Improving the Cancer Journey for LGBT people

Abstract

International studies suggest that LGB people have higher risks and increased prevalence of some cancers in comparison to the general population. Among gay and bisexual men, studies indicate they have twofold odds of reporting a diagnosis of anal cancer; while rates of cervical cancer among bisexual women are more than twice that of other women. Some research reveals higher mortality from breast cancer among lesbian and bisexual women; they are also twice as likely to report fair or poor health compared with heterosexual women. Due to the lack of formal support groups and targeted health information, LGB people may have a poorer post-diagnosis experience and lower quality of life with cancer. This pilot study sought to examine LGB people's experinces of cancer care. The findings are discussed in relation to three themes: Disclosing sexual orientation to medical professionals; The nuanced nature of discrimination in the hospital environment and Finding benefit from the experience of having cancer. Recommendations are made for policymakers, LGBT voluntary sector organisations and mainstream cancer charities.