ArticleCancer2019
Cancer survivors' access to care and quality of life: Do sexual minorities fare worse than heterosexuals?
Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health outcomes of sexual and gender minorities after cancer: a systematic review.Systematic reviews · 2021Pooled it
- Barriers to Care Among LGBT Cancer Survivors: An Analysis of the All of Us Research Program.Cancers · 2026Article
- The unmet needs of gay and bisexual men following prostate cancer treatment: an integrative literature review.Journal of cancer survivorship : research and practice · 2025Review
- Review
- Fertility preservation and mental health among cancer patients of reproductive age.Fertility and sterility · 2025Review
- Knowledge and Attitudes of Obstetrics and Gynecology and Family Medicine Residents Regarding Transgender and Gender-Diverse Health: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Cancer survivors' health outcomes over the life course: differences by sexual orientation and gender identity.Journal of cancer survivorship : research and practice · 2025Article
- An intersectional analysis of behavioral financial hardship and healthcare utilization among lesbian, gay, bisexual, transgender, queer, plus cancer survivors.Journal of the National Cancer Institute · 2025Article
- Cancer disparities by age: a focus on sexual and gender minorities.Cancer causes & control : CCC · 2025Article
- Material, Psychological, and Behavioral Financial Hardship Among Lesbian, Gay, and Bisexual Cancer Survivors in the United States.JCO oncology practice · 2024Article
- Chronic Health Conditions, Disability, and Physical and Cognitive Limitations among LGBTQ+ Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Article
- Article
- Psychological distress and mental health care utilization among lesbian, gay, and bisexual survivors of adolescent and young adult cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- State LGBTQ policy environments and the cancer burden in sexual and gender minoritized communities in the United States.Cancer medicine · 2024Article
- Cancer stigma: the need for policy and programmatic action.Journal of the National Cancer Institute. Monographs · 2024Article
- Recruitment of sexual minority and heterosexual colorectal cancer survivors through US cancer registries.Journal of cancer survivorship : research and practice · 2024Article
- Cancer survivors' health behaviors and outcomes: a population-based study of sexual and gender minorities.Journal of the National Cancer Institute · 2023Article
- Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review.Cancer medicine · 2023Article
- Health-related quality of life in adolescents and young adults with and without cancer, using propensity score matching.Journal of cancer survivorship : research and practice · 2023Article
- Experiences of adolescent and young adult cancer survivors during the COVID-19 pandemic.Journal of cancer survivorship : research and practice · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAdults with poor access to care are known to have worse quality of life (QOL). The purpose of the current study was to determine differences in cancer survivors' access to care by sexual orientation and to examine the association between access to care and QOL.
methodsThe current secondary data analysis used 4 years of Behavioral Risk Factor Surveillance System data regarding adult men and women who self-reported a history of cancer. Among the 70,524 cancer survivors, a total of 1931 self-identified as sexual minorities, defined as lesbian, gay, bisexual, or other nonheterosexual orientation.
resultsSexual minority women had significantly more access deficits compared with heterosexual women (42.7% vs 28.0%; P < .0001), whereas men of different sexual orientations had similar access to care. Among sexual minority women, those with access deficits had higher odds of poor physical QOL compared with heterosexual women (odds ratio [OR], 2.0 [95% CI, 1.2-3.4] vs OR, 1.3 [95% CI, 1.2-1.5]), poor mental QOL (OR, 1.8 [95% CI, 1.1-3.1] vs OR, 1.5 [95% CI, 1.3-1.7]), and difficulties concentrating (OR, 2.0 [95% CI, 1.2-3.5] vs OR, 1.7 [95% CI, 1.4-1.9]). Sexual minority men with access deficits had greater odds of difficulty concentrating compared with heterosexual men (OR, 4.3 [95% CI, 2.0-9.3] vs OR, 1.5 [95% CI, 1.2-1.9]). Among men, sexual minority status increased the odds of poor mental QOL (OR, 1.49 [95% CI, 1.11-2.01]).
conclusionsAccess to care among sexual minority cancer survivors needs improvement. Sexual minority women should be a focus of future research because their poor access to care more strongly relates to worse QOL.
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