduction in cervical cancer mortality in the US. To understand more about how abnormal cells develop in the cervix, Tia's guide "},{"_key":"32986c917a54","_type":"span","marks":["9388e6ec5c0d"],"text":"\"Cancel Cervical Cancer\""},{"_key":"fd845bb236a6","_type":"span","marks":[],"text":" is an excellent primer on the biology behind cervical dysplasia and what abnormal results really mean."}],"markDefs":[{"_key":"9388e6ec5c0d","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cancel-cervical-cancer/"}],"style":"normal"},{"_key":"e2703354fa95","_type":"sectionHeader","headerLevel":"h3","title":"2. Primary HPV Testing"},{"_key":"ab0e03ae89d8","_type":"block","children":[{"_key":"7cdaa22a71a50","_type":"span","marks":[],"text":"In 2020, the American Cancer Society updated its cervical cancer screening guidelines to prioritize primary HPV testing over Pap smears alone for women over 30 (Pap smears remain the recommended screening for women under 30). "},{"_key":"1ec40af8eba9","_type":"span","marks":["53b9661705ad"],"text":"The HPV test"},{"_key":"cce96d8d4638","_type":"span","marks":[],"text":" checks directly for high-risk strains of the human papillomavirus — the virus responsible for causing almost all cervical cancers. It is more sensitive than the Pap test at detecting precancerous changes, and it's also more cost-effective."}],"markDefs":[{"_key":"53b9661705ad","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pap-test/"}],"style":"normal"},{"_key":"80bd2977602c","_type":"block","children":[{"_key":"1edb3389906b0","_type":"span","marks":[],"text":"HPV is sometimes called the \"common cold\" of sexual health — the CDC estimates that nearly all sexually active people will contract at least one strain at some point in their lives. But not all strains are dangerous. High-risk strains like HPV 16, 18, and 45 are the ones linked to cervical cancer, as well as anal, throat, and vulvar cancers. For a deeper breakdown of what HPV is and how it relates to cervical cancer, read Tia's in-depth guide "},{"_key":"57e2a08ddcee","_type":"span","marks":["6ec40e9e95b8"],"text":"here"},{"_key":"024a54f46d40","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"6ec40e9e95b8","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cancel-cervical-cancer/"}],"style":"normal"},{"_key":"91b556415647","_type":"sectionHeader","headerLevel":"h3","title":"3. Co-Testing (Pap + HPV)"},{"_key":"40a27693e8dd","_type":"block","children":[{"_key":"d76b585708100","_type":"span","marks":[],"text":"Co-testing combines both tests at the same visit, offering the most comprehensive screening picture. For women over 30, co-testing every 5 years is one of the accepted options under current guidelines."}],"markDefs":[],"style":"normal"},{"_key":"6990de7b9dbb","_type":"sectionHeader","headerLevel":"h2","title":"Cervical Cancer Screening Guidelines: When Do You Need to Get Tested?"},{"_key":"a8c57b0ab54a","_type":"block","children":[{"_key":"89bc5716cbf60","_type":"span","marks":[],"text":"Current guidelines from the "},{"_key":"43e33f281ad2","_type":"span","marks":["d29e93a1696f"],"text":"American College of Obstetricians and Gynecologists (ACOG)"},{"_key":"33d95e0aa34e","_type":"span","marks":[],"text":" and the American Cancer Society recommend:"}],"markDefs":[{"_key":"d29e93a1696f","_type":"externalLink","linkType":"text","url":"https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/04/updated-cervical-cancer-screening-guidelines"}],"style":"normal"},{"_key":"02fdb7420796","_type":"block","children":[{"_key":"37e88a8d97740","_type":"span","marks":[],"text":"Ages 21–29: Pap smear every 3 years"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"11ba65580ed9","_type":"block","children":[{"_key":"f092d392efc90","_type":"span","marks":[],"text":"Ages 30–65: One of three options - HPV test alone every 5 years, Pap smear alone every 3 years, or co-testing (Pap + HPV) every 5 years"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"569a8dae05bf","_type":"block","children":[{"_key":"b3e75e962f630","_type":"span","marks":[],"text":"Age 65+: Screening may be discontinued after adequate recent screening history and no high-risk factors - discuss with your provider"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aed410efb048","_type":"block","children":[{"_key":"c232e9472a410","_type":"span","marks":[],"text":"Any age with abnormal history: More frequent screening is typically recommended"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f5fd2ff6edbf","_type":"block","children":[{"_key":"556f2a7165c80","_type":"span","marks":[],"text":"Important: These are population-level guidelines. Your individual history - including prior abnormal results, HPV history, immune status, and sexual behavior - may mean you need to be screened more frequently. At Tia, care is always individualized to the patient, not the guideline."