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National Survey of Oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, Knowledge, and Practice Behaviors About LGBTQ Patients With Cancer.
J Clin Oncol. 2019 03 01; 37(7):547-558.JC

Abstract

PURPOSE

To identify potential gaps in attitudes, knowledge, and institutional practices toward lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients, a national survey of oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers was conducted to measure these attributes related to LGBTQ patients and desire for future training and education.

METHODS

A random sample of 450 oncologists from 45 cancer centers was selected from the American Medical Association's Physician Masterfile to complete a survey measuring attitudes and knowledge about LGBTQ health and institutional practices. Results were quantified using descriptive and stratified analyses and by a novel attitude summary measure.

RESULTS

Of the 149 respondents, there was high agreement (65.8%) regarding the importance of knowing the gender identity of patients, which was contrasted by low agreement (39.6%) regarding the importance of knowing sexual orientation. There was high interest in receiving education regarding the unique health needs of LGBTQ patients (70.4%), and knowledge questions yielded high percentages of "neutral" and "do not know or prefer not to answer" responses. After completing the survey, there was a significant decrease (P < .001) in confidence in knowledge of health needs for LGB (53.1% agreed they were confident during survey assessment v 38.9% postsurvey) and transgender patients (36.9% v 19.5% postsurvey). Stratified analyses revealed some but limited influence on attitudes and knowledge by having LGBTQ friends and/or family members, political affiliation, oncology specialty, years since graduation, and respondents' region of the country.

CONCLUSION

This was the first nationwide study, to our knowledge, of oncologists assessing attitudes, knowledge, and institutional practices of LGBTQ patients with cancer. Overall, there was limited knowledge about LGBTQ health and cancer needs but a high interest in receiving education regarding this community.

Authors+Show Affiliations

1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.2 New York University School of Medicine, New York, NY.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30650044

Citation

Schabath, Matthew B., et al. "National Survey of Oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, Knowledge, and Practice Behaviors About LGBTQ Patients With Cancer." Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, vol. 37, no. 7, 2019, pp. 547-558.
Schabath MB, Blackburn CA, Sutter ME, et al. National Survey of Oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, Knowledge, and Practice Behaviors About LGBTQ Patients With Cancer. J Clin Oncol. 2019;37(7):547-558.
Schabath, M. B., Blackburn, C. A., Sutter, M. E., Kanetsky, P. A., Vadaparampil, S. T., Simmons, V. N., Sanchez, J. A., Sutton, S. K., & Quinn, G. P. (2019). National Survey of Oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, Knowledge, and Practice Behaviors About LGBTQ Patients With Cancer. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 37(7), 547-558. https://doi.org/10.1200/JCO.18.00551
Schabath MB, et al. National Survey of Oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, Knowledge, and Practice Behaviors About LGBTQ Patients With Cancer. J Clin Oncol. 2019 03 1;37(7):547-558. PubMed PMID: 30650044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - National Survey of Oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers: Attitudes, Knowledge, and Practice Behaviors About LGBTQ Patients With Cancer. AU - Schabath,Matthew B, AU - Blackburn,Catherine A, AU - Sutter,Megan E, AU - Kanetsky,Peter A, AU - Vadaparampil,Susan T, AU - Simmons,Vani N, AU - Sanchez,Julian A, AU - Sutton,Steven K, AU - Quinn,Gwendolyn P, Y1 - 2019/01/16/ PY - 2019/1/17/pubmed PY - 2019/1/17/medline PY - 2019/1/17/entrez SP - 547 EP - 558 JF - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JO - J. Clin. Oncol. VL - 37 IS - 7 N2 - PURPOSE: To identify potential gaps in attitudes, knowledge, and institutional practices toward lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients, a national survey of oncologists at National Cancer Institute-Designated Comprehensive Cancer Centers was conducted to measure these attributes related to LGBTQ patients and desire for future training and education. METHODS: A random sample of 450 oncologists from 45 cancer centers was selected from the American Medical Association's Physician Masterfile to complete a survey measuring attitudes and knowledge about LGBTQ health and institutional practices. Results were quantified using descriptive and stratified analyses and by a novel attitude summary measure. RESULTS: Of the 149 respondents, there was high agreement (65.8%) regarding the importance of knowing the gender identity of patients, which was contrasted by low agreement (39.6%) regarding the importance of knowing sexual orientation. There was high interest in receiving education regarding the unique health needs of LGBTQ patients (70.4%), and knowledge questions yielded high percentages of "neutral" and "do not know or prefer not to answer" responses. After completing the survey, there was a significant decrease (P < .001) in confidence in knowledge of health needs for LGB (53.1% agreed they were confident during survey assessment v 38.9% postsurvey) and transgender patients (36.9% v 19.5% postsurvey). Stratified analyses revealed some but limited influence on attitudes and knowledge by having LGBTQ friends and/or family members, political affiliation, oncology specialty, years since graduation, and respondents' region of the country. CONCLUSION: This was the first nationwide study, to our knowledge, of oncologists assessing attitudes, knowledge, and institutional practices of LGBTQ patients with cancer. Overall, there was limited knowledge about LGBTQ health and cancer needs but a high interest in receiving education regarding this community. SN - 1527-7755 UR - https://www.unboundmedicine.com/medline/citation/30650044/National_Survey_of_Oncologists_at_National_Cancer_Institute_Designated_Comprehensive_Cancer_Centers:_Attitudes_Knowledge_and_Practice_Behaviors_About_LGBTQ_Patients_With_Cancer_ L2 - http://ascopubs.org/doi/full/10.1200/JCO.18.00551?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -