Needs and experiences of cancer care in patients' perspectives among the lesbian, gay, bisexual, transgender and queer community : a systematic review

Individuals within the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community who are diagnosed with cancer experience inequitable treatment in healthcare systems worldwide, resulting in dissatisfaction, communication challenges with healthcare providers, and a deep sense of disappointment. Stigma, discrimination, and perceived homophobia further heighten the risk of psychological and attitudinal disorders, including depression and suicidal tendencies, among LGBTQ cancer patients. To comprehensively assess the discrimination faced by LGBTQ cancer patients and gain deeper insights into their needs and experiences, we conducted a systematic review following PRISMA guidelines. We searched for relevant articles using specific keywords in reputable databases such as PubMed, Google Scholar, and PsycINFO. We rigorously evaluated article quality using the CASP (Critical Appraisal Skills Programme) checklist. From a total of 75 eligible studies, we carefully selected 14 studies, specifically examining LGBTQ cancer patients who were currently undergoing or had previously undergone cancer treatment. The studies revealed various factors, including unmet needs related to anxiety and depression, instances of discrimination, disparities in care, and inadequate support systems. A majority of patients expressed dissatisfaction with their cancer care and continued to encounter discrimination and disparities throughout their treatment journeys. Consequently, this led to heightened levels of anxiety, stress, depression, and negative perceptions of healthcare providers. Based on these findings, we recommend providing specialized training to social workers and healthcare providers. This training will equip them with the necessary skills and knowledge to deliver culturally sensitive care tailored to the unique needs of LGBTQ cancer patients. By addressing discrimination, reducing disparities, and fostering an inclusive environment, healthcare professionals can strive to ensure that LGBTQ cancer patients receive the care they deserve.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

Social work in health care - 62(2023), 8-9 vom: 19. Juli, Seite 263-279

Sprache:

Englisch

Beteiligte Personen:

Chan, Alex Siu Wing [VerfasserIn]
Leung, Lok Man [VerfasserIn]
Wong, Florence Kwai Ching [VerfasserIn]
Ho, Jacqueline Mei Chi [VerfasserIn]
Tam, Hon Lon [VerfasserIn]
Tang, Patrick Ming Kuen [VerfasserIn]
Yan, Elsie [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Discrimination
Exclusion
Health care
Journal Article
LGBTQ
Mental health
Oncology
Review
Social inclusion
Systematic Review

Anmerkungen:

Date Completed 02.11.2023

Date Revised 18.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/00981389.2023.2226182

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358403499