Needs of LGBT cancer survivors

Abstract

Lesbian, gay, bisexual, and transgender (LGBT) cancer survivors in the United States have unique needs that may go unaddressed in cancer care. Many of these needs center around deciding whether or not to disclose LGBT identity and how to include diverse supportive others in the medical decision making and treatment experience. Others arise from disparities that impact the LGBT community at large and that may be further complicated by a diagnosis of cancer. In this chapter, we outline several specific needs, including: Acceptance of identity disclosure, respect for unique social support systems, understanding of LGBT sexuality, and reduction of gender expectations. We underscore these needs by including quotes from LGBT survivors describing their experiences receiving a cancer diagnosis and seeking cancer treatment. We also discuss tailored and LGBT-friendly support services, cultural competence in providing cancer care, and interventions to address specific disparities that impact LGBT survivors. We close with recommendations for future service development and research.