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Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review

BACKGROUND: Adolescent and young adult cancer patients (AYAs) who are sexual and gender minorities (SGM) are a rapidly increasing population that experiences unmet cancer‐related needs. Despite emerging awareness, little is known about cancer care and outcomes for this vulnerable population. The pur...

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Autores principales: Cheung, Christabel K., Lee, Haelim, Levin, Nina Jackson, Choi, Eunju, Ross, Valentina A., Geng, Yimin, Thomas, Bria N., Roth, Michael E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358240/
https://www.ncbi.nlm.nih.gov/pubmed/37245227
http://dx.doi.org/10.1002/cam4.6090
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author Cheung, Christabel K.
Lee, Haelim
Levin, Nina Jackson
Choi, Eunju
Ross, Valentina A.
Geng, Yimin
Thomas, Bria N.
Roth, Michael E.
author_facet Cheung, Christabel K.
Lee, Haelim
Levin, Nina Jackson
Choi, Eunju
Ross, Valentina A.
Geng, Yimin
Thomas, Bria N.
Roth, Michael E.
author_sort Cheung, Christabel K.
collection PubMed
description BACKGROUND: Adolescent and young adult cancer patients (AYAs) who are sexual and gender minorities (SGM) are a rapidly increasing population that experiences unmet cancer‐related needs. Despite emerging awareness, little is known about cancer care and outcomes for this vulnerable population. The purpose of this scoping review was to explore current knowledge and gaps in the literature on cancer care and outcomes for AYAs who identify as SGM. METHODS: We reviewed empirical knowledge on SGM AYAs by identifying, describing, and critically appraising the literature to date. We conducted a comprehensive search on OVID MEDLINE, PsycINFO, and CINAHL in February 2022. Additionally, we developed and piloted a conceptual framework for appraising SGM AYA research. RESULTS: A total of 37 articles were included in the final review. Most studies focused exclusively on SGM‐related outcomes as the primary aim of the study (81.1%, n = 30), whereas others included some focus on SGM‐related outcomes (18.9%, n = 7). The majority of studies included AYAs as part of a broader age range (86.0%, n = 32), and only a few studies examined exclusively AYA samples (14.0%, n = 5). Gaps in scientific evidence on SGM AYAs were seen across the cancer care continuum. CONCLUSION: Numerous gaps in knowledge of cancer care and outcomes exist for SGM AYAs diagnosed with cancer. Future efforts should fill this void with high‐quality empirical studies that reveal unknown disparities in care and outcomes and are inclusive of the intersectionality of SGM AYAs with other minoritized experiences, thereby advancing health equity in meaningful ways.
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spelling pubmed-103582402023-07-21 Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review Cheung, Christabel K. Lee, Haelim Levin, Nina Jackson Choi, Eunju Ross, Valentina A. Geng, Yimin Thomas, Bria N. Roth, Michael E. Cancer Med RESEARCH ARTICLES BACKGROUND: Adolescent and young adult cancer patients (AYAs) who are sexual and gender minorities (SGM) are a rapidly increasing population that experiences unmet cancer‐related needs. Despite emerging awareness, little is known about cancer care and outcomes for this vulnerable population. The purpose of this scoping review was to explore current knowledge and gaps in the literature on cancer care and outcomes for AYAs who identify as SGM. METHODS: We reviewed empirical knowledge on SGM AYAs by identifying, describing, and critically appraising the literature to date. We conducted a comprehensive search on OVID MEDLINE, PsycINFO, and CINAHL in February 2022. Additionally, we developed and piloted a conceptual framework for appraising SGM AYA research. RESULTS: A total of 37 articles were included in the final review. Most studies focused exclusively on SGM‐related outcomes as the primary aim of the study (81.1%, n = 30), whereas others included some focus on SGM‐related outcomes (18.9%, n = 7). The majority of studies included AYAs as part of a broader age range (86.0%, n = 32), and only a few studies examined exclusively AYA samples (14.0%, n = 5). Gaps in scientific evidence on SGM AYAs were seen across the cancer care continuum. CONCLUSION: Numerous gaps in knowledge of cancer care and outcomes exist for SGM AYAs diagnosed with cancer. Future efforts should fill this void with high‐quality empirical studies that reveal unknown disparities in care and outcomes and are inclusive of the intersectionality of SGM AYAs with other minoritized experiences, thereby advancing health equity in meaningful ways. John Wiley and Sons Inc. 2023-05-28 /pmc/articles/PMC10358240/ /pubmed/37245227 http://dx.doi.org/10.1002/cam4.6090 Text en © 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle RESEARCH ARTICLES
Cheung, Christabel K.
Lee, Haelim
Levin, Nina Jackson
Choi, Eunju
Ross, Valentina A.
Geng, Yimin
Thomas, Bria N.
Roth, Michael E.
Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review
title Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review
title_full Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review
title_fullStr Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review
title_full_unstemmed Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review
title_short Disparities in cancer care among sexual and gender minority adolescent and young adult patients: A scoping review
title_sort disparities in cancer care among sexual and gender minority adolescent and young adult patients: a scoping review
topic RESEARCH ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358240/
https://www.ncbi.nlm.nih.gov/pubmed/37245227
http://dx.doi.org/10.1002/cam4.6090
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