Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto.
Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network.
Curr Opin Support Palliat Care. 2023 Mar 1;17(1):55-69. doi: 10.1097/SPC.0000000000000628. Epub 2023 Jan 20.
Sexual and gender diverse (SGD) cancer patients possess unique identities and needs that must be considered during their cancer care. This narrative review explores the current literature on sexual and gender diversity in cancer care and survivorship, in addition to providing recommendations encouraged by the current literature.
We performed a literature search for articles published in English between January 2021 and June 2022 in Medline ALL and Embase. Fifty-two studies were included in this review. The many identities encapsulated in 2SLGBTQIA+ (2 Spirited, Lesbian, Gay, Bisexual, Transgender, Queer, Intersexual, Asexual, Agender, Aromantic and all gender identities and sexual orientations that are not listed) communities each have their own unique backgrounds, needs and disparities in cancer care and survivorship. However, we also identified specific protective factors in the cancer experience of SGD patients such as reports of higher resiliency and stronger support networks. Much of the recent research features recommendations on improving cancer care by creating inclusive patient questionnaires, improving in-person and online resources, and educating healthcare providers and patient-facing staff on inclusive care.
SGD patients have their own specific challenges during and following their cancer care. As the research continues to grow, we gain a better understanding of the needs of these patients and future steps to take to improve SGD patients' cancer experience.
性和性别多样化（SGD）癌症患者在癌症护理期间具有独特的身份和需求，必须加以考虑。本叙述性综述探讨了癌症护理和生存方面性和性别多样性的当前文献，并提供了当前文献鼓励的建议。
我们在 Medline ALL 和 Embase 中搜索了 2021 年 1 月至 2022 年 6 月期间以英文发表的文章。本综述共纳入了 52 项研究。2SLGBTQIA+（双灵、女同性恋、男同性恋、双性恋、跨性别、酷儿、双性人、无性恋、非性别认同、无浪漫倾向以及所有未列出的性别认同和性取向）群体中包含的许多身份各自具有独特的背景、在癌症护理和生存方面的需求和差异。然而，我们还确定了 SGD 患者癌症经历中的一些特定保护因素，例如报告更高的韧性和更强的支持网络。最近的许多研究都提出了通过创建包容性患者问卷、改进现场和在线资源以及对医疗保健提供者和面向患者的工作人员进行包容性护理教育来改善癌症护理的建议。
SGD 患者在癌症治疗期间和之后都有自己特定的挑战。随着研究的不断发展，我们对这些患者的需求以及未来为改善 SGD 患者的癌症体验而采取的步骤有了更好的了解。
