Differences in Discrimination, Violence, Mental Health, and Substance Use Outcomes by Cancer History Among LGBTQ+ Individuals in North Carolina
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View abstract on PubMed
Summary
This summary is machine-generated.Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) cancer survivors face higher rates of discrimination, violence, and substance use. These disparities highlight critical unmet needs within this vulnerable population.
Area Of Science
- Health Services Research
- Health Equity
- Oncology
Background
- Health inequities in sexual and gender minority (LGBTQ+) populations are linked to anti-LGBTQ+ stigma and discrimination.
- Limited research exists on stigma and discrimination experiences among LGBTQ+ cancer survivors.
Purpose Of The Study
- To assess the prevalence and impact of discrimination, violence, homelessness, mental health issues, and substance use among LGBTQ+ cancer survivors compared to non-survivors.
- To identify barriers to mental health services for LGBTQ+ individuals.
Main Methods
- Utilized data from the 2023 North Carolina LGBTQ+ Health Needs Assessment (N=3170).
- Employed Chi-squared tests and multivariable logistic regression models to analyze differences in outcomes based on cancer history.
- Calculated predicted probabilities, average marginal effects (AME), and 95% confidence intervals (CI).
Main Results
- Cancer history was associated with increased probabilities of discrimination, violence, and homelessness (8.1-19.1 percentage points).
- Significant associations found between cancer history and accidental overdose (AME: 22.5%), homelessness (AME: 19.1%), and various forms of violence.
- Top barriers to mental health services included cost (36.0%) and health insurance (33.5%).
Conclusions
- LGBTQ+ cancer survivors in North Carolina exhibit a greater burden of adverse outcomes, including discrimination, violence, substance use, and overdose.
- Findings underscore the compounded challenges faced by LGBTQ+ individuals with a cancer history.
- Study limitations include convenience sampling, affecting generalizability.
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