Evidence map›Paper›PMID 39446289›Full record

ArticleCancer causes & control : CCC2025

Discrimination in the medical setting among LGBTQ+ adults and associations with cancer screening.

Ashley E Stenzel, G Nic Rider, Olivia S Wicker, Allison C Dona, Deanna Teoh, B R Simon Rosser, Rachel I Vogel

Abstract read
In one paragraph

Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

7 authors.

Ashley E StenzelDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology & Women's Health, University of Minnesota, 420 Delaware Street SE MMC 395, Minneapolis, MN, 55455, USA.
G Nic RiderInstitute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Olivia S WickerSchool of Medicine, University of Minnesota, Minneapolis, MN, USA.
Allison C DonaSchool of Medicine, University of Minnesota, Minneapolis, MN, USA.
Deanna TeohDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology & Women's Health, University of Minnesota, 420 Delaware Street SE MMC 395, Minneapolis, MN, 55455, USA.
B R Simon RosserDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Rachel I VogelDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology & Women's Health, University of Minnesota, 420 Delaware Street SE MMC 395, Minneapolis, MN, 55455, USA. isak0023@umn.edu.

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller · 1998 to 2026
$100.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Cancer Related Health Disparities Training ProgramT32CA163184 · NCI · UNIVERSITY OF MINNESOTA · PI MICHELE L ALLEN, Irina Stepanov · 2016 to 2026
$3.4M
NCATS NIH HHS UL1 TR002494NCI NIH HHS P30 CA077598NCI NIH HHS T32 CA163184NIH HHS T32CA163184NIH HHS UL1TR002494
6 · The paper itself

Abstract

purposeLesbian, gay, bisexual, transgender, queer, and other sexual and gender diverse (LGBTQ+) individuals experience disparities in cancer screening. We examined whether experience of LGBTQ+ -related discrimination in medical settings was associated with cancer screening disparities.

methodsParticipants were recruited via social media for a cross-sectional survey study. Those who self-reported as LGBTQ+ , being 40+ years of age, and residing in the US were eligible. Participants reported their clinical and demographic characteristics, cancer screening history, and experiences of discrimination in a medical setting. We examined the odds (OR) of ever undergoing cancer screening by experienced discrimination, stratified by sex assigned at birth.

resultsParticipants (n = 310) were on average 54.4 ± 9.0 years old and primarily White (92.9%). Most identified as lesbian (38.1%) or gay (40.0%) while 17.1% were transgender or gender diverse. Nearly half (45.5%) reported experiencing LGBTQ+ -related discrimination in the medical setting. Participants assigned female at birth with discriminatory experiences had significantly lower odds of ever undergoing colonoscopy/sigmoidoscopy compared to those without discriminatory experiences (OR: 0.37; 95% Confidence Interval (CI) 0.15-0.90). No significant differences in colonoscopy/sigmoidoscopy uptake were observed in those assigned male at birth by discriminatory experiences (OR: 2.02; 95% CI 0.59-6.91). Pap tests, mammogram, and stool colorectal cancer screening did not differ by discriminatory experience.

conclusionDiscrimination in medical settings was commonly reported by LGBTQ+ individuals in this study. When treating LGBTQ+ patients, clinicians should ask about prior experiences and continue to promote cancer screening. Future studies should examine discrimination as a key driver of LGBTQ+ disparities in cancer screening.

Indexed as

Early Detection of CancerHealthcare DisparitiesNeoplasmsSexual and Gender MinoritiesAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedCancer screeningDiscriminationDisparitiesGender identityLGBTQSexual orientation

Identifiers

PMID39446289
PMCPMC11774670

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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.