Sexual and Gender Minority Health in Psycho-Oncology

2021 ◽  
pp. 627-634
Author(s):  
Charles Kamen ◽  
Jennifer M. Jabson Tree
Keyword(s):  
Cancer Patients ◽  
Cancer Care ◽  
Psychosocial Needs ◽  
Cancer Risk Factors ◽  
Gender Minority ◽  
Oncology Care ◽  
Race Ethnicity ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Oncology Providers

Undergoing cancer treatment and transitioning to survivorship presents challenges for all individuals, and sexual and gender minority (SGM) individuals may face additional challenges based on the multiple identities they bring into cancer care (sexual orientation, gender identity, and gender expression, as well as race, ethnicity, socioeconomic status, and other identities). Psychosocial oncology providers are in a unique position to address these challenges and improve the experience of cancer care for SGM patients. This chapter discusses psycho-oncology care issues specific to SGM cancer patients, including general health disparities affecting SGM communities; specific disparities in cancer risk factors, incidence, and outcomes; psychosocial needs among SGM cancer patients; and recommendations for developing psycho-oncology services to address the needs of SGM patients.

scholarly journals Mental Health of Sexual and Gender Minority Oncology Patients: Synthesis of Recommendations for Advancing Health Equity

2021 ◽  
Vol 2 (4) ◽  
pp. 279-298
Author(s):  
Kaitlin J. Huelsman ◽  
Brittany J. Wright ◽  
Jessica R. Vanderlan ◽  
David H. Morris ◽  
Amaris R. Tippey
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Cancer Patients ◽  
Cancer Care ◽  
Mental Health Outcomes ◽  
Health Concerns ◽  
Gender Minority ◽  
Increased Risk ◽  
Sexual And Gender Minority ◽  
And Gender

Sexual and gender minority (SGM) individuals are at increased risk for several health concerns, including those related to mental health. This increased risk, combined with the unique psychosocial challenges faced by SGM cancer patients, leads to disparities in mental health outcomes across the cancer care continuum. Despite these disparities, little to no resources (e.g. SGM groups, SGM cancer-related literature) exist within most cancer institutes to target SGM populations for appropriate cancer care, such as cancer prevention, accessible treatment, end-of-life, and survivorship concerns, which all may impact psychological wellbeing. This paper synthesizes existing recommendations, both general and cancer-specific, pertaining to the mental health concerns of SGM individuals with hope to provide a valuable resource for cancer institutes and providers on how to better address the unique mental health outcomes of SGM cancer patients. Additional input was obtained from stakeholders from a large, Midwestern, NCI-designated cancer center in an effort to expand our understanding of SGM cancer patients' needs. Through review of relevant guidelines and recommendations and feedback from stakeholder meetings, five broad areas of recommendation for improving SGM cancer care were identified: welcoming environment, patient education and support, community connections, standard approach to care, and research. Rooted in pertinent psychological constructs, each recommendation provides suggestions for increasing attention to SGM patients' psychosocial oncological needs. These recommendations seek to establish culturally inclusive and responsive climates where all SGM cancer patients feel valued and respected.

Cancer Care Considerations for Sexual and Gender Minority Patients

2019 ◽  
Vol 34 (6) ◽  
pp. 26-36 ◽  
Author(s):  
Mandi L. Pratt-Chapman ◽  
Jennifer Potter
Keyword(s):  
Cancer Care ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Sexual and Gender Minority Communication Skills (SGM Comskil) Training for Oncology Clinicians: Development, Implementation, and Preliminary Efficacy

2021 ◽  
Vol 2 (1) ◽  
pp. 35-52
Author(s):  
Smita C. Banerjee ◽  
Jessica M. Staley ◽  
Koshy Alexander ◽  
Patricia A. Parker ◽  
Kelly S. Havil ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Communication Skills ◽  
Nurse Practitioners ◽  
Healthcare Providers ◽  
Experiential Training ◽  
Gender Minority ◽  
Healthcare Experience ◽  
Transgender Persons ◽  
Sexual And Gender Minority ◽  
And Gender

