Education to Improve Cancer Care for LGBTQ+ Patients in the UK

Berner, Alison; Webster, Rachael; Hughes, D.J.; Tharmalingam, Hannah; Saunders, Daniel

doi:10.1016/j.clon.2020.12.012

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…A previous editorial for Clinical Oncology contains useful 'practice pointers' on how to approach conversations about sexual orientation and sexual practices with patients [14]. To help facilitate disclosure within the prostate cancer setting, a question about sexual orientation should be added to forms such as the Sexual Health Inventory for Men (SHIM), which patients can complete before their consultation.…”

mentioning

confidence: 99%

Developing UK Guidance on How Long Men Should Abstain from Receiving Anal Sex before, During and after Interventions for Prostate Cancer

Ralph

2021

Clinical Oncology

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mentioning

confidence: 99%

Developing UK Guidance on How Long Men Should Abstain from Receiving Anal Sex before, During and after Interventions for Prostate Cancer

Ralph

2021

Clinical Oncology

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“…This research has important implications for both health policymakers and in clinical practice. In clinical practice, there is evidence that lesbian, gay and bisexual adults have poorer experiences of cancer care [ 25 ]; the evidence from this work that lesbian, gay and bisexual women and men are likely to be over-represented among people with lung cancer highlights the importance of work to improve holistic cancer care for LGB communities [ 46 ]. From a public health practice, and policy perspective, our work highlights that approaches to support smoking cessation among LGB communities will be particularly important and have the potential to make material differences to the inequalities in health outcomes experienced by sexual minority adults.…”

Section: Discussionmentioning

confidence: 99%

Breast, Prostate, Colorectal, and Lung Cancer Incidence and Risk Factors in Women Who Have Sex with Women and Men Who Have Sex with Men: A Cross-Sectional and Longitudinal Analysis Using UK Biobank

Underwood

Lyratzopoulos

Saunders

2023

Cancers

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Background. There is limited evidence about cancer incidence for lesbian, gay and bisexual women and men, although the prevalence of cancer risk factors may be higher. Aim. To describe cancer incidence for four common cancers (breast, lung, colorectal and prostate). Methods. This project used UK Biobank participant data. We explored risk factor prevalence (age, deprivation, ethnicity, smoking, alcohol intake, obesity, parity, and sexual history), and calculated cancer risk, for six groups defined based on sexual history; women who have sex exclusively with men (WSEM), or women (WSEW), women who have sex with men and women (WSWM); men who have sex exclusively with women (MSEW), or men (MSEM), and men who have sex with women and men (MSWM). Results. WSEW, WSWM, MSEM, and MSMW were younger, more likely to smoke, and to live in more deprived neighbourhoods. We found no evidence of an association between sexual history and breast, colorectal, or prostate cancer in age-adjusted models. Lung cancer incidence was higher for WSWM compared with WSEM, HR (95%CI) 1.78 (1.28–2.48), p = 0.0005, and MSWM compared with MSEW, 1.43 (1.03–1.99), p = 0.031; after adjustment for smoking, this difference was no longer significant. Conclusions. Sexual minority groups have a higher risk for lung cancer, due to greater exposure to smoking.

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“…Recommendations for improving care for LGBT patients with cancer through enhanced education, training and policy making (papers [30 ▪▪ ,31 ▪ –33 ▪ ])…”

Section: Methodsmentioning

confidence: 99%

“…A key feature of the previous papers reviewed is that healthcare professionals lacked knowledge of LGBT issues when providing care, so it is reassuring to see that recent papers have addressed what may help to improve this knowledge base. A paper of significant interest [30 ▪▪ ] outlines that although there is still no consistent approach to improving education on LGBT health, there have been recent initiatives to improve both undergraduate and postgraduate education on these issues in the UK. One example given being The Royal College of Radiologists including a webinar in the Clinical Oncology series on ‘Oncological considerations for LGBTQ+ patients’.…”

Section: Methodsmentioning

confidence: 99%

Cancer care disparities in the LGBT community

Wakefield¹

2021

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewA review of the recent literature (2019–2021) around the current disparities in care for LGBT individuals with cancer.Recent findingsRecent studies highlight that there continue to be multiple barriers to LGBT individuals with cancer receiving equity of care. These include healthcare professionals (HCPs) lack of knowledge of LGBT-specific issues and an under appreciation of the importance of sexuality and gender in order to provide holistic, person-centred care. Suggestions are made of how embedding training, updating guidelines, and improving communication skills could help to address this care disparity.SummaryLesbian, gay, bisexual and/or trans (LGBT) individuals have an increased risk of certain illnesses, including certain types of cancer. They belong to a minority group, who may be subjected to discrimination and so are less likely to present for screening or engage with healthcare professionals. This review of recent studies highlights that LGBT individuals still fear discrimination from HCPs, and that many HCPs themselves admit to poor knowledge of LGBT specific issues and the importance of sexuality and gender identity when providing cancer care. Advances in education programmes, including enhanced communication skills and creating LGBT safe spaces are all vital in reducing the disparity in LGBT cancer care.

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Education to Improve Cancer Care for LGBTQ+ Patients in the UK

Cited by 9 publications

References 8 publications

Developing UK Guidance on How Long Men Should Abstain from Receiving Anal Sex before, During and after Interventions for Prostate Cancer

Developing UK Guidance on How Long Men Should Abstain from Receiving Anal Sex before, During and after Interventions for Prostate Cancer

Breast, Prostate, Colorectal, and Lung Cancer Incidence and Risk Factors in Women Who Have Sex with Women and Men Who Have Sex with Men: A Cross-Sectional and Longitudinal Analysis Using UK Biobank

Cancer care disparities in the LGBT community

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