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Experiences and unmet needs of lesbian, gay, and bisexual people with cancer care: A systematic review and meta-synthesis.
Psychooncology. 2018 06; 27(6):1480-1489.P

Abstract

OBJECTIVES

To explore the cancer care experiences and unmet needs of people who identify as a sexual or gender minority.

METHODS

A qualitative systematic review and meta-synthesis was undertaken based on a registered protocol. Following literature searching and study selection, study quality was examined by using the Critical Appraisal Skill Programme Checklist. Qualitative data were extracted verbatim from included studies and synthesized by using thematic analysis.

RESULTS

Fifteen studies that included lesbian, gay, and bisexual (LGB) people living with or beyond cancer were included in the review. Studies including gender minorities were not identified. Most of the study participants were sexual minority women with breast cancer or sexual minority men with prostate cancer. Meta-synthesis of 106 individual findings generated 6 overarching themes pertaining to sexual orientation disclosure, experiences and fear of homophobia, positive and negative health-care professional behaviors, heterocentric systems and care, inadequacy of available support groups, and unmet needs for patient-centered care and LGB-specific information. Lesbian, gay, and bisexual people often reported feelings of anxiety, invisibility, isolation, and frustration throughout the cancer care continuum.

CONCLUSIONS

Analysis of the experiences of LGB people with cancer care shows that LGB people face numerous challenges due to their sexual orientation and receive care that does not adequately address their needs. Training and education of health-care professionals are strongly recommended to address some of these challenges and practice gaps. Culturally appropriate care includes avoiding heterosexual assumptions, use of inclusive language, the provision of tailored information, and involving partners in care.

Authors+Show Affiliations

Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.School of Nursing and Midwifery, Division of Health Sciences, The University of South Australia, Adelaide, South Australia, Australia.Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. Department of Psychology, Swinburne University, Melbourne, Victoria, Australia. Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, Victoria, Australia.Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, Victoria, Australia.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

29462496

Citation

Lisy, Karolina, et al. "Experiences and Unmet Needs of Lesbian, Gay, and Bisexual People With Cancer Care: a Systematic Review and Meta-synthesis." Psycho-oncology, vol. 27, no. 6, 2018, pp. 1480-1489.
Lisy K, Peters MDJ, Schofield P, et al. Experiences and unmet needs of lesbian, gay, and bisexual people with cancer care: A systematic review and meta-synthesis. Psychooncology. 2018;27(6):1480-1489.
Lisy, K., Peters, M. D. J., Schofield, P., & Jefford, M. (2018). Experiences and unmet needs of lesbian, gay, and bisexual people with cancer care: A systematic review and meta-synthesis. Psycho-oncology, 27(6), 1480-1489. https://doi.org/10.1002/pon.4674
Lisy K, et al. Experiences and Unmet Needs of Lesbian, Gay, and Bisexual People With Cancer Care: a Systematic Review and Meta-synthesis. Psychooncology. 2018;27(6):1480-1489. PubMed PMID: 29462496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experiences and unmet needs of lesbian, gay, and bisexual people with cancer care: A systematic review and meta-synthesis. AU - Lisy,Karolina, AU - Peters,Micah D J, AU - Schofield,Penelope, AU - Jefford,Michael, Y1 - 2018/03/15/ PY - 2017/08/28/received PY - 2018/02/05/revised PY - 2018/02/08/accepted PY - 2018/2/21/pubmed PY - 2019/5/9/medline PY - 2018/2/21/entrez KW - bisexuality KW - cancer KW - gay KW - homosexuality KW - lesbian KW - meta-synthesis KW - patient experience KW - qualitative KW - supportive care KW - unmet needs SP - 1480 EP - 1489 JF - Psycho-oncology JO - Psychooncology VL - 27 IS - 6 N2 - OBJECTIVES: To explore the cancer care experiences and unmet needs of people who identify as a sexual or gender minority. METHODS: A qualitative systematic review and meta-synthesis was undertaken based on a registered protocol. Following literature searching and study selection, study quality was examined by using the Critical Appraisal Skill Programme Checklist. Qualitative data were extracted verbatim from included studies and synthesized by using thematic analysis. RESULTS: Fifteen studies that included lesbian, gay, and bisexual (LGB) people living with or beyond cancer were included in the review. Studies including gender minorities were not identified. Most of the study participants were sexual minority women with breast cancer or sexual minority men with prostate cancer. Meta-synthesis of 106 individual findings generated 6 overarching themes pertaining to sexual orientation disclosure, experiences and fear of homophobia, positive and negative health-care professional behaviors, heterocentric systems and care, inadequacy of available support groups, and unmet needs for patient-centered care and LGB-specific information. Lesbian, gay, and bisexual people often reported feelings of anxiety, invisibility, isolation, and frustration throughout the cancer care continuum. CONCLUSIONS: Analysis of the experiences of LGB people with cancer care shows that LGB people face numerous challenges due to their sexual orientation and receive care that does not adequately address their needs. Training and education of health-care professionals are strongly recommended to address some of these challenges and practice gaps. Culturally appropriate care includes avoiding heterosexual assumptions, use of inclusive language, the provision of tailored information, and involving partners in care. SN - 1099-1611 UR - https://www.unboundmedicine.com/medline/citation/29462496/Experiences_and_unmet_needs_of_lesbian_gay_and_bisexual_people_with_cancer_care:_A_systematic_review_and_meta_synthesis_ L2 - https://doi.org/10.1002/pon.4674 DB - PRIME DP - Unbound Medicine ER -