Enhancing communicative competence of healthcare providers (HCPs) is a critical initiative for improving the healthcare experience of sexual and gender minority (SGM) cancer patients. This study presents the development, implementation, and preliminary efficacy of a new training curriculum for improving oncology HCPs’ skills in providing a safe and welcoming environment for SGM cancer patients (SGM Comskil training). Thirty-three (N = 33) oncology HCPs including nurses, nurse leaders, and nurse practitioners participated in a 4.25-hour SGM Comskil Training between July and August 2019. Overall, participants reported highly favorable evaluations of the training, with more than 80% of the participants reacting positively to 12 of the 15 evaluation items assessing engagement and reflectiveness for experiential role-plays with lesbian, gay, bisexual (LGB) and transgender standardized patients (SPs), respectively. Participants also demonstrated significant improvements in SGM healthcare knowledge, self-efficacy, beliefs toward LGB and transgender persons, and SGM-sensitive language use skills following the training. Encouraged by the feasibility of conducting this experiential training with busy cancer care HCPs and the initial favorable participant evaluation of the SGM Comskil training, results clearly indicate that this training can be rolled out into clinical settings to ensure its translational potential. The next steps should assess observable changes in communication skills and SGM-sensitive language skills with SGM patients and improvements in SGM patients’ healthcare experience.

Adult Mental Disorders in Association with Socioeconomic Position, Race/Ethnicity, and Sexual and Gender Minority Status

2019 ◽  
pp. 169-206 ◽  
Author(s):  
Renee M. Johnson ◽  
Sabriya Linton ◽  
Preben Bo Mortensen ◽  
Sari L. Reisner ◽  
Silvia Martins ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Socioeconomic Position ◽  
Data Sets ◽  
Minority Status ◽  
Low Socioeconomic ◽  
Gender Minority ◽  
Race Ethnicity ◽  
Sexual And Gender Minority ◽  
And Gender

This chapter presents information about differences in risk for mood, anxiety, and substance use disorders across three demographic factors that are tied to social disadvantage: socioeconomic position, race/ethnicity, and sexual and gender minority status. It summarizes key results from studies of the general population, and presents information on prevalence and risk based on our analyses of national data sets. Systematic population subgroup differences exist. Persons in low socioeconomic position and sexual and gender minorities have higher odds of mental and behavioral disorders. Findings for racial/ethnic minorities were mixed. Although several studies showing that Black and Hispanic people have lower risk than Whites for mood, anxiety, and substance use disorders, research also shows that disorders among these groups are more severe and more persistent.

scholarly journals What Exactly Are We Measuring? Evaluating Sexual and Gender Minority Cultural Humility Training for Oncology Care Clinicians

2020 ◽  
Vol 38 (23) ◽  
pp. 2605-2609 ◽  
Author(s):  
Ash Alpert ◽  
Charles Kamen ◽  
Matthew B. Schabath ◽  
Lauren Hamel ◽  
Julia Seay ◽  
...  
Keyword(s):  
Cultural Humility ◽  
Gender Minority ◽  
Oncology Care ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Characteristics of Sexual and Gender Minority Caregivers of People With Dementia

2021 ◽  
pp. 089826432110147
Author(s):  
Joel G. Anderson ◽  
Jason D. Flatt ◽  
Jennifer M. Jabson Tree ◽  
Alden L. Gross ◽  
Karen M. Rose
Keyword(s):  
Online Survey ◽  
Family Quality Of Life ◽  
Psychosocial Needs ◽  
Targeted Interventions ◽  
Gender Minority ◽  
People With Dementia ◽  
Latino American ◽  
Sexual And Gender Minority ◽  
And Gender

Objectives: Given what little is known about the experiences of sexual and gender minority (SGM) caregivers of people with Alzheimer’s disease and related dementias (ADRD), the aim of the current study was to describe psychosocial measures among these caregivers. Methods: We used an online survey and social media recruitment strategies. Results: Of 286 caregivers, the majority were gay men. Most respondents were white, with a third identifying as Latino American. The plurality of caregivers identified as a spouse/partner and were providing care for someone who identified as a sexual minority; one-fifth cared for someone transgender. Sexual orientation, perceived stress, caregiver stigma, and microaggressions were psychosocial factors associated with family quality of life and depressive symptoms in the caregivers. Discussion: This study is the first to provide a focused description of the characteristics and psychosocial needs of SGM caregivers of someone with ADRD, supporting development of targeted interventions for this population.

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