ArticleJournal of the National Cancer Institute2023
Cancer survivors' health behaviors and outcomes: a population-based study of sexual and gender minorities.
Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 17 citations in OpenAlex.
- Identity among adolescent and young adult cancer survivors: an exploratory qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Comparative analysis of fatigue and mental health in sexual and gender minority cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Barriers to Care Among LGBT Cancer Survivors: An Analysis of the All of Us Research Program.Cancers · 2026Article
- Survivorship care and cancer survivors' preventive health behaviors by sexual orientation and gender identity.Journal of cancer survivorship : research and practice · 2025Article
- Alcohol and tobacco use among sexual and gender minority cancer survivors in relation to urbanicity/rurality.Cancer causes & control : CCC · 2025Article
- Psychometric properties and measurement invariance of the health behavior scale for cancer patients in Chinese cancer population.Health and quality of life outcomes · 2025Article
- From Surviving to Thriving: Key Considerations for Weight Control Across Diverse Cancer Survivorship Populations.Obesity science & practice · 2024Review
- Exosomal circular RNAs in tumor microenvironment: An emphasis on signaling pathways and clinical opportunities.MedComm · 2024Review
- 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
- State LGBTQ policy environments and the cancer burden in sexual and gender minoritized communities in the United States.Cancer medicine · 2024Article
- Addressing sexual and gender minority disparities in cancer research.Journal of the National Cancer Institute · 2023Article
- An essential goal within reach: attaining diversity, equity, and inclusion for the Journal of the National Cancer Institute journals.JNCI cancer spectrum · 2023Article
- The experiences of sexual and gender minorities accessing perinatal care: A scoping review.Women's health (London, England)Article
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundMost case-control studies compare cancer survivors with general population controls without considering sexual orientation or gender identity. This case-control analysis compared health risk behaviors and health outcomes among sexual and gender minority cancer survivors to those of matched sexual and gender minority participants without cancer (controls).
methodsUsing data from the 2014-2021 Behavioral Risk Factor Surveillance System, a population-based sample of 4507 cancer survivors who self-identified as transgender, gay men, bisexual men, lesbian women, or bisexual women were 1:1 propensity score matched, using age at survey, race and ethnicity, marital status, education, access to health care, and US census region. Within each sexual and gender minority group, behaviors and outcomes were compared between survivors and participants without cancer, and survivors' odds ratios and 95% confidence intervals calculated.
resultsGay male survivors had higher odds of depression, poor mental health, limited usual activities, difficulty concentrating, and fair or poor health. Few differences were observed between bisexual male survivors and participants without cancer. Compared with controls, lesbian female survivors had greater odds of overweight-obese status, depression, poor physical health, and fair or poor health. Bisexual female survivors had the highest rates of current smoking, depression, poor mental health, and difficulty concentrating across all sexual and gender minority groups. Statistically significantly different from transgender controls, transgender survivors had greater odds of heavy alcohol use, physical inactivity, and fair or poor health.
conclusionsThis analysis revealed an urgent need to address the high prevalence of engaging in multiple health risk behaviors and not following guidelines to avoid second cancers, additional adverse outcomes, and cancer recurrences among sexual and gender minority cancer survivors.
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