Evidence map›Paper›PMID 36779009›Full record

ArticleStigma and health2023

Discrimination of Sexual and Gender Minority Patients in Prostate Cancer Treatment: Results from the

Michael W Ross, B R Simon Rosser, Elizabeth J Polter, Alex J Bates, Christopher W Wheldon, Ryan Haggart, William West, Nidhi Kohli, Badrinath R Konety, Darryl Mitteldorf and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Stigma and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. The impact of social determinants of health on mental and behavioral health trajectories of breast cancer survivors: A longitudinal cohort study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Sexual and Gender Minority Invisibility in Cancer Studies: A Call for Effective Recruitment Methods to Address Cancer Disparities.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  9. Review
  10. 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

12 authors.

Michael W RossDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
B R Simon RosserDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Elizabeth J PolterDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Alex J BatesDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Christopher W WheldonDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA.
Ryan HaggartDepartment of Urology, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
William WestDepartment of Writing Studies, University of Minnesota, Minneapolis, Minnesota, USA.
Nidhi KohliDepartment of Educational Psychology, University of Minnesota, Minneapolis, Minnesota, USA.
Badrinath R KonetyDepartment of Urology, Rush Medical College, Chicago, Illinois.
Darryl MitteldorfMalecare Cancer Support, New York, New York, USA.
G Kristine M C TalleyAdult and Gerontological Health, University of Minnesota School of Nursing School, Minneapolis, Minnesota, USA.
Morgan WrightDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.

Funding

Understanding the Effects of Prostate Cancer on Gay and Bisexual MenR21CA182041 · NCI · UNIVERSITY OF MINNESOTA · PI ROSSER, B R SIMON · 2014 to 2015
$331k
NCI NIH HHS R21 CA182041
6 · The paper itself

Abstract

This study is the first to quantify experiences of discrimination in treatment undertaken by sexual and gender minority prostate cancer patients. Participants were 192 gay and bisexual and one transgender prostate cancer patients living in the US recruited from North America's largest online cancer support group. In this online survey, discrimination in treatment was measured using the Everyday Discrimination Scale (EDS), adapted for medical settings. Almost half (46%) endorsed at least one item, including 43% that the provider did not listen, 25% that they were talked down to, 20% that they received poorer care than other patients, 19% that the provider acted as superior, and 10% that the provider appeared afraid of them. While most (26.3%) rated the discrimination as "rare" or "sometimes" (EDS=1-3), 20% reported it as more common (EDS≥4). Most attributed the discrimination to their sexual orientation, or to providers being arrogant or too pushed for time. Discrimination was significantly associated with poorer urinary, bowel, and hormonal (but not sexual) EPIC function and bother scores, and with poorer mental health (SF-12). Those who had systemic/combined treatment (versus either radiation only or surgery only) were more likely to report discrimination. This study provides the first evidence that discrimination in prostate cancer treatment, including micro-aggressions, appear a common experience for gay and bisexual patients, and may result in poorer health outcomes.

Identifiers

PMID36779009
PMCPMC9917961

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Registered trials

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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.