}],"markDefs":[],"style":"normal"},{"_key":"58d12e5744c5","_type":"sectionHeader","headerLevel":"h2","title":"Signs and Symptoms of Cervical Cancer: What to Watch For"},{"_key":"1ac742c64a79","_type":"block","children":[{"_key":"e3e2b98448d30","_type":"span","marks":[],"text":"Early-stage cervical cancer typically has no symptoms. This is precisely why screening is so critical - by the time symptoms appear, the disease may have already progressed."}],"markDefs":[],"style":"normal"},{"_key":"146ba79c26dc","_type":"block","children":[{"_key":"498415d772830","_type":"span","marks":[],"text":"When symptoms of cervical cancer do appear, they can include:"}],"markDefs":[],"style":"normal"},{"_key":"70e614b85096","_type":"block","children":[{"_key":"5f648121f24d0","_type":"span","marks":["794fe4de1c9e"],"text":"Abnormal vaginal bleeding"},{"_key":"5bc30b46448b","_type":"span","marks":[],"text":" - including bleeding between periods, after sex, or after menopause"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"794fe4de1c9e","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-abnormal-bleeding/"}],"style":"normal"},{"_key":"2c30962cd954","_type":"block","children":[{"_key":"c241df2d2d720","_type":"span","marks":[],"text":"Unusual or persistent "},{"_key":"55869726dacc","_type":"span","marks":["9cb4c3c5434c"],"text":"vaginal discharge"},{"_key":"9005543f87f9","_type":"span","marks":[],"text":" (watery, bloody, or with an odor)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9cb4c3c5434c","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/what-your-discharge-is-telling-you/"}],"style":"normal"},{"_key":"5e63ea64cd18","_type":"block","children":[{"_key":"088d5c2ea21c0","_type":"span","marks":["010756f3499e"],"text":"Pelvic pain"},{"_key":"d955392e9a81","_type":"span","marks":[],"text":" or pain during sex"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"010756f3499e","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cramps-pelvic-pain/"}],"style":"normal"},{"_key":"484a857aaba7","_type":"block","children":[{"_key":"a330d04a79850","_type":"span","marks":[],"text":"Pain during urination or changes in bladder/bowel habits (in more advanced stages)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"64c9d0da7767","_type":"block","children":[{"_key":"88d64410d9be0","_type":"span","marks":[],"text":"If you are experiencing any of these symptoms, contact your healthcare provider promptly. These symptoms don't always mean cervical cancer - they can have other causes - but they warrant evaluation. And remember: if you're not experiencing symptoms, that's not a green light to skip your screening. Cervical cancer is most treatable when caught before symptoms ever develop."}],"markDefs":[],"style":"normal"},{"_key":"c6325c6a31f5","_type":"sectionHeader","headerLevel":"h2","title":"What Causes Cervical Cancer? Understanding HPV and Risk Factors"},{"_key":"0e5ceb143e21","_type":"block","children":[{"_key":"bd547b2fbb250","_type":"span","marks":[],"text":"The vast majority of cervical cancers are caused by persistent infection with a high-risk strain of HPV (human papillomavirus). In fact, the link between high-risk HPV and cervical cancer is stronger than the link between smoking and lung cancer."}],"markDefs":[],"style":"normal"},{"_key":"250f5a285eb4","_type":"block","children":[{"_key":"acc2905503570","_type":"span","marks":[],"text":"Understanding your risk factors helps you and your provider make smart decisions about screening frequency and prevention. Key risk factors include:"}],"markDefs":[],"style":"normal"},{"_key":"6993aeb399c9","_type":"block","children":[{"_key":"4188877afc230","_type":"span","marks":[],"text":"HPV infection: Particularly strains 16, 18, and 45, which account for the majority of cervical cancers"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"11fec5f61f97","_type":"block","children":[{"_key":"7de722c055ff0","_type":"span","marks":[],"text":"Smoking: Women who smoke are about twice as likely as non-smokers to develop cervical cancer — smoking impairs the immune system's ability to fight HPV"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"66264e06ee2b","_type":"block","children":[{"_key":"24797eeaafff0","_type":"span","marks":[],"text":"Multiple sexual partners: Increases exposure risk to different HPV strains"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"609460cc82a2","_type":"block","children":[{"_key":"cb73de467bdb0","_type":"span","marks":[],"text":"Weakened immune system: HIV infection or immunosuppressive medications reduce your body's ability to clear HPV naturally"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3abbb73e32a8","_type":"block","children":[{"_key":"26d723f11c600","_type":"span","marks":[],"text":"History of STIs: Particularly chlamydia, which can co-occur with HPV and affect cervical health"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6e22d31bba47","_type":"block","children":[{"_key":"30b357546b110","_type":"span","marks":[],"text":"Long-term oral contraceptive use: Some studies show a modest risk increase after five or more years of use. This risk is temporary and should be discussed alongside the pill’s other protective health benefits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"939522022383","_type":"sectionHeader","headerLevel":"h2","title":"HPV Vaccine: Your First Line of Defense Against Cervical Cancer"},{"_key":"72eda840dab7","_type":"block","children":[{"_key":"99d12c63cf950","_type":"span","marks":[],"text":"Prevention starts before any screening test. The Gardasil-9 HPV vaccine protects against the most dangerous high-risk and low-risk strains of HPV, including strains 16 and 18 that cause the majority of cervical cancers. The CDC recommends vaccination starting at age 11, before most people become sexually active, but the vaccine is approved and beneficial for people up to age 45. Moreover, the HPV vaccine is still recommended for those who have been previously diagnosed with HPV as it continues to provide protection for other strains."}],"markDefs":[],"style":"normal"},{"_key":"e42594f330f5","_type":"block","children":[{"_key":"8d7918eefb5a0","_type":"span","marks":[],"text":"Critically: the HPV vaccine and cervical cancer screening are not interchangeable. Even vaccinated women still need regular Pap smears and HPV tests, because the vaccine does not protect against all HPV strains. For a comprehensive guide to HPV vaccination, what the strains mean, and how to boost your immune system's ability to fight HPV naturally, read Tia's "},{"_key":"2c5261b987a3","_type":"span","marks":["d4ba3ac3cfa7"],"text":"Cancel Cervical Cancer guide"},{"_key":"71cf81f82a1f","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"d4ba3ac3cfa7","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cancel-cervical-cancer/"}],"style":"normal"},{"_key":"6f9e2059ac04","_type":"sectionHeader","headerLevel":"h2","title":"What Happens If Your Pap Smear or HPV Test Is Abnormal?"},{"_key":"57f9465363e7","_type":"block","children":[{"_key":"1103e39ec5380","_type":"span","marks":[],"text":"An abnormal Pap smear is not a cancer diagnosis. It means your provider needs more information. Abnormal results exist on a spectrum, from mild cell changes that often resolve on their own to more significant dysplasia that warrants treatment."}],"markDefs":[],"style":"normal"},{"_key":"34f4d34ec876","_type":"block","children":[{"_key":"f083e280e9070","_type":"span","marks":[],"text":"After an abnormal result, your provider may recommend:"}],"markDefs":[],"style":"normal"},{"_key":"be73866ff4fd","_type":"block","children":[{"_key":"6e1b52bebbca0","_type":"span","marks":[],"text":"Watchful waiting: Mild abnormalities (like CIN 1) often clear up without treatment, especially in younger women with healthy immune systems"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0bc5bfe1dbbf","_type":"block","children":[{"_key":"568e4c9105240","_type":"span","marks":[],"text":"Colposcopy: A closer examination of the cervix using a magnifying instrument to identify abnormal tissue areas"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ce4612b5700a","_type":"block","children":[{"_key":"86f396756da40","_type":"span","marks":[],"text":"Biopsy: Removal of a small tissue sample for laboratory analysis"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7ee328195ed1","_type":"block","children":[{"_key":"ad06ac7f1daa0","_type":"span","marks":[],"text":"LEEP (Loop Electrosurgical Excision Procedure): A treatment that uses a thin wire loop to remove precancerous tissue from the cervix"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26c6e323b75f","_type":"block","children":[{"_key":"ef2a6a684e670","_type":"span","marks":[],"text":"Cryotherapy or laser treatment: Other methods to destroy or remove abnormal cervical tissue"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"dbe5ae580fb8","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"4218b3d92f1d","_type":"block","children":[{"_key":"381fca9efdd40","_type":"span","marks":[],"text":"One Tia patient's experience: "},{"_key":"381fca9efdd41","_type":"span","marks":["em"],"text":"\"Just as my husband and I got ready to start trying to get pregnant, I went in for my annual exam to make sure everything looked good with my health. Unfortunately, my Pap came back as abnormal. I ended up needing to get a LEEP... While this added 5 months of waiting for my cervix to recover, I am so glad I took care of it before it became something worse. I know how easy it is to postpone preventative appointments when life is busy, but they also have the chance to save your life.\""}],"markDefs":[],"style":"large"}]},{"_key":"480812c96f55","_type":"sectionHeader","headerLevel":"h2","title":"Cervical Cancer Treatment: What Are Your Options?"},{"_key":"8357e5fe4213","_type":"block","children":[{"_key":"4416ac0ac85c0","_type":"span","marks":[],"text":"When cervical cancer is detected, treatment options depend on the stage at diagnosis — which is exactly why early detection through screening matters so much. Early-stage cervical cancer is highly treatable, often with minimally invasive approaches. 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Notably, Black women in our care model were screened at rates that matched—and in some cases surpassed—those of White women, a result that stands in stark contrast to national averages."}],"markDefs":[{"_key":"ede74011eba3","_type":"internalLink","linkType":"text","reference":{"_id":"0da81ff5-3652-487e-bcec-9473e030af0f","_type":"editorial","_createdAt":"2025-01-20T18:56:29Z","_rev":"tuQjRNEY1sxoxfzEVw3pmm","_updatedAt":"2025-01-23T06:29:02Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_id":"e74a64ac-1f17-4468-9a49-4d751528b05e","_type":"articleType","_createdAt":"2020-10-14T15:14:02Z","_rev":"SGRUYYXjUz90R9gvybxv4g","_updatedAt":"2022-09-15T12:22:05Z","slug":{"_type":"slug","current":"report"},"title":"Reports","id":"2d4410e8-5fde-50b6-9ca8-38f4735bc62f","parent":null,"children":[],"internal":{"type":"SanityArticleType","contentDigest":"8a9ffb4df8fb3378659bbba7c7faf0f0","counter":2242,"owner":"gatsby-source-sanity"}},"authors":[{"_id":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"team","_createdAt":"2020-07-21T15:06:58Z","_rev":"UKYXCDD2MpHvi2JmKEnwm8","_updatedAt":"2023-09-21T20:39:07Z","content":{"_type":"teamTabs","main":{"_type":"teamContent","image":{"_type":"image","asset":{"_ref":"image-c5514b81e64c85ef2d077e99ffc2b06c8eccf754-4252x4252-png","_type":"reference"}},"slug":{"_type":"slug","current":"tia"},"title":"Tia"},"meta":{"_type":"metaCard","noIndex":true}},"id":"a6ca04e3-f627-5079-b58d-1d4334592e9c","parent":null,"children":[],"internal":{"type":"SanityTeam","contentDigest":"1b974f3c8c2ba79d1f59f6e8b64bfd0b","counter":1823,"owner":"gatsby-source-sanity"}}],"cardImage":{"_type":"image","asset":{"_id":"image-0cc19eea828ce18bfa96f991dfa9020704bd8e3b-2100x900-png","_type":"sanity.imageAsset","_createdAt":"2025-01-20T21:09:06Z","_rev":"igLuitmzTAn5GgSnslVthw","_updatedAt":"2025-01-20T21:09:06Z","assetId":"0cc19eea828ce18bfa96f991dfa9020704bd8e3b","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"M58ggHE1RORkIU_MVsI;jFR*D$Io%2R*xa","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.3333333333333335,"height":900,"width":2100},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#544434","foreground":"#fff","population":0.01,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#603325","foreground":"#fff","population":3.91,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#603325","foreground":"#fff","population":3.91,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c7c2c1","foreground":"#000","population":3.84,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#daad9f","foreground":"#000","population":0,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#7e7977","foreground":"#fff","population":2.15,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#b86146","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"Outcomes