Jabson Jennifer M, Kamen Charles S
a Department of Public Health , University of Tennessee , Knoxville , TN , USA.
b Department of Surgery , University of Rochester , Rochester , NY , USA.
J Psychosoc Oncol. 2016;34(1-2):28-38. doi: 10.1080/07347332.2015.1118717. Epub 2015 Nov 17.
Satisfaction with care is important to cancer survivors' health outcomes. Satisfaction with care is not equal for all cancer survivors, and sexual minority (i.e., lesbian, gay, and bisexual) cancer survivors may experience poor satisfaction with care. Data were drawn from the 2010 LIVESTRONG national survey. The final sample included 207 sexual minority cancer survivors and 4,899 heterosexual cancer survivors. Satisfaction with care was compared by sexual orientation, and a Poisson regression model was computed to test the associations between sexual orientation and satisfaction with care, controlling for other relevant variables. Sexual minority cancer survivors had lower satisfaction with care than did heterosexual cancer survivors (B = -0.12, SE = 0.04, Wald χ(2) = 9.25, p< .002), even controlling for demographic and clinical variables associated with care. Sexual minorities experience poorer satisfaction with care compared to heterosexual cancer survivors. Satisfaction with care is especially relevant to cancer survivorship in light of the cancer-related health disparities reported among sexual minority cancer survivors.
对医疗护理的满意度对癌症幸存者的健康结果很重要。并非所有癌症幸存者对医疗护理的满意度都相同，性少数群体（即女同性恋、男同性恋和双性恋）癌症幸存者可能对医疗护理的满意度较低。数据来自2010年的“坚强生活”全国调查。最终样本包括207名性少数群体癌症幸存者和4899名异性恋癌症幸存者。按性取向比较了对医疗护理的满意度，并计算了泊松回归模型，以检验性取向与对医疗护理的满意度之间的关联，同时控制其他相关变量。性少数群体癌症幸存者对医疗护理的满意度低于异性恋癌症幸存者（B = -0.12，标准误 = 0.04，Wald χ(2) = 9.25，p <.002），即使控制了与护理相关的人口统计学和临床变量也是如此。与异性恋癌症幸存者相比，性少数群体对医疗护理的满意度较低。鉴于性少数群体癌症幸存者中报告的与癌症相关的健康差异，对医疗护理的满意度与癌症 survivorship 尤其相关。
