ArticleCancer2026
Health care discrimination and self-reported health in transgender, gender nonconforming, and nonbinary individuals with cancer.
Daniel Sabater Minarim, Kaitlyn Lew, Suraj Rajan, Kylie M Morgan, Sakshith Reddy Chintala, Jennifer T Anger, Carol Y Ochoa-Dominguez, Matthew P Banegas, Brent S Rose, Paul Riviere
Erratum issuedAbstract read
In one paragraphArticle in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from itWhat 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 registryThe 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 literatureWho cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
4 · The recordCorrections and comments
5 · Who and what moneyAuthors and funding
10 authors.
Kaitlyn LewCenter for Health Equity Education and Research, University of California, San Diego, La Jolla, California, USA.
Kylie M MorganCenter for Health Equity Education and Research, University of California, San Diego, La Jolla, California, USA.
Sakshith Reddy ChintalaCenter for Health Equity Education and Research, University of California, San Diego, La Jolla, California, USA.
Jennifer T AngerDepartment of Urology, University of California San Diego, La Jolla, California, USA.
Matthew P BanegasCenter for Health Equity Education and Research, University of California, San Diego, La Jolla, California, USA.
Paul RiviereCenter for Health Equity Education and Research, University of California, San Diego, La Jolla, California, USA.
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 4K00CA264294-02NCI 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 OD023196University of California, San Diego
6 · The paper itselfAbstract
backgroundThere is limited information about care experiences and health outcomes among transgender, gender-nonconforming, and nonbinary (TGNCNB) individuals with cancer. This study quantifies experienced health care discrimination among TGNCNB individuals living with cancer and its impact on their health.
methodsThis cross-sectional analysis used data from the All of Us Research Program on individuals with cancer. The authors performed propensity score matching (1:5) to balance TGNCNB and cisgender individuals by sociodemographic factors and cancer site. Health care discrimination and health were assessed using the Discrimination in Medical Settings Scale and the Overall Health survey. They used multivariable logistic regression models to adjust for sociodemographic characteristics.
resultsThe cohort included 1476 participants, of which 246 (17%) identified as TGNCNB. TGNCNB participants had greater odds of reporting feeling unheard by providers (odds ratio [OR], 2.38; 95% confidence interval [CI], 1.79-3.17), treated with less respect (OR, 2.61; 95% CI, 1.91-3.57), receiving poorer service (OR, 2.39; 95% CI, 1.73-3.31), and providers acting afraid (OR, 2.32; 95% CI, 1.37-3.93) compared to their cisgender counterparts. In adjusted models, TGNCNB identity was associated with increased odds of experiencing any health care discrimination (OR, 2.42; 95% CI, 1.81-3.25), and discrimination was associated with self-reported poor health (OR, 3.24; 95% CI, 2.58-4.07). DISCUSSION: The findings of this study suggest that in the TGNCNB population, increased rates of health care discrimination are associated with poorer health outcomes, which may perpetuate medical mistrust and decrease patient-centric quality of care overall. Future research and policy efforts should identify actionable interventions to advance equitable cancer care for TGNCNB individuals.
Indexed as
Healthcare DisparitiesNeoplasmsTransgender PersonsAdultAgedCross-Sectional StudiesFemaleGender-Nonconforming PersonsHumansMaleMiddle AgedSelf Reporthealth care discriminationhealth disparitiesself‐reported healthTGNCNB
Identifiers
PMID41988958
PMCPMC13084971
What OpenQuestion holds
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LicenceCC BY-NC
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