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Cancer screening utilization by residence and sexual orientation
Minjee Lee1,2, Wiley D Jenkins3, Eric Adjei Boakye3,4
1Department of Population Science and Policy, Southern Illinois University School of Medicine, Springfield, IL, USA. mlee88@siumed.edu.
Cancer Causes & Control : CCC
|August 25, 2020
Summary
Cancer screening rates are lowest among rural sexual minorities, indicating potential disparities. Further research is needed to address these gaps in care for lesbian, gay, bisexual, and queer individuals in rural settings.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Cancer screening uptake is crucial for early detection and improved outcomes.
- Limited research exists on cancer screening utilization among sexual minorities, particularly in rural areas.
- Understanding these disparities is essential for developing targeted interventions.
Purpose of the Study:
- To assess cancer screening utilization (breast, cervical, colorectal) among sexual minorities in rural versus urban populations.
- To examine variations in screening uptake based on residence (rural/urban) and sexual orientation (heterosexual/gay or lesbian/bisexual).
Main Methods:
- Utilized 2014 and 2016 Behavioral Risk Factor Surveillance System data.
- Analyzed recommended breast, cervical, and colorectal cancer screening receipt.
- Employed weighted proportions and multivariable logistic regressions, adjusting for key covariates.
Main Results:
- Cancer screening rates were lowest in rural areas and among sexual minority populations.
- Rural lesbians showed lower rates for cervical and breast cancer screening compared to urban heterosexuals.
- Rural bisexual males had lower colorectal screening rates than urban bisexual males.
Conclusions:
- Rural sexual minorities may face compounded barriers to cancer screening due to their location and identity.
- Disparities in screening utilization are linked to rural residence and sexual minority status.
- Further investigation is required to identify and address the factors contributing to these health inequities.
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