ArticleResearch square2025
Disparities in multidimensional psychosocial stressors by sexual minority identity among cancer survivors from the All of Us (AoU) Research Program.
Angel Arizpe, Nikta Saeedi, Carol Y Ochoa-Dominguez, Theresa A Hastert, Alberto Carvajal, Sue E Kim, Albert J Farias
Abstract readPreprint
In one paragraphArticle in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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What it found
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2 · The registryThe trial behind it
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3 · Its place in the literatureWho cites it
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4 · The recordCorrections and comments
5 · Who and what moneyAuthors and funding
7 authors.
Angel ArizpeUniversity of Southern California.
Nikta SaeediUniversity of Southern California.
Carol Y Ochoa-DominguezUniversity of California, San Diego.
Theresa A HastertWayne State University.
Alberto CarvajalUniversity of Southern California.
Sue E KimUniversity of Southern California.
Albert J FariasUniversity of Southern California.
Funding
Technology to Empower Changes in Health (TECH) Network Participant Technologies CenterU24OD023176 · OD · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2016 to 2022
$204.7MPrecision Medicine Initiative Cohort Program BiobankU24OD023121 · OD · MAYO CLINIC ROCHESTER · PI CEKANOVA, MARIA, CICEK, MINE · 2016 to 2024
$185.5MEnhancing All of Us Data Resources for Nutrition Precision Health: the All of Us Data and Research CenterU2COD023196 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GLAZER, DAVID, HARRIS, PAUL A. · 2016 to 2022
$143.7MAdaptive Platform for Personalized EngagementU24OD023163 · OD · VIGNET, INC. · PI JAIN, PRADUMAN · 2017 to 2020
$102.6MUniversity of Arizona-Banner Health All of Us Research Program OT2OD026549 · OD · UNIVERSITY OF ARIZONA · PI MORENO, FRANCISCO A, REIMAN, ERIC MICHAEL · 2018 to 2023
$78.9MCalifornia Precision Medicine Research Program ConsortiumOT2OD026552 · OD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANTON-CULVER, HODA A, OHNO-MACHADO, LUCILA · 2018 to 2023
$73.4MAll of Us PennsylvaniaOT2OD026554 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E, VISWESWARAN, SHYAM · 2018 to 2023
$72.1MNew York City Consortium for Precision MedicineOT2OD026556 · OD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BIER, LOUISE E, GHARAVI, ALI G · 2018 to 2023
$67.3MSouthEast Enrollment Center (SEEC) OT2OD026551 · OD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, COLON, VIVIAN · 2018 to 2023
$62.8MSouthern All of Us NetworkOT2OD026548 · OD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N., KORF, BRUCE R · 2018 to 2023
$60.5MIllinois Precision Medicine Consortium OT2OD026557 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI AHSAN, HABIBUL, ARGOS, MARIA · 2018 to 2023
$60.5MThe New England Precision Medicine Consortium of the All of Us Research ProgramOT2OD026553 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI CLARK, CHERYL RENEE, KARLSON, ELIZABETH W · 2018 to 2023
$58.8MNCI NIH HHS K00 CA264294NIH HHS OT2 OD023205NIH HHS OT2 OD023206NIH HHS OT2 OD025276NIH HHS OT2 OD025277NIH HHS OT2 OD025315NIH HHS OT2 OD025337NIH HHS OT2 OD026548NIH HHS OT2 OD026549NIH HHS OT2 OD026550NIH HHS OT2 OD026551NIH HHS OT2 OD026552NIH HHS OT2 OD026553NIH HHS OT2 OD026554NIH HHS OT2 OD026555NIH HHS OT2 OD026556NIH HHS OT2 OD026557NIH HHS U24 OD023121NIH HHS U24 OD023163NIH HHS U24 OD023176NIH HHS U2C OD023196
6 · The paper itselfAbstract
Background: Sexual minority (SM) individuals may face discrimination and psychosocial stressors that can adversely impact their cancer care and outcomes. Therefore, we tested for disparities in psychosocial stressors by SM status among cancer survivors and explored whether observed disparities differ by governor's political affiliation. Methods: Perceived stressors and SM status data from 2018-2022 were obtained from adult cancer survivors identified in the All of Us (AoU) data repository. We evaluated associations between self-reported SM status (heterosexual vs gay, lesbian, bisexual, or other SM minorities) and binary indicators of discrimination in medical settings (any vs. none), perceived stress (high/medium vs low), and neighborhood social cohesion (high/medium vs low) using multivariable logistic regression and stratified models adjusting for sociodemographic and clinical covariates. Results: In our cohort (N=14,806), 6.3% of survivors reported being a SM. In adjusted models, odds of reporting high/medium levels of perceived stress were 46% (95% CI: 25%, 70%) higher, and odds of low neighborhood social cohesion were 47% (95% CI: 27%, 71%) higher among SM compared to non-SM survivors. In stratified analyses (p Conclusion: SM cancer survivors face significant disparities in reported psychosocial stressors, which may impact survivorship outcomes. Associations may differ based on broader political context.
Indexed as
All of Uscancer survivordiscrimination in medical settingsperceived stresspolitical partysexual minoritiesstressors
Identifiers
PMID40585224
PMCPMC12204352
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