Evidence map›Paper›PMID 41931135›Full record

ArticleCancer causes & control : CCC2026

Disparities in multidimensional psychosocial stressors by sexual identity among cancer survivors from the All of Us Research Program.

Angel Arizpe, Nikta Saeedi, Carol Y Ochoa-Dominguez, Theresa A Hastert, Alberto Carvajal, Sue E Kim, Albert J Farias

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Article in Cancer causes & control : CCC, 2026. 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Angel Arizpe *Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-4075-2675
Nikta Saeedi *Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0009-0004-4327-1828
Carol Y Ochoa-DominguezUniversity of California, San Diego, San Diego, CA, USA.ORCID http://orcid.org/0000-0002-6946-3287
Theresa A HastertDepartment of Oncology, Wayne State University School of Medicine, Detroit, MI, USA.ORCID http://orcid.org/0000-0001-6251-6422
Alberto CarvajalKeck School of Medicine of the University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0009-0007-8500-1959
Sue E KimKeck School of Medicine of the University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0001-9320-1108
Albert J FariasKeck School of Medicine of the University of Southern California, Los Angeles, CA, USA. albertfa@usc.edu.ORCID http://orcid.org/0000-0002-6463-7831

Funding

Assessment of social needs and survivorship care experiences among adolescent and young adult (AYA) cancer survivors, families, and the healthcare teamK00CA264294 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI OCHOA-DOMINGUEZ, CAROL · 2022 to 2025
$392k
NCI NIH HHS K00 CA264294
6 · The paper itself

Abstract

objectivesTo examine disparities in psychosocial stressors by sexual identity among cancer survivors and whether these differ by state governmental leaning.

methodsCross-sectional data (2018-2022) from 14,806 cancer survivors in the All of Us repository were analyzed. Sexual identity (heterosexual vs. sexual minority) was examined in relation to discrimination in medical settings (DMS), perceived stress (PS), and neighborhood social cohesion (NSC) using multivariable logistic regression models adjusted for sociodemographic and clinical covariates, stratified by state governmental leaning.

results6.3% of survivors identified as sexual minority (SM). Compared with heterosexual survivors, SM individuals had higher odds of medium/high perceived stress (aOR = 1.46, 95% CI 1.26-1.72) and low neighborhood social cohesion (aOR = 1.47, 95% CI 1.27-1.71). In Republican-leaning states, they had over twice the odds of medical discrimination (aOR = 2.31; 95% CI = 1.50-3.71), with no association in Democratic-leaning states.

conclusionsSexual minority cancer survivors experience greater psychosocial stressors regardless of their state's governmental leaning, which may impact their cancer survivorship. Those in Republican-leaning states are more likely to have DMS experiences, potentially affecting their access to care and overall health. Future research should explore the long-term effects of policy environments and their influence on discrimination and psychosocial stress among SM cancer survivors.

Indexed as

Cancer SurvivorsNeoplasmsSexual and Gender MinoritiesStress, PsychologicalAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited StatesCancer survivorshipMedical discriminationSexual minoritiesSocial cohesionStress

Identifiers

PMID41931135
PMCPMC13048929

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