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July 9, 2026The Journal of LGBTQ+ Mental Health0 citations

Social network support and frequent mental distress among sexually and gender diverse cancer survivors: A secondary analysis of the out study

JFJohn A. Fuller JFJames L. Fisher ABAutumn M. Bermea

Key Points

To evaluate the relationship between social network support and frequent mental distress among sexually and gender diverse cancer survivors.
Analyzed data from the OUT: The National Cancer Survey with N=2,065 respondents.
Used logistic regression to assess associations between social network support and frequent mental distress.
Respondents with weaker social network support had higher odds of frequent mental distress (aOR = 1.69; 95% CI = 1.23–2.33).
Among biracial/multiracial survivors, the association was significant (OR = 1.70; 95% CI = 1.16–2.50) but lost significance in the multivariable model.

Abstract

Introduction Sexually and gender diverse (SGD) cancer survivors experience disparities in psychosocial support and mental health outcomes.Method Logistic regression of OUT: The National Cancer Survey data evaluated associations of social network support (SNS) and frequent mental distress (FMD; 14 or more poor mental health days in the last 30 days).Result Respondents (N = 2,065) who reported weaker SNS after cancer diagnosis were more likely to experience FMD (aOR = 1.69; 95%CI = 1.23–2.33). Although we found a significant association between SNS and FMD among biracial/multiracial survivors (OR = 1.70; 95%CI = 1.16–2.50), this association was no longer significant in the multivariable model.Conclusion Findings inform clinicians’ understanding of the social support needs of SGD survivors.

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