ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Identity among adolescent and young adult cancer survivors: an exploratory qualitative study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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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Abstract
purposeResearch on the implications of cancer on identity formation in adolescent and young adult (AYA) survivors is limited, particularly for sexual and gender minority (SGM) AYA cancer survivors. The aims of this study were to (1) identify concepts related to the impact of cancer and its treatment on identity among AYAs (ages of 15-39) cancer survivors; and (2) explore the unique identity-related experiences of sexual and gender minority (SGM) AYA cancer survivors.
methodsThis is a secondary qualitative analysis of six focus groups conducted during the development of an AYA program. Transcripts were coded using a grounded theory approach to identify how cancer diagnosis and treatment shape AYA identity formation, which informed the development of a novel conceptual framework.
resultsAYA cancer survivors' identity is influenced by interrelated physical, psychological, and social changes. Surrounding these interrelated changes are experiences unique to SGM, including navigating heteronormative assumptions and disclosures within healthcare settings. These interrelated changes to identity contribute to an evolution of the self through the cancer trajectory.
conclusionOur findings deepen the literature on the need for clinician awareness of how cancer diagnosis and treatment shapes AYA identities, and the need for increased support for AYAs (e.g., psychological intervention, peer support groups). From a public health perspective, this analysis contributes new insight into SGM AYA cancer survivors, as they may have a cancer experience that differs from that of their heterosexual peers. Further research to understand the needs of this population is warranted.
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