Lesbian, Gay, Bisexual, and Transgender Issues

Sexual Health, Fertility, and Relationships in Cancer Care Pub Date : 2020-03-01 DOI:10.1093/med/9780190934033.003.0003

K. Lisy, N. Hulbert-Williams, J. Ussher, A. Alpert, C. Kamen, M. Jefford

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引用次数: 3

Abstract

People identifying as lesbian, gay, bisexual, or transgender (LGBT) often experience unique issues and needs in the context of cancer care. These include experiences and fear of discrimination within heteronormative healthcare environments, assumptions of cisgender/heterosexual identity, exclusion of same-sex partners from care, and a lack of relevant supportive care and information resources. There are also unique impacts of cancer and treatment on LGBT sexuality and fertility. To provide the best possible care for LGBT people living with and after cancer, providers must understand the specific needs of LGBT people and be aware of strategies to deliver inclusive healthcare services. This chapter presents key background information to contextualize the needs of LGBT people with cancer before discussing specific challenges that LGBT people may face when accessing cancer care. We provide guidance for general cancer care, as well as specific concerns regarding the sexual health and fertility needs of LGBT patients. Finally, we outline issues for consideration by healthcare services seeking to advance LGBT awareness and improve care for this patient group.

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女同性恋、男同性恋、双性恋和变性人问题

女同性恋、男同性恋、双性恋或变性人(LGBT)在癌症治疗中经常遇到独特的问题和需求。这些包括在异性恋规范的医疗保健环境中遭受歧视的经历和恐惧，对顺性/异性恋身份的假设，将同性伴侣排除在护理之外，以及缺乏相关的支持性护理和信息资源。癌症和治疗对LGBT的性行为和生育能力也有独特的影响。为了尽可能地为患有癌症的LGBT人群提供最好的护理，提供者必须了解LGBT人群的具体需求，并了解提供包容性医疗服务的策略。在讨论LGBT人群在接受癌症治疗时可能面临的具体挑战之前，本章提供了关键的背景信息，以将LGBT癌症患者的需求置于环境中。我们为一般癌症护理提供指导，也为LGBT患者的性健康和生育需求提供具体指导。最后，我们概述了寻求提高LGBT意识和改善对这一患者群体的护理的医疗保健服务需要考虑的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Sexual Health, Fertility, and Relationships in Cancer Care

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