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解决性取向和性别认同少数群体中的癌症差异:通过研究人员和医疗服务提供者培训与教育提高性取向和性别认同少数群体健康公平性的国家行动计划建议。

Addressing Cancer Disparities in SGM Populations: Recommendations for a National Action Plan to Increase SGM Health Equity Through Researcher and Provider Training and Education.

作者信息

Kano Miria, Sanchez Nelson, Tamí-Maury Irene, Solder Benjamin, Watt Gordon, Chang Shine

机构信息

Department of Internal Medicine, Division of Epidemiology, Biostatistics and Preventive Medicine, University of New Mexico Health Science Center, Albuquerque, NM, USA.

University of New Mexico, 915 Camino De Salud, MSC07 4025, CRF G18, ground floor, Albuquerque, NM, 87131-0001, USA.

出版信息

J Cancer Educ. 2020 Feb;35(1):44-53. doi: 10.1007/s13187-018-1438-1.

Abstract

Reducing health disparities for sexual and gender minority (SGM) people is a priority of the National Institutes of Health. SGM populations face barriers in cancer prevention, treatment, and survivorship care. These barriers are due to deficits in researcher and provider training and education, as well as limited National Cancer Institute funding opportunities directed at the many different SGM populations. SGM status intersects with race and ethnicity, education, geography, and poverty to exacerbate disparities further. SGM cancer research will inform SGM patient cancer care guidelines and promote best practices in care among cancer providers. Cancer professionals may benefit from tailored training to enhance their research readiness for SGM cancer care. Research readiness can promote conduct of high-impact SGM cancer research and expand the limited knowledge of SGM cancer care disparities. Here, we propose a coordinated national plan for the training and education of health science researchers and oncology providers as a key strategy to reduce SGM cancer health disparities experienced along the cancer care continuum. We describe unrecognized clinical cancer care needs of SGM patients and unmet opportunities for research partnership and offer strategies for developing flexible educational training programs, courses, and workshops to prepare researchers and healthcare providers to promote health equity and quality cancer care for members of the SGM community.

摘要

减少性少数群体(SGM)的健康差距是美国国立卫生研究院的一项优先任务。SGM人群在癌症预防、治疗和生存护理方面面临障碍。这些障碍是由于研究人员和医疗服务提供者培训与教育方面的不足,以及美国国立癌症研究所针对众多不同SGM人群的资金机会有限。SGM身份与种族、民族、教育、地理位置和贫困相互交织,进一步加剧了差距。SGM癌症研究将为SGM患者癌症护理指南提供信息,并促进癌症医疗服务提供者之间的最佳护理实践。癌症专业人员可能会从量身定制的培训中受益,以提高他们对SGM癌症护理的研究准备程度。研究准备程度可以促进开展具有高影响力的SGM癌症研究,并扩展对SGM癌症护理差距的有限认识。在此,我们提出一项针对健康科学研究人员和肿瘤学医疗服务提供者培训与教育的全国协调计划,作为减少SGM人群在癌症护理连续过程中所经历的癌症健康差距的关键战略。我们描述了SGM患者未被认识到的临床癌症护理需求以及未得到满足的研究伙伴关系机会,并提供了制定灵活的教育培训项目、课程和研讨会的策略,以使研究人员和医疗服务提供者做好准备,为SGM社区成员促进健康公平和优质癌症护理。

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