Strategies for Inclusive Care to LGBTQIAP+ People with Cancer

Authors

  • Ricardo Souza Evangelista Sant'Ana Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto (EERP-USP). São Paulo (SP), Brasil. https://orcid.org/0000-0003-3762-4362

DOI:

https://doi.org/10.32635/2176-9745.RBC.2023v69n2.3671

Keywords:

diversity, equity, inclusion, neoplasms, sexuality, sexual and gender minorities

Abstract

Discussing actions for inclusive care to LGBTQIAP+ people with cancer is a timely move, as they face innumerous barriers of access to healthcare on a daily basis, as well as institutional violence and prejudice, in addition to few skilled professionals familiarized with the specific needs of this community. The care to this population cannot be thought within a model of heteronormativity. The objective of this article is to shed light on this debate and insert it into an academic scope and rethink its implications for clinical practice; in addition, it is relevant to devise strategies to begin the treatment of LGBTQIAP+ patients with cancer and improve the communication with them.

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References

Griggs KM, Waddill CB, Bice A, et al. Care during pregnancy, childbirth, postpartum, and human milk feeding for individuals who identify as LGBTQ. MCN Am J Matern Child Nurs. 2021;46(1):43-53. doi: https://doi.org/10.1097/NMC.0000000000000675 DOI: https://doi.org/10.1097/NMC.0000000000000675

World Health Organization [Internet]. Geneva: WHO; c2023. Sexual health; [cited 2023 Apr 5]. Available from: https://www.who.int/health-topics/sexual-health#tab=tab_2

Sant’Ana RSE, Zerbinati JP, Faria ME, et al. The sexual and emotional life experiences reported by Brazilian men with head and neck cancer at a public university hospital: a qualitative study. Sex Disabil. 2022;40:539-54. doi: https://doi.org/10.1007/s11195-022-09732-4 DOI: https://doi.org/10.1007/s11195-022-09732-4

Shetty G, Sanchez JA, Lancaster JM, et al. Oncology healthcare providers' knowledge, attitudes, and practice behaviors regarding LGBT health. Patient Educ Couns. 2016;99(10):1676-84. doi: https://doi.org/10.1016/j.pec.2016.05.004 DOI: https://doi.org/10.1016/j.pec.2016.05.004

Spizzirri G, Eufrásio R, Lima MCP, et al. Proportion of people identified as transgender and non-binary gender in Brazil. Sci Rep. 2021;11:2240. doi: https://doi.org/10.1038/s41598-021-81411-4 DOI: https://doi.org/10.1038/s41598-021-81411-4

Almont T, Farsi F, Krakowski I, et al. Sexual health in cancer: the results of a survey exploring practices, attitudes, knowledge, communication, and professional interactions in oncology healthcare providers. Support Care Cancer. 2019;27(3):887-94. doi: https://doi.org/10.1007/s00520-018-4376-x DOI: https://doi.org/10.1007/s00520-018-4376-x

Ussher JM, Power R, Allison K, et al. Reinforcing or disrupting gender affirmation: the impact of cancer on transgender embodiment and identity. Arch Sex Behav. 2023;52(3):901-20. doi: https://doi.org/10.1007/s10508-023-02530-9 DOI: https://doi.org/10.1007/s10508-023-02530-9

Quinn GP, Sanchez JA, Sutton SK, et al. Cancer and lesbian, gay, bisexual, transgender/transsexual, and queer/questioning populations (LGBTQ). CA Cancer J Clin. 2015;65(5):384-400. doi: https://doi.org/10.3322/caac.21288 DOI: https://doi.org/10.3322/caac.21288

Tamargo CL, Quinn GP, Sanchez JA, et al. Cancer and the LGBTQ population: quantitative and qualitative results from an oncology providers' survey on knowledge, attitudes, and practice behaviors. J Clin Med. 2017;6(10):93. doi: https://doi.org/10.3390/jcm6100093 DOI: https://doi.org/10.3390/jcm6100093

Bento B. Sexualidade e experiências trans: do hospital à alcova. Ciênc Saúde Coletiva. 2012;17(10):2655-64. doi: https://doi.org/10.1590/S1413-81232012001000015 DOI: https://doi.org/10.1590/S1413-81232012001000015

Okano SHP. Cuidados integrais à população trans: o que cabe ao atendimento na atenção primária à saúde (APS)? Bepa [Internet]. 2022 [acesso 2023 abr 5];19:1-40. Disponível em: https://periodicos.saude.sp.gov.br/BEPA182/article/view/37729 DOI: https://doi.org/10.57148/bepa.2022.v.19.37729

Carr E. The personal experience of LGBT patients with cancer. Semin Oncol Nurs. 2018;34(1):72-9. doi: https://doi.org/10.1016/j.soncn.2017.12.004 DOI: https://doi.org/10.1016/j.soncn.2017.12.004

Rice D. LGBTQ: the communities within a community. Clin J Oncol Nurs. 2019;23(6):668-71. doi: https://doi.org/10.1188/19.CJON.668-671 DOI: https://doi.org/10.1188/19.CJON.668-671

Pratt-Chapman ML, Potter J. Cancer care considerations for sexual and gender minority patients. Oncol Issues. 2019;34(6):26-36. doi: https://doi.org/10.1080/10463356.2019.1667673 DOI: https://doi.org/10.1080/10463356.2019.1667673

Maxwell S, Shahmanesh M, Gafos M. Chemsex behaviours among men who have sex with men: a systematic review of the literature. Int J Drug Policy. 2019;63:74-89. doi: https://doi.org/10.1016/j.drugpo.2018.11.014 DOI: https://doi.org/10.1016/j.drugpo.2018.11.014

Pratt-Chapman ML, Alpert AB, Castillo DA. Health outcomes of sexual and gender minorities after cancer: a systematic review. Syst Rev. 2021;10(1):183. doi: https://doi.org/10.1186/s13643-021-01707-4 DOI: https://doi.org/10.1186/s13643-021-01707-4

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Published

2023-05-03

How to Cite

1.
Sant’Ana RSE. Strategies for Inclusive Care to LGBTQIAP+ People with Cancer. Rev. Bras. Cancerol. [Internet]. 2023 May 3 [cited 2024 Jul. 3];69(2):e-163671. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3671