Report 24 Cover.png","path":"images/8qqycr4y/production/0cc19eea828ce18bfa96f991dfa9020704bd8e3b-2100x900.png","sha1hash":"0cc19eea828ce18bfa96f991dfa9020704bd8e3b","size":1515745,"uploadId":"nyPETQXOLuSQy275tjK4SgZtv5Ey9dxJ","url":"https://cdn.sanity.io/images/8qqycr4y/production/0cc19eea828ce18bfa96f991dfa9020704bd8e3b-2100x900.png","id":"image-0cc19eea828ce18bfa96f991dfa9020704bd8e3b-2100x900-png","parent":null,"children":["ca2c9048-ee21-5935-9cf6-32157b797d17"],"internal":{"type":"SanityImageAsset","contentDigest":"f860a081fed37b45b4389dd99bd87de1","counter":1549,"owner":"gatsby-source-sanity"}}},"editorialText":[{"_key":"7d8687a14306","_type":"block","children":[{"_key":"c18f1c85253f0","_type":"span","marks":[],"text":"At Tia, our mission is to drive the highest standard of care for women by integrating primary care with gynecology, mental health, and wellness services. Building on the foundation laid in our 2023 report, we are proud to showcase how our model has evolved and the meaningful progress we’ve achieved in 2024. This year’s accomplishments reflect our commitment to operational excellence, clinical rigor, and patient-centered innovation."}],"markDefs":[],"style":"normal"},{"_key":"7efa6dfcc741","_type":"block","children":[{"_key":"4efdc81b9d4f0","_type":"span","marks":["strong"],"text":"The Challenge: Women Are Still Underserved in Healthcare"}],"markDefs":[],"style":"h2"},{"_key":"3534f4af3868","_type":"block","children":[{"_key":"0cf852ab78ce0","_type":"span","marks":[],"text":"In our 2023 report, we highlighted the systemic barriers women face in accessing care. Despite commanding 80% of healthcare spending, these challenges persist:"}],"markDefs":[],"style":"normal"},{"_key":"9ee29321f398","_type":"block","children":[{"_key":"bd409fa20d740","_type":"span","marks":["strong"],"text":"Gender Discrimination: "},{"_key":"bd409fa20d741","_type":"span","marks":[],"text":"In a 2022 report, 29% of women reported feeling dismissed by their doctor during their most recent healthcare experience - with women ages 18-35 reporting 46% having experienced a negative interaction with a health care provider.(4) 15% felt disbelieved by their provider, 19% said their doctor made assumptions about them without asking questions, and 13% felt personally blamed for a health issue."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"72dff7e1180a","_type":"block","children":[{"_key":"7dc6776d48c10","_type":"span","marks":["strong"],"text":"Lack of Regular Care Providers:"},{"_key":"7dc6776d48c11","_type":"span","marks":[],"text":" A 2022 survey found that 20% of U.S. women did not routinely see a primary care physician, and 50% did not have regular visits with an OB/GYN.(1)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9ff4296ccedc","_type":"block","children":[{"_key":"9d157241cefa0","_type":"span","marks":["strong"],"text":"Lower Life Expectancy:"},{"_key":"9d157241cefa1","_type":"span","marks":[],"text":" As of 2022, U.S. women have a life expectancy of 80 years, the lowest among high-income countries. Additionally, the U.S. reports the highest rate of avoidable deaths among women, with 270 per 100,000 as of 2021.(2)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d53d6ca4c840","_type":"block","children":[{"_key":"dd6fb6e941980","_type":"span","marks":["strong"],"text":"Higher Prevalence of Mental Health Issues"},{"_key":"dd6fb6e941981","_type":"span","marks":[],"text":": According to the National Institute of Mental Health, the prevalence of major depressive episodes among adults is higher in women (10.5%) than in men (6.2%).