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Enhancing equality in cancer care: An in-depth review of LGBTQIAPN+ patient experiences
Abstract
This review delves into scholarly literature focusing on studies about the experiences of LGBTQIAPN+ individuals with cancer, highlighting the diverse and challenging contexts of care for this patient. Within the framework of a narrative review, this research examines the experiences of LGBTQIAPN+ individuals with cancer, uncovering vital insights and future research directions in this field. Informed by extensive database searches, the study identified several critical themes. Discrimination and bias were noted, as were barriers to timely access to standard treatment. Challenges, such as mental health issues, insufficient social support networks, difficulties in survivorship and long-term care, and transgender biological factors influenced by hormones, were also highlighted. These topics highlight domains where necessary interventions, policies, and support structures could be established, all aimed at advancing equity in cancer care for LGBTQIAPN+ individuals as they navigate the complex cancer landscape.
Keywords: LGBTQIAPN+, cancer journey, narrative review, disparities, survivorship, healthcare access
DOI: 10.5737/23688076356844
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Alpert, A. B., Scout, N. F. N., Schabath, M. B., Adams, S., Obedin-Maliver, J., & Safer, J. D. (2022). Gender- and sexual orientation-based inequities: Promoting inclusion, visibility, and data accuracy in oncology. American Society of Clinical Oncology Educational Book. American Society of Clinical Oncology. Meeting, 42(42), 1–17. https://doi.org/10.1200/EDBK_350175
Baker, W. E., Mukherjee, D., & Gattermann Perin, M. (2022). Learning orientation and competitive advantage: A critical synthesis and future directions. Journal of Business Research, 144, 863–873. https://doi.org/10.1016/j.jbusres.2022.02.003
Ciasca, S. V. (2021). Saúde Lgbtqia+práticas De Cuidado Transdisciplinar. Manole.
Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., de Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A. B., Johnson, T. W., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Meyer-Bahlburg, H. F. L., Monstrey, S. J., Motmans, J., Nahata, L., … Arcelus, J. (2022). Standards of care for the health of transgender and gender diverse people, version 8. International Journal of Transgender Health, 23(Suppl 1), S1–S259. https://doi.org/10.1080/26895269.2022.2100644
Damaskos, P., Amaya, B., Gordon, R., & Walters, C. B. (2018). Intersectionality and the LGBT cancer patient. Seminars in Oncology Nursing, 34(1), 30–36. https://doi.org/10.1016/j.soncn.2017.11.004
da Silva, M. F., Pinto, L. C. G., Silva, Á. A. D., dos Santos Raupp, M., Londero, C., & Pilotto, L. M. (2024). Política nacional de saúde integral de lésbicas, gays, bissexuais, travestis e transexuais. Saberes Plurais Educação Na Saúde, 8(2), e142493. https://doi.org/10.54909/sp.v8i2.142493
Doyle, D. M. (2022). Transgender identity: Development, management and affirmation. Current Opinion in Psychology, 48, Article 101467. https://doi.org/10.1016/j.copsyc.2022.101467
Gomes, S. M., Sousa, L. M. P. de, Vasconcelos, T. M., & Nagashima, A. M. S. (2018). O SUS fora do armário: concepções de gestores municipais de saúde sobre a população LGBT. Saúde E Sociedade, 27(4), 1120–1133. https://doi.org/10.1590/S0104-12902018180393
Haviland, K., Burrows Walters, C., & Newman, S. (2021). Barriers to palliative care in sexual and gender minority patients with cancer: A scoping review of the literature. Health & Social Care in the Community, 29(2), 305–318. https://doi.org/10.1111/hsc.13126
Iwamoto, S. J., Grimstad, F., Irwig, M. S., & Rothman, M. S. (2021). Routine screening for transgender and gender diverse adults taking gender-affirming hormone therapy: A narrative review. Journal of General Internal Medicine, 36(5), 1380–1389. https://doi.org/10.1007/s11606-021-06634-7
