Clinical, psychosocial, and sociodemographic factors of sexual and gender minority groups with cancer: A systematic review

Franco-Rocha, Oscar Y; Wheldon, Christopher W.; Trainum, Katie; Kesler, Shelli R.; Henneghan, Ashley M.

doi:10.1016/j.ejon.2023.102343

Cited by 6 publications

(3 citation statements)

References 60 publications

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“…There are unique challenges related to cancer care that need specific attention when addressing disparities in LGBTQIA1 populations, including (1) elevated prevalence of risk factors for certain cancers, 2 (2) delayed diagnosis and treatment, 3 (3) tailored screening approaches, 4,5 (4) psychological and social factors, 6,7 and (5) oncofertility concerns. 8 Another significant challenge in conducting research in this area is the relatively small number of LGBTQIA1 patients within individual cancer cohorts, which often limits the possibility of statistically robust analysis.…”

Section: The Significance Of Sogi Data In Cancer Researchmentioning

confidence: 99%

Strategies for Advancing Sexual Orientation and Gender Identity Data Collection in Cancer Research

Pratt-Chapman,

Tredway,

Wheldon

et al. 2024

JCO Oncol Pract

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Section: The Significance Of Sogi Data In Cancer Researchmentioning

confidence: 99%

Strategies for Advancing Sexual Orientation and Gender Identity Data Collection in Cancer Research

Pratt-Chapman,

Tredway,

Wheldon

et al. 2024

JCO Oncol Pract

Self Cite

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“…[4][5][6] For SGM patients with cancer, previous traumas may exacerbate and compound psychosocial challenges, such as estrangement from families of origin and experiences of discrimination in health care settings. 1,7,8 Evidence has shown that SGM patients face disproportionate incidences of trauma and violence outside of health care and familial spaces. 2,9,10 This is especially true for SGM patients facing intersectional forms of oppression.…”

Section: What Is Trauma-informed Care and Why Is It Important To Inco...mentioning

confidence: 99%

“…Trauma can be an enduring reality for patients with cancer, occurring at various stages along the cancer care continuum (i.e., effecting risk behaviors, screening, treatment, and survivorship care) 4–6 . For SGM patients with cancer, previous traumas may exacerbate and compound psychosocial challenges, such as estrangement from families of origin and experiences of discrimination in health care settings 1,7,8 . Evidence has shown that SGM patients face disproportionate incidences of trauma and violence outside of health care and familial spaces 2,9,10 .…”

Section: What Is Trauma‐informed Care and Why Is It Important To Inco...mentioning

confidence: 99%

It takes more than rainbows: Supporting sexual and gender minority patients with trauma‐informed cancer care

Sinko,

Ghazal,

Fauer

et al. 2023

Cancer

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Background/PurposeThe American Society of Clinical Oncology has called for an increased priority to improve cancer care for sexual and gender minority (SGM) populations because of heightened risk of receiving disparate treatment and having suboptimal experiences, including perceived discrimination. We demonstrate how integrating trauma‐informed care (TIC) principles across the cancer continuum is a key strategy to improving care delivery and outcomes among SGM populations.MethodThis empirically informed perspective expands on the concepts generated through the American Society of Clinical Oncology position statement and uses the Substance Abuse and Mental Health Services Association’s “Four Rs” Toward Trauma Informed Care: Realize, Recognize, Response, and Resist Traumatization.ResultsRecommendations for each component of TIC include: (1) Realize: Implement SGM cultural humility training, including modules on SGM‐specific trauma, discrimination, harassment, and violence; (2) Recognize: Routinely screen for emotional distress using methods to ensure privacy, and/or normalize mental health screenings to cancer patients; (3) Respond: Create and widely disseminate policies and patients’ rights that prohibit discrimination and ensure access to gender‐neutral clinical environments; and (4) Resist Traumatization: Establish and respond to quality metrics (e.g., standardized patients, patient satisfaction surveys) that are informed by a community advisory board with the purpose of ensuring and maintaining quality care.Conclusions and ImplicationsIntegrating TIC principles into cancer care for SGM populations is crucial to address disparities in treatment and clinical outcomes. Our recommendations offer practical approaches for oncology teams to implement TIC care and ensure equitable and inclusive cancer care for patients and their families.

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State LGBTQ policy environments and the cancer burden in sexual and gender minoritized communities in the United States

Weideman,

McAlpine

2024

Cancer Medicine

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PurposeOur objective was to assess the association between state policies related to sexual orientation and gender identity (SOGI) and cancer prevalence and survivorship indicators in a sexual and gender minoritized (SGM) population in the United States.MethodsData from the 2017–2021 Behavioral Risk Factor Surveillance System were used to measure cancer diagnosis, physical and mental health, and substance use for SGM adult cancer survivors. A state policy Z‐score, ranging from most restrictive to most protective state policies related to SOGI, was computed from data available from the Movement Advancement Project. Survey‐weighted logistic regression was used to test the relationship between state policies and cancer‐related outcomes for SGM people.ResultsMore protective state policies were associated with lower odds of a cancer diagnosis (adjusted odds ratio [AOR]: 0.92; 95% confidence interval [CI]: 0.87–0.97). Among SGM cancer survivors, increasing protective state policies were associated with lower odds of poor physical health (AOR: 0.83; 95% CI: 0.74–0.94), lower odds of difficulty walking or climbing stairs (AOR: 0.90; 95% CI: 0.80–1.00), and lower odds of difficulty concentrating or remembering (AOR: 0.87; 95% CI: 0.78–0.98). No significant associations were found between state policies and mental health, depression, substance use, diabetes, or cardiovascular disease among SGM cancer survivors.ConclusionSGM people diagnosed with cancer are more likely to live in restrictive policy states, and survivors in those states have worse physical health and cognitive disability. Additional research should investigate potential causal relationships between state policies and SGM cancer outcomes.

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Clinical, psychosocial, and sociodemographic factors of sexual and gender minority groups with cancer: A systematic review

Cited by 6 publications

References 60 publications

Strategies for Advancing Sexual Orientation and Gender Identity Data Collection in Cancer Research

Strategies for Advancing Sexual Orientation and Gender Identity Data Collection in Cancer Research

It takes more than rainbows: Supporting sexual and gender minority patients with trauma‐informed cancer care

State LGBTQ policy environments and the cancer burden in sexual and gender minoritized communities in the United States

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