(3)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7c1b2c76a57e","_type":"block","children":[{"_key":"6840656c70710","_type":"span","marks":["strong"],"text":"Lack of Midlife Support: "},{"_key":"6840656c70711","_type":"span","marks":[],"text":"Only about 35% of women aged 40 to 64 report that their healthcare provider has ever discussed what to expect during menopause with them."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1433200b89dc","_type":"block","children":[{"_key":"d713d57ce5940","_type":"span","marks":[],"text":"These disparities are even more pronounced among women of color and LGBTQIA+ individuals, with limited access to preventative services exacerbating poor outcomes. For example:"}],"markDefs":[],"style":"normal"},{"_key":"aab90a8a48b2","_type":"block","children":[{"_key":"bb4a85150a380","_type":"span","marks":[],"text":"The 2023 National Healthcare Quality and Disparities Report revealed that, on average, women of color were "},{"_key":"bb4a85150a381","_type":"span","marks":["strong"],"text":"55% less likely"},{"_key":"bb4a85150a382","_type":"span","marks":[],"text":" than White women to have equitable access to essential primary care services. This disparity was reflected across key indicators such as having a regular primary care provider, receiving timely preventive screenings, and maintaining continuous health insurance coverage​.(5)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"563626bb3f7d","_type":"block","children":[{"_key":"9d29f348a6b90","_type":"span","marks":[],"text":"A 2024 study published in "},{"_key":"9d29f348a6b91","_type":"span","marks":["em"],"text":"Population Research and Policy Review"},{"_key":"9d29f348a6b92","_type":"span","marks":[],"text":" revealed that, on average, LGBTIA+ individuals of color who identified as female were "},{"_key":"9d29f348a6b93","_type":"span","marks":["strong"],"text":"83% less likely"},{"_key":"9d29f348a6b94","_type":"span","marks":[],"text":" than their heterosexual White counterparts to have a primary care provider (PCP). This disparity persisted even after accounting for factors such as income, insurance coverage, education, and health conditions.​"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7bdbf119dfdd","_type":"block","children":[{"_key":"f476b5ffb0180","_type":"span","marks":[],"text":"Our 2024 efforts aimed to tackle these issues head-on."}],"markDefs":[],"style":"normal"},{"_key":"136c5d488ac5","_type":"editorialImageCarousel","items":[{"_key":"a91f17d22939","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4d14f30ff27d6c108702101b7a31b285e558bc6c-2804x1152-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8e49d01d12d1eae1048d243c66c07df7986d98cb-1160x1668-png","_type":"reference"}}}},{"_key":"19c0c32474fc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5e33eab8509906e65ebba42beb81b78bc39905cc-2804x1152-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4e249578ea16286a0c3db58bdfbe087b26662118-580x834-png","_type":"reference"}}}},{"_key":"c081b034f77c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-218395cc3fc56b177fefa6eeae9c3c0117180036-1402x576-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-f25821af675c83e99df715132f2402f2272a4500-580x834-png","_type":"reference"}}}},{"_key":"734f375a69b0","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31de1aea552ad08e6aa5ac0ceddb2fe61d8e8771-1402x576-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0fe7494ba475fcff2cb29823fa11b26458aa4ebd-580x834-png","_type":"reference"}}}},{"_key":"bdc91f1d54e1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ba45c5e78da12372d595712ec594989da2ff506b-1402x576-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1ce6f0912fce90039303389e644eee9c51dae338-580x834-png","_type":"reference"}}}}]},{"_key":"b70d09672809","_type":"block","children":[{"_key":"775295e6da6e0","_type":"span","marks":["strong"],"text":"Our Solution: Tia’s Primary Care “Plus” Model"}],"markDefs":[],"style":"h2"},{"_key":"7b7d8382f3f5","_type":"block","children":[{"_key":"a3a01cf0719c0","_type":"span","marks":[],"text":"Tia’s unique approach integrates:"}],"markDefs":[],"style":"normal"},{"_key":"05041ea0da89","_type":"block","children":[{"_key":"e349f47588bd0","_type":"span","marks":["strong"],"text":"Primary Care"},{"_key":"e349f47588bd1","_type":"span","marks":[],"text":": An innovative approach to prevention that engages women— especially those from demographics often underserved in preventative and primary care in life saving preventative care. 70% of Tia’s members did not have a preventative exam in the 12 months prior to joining Tia. Once patients join Tia, they engage in life-saving preventative care at rates 2-3x the national average while also proactively managing health concerns and chronic conditions through an integrated approach that improves health outcomes over time."