Evidence map›Paper›PMID 25542320›Full record

ArticleOncology nursing forum2015

Social support, self-rated health, and lesbian, gay, bisexual, and transgender identity disclosure to cancer care providers.

Charles S Kamen, Marilyn Smith-Stoner, Charles E Heckler, Marie Flannery, Liz Margolies

Open access · bronzeAbstract read
In one paragraph

Article in Oncology nursing forum, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
9.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Sexual orientation disclosure in health care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  4. Pooled it
  5. Trial
  6. "A sweating moment": impact of disclosure in cancer care on LGBTQI patient satisfaction.Journal of cancer survivorship : research and practice · 2026
    Article
  7. Review
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  11. Observational
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  18. Building a Cancer Care Clinic for Transgender and Gender Diverse Individuals.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024
    Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Charles S KamenDepartment of Surgery, University of Rochester Medical Center in New York.
Marilyn Smith-StonerDepartment of Nursing, California State University, San Bernardino.
Charles E HecklerDepartment of Surgery, University of Rochester.
Marie FlanneryDepartment of Nursing, University of Rochester.
Liz MargoliesNational LGBT Cancer Network, New York, NY.
California State University, San Bernardino · USNational LGBT Cancer Network · USUniversity of Rochester · US

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Cancer Control Research Training Curriculum (R25T)R25CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C, MORROW, GARY R · 2004 to 2018
$6.7M
Exercise Intervention for Lesbian, Gay, Bisexual, and Transgender Cancer SurvivorsK07CA190529 · NCI · UNIVERSITY OF ROCHESTER · PI KAMEN, CHARLES STEWART · 2015 to 2019
$830k
NCI NIH HHS K07 CA190529NCI NIH HHS R25 CA102618NCI NIH HHS R25CA102618-05NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

PURPOSE/

objectivesTo describe factors related to diagnosis, identity disclosure, and social support among lesbian, gay, bisexual, and transgender (LGBT) patients with cancer, and to explore associations between these factors and self-rated health.

designCross-sectional self-report survey design using descriptive and exploratory multivariate statistical approaches.

settingOnline, Internet-based. SAMPLE: 291 LGBT patients (89% Caucasian; 50% gay, 36% lesbian, 7% bisexual, 3% transgender) with mixed cancers.

methodsParticipants completed a researcher-designed online survey assessing experiences of cancer diagnosis among LGBT patients at a single time point. MAIN RESEARCH VARIABLES: Demographics, which provider(s) delivered the patients' cancer diagnoses, to whom patients had disclosed their LGBT identity, how they disclosed, who was on their social support team at the time of diagnosis, and current self-rated health.

findings79% of participants reported disclosing their identities to more than one cancer care provider. Participants most commonly introduced the topic of LGBT identity themselves, sometimes as a way to correct heterosexual assumptions (34%). Friends were the most common members of LGBT patients' support teams (79%). Four disclosure and support factors were consistently associated with better self-rated health.

conclusionsDisclosure of LGBT identity is a common experience in the context of cancer care, and disclosure and support factors are associated with better self-reported health among LGBT patients. IMPLICATIONS FOR NURSING: Creating safe environments for LGBT patients to disclose could improve cancer care delivery to this underserved population. Nurses and other providers should acknowledge and include diverse support team members in LGBT patients' care.

Indexed as

BisexualityHomosexuality, FemaleHomosexuality, MaleNeoplasmsSelf ReportSocial SupportTransgender PersonsTruth DisclosureCross-Sectional StudiesDecision TreesFemaleHumansMalecancerhealth disparitiessexual orientationsocial support

Identifiers

PMID25542320
PMCPMC4360905
OpenAlexW2070559966

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.