Abstact Background LGBTQ + (lesbian, gay, bisexual, transgender, queer, other sexual or gender minority) people experience unique challenges in cancer care. This study describes LGBTQ+ survivors’ and caregivers’ experiences interacting with cancer care providers and their recommendations for delivering care with cultural humility. Methods We conducted a secondary analysis of qualitative focus group data to extract community members’ suggestions for providers. We conducted 10 focus groups with 52 LGBTQ+ cancer survivors and caregivers. Participants were recruited as survivor/caregiver dyads in which at least one member (the survivor and/or the caregiver) identified as LGBTQ+. Focus groups were analyzed using qualitative thematic analysis. A community advisory board participated in one focus group and was consulted on study design, findings, and dissemination. Results Participants identified several recommendations for healthcare providers to improve cancer care delivery for LGBTQ+ survivors and their caregivers. This included, understanding that many LGBTQ+ patients experience minority stress during their cancer care; creating a welcoming space for LGBTQ+ people in care settings with visual indications of inclusivity; using affirming or unassuming language; not shying away from sexual health discussions; offering additional resources, ideally LGBTQ+-specific resources, to LGBTQ+ survivors and caregivers; and incorporating patient-centered approaches. Conclusion Acting on LGBTQ+ cancer survivors’ and caregivers’ perspectives and recommendations for providers can help improve cancer care delivery for the LGBTQ+ community. This feedback can be utilized to inform medical trainings and innovative support programs to improve provider-patient communication and care.
Insalaco et al. (Tue,) studied this question.