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7051e4ad1061","_type":"block","children":[{"_key":"235f32cacd350","_type":"span","marks":["strong"],"text":"Reproductive Health"},{"_key":"235f32cacd351","_type":"span","marks":[],"text":": Enhanced access to screenings and preventative care while also providing tailored care for women’s comprehensive reproductive health needs for every stage of her life - from contraception to trying to conceive to postpartum to perimenopause to menopause and beyond."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"01fe1205fdc2","_type":"block","children":[{"_key":"350d929a14760","_type":"span","marks":["strong"],"text":"Mental Health"},{"_key":"350d929a14761","_type":"span","marks":[],"text":": Holistic and comprehensive support tailored to women’s experiences, needs, and goals. Our mental health offerings incorporate thoughtful integration of mental health into primary care, support groups, psychiatry, acupuncture and referrals for therapy- knowing that mental health "},{"_key":"350d929a14762","_type":"span","marks":["em"],"text":"is"},{"_key":"350d929a14763","_type":"span","marks":[],"text":" healthcare and solutions need to be thorough, evidence-based and accessible."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2300b21204e9","_type":"block","children":[{"_key":"bfc45db9fcf20","_type":"span","marks":["strong"],"text":"Innovative Engagement"},{"_key":"bfc45db9fcf21","_type":"span","marks":[],"text":": in order to achieve improved health outcomes - one first needs to engage people in their healthcare. Tia’s thoughtful, approachable and relational based model engages people in primary care often for the first time. More than 90% of Tia’s patients did not have a relationship with a dominant health system in their geographic market before joining Tia."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6e47310536f","_type":"block","children":[{"_key":"cd2ccae5885d0","_type":"span","marks":[],"text":"In 2024, we expanded our reach while delivering care that builds on the successes of our proven outcomes in 2023 and surpassed national benchmarks in critical areas."}],"markDefs":[],"style":"normal"},{"_key":"014a5d17071f","_type":"block","children":[{"_key":"f80696aecda80","_type":"span","marks":["strong"],"text":"Key Outcomes for 2024"}],"markDefs":[],"style":"h2"},{"_key":"843cd49e87ac","_type":"block","children":[{"_key":"64aeea7acd630","_type":"span","marks":["strong"],"text":"Building on 2023 Success: "},{"_key":"dc8736d2f37f0","_type":"span","marks":[],"text":"In "},{"_key":"7321acb37c90","_type":"span","marks":["0f41711b7bfc"],"text":"2023"},{"_key":"fc1e3e18fa21","_type":"span","marks":[],"text":", we demonstrated how our model closes primary care gaps. This year, we’ve deepened our impact."}],"markDefs":[{"_key":"0f41711b7bfc","_type":"internalLink","linkType":"text","reference":{"_ref":"6aea6636-10f5-46a3-8205-1d911c0a8b0c","_type":"reference"}}],"style":"normal"},{"_key":"795826c1cc84","_type":"block","children":[{"_key":"d61cab92f0630","_type":"span","marks":["strong"],"text":"Advancing Health Equity:"}],"markDefs":[],"style":"h3"},{"_key":"38e89bca31ce","_type":"block","children":[{"_key":"ed3ea6ca4f2a","_type":"span","marks":[],"text":"We invested early in collecting, tracking and reporting health quality data by race + ethnicity to ensure that our quality outcomes were equitable. 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Join us as we care for women - collectively and holistically."}],"markDefs":[],"style":"normal"},{"_key":"ffd3969096ae","_type":"block","children":[{"_key":"a821d285e1bf0","_type":"span","marks":[],"text":"Together, we’re building a future where women are healthier, empowered, and fully supported."