Unique Stressors and Discrimination Increase Cancer Risk for LGBTQ+ Community, Finds American Cancer Society Study
ICARO Media Group
This study, which is the first of its kind, highlights the importance of addressing the specific healthcare needs of the LGBTQ+ community.
The research revealed that members of the LGBTQ+ community are more likely to engage in behaviors that increase cancer risk. For instance, bisexual women were found to be over twice as likely as heterosexual women to smoke cigarettes (23% versus 10%) and drink heavily (14% versus 6%). These behaviors can contribute to a higher likelihood of developing cancer. The ACS attributes this trend to the concept of "minority stress," which is caused by the discrimination and stigma faced by LGBTQ+ individuals.
Discrimination based on gender identity or sexual orientation also poses a significant concern for the community. Shockingly, the study uncovered that 20% of LGBTQ+ individuals reside in states where healthcare providers, staff, and insurers can legally refuse care to them. Such "conscience clauses" allow for denial of care and services based on personal or religious beliefs. This further exacerbates the barriers to high-quality healthcare access faced by LGBTQ+ individuals.
The study also shed light on the prevalence of cancer-causing infections within certain LGBTQ+ population groups. Infections such as HIV, HPV, and hepatitis C were found to be more common among the community. Specifically, male-to-male sexual contact accounted for 70% of HIV infections, whereas heterosexual contact contributed to 22% and injection drug use was responsible for 7%. HIV-infected individuals are at a heightened risk for at least 10 different types of cancer, according to the findings.
Moreover, transgender individuals were found to be less likely to undergo some cancer screenings compared to cisgender individuals. For example, only 46% of transgender men were up-to-date on colorectal cancer screening, compared to 60% of cisgender men. Similarly, only 68% of transgender men with a cervix were up-to-date on cervical cancer screening, as opposed to 87% of cisgender women. These statistics underline the urgent need for improved healthcare access and awareness among transgender individuals.
The study also highlighted the lack of knowledge and comfort among healthcare providers in treating LGBTQ+ patients. Shockingly, the report revealed that only 25% of medical students reported feeling confident in addressing the healthcare needs of transgender patients, while 30% stated that they were uncomfortable treating this group. This knowledge gap further contributes to LGBTQ+ individuals facing obstacles in receiving appropriate care.
Rebecca Siegel, the senior scientific director and senior author of the study, emphasized that LGBTQ+ individuals encounter multiple barriers to accessing high-quality healthcare, including discrimination and the lack of knowledge among healthcare providers. "One of the key takeaways from our report is that LGBTQ+ people are likely at higher risk for cancer," Siegel stressed. "It is essential to remove these roadblocks and ensure equal opportunities for cancer prevention and detection for this population."
In conclusion, the ACS study exposes the increased risk of cancer faced by the LGBTQ+ community in the United States. The findings highlight the need to address the unique healthcare needs of this population by eradicating discrimination, improving healthcare provider education, and enhancing access to appropriate cancer screenings. By doing so, we can strive towards equitable healthcare for all individuals, irrespective of their sexual orientation or gender identity.