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“Treat Us with Dignity”: A Qualitative Study of the Experiences and Recommendations of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Patients with Cancer

Citation

Kamen, Charles S.; Alpert, Alison; Margolies, Liz; Griggs, Jennifer J.; Darbes, Lynae; Smith-Stoner, Marilyn; Lytle, Megan; Poteat, Tonia; Scout, NFN; & Norton, Sally A. (2019). "Treat Us with Dignity": A Qualitative Study of the Experiences and Recommendations of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Patients with Cancer. Supportive Care in Cancer, 27(7), 2525-2532. PMCID: PMC6506401

Abstract

PURPOSE: Despite indications that lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients have unique needs when seeking healthcare, the experiences of LGBTQ patients in the context of cancer care have not been fully explored. This qualitative study investigated recommendations offered by LGBTQ patients with cancer for improving cancer care.
METHODS: Two hundred seventy-three LGBTQ people across the USA who had been diagnosed with cancer completed an online survey that included open-ended questions. Using responses to these questions, two researchers independently conducted open coding. A code book was generated collaboratively and the data were coded independently. Codes were clustered and refined and the data were independently re-coded.
RESULTS: Five themes emerged. LGBTQ patients with cancer: (1) are affected by providers' LGBTQ-specific knowledge and skills, assumptions, and mistreatment; (2) negotiate disclosure of identities based on safety of clinical encounters; (3) have differing experiences based on multiple intersecting identities; (4) receive more effective care when members of their support networks are included; and (5) are self-advocates and undergo transformative experiences in the face of morbidity and marginalization.
CONCLUSIONS: LGBTQ cancer survivors report challenges accessing competent cancer treatment. To address this, cancer care providers should provide safe clinical encounters, inquire about and respond professionally to patients' identities and identifiers, include chosen support people, provide care relevant to patients' gender identities, and address treatments' effects on sexuality. Training providers about diverse LGBTQ communities and acknowledging the strengths of LGBTQ patients with cancer may improve provider/patient relationships. Provider training could be created based on these principles.

URL

http://dx.doi.org/10.1007/s00520-018-4535-0

Reference Type

Journal Article

Year Published

2019

Journal Title

Supportive Care in Cancer

Author(s)

Kamen, Charles S.
Alpert, Alison
Margolies, Liz
Griggs, Jennifer J.
Darbes, Lynae
Smith-Stoner, Marilyn
Lytle, Megan
Poteat, Tonia
Scout, NFN
Norton, Sally A.

PMCID

PMC6506401