Unmet support needs of sexual and gender minority breast cancer survivors

Brown, María; McElroy, Jane A.

doi:10.1007/s00520-017-3941-z

Cited by 38 publications

(41 citation statements)

References 28 publications

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“…When SGM patients disclose SOGI, it may be happening more often to correct assumptions that patients are heterosexual or cisgender (ie, nontransgender) . In addition, failing to assess patient SOGI data can lead to neglect or disregard of a patient's caregiver and/or social support network . Efforts to experiment with the routine collection of SOGI and to further dismantle barriers may lead to patients with cancer and cancer survivors feeling more welcomed and recognized by their providers and to improving the quality of care .…”

Section: Discussionmentioning

confidence: 99%

“…61 In addition, failing to assess patient SOGI data can lead to neglect or disregard of a patient's caregiver and/or social support network. 62 Efforts to experiment with the routine collection of SOGI and to further dismantle barriers may lead to patients with cancer and cancer survivors feeling more welcomed and recognized by their providers and to improving the quality of care. 61 This also may lead to more open conversations of importance to individual patients, including patient-centered discussions about social support networks, sexual functioning, and family planning.…”

Section: Discussionmentioning

confidence: 99%

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Care delivery, patient experiences, and health outcomes among sexual and gender minority patients with cancer and survivors: A scoping review

Kent

Wheldon

Smith

et al. 2019

Cancer

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Sexual and gender minorities (SGMs) face a disproportionate burden of cancer, yet little is known about the experiences and specific needs of these underserved populations in cancer care delivery. The authors conducted a scoping review to characterize the literature on cancer care delivery, health outcomes, and health care experiences for patients with cancer and survivors identifying as SGM. In total, 1176 peer‐reviewed citations were identified after a systematic search of the PubMed/Medline, PsycInfo, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Web of Sciences databases without restriction on publication date. The details captured included study aims, design, population, cancer site, and main findings. Thirty‐seven studies published from 1998 to 2017 met the study criteria. Most studies were conducted in the post‐treatment survivorship phase of the continuum (n = 30), and breast cancer was the most common cancer site (n = 20). There were only 2 intervention studies. The studies reviewed were classified under the following areas of focus: 1) disclosure of sexual orientation and gender identity, 2) quality of care, 3) psychosocial impact of/ adjustment to cancer, 4) social support, 5) sexual functioning, and 6) health risks/health behavior. Very little research reported an assessment of gender minority status or included a focus on gender minorities (n = 7). This review revealed substantial research gaps given a lack of population‐based data and small sample sizes, likely related to the absence of systematic collection of sexual orientation and gender identity information in the cancer care context. Deficient research in this area likely perpetuates health disparities. Further research is needed to identify and remove the barriers to delivering high‐quality care to SGM individuals with cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Care delivery, patient experiences, and health outcomes among sexual and gender minority patients with cancer and survivors: A scoping review

Kent

Wheldon

Smith

et al. 2019

Cancer

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“…It would be worthwhile to explore these relationships in other socio-demographic groups, survivors of other cancer sites, and various genders. For example, BCS who are sexual and gender minorities (eg, lesbian, gay, bisexual, same-gender loving, transgender, queer, questioning, genderqueer, and other sexual/gender minorities who eschew labeling) face unique social struggles including lack of support from BCS organizations and clinicians,34 a higher prevalence of postcancer relationship difficulties, fatigue, and energy problems 36. These social issues make psychological adjustment to cancer survivorship and possibly SC particularly challenging for this group.…”

mentioning

confidence: 99%

The impact of social constraints on insomnia among African‐American breast cancer survivors: The mediating role of fear of recurrence

et al. 2020

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Objective: Insomnia is a significant concern among African-American breast cancer survivors (BCS). Social constraints (SC)-receiving unsupportive or critical responses when expressing trauma-related emotions-and fear of recurrence (FOR) have been associated with insomnia. We examined FOR as a mediator in the relationship between SC and insomnia in African-American BCS. We hypothesized a direct effect of SC on insomnia, and an indirect effect of SC on insomnia through FOR. Methods: Sixty-four African-American BCS completed a questionnaire assessing demographics, clinical characteristics, SC, FOR, and insomnia. Participants were an average of M = 8.41 (SD = 5.8) year survivors. The mediation was tested using PROCESS for SPSS. Results: The direct effect of SC on insomnia was significant (direct effect = .17, SE = .08, P = .04). Moreover, the indirect effect of SC on insomnia through FOR was significant (indirect effect = .19, SE = .10, 95% CI = .05, .41). Conclusions: Experiencing SC from family and friends could produce cognitions that impact sleep for BCS, and FOR could be one of those cognitions. Family-based models of care that emphasize the emotional needs of survivors and families could be a relevant strategy to address the SC that impacts sleep.

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“…In general, migrant women are more likely to utilize emergency health services than non-migrants [ 65 ], which is likely related to low rates of acculturation [ 66 ]. Lack of awareness and misrepresentation may also affect the lesbian, gay, bisexual and transgender community and there is a need for improved appropriate social support for sexual and gender minority BC survivors [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

Addressing disparities and challenges in underserved patient populations with metastatic breast cancer in Europe

Vrdoljak

Gligorov

Wierinck³

et al. 2021

The Breast

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People with metastatic breast cancer face many challenges and disparities in obtaining optimal cancer care. These challenges are accentuated in underserved patient populations across Europe, who are less likely to receive quality healthcare for reasons including socioeconomic inequalities, educational or cultural status, or geographic location. While there are many local and national initiatives targeted to address these challenges, there remains a need to reduce disparities and improve access to healthcare to improve outcomes, with a focus on multidisciplinary stakeholder engagement. In October 2019, a range of experts in metastatic breast cancer, including healthcare professionals, patient representatives, policymakers and politicians, met to discuss and prioritize the critical needs of underserved patient populations with metastatic breast cancer in Europe. Six key challenges faced by these communities were identified: the need for amplification of the metastatic breast cancer patient voice, better and wider implementation of high-quality guidelines for metastatic breast cancer, more collaboration between stakeholders, tailored support for patients from different cultural and ethnic backgrounds, improved data sharing, and work-related issues. The Expert Panel then conceived and discussed potential actionable goals to address each key challenge. Their conclusions present a set of interrelated approaches to address the different challenges and could serve as the basis for concerted improvement of the lives of patients with metastatic breast cancer in Europe.

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Unmet support needs of sexual and gender minority breast cancer survivors

Cited by 38 publications

References 28 publications

Care delivery, patient experiences, and health outcomes among sexual and gender minority patients with cancer and survivors: A scoping review

Care delivery, patient experiences, and health outcomes among sexual and gender minority patients with cancer and survivors: A scoping review

The impact of social constraints on insomnia among African‐American breast cancer survivors: The mediating role of fear of recurrence

Addressing disparities and challenges in underserved patient populations with metastatic breast cancer in Europe

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