Healthcare experiences among Black and White sexual and gender minority cancer survivors: a qualitative study.

IF 3.1 2区 医学 Q2 ONCOLOGY
Journal of Cancer Survivorship Pub Date : 2025-06-01 Epub Date: 2023-12-05 DOI:10.1007/s11764-023-01504-z
Deirdre A Shires, Leonardo Kattari, Forrest Hosea, Jen Hirsch, Megan Mulvaney, Alicia K Matthews, Hayley S Thompson
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Abstract

Purpose: The purpose of this study was to explore healthcare experiences of Black and White sexual and gender minority (SGM) cancer survivors across the cancer care continuum.

Methods: This was a qualitative analysis of two focus groups and eight individual interviews completed as part of a larger initiative using a community-engaged research approach to reduce cancer disparities in marginalized communities. There was a total of 16 participants in the study (9 were White, 7 were Black) and data were collected between 2019 and 2020.

Results: Three main themes emerged from the thematic analysis: strategically coming out, provider preferences, and health system challenges. Participants noted that they often came out through their support system, decided to come out based on the relevance of their SGM identity that they perceived, and expressed a desire for privacy. Lack of an accessible and competent PCP was tied to delayed cancer diagnosis and many participants voiced a preference for consistency when they found a provider they liked.

Conclusions: Providers across specialties can address barriers for SGM patients by not making assumptions about patient sexual orientation or gender identity. Institutions should systematically collect sexual orientation and gender identity information. Primary care providers should be aware that due to resistance to switching from trusted providers, they may need to take greater initiative to facilitate cancer screenings for their patients when appropriate or take special care when making referrals to ensure they are using SGM-affirming providers.

Implications for cancer survivors: SGM cancer survivors often benefit from a cultivating relationship with a trusted PCP or other provider.

黑人和白人性与性别少数群体癌症幸存者的医疗保健经历:一项定性研究。
目的:本研究旨在探讨黑人和白人性与性别少数群体(SGM)癌症幸存者在整个癌症护理过程中的医疗保健经历:本研究对两个焦点小组和八次个人访谈进行了定性分析,这是为减少边缘化社区癌症差异而采用社区参与研究方法的大型活动的一部分。共有 16 人参与研究(9 人为白人,7 人为黑人),数据收集时间为 2019 年至 2020 年:专题分析中出现了三大主题:战略性出柜、提供者偏好和医疗系统挑战。参与者指出,他们通常通过支持系统出柜,根据他们所认为的 SGM 身份的相关性决定出柜,并表达了对隐私的渴望。缺乏方便、称职的初级保健医生与癌症诊断延迟有关,许多参与者表示,当他们找到自己喜欢的医疗服务提供者时,他们更倾向于保持一致性:结论:各专科的医疗服务提供者可以通过不对患者的性取向或性别认同做出假设来解决 SGM 患者面临的障碍。医疗机构应系统地收集性取向和性别认同信息。初级医疗服务提供者应该意识到,由于患者不愿意更换信任的医疗服务提供者,他们可能需要在适当的时候更加主动地为患者提供癌症筛查的便利,或者在转诊时特别注意确保他们使用的是认可 SGM 的医疗服务提供者:SGM 癌症幸存者通常会从与值得信赖的初级保健医生或其他医疗服务提供者建立的关系中受益。
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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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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