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Original Article
Cancer survivorship and sexual orientation
Article first published online: 9 MAY 2011
DOI: 10.1002/cncr.25950
Copyright © 2011 American Cancer Society
Additional Information
How to Cite
Boehmer, U., Miao, X. and Ozonoff, A. (2011), Cancer survivorship and sexual orientation. Cancer, 117: 3796–3804. doi: 10.1002/cncr.25950
Publication History
- Issue published online: 3 AUG 2011
- Article first published online: 9 MAY 2011
- Manuscript Accepted: 3 JAN 2011
- Manuscript Revised: 22 NOV 2010
- Manuscript Received: 31 AUG 2010
- Abstract
- Article
- References
- Cited By
Keywords:
- cancer;
- survivorship;
- quality of life;
- prevalence;
- homosexuality
Abstract
BACKGROUND:
Lesbian, gay, and bisexual populations are not part of cancer surveillance, resulting in scarce information about the cancer survivorship of these populations. To address this information gap, the authors examined the prevalence of cancer survivorship by sexual orientation and cancer survivors' self-reported health by sexual orientation.
METHODS:
The authors explored these issues by analyzing pooled data from the California Health Interview survey from 2001, 2003, and 2005. By using descriptive statistics and logistic regressions, they examined the cancer prevalence in men and women by sexual orientation and subsequently compared the self-reported health of male and female cancer survivors by sexual orientation.
RESULTS:
Among women, the authors found no significant differences in cancer prevalence by sexual orientation, but lesbian and bisexual female cancer survivors had 2.0 and 2.3× the odds of reporting fair or poor health compared with heterosexual female cancer survivors. Among men, we found significant differences in cancer prevalence, with gay men having 1.9× the odds of reporting a cancer diagnosis compared with heterosexual men. There were no differences by sexual orientation in male cancer survivors' self-reported health.
CONCLUSIONS:
Our novel findings suggest sex differences in the impact of cancer on lesbian, gay, and bisexual cancer survivors. Lesbian and bisexual cancer survivors need to be targeted by programs and services to assist these cancer survivors in improving their health perceptions, whereas healthcare providers and public health agencies need to be made aware of the higher prevalence of cancer in gay men to prevent future cancers through increased screening and primary prevention. Cancer 2011;. © 2011 American Cancer Society.