LGBT 癌症幸存者的生存护理需求。
Survivorship care needs among LGBT cancer survivors.
机构信息
a School of Medicine, University of Miami , Miami , USA.
b National LGBT Cancer Project , New York City , USA.
出版信息
J Psychosoc Oncol. 2018 Jul-Aug;36(4):393-405. doi: 10.1080/07347332.2018.1447528. Epub 2018 May 23.
OBJECTIVE
To better understand survivorship care needs among LGBT cancer survivors.
DESIGN
We administered an anonymous online survey.
SAMPLE
LGBT cancer survivors living in the United States.
METHODS
Participants were recruited via the National LGBT Cancer Project. The survey measured sociodemographic characteristics, social support, posttraumatic stress, and survivorship care needs.
RESULTS
Approximately 72% of our 114 participants were cisgender male and 87% were white. Almost all participants reported at least some unmet survivorship care needs (73%), with over half of participants reporting unmet psychological and sexuality care needs. Participants who reported their oncologist was not LGBT-competent had greater unmet needs (t(82) = 2.5, p = 0.01) and greater posttraumatic stress (t(91) = 2.1, p = 0.035).
CONCLUSIONS
LGBT cancer survivors have significant unmet survivorship care needs, and lack of oncologist LGBT-competence is associated with unmet needs. Implications for Psychosocial Providers: Our results suggest the need for LGBT competency training for providers.
目的
更好地了解 LGBT 癌症幸存者的生存护理需求。
设计
我们进行了一项匿名在线调查。
样本
居住在美国的 LGBT 癌症幸存者。
方法
参与者通过国家 LGBT 癌症项目招募。该调查衡量了社会人口统计学特征、社会支持、创伤后应激和生存护理需求。
结果
我们的 114 名参与者中，约有 72%是顺性别男性，87%是白人。几乎所有参与者都报告了至少一些未满足的生存护理需求（73%），超过一半的参与者报告了未满足的心理和性健康护理需求。报告其肿瘤医生不具备 LGBT 能力的参与者有更多未满足的需求（t（82）=2.5，p=0.01）和更多的创伤后应激（t（91）=2.1，p=0.035）。
结论
LGBT 癌症幸存者有大量未满足的生存护理需求，肿瘤医生缺乏 LGBT 能力与未满足的需求相关。对心理社会提供者的影响：我们的结果表明，提供者需要进行 LGBT 能力培训。
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