“抱歉，未找到结果”：评估美国癌症中心网站对 LGBTQIA + 群体的包容性。
"Sorry, no results found": evaluating LGBTQIA + inclusivity of U.S. cancer centers' websites.
机构信息
School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
National LGBT Cancer Network, Providence, RI, USA.
出版信息
Support Care Cancer. 2024 Sep 7;32(10):640. doi: 10.1007/s00520-024-08779-7.
PURPOSE
Cancer care for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexuality and gender diverse (LGBTQIA +) individuals is marked by disparities stemming from a history of discrimination, stigma, and systemic inequities. For LGBTQIA + individuals seeking cancer care, cancer center websites may be a first point of contact with healthcare. Two complementary studies sought to evaluate the LGBTQIA + inclusivity of cancer centers' websites.
METHODS
The authors conducted two studies in 2022-2023, reviewing the websites of National Cancer Institute (NCI)-designated cancer centers and Children's Oncology Group (COG)-designated health systems and cancer centers. Reviewers manually searched websites and coded several Yes/No criteria for LGBTQIA + inclusivity.
RESULTS
Among the 65 NCI cancer centers' websites in 2023, 66% included a nondiscrimination statement, 71% mentioned LGBTQIA + health disparities, 65% included LGBTQIA + tailored resources, and 66% had articles about LGBTQIA + health. There was a trend of increased inclusivity across categories from 2022 to 2023. Among the 204 COG-designated health system websites in 2023, there were 60 pediatric care websites and 144 lifespan care websites. A total of 79.9% of COG health system websites referenced LGBTQIA + patients (80.0% of pediatric and 79.9% of lifespan sites), 16.7% of COG cancer center websites referenced LGBTQIA + patients in the context of cancer care (6.7% of pediatric and 20.8% of lifespan sites), and 82.4% yielded results when search terms were input (83.3% of pediatric and 81.9% of lifespan sites).
CONCLUSIONS
Adult and pediatric cancer centers' websites have varying levels of LGBTQIA + inclusivity based on nondiscrimination statements, articles, and the availability of LGBTQIA + resources. While there have been some improvements in inclusivity on the NCI-designated cancer centers' websites between 2022 and 2023, there is a need for further improvement.
目的
为女同性恋、男同性恋、双性恋、跨性别、酷儿、间性人、无性恋以及其他性倾向和性别认同多样化的（LGBTQIA+）个体提供的癌症护理服务存在差异，这是由歧视、污名化和制度不平等的历史造成的。对于寻求癌症护理的 LGBTQIA+个体而言，癌症中心网站可能是他们与医疗保健机构的首次接触点。有两项相互补充的研究旨在评估癌症中心网站对 LGBTQIA+群体的包容性。
方法
作者于 2022 年至 2023 年开展了两项研究，对美国国立癌症研究所（NCI）指定的癌症中心和儿童肿瘤学组（COG）指定的卫生系统和癌症中心的网站进行了审查。审查员手动搜索网站并对 LGBTQIA+包容性的几个是/否标准进行了编码。
结果
在 2023 年的 65 个 NCI 癌症中心网站中，有 66%的网站包含非歧视声明，71%的网站提到了 LGBTQIA+健康差距，65%的网站提供了针对 LGBTQIA+群体的专门资源，66%的网站有关于 LGBTQIA+健康的文章。从 2022 年到 2023 年，各个类别都呈现出包容性增强的趋势。在 2023 年的 204 个 COG 指定的卫生系统网站中，有 60 个儿科护理网站和 144 个寿命护理网站。共有 79.9%的 COG 卫生系统网站提到了 LGBTQIA+患者（80.0%的儿科网站和 79.9%的寿命网站），16.7%的 COG 癌症中心网站在癌症护理背景下提到了 LGBTQIA+患者（6.7%的儿科网站和 20.8%的寿命网站），当输入搜索词时，有 82.4%的网站会产生结果（83.3%的儿科网站和 81.9%的寿命网站）。
结论
根据非歧视声明、文章和 LGBTQIA+资源的可用性，成人和儿科癌症中心的网站在 LGBTQIA+包容性方面存在差异。虽然 NCI 指定的癌症中心网站在 2022 年至 2023 年期间在包容性方面有所提高，但仍需进一步改进。
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