Gender minority individuals (GMIs) face unique challenges in cancer diagnosis and care. 1,2 Disproportionate burden of lung cancer is expected among GMIs because of their high smoking rate and known disparities in cancer screening. 3 However, population-based cancer registry data have not been fully used in assessing the cancer disparities among GMIs, 1 even though population-based cancer registries do collect sex information beyond male and female. 4 We found one previous study using national cancer surveillance data that identified lung cancer as the most common cancer for transgender indivduals. 5 We hypothesized that the vulnerable GMIs may be subject to identifiable disparities in lung cancer care and outcomes. To test this hypothesis, we used the population-based Californian Cancer Registry (CCR) database to examine lung cancer incidence records. Our primary goal was to identify disparities in case distributions between gender minority and majority lung cancer patients along the cancer care spectrum.
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