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Cancer and Sexual Minority Women

  • Chapter
The Health of Sexual Minorities

Abstract

Cancer is the leading cause of death in the United States, outpacing deaths due to heart disease. During the year 2005, an estimated 1,372,910 persons in the United States were expected to be diagnosed with cancer, and 570,280 persons were expected to die from it—more than 1500 people per day (American Cancer Society, 2005). These estimates do not include noninvasive (in situ) cancers and most skin cancers; new cases of skin cancer are estimated to exceed 1 million per year (American Cancer Society, 2005). About three-fourths of all cancers occur in people age 55 and older (American Cancer Society, 2005).

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References

  • American Cancer Society. (2004) Cancer facts and figures 2004 (web version). American Cancer Society, Atlanta.

    Google Scholar 

  • American Cancer Society. (2005) Cancer facts and figures 2005. ACS, Washington, DC.

    Google Scholar 

  • American Legacy Foundation. (2005) From http://www.americanlegacy.org/americanlegacy/skins/alf/home.aspx.

    Google Scholar 

  • Association: Harry Benjamin International Gender Dysphoria Association. (1998) The standards of care for gender identity disorders. HBIGD, Dusseldorf.

    Google Scholar 

  • Ayanian, J.Z., and Guadagnoli, E. (1996) Variations in breast cancer treatment by patient and provider characteristics. Breast Cancer Research and Treatment 40(1):65–74.

    Article  PubMed  CAS  Google Scholar 

  • Balen, A.H., Schachter, M.E., Montgomery, D., Reid, R.W., and Jacobs, H.S. (1993) Polycystic ovaries are a common finding in untreated female to male transsexuals. Clinical Endocrinology 38:325–329.

    PubMed  CAS  Google Scholar 

  • Ballard-Barbash, R., Potosky, A.L., Harlan, L.C., Nayfield, S.G., and Kessler, L.G. (1996) Factors associated with surgical and radiation therapy for early stage breast cancer in older women. Journal of the National Cancer Institute 88:716–726.

    Article  PubMed  CAS  Google Scholar 

  • Boehmer, U., Freund, K.M., and Linde, R. (2005a) Support providers of sexual minority women with breast cancer who they are and how they impact the breast cancer experience. Journal of Psychosomotion Research 59:307–314.

    Article  Google Scholar 

  • Boehmer, U., Linde, R., and Freund, K.M. (In Press) Breast reconstruction following mastectomy for breast cancer: the decisions of sexual minority women. Plastic and Reconstructive Surgery

    Google Scholar 

  • Boehmer, U., Linde, R., and Freund, K.M. (2005b). Sexual minority women’s coping and psychological adjustment after a diagnosis of breast cancer. Journal of Women’s Health 14:214–224.

    Article  PubMed  Google Scholar 

  • Bonvicini, K.A., and Perlin, M.J. (2003) The same but different: clinician-patient communication with gay and lesbian patients. Patient Education and Counseling 51:115–122.

    Article  PubMed  Google Scholar 

  • Bowen, D.J., and Balsam, K. (2005). A review of obesity issues in sexual minority women.

    Google Scholar 

  • Bowen, D.J., Anderson, J., White, J., Powers, D., and Greenlee, H. (2002) Preferences for alternative and traditional health care: relationship to health behaviors, health information sources, and trust of providers. Journal of Gay and Lesbian Medical Association, 6(1):3–7.

    Article  Google Scholar 

  • Bowen, D.J., Powers, D., Bradford, J., McMorrow, P., Linde, R., Murphy, B.C., et al. (2004) Comparing women of differing sexual orientations using population-based sampling. Women & Health 40(3):19–34.

    Article  Google Scholar 

  • Bowen, D.J., Powers, D., and Greenlee, H. (2006) Effects of breast cancer risk counseling for sexual minority women. Health Care for Women International 27:59–74.

    Article  PubMed  Google Scholar 

  • Boyd, N.C. (2001) Lesbians and ovarian cancer: ending the epidemic of silence. Mary-Helen Mautner Project for Lesbians with Cancer, Washington, DC.

    Google Scholar 

  • Bradley, C.J., Given, C.W., and Roberts, C. (2002) Race, socioeconomic status, and breast cancer treatment and survival. Journal of the National Cancer Institute 94:490–496.

    PubMed  Google Scholar 

  • Brown, M.L., Hodgson, T.A., and Rice, D.P. (1996) Economic impact of cancer in the united states. In: Schottenfeld, D., Fraumeni, J., and Joseph, F. (eds) Cancer epidemiology and prevention, 2nd ed. Oxford University Press, New York.

    Google Scholar 

  • Burgard, S.A., Cochran, S.D., and Mays, V.M. (2005) Alcohol and tobacco use patterns among heterosexually and homosexually experienced California women. Drug and Alcohol Dependence 77(1):61–70.

    Article  PubMed  Google Scholar 

  • Case, P., Austin, S.B., Hunter, D.J., Manson, J.E., Malspeis, S., Willett, W.C., et al. (2004) Sexual orientation, health risk factors, and physical functioning in the nurses’ health study ii. Journal of Women’s Health (Larchmont) 13:1033–1047.

    Article  Google Scholar 

  • Cochran, S.D., Mays, V.M., Bowen, D.J., Gage, S., Bybee, D., Roberts, S.J., et al. (2001) Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women. American Journal of Public Health 91:591–597.

    PubMed  CAS  Google Scholar 

  • Denenberg, R. (1995) Report on lesbian health. Women’s Health Issues 5(2): 51–91.

    Article  Google Scholar 

  • Diamant, A.L., Wold, C., Spritzer, K., and Gelberg, L. (2000) Health behaviors, health status, and access to and use of health care: a population-based study of lesbian, bisexual, and heterosexual women. Archives of Family Medicine 9:1043–1051.

