Evidence map›Paper›PMID 31291940›Full record

ArticleBMC cancer2019

Disclosure in lesbian, gay and bisexual cancer care: towards a salutogenic healthcare environment.

Julie Fish, Iain Williamson, Jayne Brown

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. "A sweating moment": impact of disclosure in cancer care on LGBTQI patient satisfaction.Journal of cancer survivorship : research and practice · 2026
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  13. Sexual minority-specific experiences of colorectal cancer survivors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  14. Follow-up surveillance among colorectal cancer survivors of different sexual orientations.Journal of cancer survivorship : research and practice · 2022
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  15. Article
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  17. The Politics of LGBT+ Health Inequality: Conclusions from a UK Scoping Review.International journal of environmental research and public health · 2021
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  18. Article
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

3 authors at 1 institution in 1 country.

Julie FishCentre for LGBTQ Research, De Montfort University, The Gateway, Leicester, LE1 9BH, UK. jfish@dmu.ac.uk.ORCID http://orcid.org/0000-0001-5308-9174
Iain WilliamsonDivision of Psychology, De Montfort University, Leicester, LE1 9BH, UK.
Jayne BrownLeicester Academy for the Study of Ageing (LASA) The Leicester School of Nursing and Midwifery, De Montfort University, The Gateway, Leicester, LE1 9BH, UK.
De Montfort University · GB

Funding

De Montfort University n/aMacmillan Cancer Support Inclusion and diversity programme
6 · The paper itself

Abstract

backgroundThe literature on sexual orientation disclosure is arguably one of the most developed in the field of lesbian, gay and bisexual (LGB) people in healthcare in English speaking countries however, relatively little research has been conducted into disclosure in cancer care. Studies have been mainly undertaken in primary care where distinct circumstances pertain and where the benefits of disclosure include obtaining appropriate health information, treatment advice and avoiding misdiagnosis.

methodsWe conducted an in-depth qualitative study primarily recruiting patients through oncology care in hospital settings and through LGB community cancer support groups. Data were gathered through semi-structured interviews with 30 LGB patients with different cancer types.

resultsData were analysed using thematic analysis and interpreted and interrogated through salutogenesis theory which offers a useful lens through which to consider the health promoting effects of sexual orientation disclosure in cancer care. We present three themes as part of the analysis: Authenticity as a driver for disclosure in cancer care, Partners as a (potential) salutogenic resource and Creating safe, healing environments conducive to disclosure. The findings are reported and discussed in relation to three inter-related concepts from current salutogenesis theorising including a sense of coherence, generalised resistance resources and healing environments which can facilitate sexual orientation disclosure.

conclusionOur findings enable a more nuanced approach to understanding disclosure in this context. This study contributes to the literature through its articulation of the salutogenic potential of disclosure (if responded to appropriately) for LGB patients as individuals, in relationship to their partners or carers and the role of creating a visible healing-oriented optimal environment to promote quality of life and recovery.

Indexed as

DisclosureSense of CoherenceAdultAgedAttitude of Health PersonnelBisexualityFemaleHomosexuality, FemaleHomosexuality, MaleHumansMaleMiddle AgedNeoplasmsPrimary Health CareProfessional-Patient RelationsQualitative ResearchDisclosureGeneralised resistance resources: healing environmentsQualitative methodsSalutogenesisSense of coherenceSexual orientation

Identifiers

PMID31291940
PMCPMC6617610
OpenAlexW2961006985

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.