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医疗服务提供者对性取向和性别认同少数的青少年及青年癌症患者的护理准备情况:一项范围综述

Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review.

作者信息

Cheung Christabel K, Lee Haelim, Francis-Levin Nina, Choi Eunju, Geng Yimin, Thomas Bria N, Roman Valentina A, Roth Michael E

机构信息

University of Maryland Greenebaum Comprehensive Cancer Center, United States.

University of Maryland School of Social Work, Baltimore, MD, USA.

出版信息

PEC Innov. 2024 Sep 13;5:100343. doi: 10.1016/j.pecinn.2024.100343. eCollection 2024 Dec 15.

DOI:10.1016/j.pecinn.2024.100343
PMID:39346774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11437872/
Abstract

OBJECTIVE

The purpose of the current scoping review is to explore knowledge and gaps in the literature on the preparedness of health care providers (HCPs) to deliver cancer care that addresses the needs of sexual and gender minority (SGM) adolescent and young adult (AYA) patients diagnosed with cancer between ages 15-39 years.

METHODS

We conducted two comprehensive searches on OVID MEDLINE, PsycINFO, and CINAHL in February 2022 and June 2024; examined the empirical literature on HCPs who treat SGM AYA cancer patients; characterized existing research; and evaluated each contribution.

RESULTS

A total of thirteen articles were included in the final review. The reviewed studies varied widely in sample sizes ( = 6 to  = 1253), reflecting different methodological approaches: quantitative cross-sectional ( = 3), qualitative ( = 4), and mixed methods (n = 6).

INNOVATION

The current scoping review piloted an innovative Quality Assessment (QA) Tool of Foundational Progress for SGM AYA Research to assess the quality of evidence, providing a new framework for evaluating and guiding future research.

CONCLUSION

The existing literature on provider preparedness to care for SGM AYA cancer patients is limited. Future studies are critically needed to improve providers' ability to holistically respond to the unique health care needs and concerns of this population.

摘要

目的

本次范围综述的目的是探索关于医疗保健提供者(HCPs)为15至39岁被诊断患有癌症的性少数和性别少数(SGM)青少年及年轻成人(AYA)患者提供满足其需求的癌症护理的准备情况的文献中的知识和差距。

方法

我们于2022年2月和2024年6月在OVID MEDLINE、PsycINFO和CINAHL上进行了两次全面检索;审查了关于治疗SGM AYA癌症患者的HCPs的实证文献;对现有研究进行了特征描述;并评估了每项研究的贡献。

结果

最终综述共纳入13篇文章。所审查的研究样本量差异很大(=6至=1253),反映了不同的方法学途径:定量横断面研究(=3)、定性研究(=4)和混合方法研究(n=6)。

创新

本次范围综述试点了一种创新的SGM AYA研究基础进展质量评估(QA)工具,以评估证据质量,为评估和指导未来研究提供了一个新框架。

结论

关于医疗保健提供者为SGM AYA癌症患者提供护理的准备情况的现有文献有限。迫切需要开展未来研究,以提高医疗保健提供者全面应对该人群独特医疗保健需求和关切的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/11437872/cb6e68e53398/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/11437872/769bc06d4650/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/11437872/cb6e68e53398/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/11437872/769bc06d4650/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/11437872/cb6e68e53398/gr2.jpg

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本文引用的文献

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Patient Educ Couns. 2024 Dec;129:108395. doi: 10.1016/j.pec.2024.108395. Epub 2024 Aug 21.
2
A Needs Assessment Approach for Adolescent and Young Adult Sexual and Gender Diverse Cancer Survivors.针对青少年及青年性取向和性别多样化癌症幸存者的需求评估方法。
Int J Environ Res Public Health. 2024 Mar 30;21(4):424. doi: 10.3390/ijerph21040424.
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Differentiating gender-based reproductive concerns among adolescent and young adult cancer patients: A mixed methods study.
区分青少年和青年癌症患者基于性别的生殖问题:一项混合方法研究。
J Psychosoc Oncol. 2024;42(4):526-542. doi: 10.1080/07347332.2023.2291798. Epub 2024 Jan 2.
4
"Queer Insights": Considerations and Challenges for Assessing Sex, Gender Identity, and Sexual Orientation in Oncofertility Research.《酷儿洞察》:肿瘤生育力研究中评估性别、性别认同和性取向的考量与挑战
Ann LGBTQ Public Popul Health. 2022 Jun;3(2):111-128. doi: 10.1891/lgbtq-2021-0015.
5
Exploring the Relationship between Self-Rated Health and Unmet Cancer Needs among Sexual and Gender Minority Adolescents and Young Adults with Cancer.探讨癌症患者中自我评估健康状况与未满足的癌症需求之间的关系:性少数青少年和青年群体。
Curr Oncol. 2023 Oct 20;30(10):9291-9303. doi: 10.3390/curroncol30100671.
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Interdisciplinary, Inclusive, and Innovative: Promoting a Paradigmatic Shift in Cancer Research Among Transgender and Gender Diverse Adolescents and Young Adults.跨学科、包容性与创新性:推动跨性别及性别多样化青少年和青年成人癌症研究的范式转变
Ann LGBTQ Public Popul Health. 2022 Jun;3(2):129-134. doi: 10.1891/lgbtq-2021-0005.
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