Addressing behavioral cancer risks from a LGBT health equity perspective

Abstract

Accounting for individual, community, and societal factors, as well as historical context and life-course events, we utilize a Health Equity model to consider behavioral risks and identify social determinants that may influence cancer risks in LGBT populations. Based on data from available research, we provide estimates of the prevalence of behavioral risks in LGBT communities, including excessive drinking and substance abuse, obesity, poor nutrition and diet, and physical inactivity. Both upstream and downstream factors that may elevate such behavioral risks for cancer among LGBT populations, including those unique to particular subgroups, are discussed. Examples of innovative programs and interventions designed for LGBT communities to target cancer-related behavioral risks are briefly described. We conclude with research, practice, and policy recommendations that are needed to promote health equity and reduce the disparate cancer burden in LGBT communities.