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Intimate Partner Violence: A Mixed Methods Case Series that Focuses on a Subgroup of Minority Patients With Cancer
Sanjna Rajput1, Aminah Jatoi2, Elizabeth J Cathcart-Rake2
1Mayo Clinic School of Graduate Medical Education, Internal Medicine Residency, Mayo Clinic, Rochester, MN, USA.
Intimate partner violence (IPV) affects sexual and gender diverse (SGD) cancer patients, often co-occurring with other traumas and mental health issues. Culturally competent care is crucial for addressing these challenges in underserved populations.
Area of Science:
- Oncology
- Public Health
- Sociology
Background:
- Sexual and gender diverse (SGD) individuals represent a significant population group but are underrepresented in cancer research.
- Intimate partner violence (IPV) rates are comparable or higher in SGD individuals, yet specific research on IPV in SGD cancer patients is limited.
Purpose of the Study:
- To qualitatively explore the experiences of intimate partner violence (IPV) among sexual and gender diverse (SGD) patients diagnosed with cancer.
- To identify the psychosocial impacts and co-occurring issues associated with IPV in this population.
Main Methods:
- A qualitative study utilizing thematic analysis of medical records from SGD patients with cancer who screened positive for IPV.
- Data extraction focused on qualitative details of IPV and other forms of violence experienced by patients.
Main Results:
- Of 258 screened SGD cancer patients, 13 (5%) reported IPV.
- Key themes included co-occurrence of IPV with other violence, association with mental health conditions (depression, PTSD), unhealthy coping mechanisms, social isolation, internalized stigma, and chronic stress impacting cancer care.
Conclusions:
- IPV was reported by a small but significant proportion of SGD cancer patients, highlighting its association with broader psychosocial challenges.
- Findings underscore the need for trauma-informed, culturally competent interventions to address IPV and its effects in this underserved population.
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