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Physician Perceptions on Cancer Screening for LGBTQ+ Patients
Nicolas G Nelson1, Joseph F Lombardo1, Ayako Shimada2
1Department of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Healthcare providers acknowledge unique health needs of the LGBTQ+ community but lack sufficient training for cancer screenings. Improved education and clearer guidelines are needed for equitable cancer care for lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority patients.
Area of Science:
- Health Disparities
- Oncology
- Medical Education
Background:
- LGBTQ+ individuals face cancer disparities due to risk factors and barriers.
- Health literacy gaps and systemic issues contribute to lower screening rates.
- Understanding healthcare providers' perspectives on LGBTQ+ cancer screening is crucial.
Purpose of the Study:
- To assess healthcare providers' experiences, knowledge, and perceptions regarding cancer screening for LGBTQ+ patients.
- To identify barriers and needs for improving LGBTQ+ cancer care.
- To inform the development of targeted educational interventions.
Main Methods:
- A 20-item survey was distributed to 355 physicians via professional organizations.
- The survey evaluated provider training, understanding of LGBTQ+ health, and perceptions of patient concerns.
- Data were analyzed using descriptive statistics and significance testing (p-values).
Main Results:
- Only 28% of providers reported prior LGBTQ+-related training.
- Most providers (85%) recognized unique LGBTQ+ health needs, but only 46% felt confident understanding them.
- Prior training positively correlated with recognizing the importance of sexual orientation and confidence in LGBTQ+ health.
Conclusions:
- Most providers acknowledge LGBTQ+ patients' unique health needs, despite limited formal training.
- A lack of consensus exists on cancer screening for specific LGBTQ+ subpopulations.
- There is a clear need for enhanced provider education and standardized screening guidelines for LGBTQ+ individuals.
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