Jackson, S. S., Han, X., Mao, Z., Nogueira, L., Suneja, G., Jemal, A., & Shiels, M. S. (2021). Cancer stage, treatment, and survival among transgender patients in the United States. Journal of the National Cancer Institute, 113(9), 1221–1227. https://doi.org/10.1093/jnci/djab028
Kamen, C., Palesh, O., Gerry, A. A., Andrykowski, M. A., Heckler, C., Mohile, S., Morrow, G. R., Bowen, D., & Mustian, K. (2014). Disparities in health risk behavior and psychological distress among gay versus heterosexual male cancer survivors. LGBT Health, 1(2), 86–92. https://doi.org/10.1089/lgbt.2013.0022
Kerr, L., Fisher, C. M., & Jones, T. (2021). “I’m not from another planet”: The alienating cancer care experiences of trans and gender-diverse people. Cancer Nursing, 44(6), E438–E446. https://doi.org/10.1097/NCC.0000000000000857
Leone, A. G., Trapani, D., Schabath, M. B., Safer, J. D., Scout, N. F. N., Lambertini, M., Berardi, R., Marsoni, S., Perrone, F., Cinieri, S., Miceli, R., Morano, F., & Pietrantonio, F. (2023). Cancer in transgender and gender-diverse persons: A review. JAMA Oncology, 9(4), 556–563. https://doi.org/10.1001/jamaoncol.2022.7173
Martiniello, B., & Verhaeghe, P.-P. (2025). Local governments’ response to discrimination: A temporal framework to analyze local anti-discrimination policy and actions. Journal of Race, Ethnicity, and Politics, 10(2), 426–453. https://doi.org/10.1017/rep.2024.29
Mello, L., Brito, W., & Maroja, D. (2012). Políticas públicas para a população LGBT no Brasil: notas sobre alcances e possibilidades. Cadernos Pagu, 39, 403–429. https://doi.org/10.1590/S0104-83332012000200014
Oladeru, O. T., Ma, S. J., Miccio, J. A., Wang, K., Attwood, K., Singh, A. K., Haas-Kogan, D. A., & Neira, P. M. (2022). Breast and cervical cancer screening disparities in transgender people. American Journal of Clinical Oncology, 45(3), 116–121. https://doi.org/10.1097/COC.0000000000000893
Polek, C., & Hardie, T. (2020). Cancer screening and prevention in lesbian, gay, bisexual, and transgendered community and Asian lesbian, gay, bisexual, and transgendered members. Asia-Pacific Journal of Oncology Nursing, 7(1), 6–11. https://doi.org/10.4103/apjon.apjon_46_19
Sant’Ana, R. S. E. (2023). Estratégias para uma Assistência Inclusiva a Pessoas LGBTQIAP+ com Câncer. Revista Brasileira de Cancerologia, 69(2). https://doi.org/10.32635/2176-9745.rbc.2023v69n2.3671
Schabath, M. B., Blackburn, C. A., Sutter, M. E., Kanetsky, P. A., Vadaparampil, S. T., Simmons, V. N., Sanchez, J. A., Sutton, S. K., & Quinn, G. P. (2019). National survey of oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, knowledge, and practice behaviors about LGBTQ patients with cancer. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 37(7), 547–558. https://doi.org/10.1200/JCO.18.00551
Sterling, J., & Garcia, M. M. (2020). Cancer screening in the transgender population: A review of current guidelines, best practices, and a proposed care model. Translational Andrology and Urology, 9(6), 2771–2785. https://doi.org/10.21037/tau-20-954
Truszczynski, M., Truszczynski, N., Estevez, R. I., & Elliott, A. E. (2022). Does policy matter? The impact of state and city anti-discrimination policy on the discrimination experiences of trans and nonbinary people. Sexuality Research & Social Policy: Journal of National Sexuality Resource Center: SR & SP, 19(4), 1786–1794. https://doi.org/10.1007/s13178-022-00762-3
Wagner, J., Sackett-Taylor, A. C., Hodax, J. K., Forcier, M., & Rafferty, J. (2019). Psychosocial overview of gender-affirmative care. Journal of Pediatric and Adolescent Gynecology, 32(6), 567–573. https://doi.org/10.1016/j.jpag.2019.05.004
World Health Organization (2022). Guideline on self-care interventions for health and well-being, 2022 revision. Geneva: WHO.
Ziegler, E., Slotnes-O’Brien, T., & Peters, M. D. J. (2024). Cancer screening and prevention in the transgender and gender diverse population: Considerations and strategies for advanced practice nurses. Seminars in Oncology Nursing, 40(3), 151630. https://doi.org/10.1016/j.soncn.2024.151630
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