Franco-Rocha Oscar Y, Trainum Katie, Wheldon Christopher W
The University of Texas at Austin, Austin, TX, USA.
Temple University, Philadelphia, PA, USA.
J Cancer Surviv. 2024 May 8. doi: 10.1007/s11764-024-01611-5.
Sexual and gender minority (SGM) cancer survivors have poorer psychosocial health than their heterosexual cisgender counterparts. Nevertheless, most research has focused on breast and prostate survivors. It is unknown how different gastrointestinal (GI) cancers affect the psychosocial well-being of SGM individuals. We (1) described the psychosocial health of SGM people with GI cancers and (2) identified differences in psychosocial health outcomes by cancer type.
We conducted a concurrent mixed-methods secondary analysis with identical samples (n = 295) using data from "OUT: The National Cancer Survey." Likert-type and open-ended questions about demographics, satisfaction with care, social support, and access to mental health resources were included in the analysis. Poor mental health was the primary outcome. Quantitative (linear regression) and qualitative (thematic analysis) data were independently analyzed, then integrated through the narrative, weaving approach.
Three concepts emerged after data integration, (1) positive and negative influences on the psychological well-being of the participants; (2) social adaptations with the participants' friends, partners, and family members; and (3) additional factors affecting the psychosocial well-being during and after cancer, particularly interactions with providers, comorbidities, and treatment side effects.
Clinical characteristics, demographic factors, and culturally responsive care influenced the psychosocial health of SGM survivors of GI cancers.
Participants developed their own coping strategies and advocated for the SGM community. Interventions promoting peer support and self-esteem are a priority for this population. Healthcare professional training should incorporate historical trauma awareness and assess the delivery of culturally responsive care.
性取向和性别少数群体（SGM）癌症幸存者的心理社会健康状况比异性恋顺性别者更差。然而，大多数研究都集中在乳腺癌和前列腺癌幸存者身上。目前尚不清楚不同的胃肠道（GI）癌症如何影响SGM个体的心理社会福祉。我们（1）描述了患有胃肠道癌症的SGM人群的心理社会健康状况，（2）确定了不同癌症类型在心理社会健康结果方面的差异。
我们使用“OUT：全国癌症调查”的数据，对相同样本（n = 295）进行了同步混合方法二次分析。分析中纳入了关于人口统计学、对护理的满意度、社会支持以及获得心理健康资源的李克特式和开放式问题。心理健康状况不佳是主要结果。对定量（线性回归）和定性（主题分析）数据进行独立分析，然后通过叙述性的编织方法进行整合。
数据整合后出现了三个概念，（1）对参与者心理健康的积极和消极影响；（2）与参与者的朋友、伴侣和家庭成员的社会适应情况；（3）癌症期间和之后影响心理社会福祉的其他因素，特别是与医疗服务提供者的互动、合并症和治疗副作用。
临床特征、人口统计学因素和具有文化敏感性的护理影响了胃肠道癌症SGM幸存者的心理社会健康。
参与者制定了自己的应对策略，并为SGM社区发声。促进同伴支持和自尊的干预措施是这一人群的优先事项。医疗保健专业人员培训应纳入对历史创伤的认识，并评估具有文化敏感性的护理的提供情况。
