Up to 216,000 sexual and gender minority people are newly diagnosed with cancer each year, but these populations are medically underserved.1
One in three people will be diagnosed with cancer in their lifetime,2 but the reality is that it affects certain groups more than other populations. These groups include racial and ethnic minorities and members of the LGBTQI+ community.
Consider that3-5:
Despite their cancer health disparities, some members of the LGBTQI+ population have said that they’ve never received LGBTQI+-tailored cancer content.7 If they’re carrying a disproportionate cancer burden with a unique cluster of risk factors, why aren’t they receiving the distinct information they need?
Large national cancer registries and cancer incidence surveys don’t collect data on sexual orientation and gender identity (SOGI).8
Also, some LGBTQI+ individuals may be reluctant to share their SOGI for fear of discrimination, even when that information is relevant to their care.1,7,8 As a result, healthcare providers may not know how to support them specifically.
People who are part of two or more minority populations may be at an even higher risk of developing certain cancers. Consider Latinx LGBTQI+ individuals—they’re a double minority with a greater chance of getting at least one cancer. For example, as LGBTQI+ individuals, they’re at a higher risk of developing cervical and oral cancers; and as Latinx individuals, they’re at a higher risk of developing viral-associated cancers in the liver and the stomach.7
Regardless of their gender, sexuality, race, or ethnicity, these double- or multiple-minority populations should receive equal and appropriate health treatment and disease prevention education.7 Without the proper support, they may not be taking measures to prevent cancer and undergoing cancer screening to detect cancer early if it does develop.
By understanding the cancer health disparities and addressing the unique needs of LGBTQI+, Latinx, and other underserved communities, we can offer more appropriate cancer knowledge while promoting cultural competency. AccessHope is dedicated to addressing cancer health disparities as social injustice in healthcare by connecting more people to renowned cancer expertise for populations in all geographic locations, regardless of their sexual orientation, gender, race, and ethnicity.
Last updated May 10, 2021
References
1 Quinn GP, Alpert AB, Sutter M, Schabath MB. What oncologists should know about treating sexual and gender minority patients with cancer. JCO Oncology Practice. 2020;16(6):309-316.
2 Get cancer information now. American Cancer Society Web site. https://www.cancer.org. Accessed February 9, 2021.
3 Cancer facts for lesbian and bisexual women. American Cancer Society Web site. https://www.cancer.org/healthy/find-cancer-early/womens-health/cancer-facts-for-lesbians-and-bisexual-women.html. Updated July 30, 2020. Accessed February 9, 2021.
4 Cancer facts for gay and bisexual men. American Cancer Society Web site. https://www.cancer.org/healthy/find-cancer-early/mens-health/cancer-facts-for-gay-and-bisexual-men.html. Updated July 8, 2020. Accessed February 9, 2021.
5 American Association for Cancer Research. AACR Cancer Disparities Progress Report 2020. https://cancerprogressreport.aacr.org/wp-content/uploads/sites/2/2020/09/AACR_CDPR_2020.pdf. Published 2020. Accessed October 6, 2020.
6 Puechl AM, Russell K, Gray BA. Care and cancer screening of the transgender population. Journal of Women’s Health. 2019;28(6):761-768.
7 Vuong Z. Study suggests cancer care inadequate for LGBTQI+ Latinx population. City of Hope Breakthrough Blog. https://www.cityofhope.org/breakthroughs/study-suggests-cancer-care-inadequate-for-lgbtqi-latinx-people. Published September 20, 2019. Accessed February 9, 2021.
8 The LGBT community’s disproportionate cancer burden. National LGBT Cancer Network Web site. https://cancer-network.org/cancer-information/cancer-and-the-lgbt-community/the-lgbt-communitys-disproportionate-cancer-burden. Accessed February 9, 2021.