}],"markDefs":[],"style":"normal"},{"_key":"59e3057dff42","_type":"block","children":[{"_key":"cc6c5afa194c0","_type":"span","marks":[],"text":"————"}],"markDefs":[],"style":"normal"},{"_key":"7ed6978b7d6d","_type":"block","children":[{"_key":"2a9a7914eb5b0","_type":"span","marks":[],"text":"1 - Statista. (2022). Share of U.S. women with a primary care physician or OB/GYN. Statista. Retrieved November 2, 2024, from https://www.statista.com/statistics/1466507/share-of-us-women-with-a-primary-care-physician-or-ob-gyn/ "}],"markDefs":[],"style":"normal"},{"_key":"503fd770c518","_type":"block","children":[{"_key":"b96b1e1760df0","_type":"span","marks":[],"text":"2 - Commonwealth Fund. (2024, August). "},{"_key":"b96b1e1760df1","_type":"span","marks":["em"],"text":"Health care for women: How the U.S. compares internationally"},{"_key":"b96b1e1760df2","_type":"span","marks":[],"text":". Retrieved from https://www.commonwealthfund.org/publications/issue-briefs/2024/aug/health-care-women-how-us-compares-internationally "}],"markDefs":[],"style":"normal"},{"_key":"53047c44a74f","_type":"block","children":[{"_key":"9bf38c6363930","_type":"span","marks":[],"text":"3 - National Institute of Mental Health. (2023). Major depression. Retrieved from https://www.nimh.nih.gov/health/statistics/major-depression "}],"markDefs":[],"style":"normal"},{"_key":"0700f2195038","_type":"block","children":[{"_key":"7403dd445d3c0","_type":"span","marks":[],"text":"4 - Kaiser Family Foundation. (2022). Women’s experiences with provider communication and interactions in health care settings: Findings from the 2022 KFF Women’s Health Survey. Retrieved from https://www.kff.org/womens-health-policy/issue-brief/womens-experiences-with-provider-communication-interactions-health-care-settings-findings-from-2022-kff-womens-health-survey/ "}],"markDefs":[],"style":"normal"},{"_key":"81234b61787c","_type":"block","children":[{"_key":"dff2876269970","_type":"span","marks":[],"text":"5 - Agency for Healthcare Research and Quality. (2023). 2023 National Healthcare Quality and Disparities Report. Retrieved from https://www.ahrq.gov/research/findings/nhqrdr/nhqdr23/index.html "}],"markDefs":[],"style":"normal"},{"_key":"a5d7caed79e6","_type":"block","children":[{"_key":"2c470e4beca20","_type":"span","marks":[],"text":"6 "},{"_key":"2c470e4beca21","_type":"span","marks":["strong"],"text":"-"},{"_key":"2c470e4beca22","_type":"span","marks":[],"text":" National average benchmarks sourced from HEDIS Commercial PPO 2023* / MIPS 2023 CQM Average Performance Rate, details at a metrics level can be provided upon request."}],"markDefs":[],"style":"normal"},{"_key":"77594426f014","_type":"block","children":[{"_key":"630f813789e00","_type":"span","marks":[],"text":"7- Medical Economics. (2023). Primary care physicians rank high for turnover from 2010 to 2020. Retrieved from:"}],"markDefs":[],"style":"normal"},{"_key":"fadb8d62ee25","_type":"block","children":[{"_key":"3fd29b511bfe0","_type":"span","marks":[],"text":"https://www.medicaleconomics.com/view/primary-care-physicians-rank-high-for-turnover-from-2010-to-2020 "}],"markDefs":[],"style":"normal"},{"_key":"2e3e226e48a4","_type":"block","children":[{"_key":"d4f33a82e393","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"fd524f0d47da","_type":"cta","text":[{"_key":"f31e0981d62b","_type":"block","children":[{"_key":"73138a3795b0","_type":"span","marks":[],"text":"Join today to get clinically proven healthcare that cares for the whole you. 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more than 80% of patients were up to date on cervical cancer screening—nearly two and a half times the national average. 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Listening Closes the Racial Gap in Black Women’s Preventive Care","topics":[{"_id":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"topic","_createdAt":"2020-07-02T17:04:44Z","_rev":"RdixGn6lpDGH89K9LFG39m","_updatedAt":"2022-09-15T12:22:15Z","slug":{"_type":"slug","current":"the-healthcare-system"},"title":"The Healthcare System","id":"8dd34bc9-afba-5f18-975c-29e19d82b4d9","parent":null,"children":[],"internal":{"type":"SanityTopic","contentDigest":"e3bca73de378147abe0c98c4c29a2705","counter":2241,"owner":"gatsby-source-sanity"}}],"updatedAt":"2026-02-27T13:43:21.444Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Research shows persistent disparities in preventive care and chronic disease among Black women. 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