    Article  PubMed  CAS  Google Scholar 

  • Dibble, S.L., and Roberts, S.A. (2002) A comparison of breast cancer diagnosis and treatment between lesbian and heterosexual women. Journal of the Gay and Lesbian Medical Association 6(1):9–17.

    Article  Google Scholar 

  • Dibble, S.L., and Roberts, S.A. (2003) Improving cancer screening among lesbians over 50: results of a pilot study. Oncology Nursing Forum 30(4):E71–E79.

    PubMed  Google Scholar 

  • Dibble, S.L., Vanoni, J.M., and Miaskowski, C. (1997) Women’s attitudes toward breast cancer screening procedures: differences by ethnicity. Women’s Health Issues 7(1):47–54.

    Article  PubMed  CAS  Google Scholar 

  • Durfy, S.J., Bowen, D.J., McTiernan, A., Sporleder, J., and Burke, W. (1999) Attitudes and interest in genetic testing for breast and ovarian cancer susceptibility in diverse groups of women in western Washington. Cancer Epidemiology, Biomarkers & Prevention 8(4 Pt 2):369–375.

    CAS  Google Scholar 

  • Fletcher, S.W., Black, W., Harris, R., Rimer, B.K., and Shapiro, S. (1993) Report of the international workshop on screening for breast cancer. Journal of the National Cancer Institute 85:1644–1656.

    Article  PubMed  CAS  Google Scholar 

  • Fobair, P., Koopman, C., Dimiceli, S., O’Hanlan, K., Butler, L., Classen, C., et al. (2002) Psychosocial intervention for lesbians with primary breast cancer. Psycho-oncology 11:427–438.

    Article  PubMed  Google Scholar 

  • Fobair, P., O’Hanlan, K., Koopman, C., Classen, C., Dimiceli, S., Drooker, N., et al. (2001) Comparison of lesbian and heterosexual women’s response to newly diagnosed breast cancer. Psycho-oncology 10(1):40–51.

    Article  PubMed  CAS  Google Scholar 

  • Frisch, M., Smith, E., Grulich, A., and Johansen, C. (2003) Cancer in a population-based cohort of men and women in registered homosexual partnerships. American Journal of Epidemiology 157:966–972.

    Article  PubMed  Google Scholar 

  • Ganly, I., and Taylor, E.W. (1995) Breast cancer in a trans-sexual man receiving hormone replacement therapy. British Journal of Surgery 82:341.

    Article  PubMed  CAS  Google Scholar 

  • Gay and Lesbian Medical Association and LGBT health experts. (2001) Healthy people 2010 companion document for lesbian, gay, bisexual and transgender (LGBT) health. http://wwwglmaorg/policy/hp2010/.

    Google Scholar 

  • Goodwin, J.S., Hunt, W.C., and Samet, J.M. (1993) Determinants of cancer therapy in elderly patients. Cancer 72:594–601.

    Article  PubMed  CAS  Google Scholar 

  • Goodwin, J.S., Samet, J.M., and Hunt, W.C. (1996) Determinants of survival in older cancer patients. Journal of the National Cancer Institute 88:1031–1038.

    Article  PubMed  CAS  Google Scholar 

  • Greenlee, R.T., Murray, T., Bolden, S., and Wingo, P.A. (2000) Cancer statistics, 2000. CA: A Cancer Journal for Clinicians 50:7–33.

    CAS  Google Scholar 

  • Greenwald, P., Kramer, B., and Weed, D.L. (1995) Cancer prevention and control. Marcel Dekker, New York.

    Google Scholar 

  • Gruskin, E.P., Hart, S., Gordon, N., and Ackerson, L. (2001) Patterns of cigarette smoking and alcohol use among lesbians and bisexual women enrolled in a large health maintenance organization. American Journal of Public Health 91:976–979.

    PubMed  CAS  Google Scholar 

  • Hage, J.J., Dekker, J.J., Karim, R.B., Verheijen, R.H., and Bloemena, E. (2000) Ovarian cancer in female-to-male transsexuals: report of two cases. Gynecologic Oncology 76:413–415.

    Article  PubMed  CAS  Google Scholar 

  • Hardcastle, J.D., Chamberlain, J.O., Robinson, M.H.E., Moss, S.M., Amar, S.S., Balfour, T.W., et al. (1996) Randomized controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet 348:1472–1477.

    Article  PubMed  CAS  Google Scholar 

  • Haynes, S. (1995) Breast cancer risk: comparisons of lesbians and heterosexual women. In: Bowen, D.J. (ed) Cancer and cancer risks among lesbians. Fred Hutchinson Cancer Research Center Liasion Program, Seattle.

    Google Scholar 

  • Jemal, A., Murray, T., Ward, E., Samuels, A., Tiwari, R.C., Ghafoor, A., et al. (2005) Cancer statistics, 2005. CA Cancer J Clin 55:10–30.

    PubMed  Google Scholar 

  • Johnson, S.R., Smith, E.M., and Guenther, S.M. (1987) Comparison of gynecologic healthcare problems between lesbians and bisexual women: a survey of 2,345 women. Journal of Reproductive Medicine 32:805–811.

    PubMed  CAS  Google Scholar 

  • Kavanaugh-Lynch, M., White, E., Daling, J., and Bowen, D.J. (2002) Correlates of lesbian sexual orientation and the risk of breast cancer. Journal of the Gay and Lesbian Medical Association 6:91–96.

    Article  Google Scholar 

  • Koblin, B.A., Hessol, N.A., Zauber, A.G., Taylor, P.E., Buchbinder, S.P., Katz, M.H., et al. (1996) Increased incidence of cancer among homosexual men, New York City and San Francisco, 1978–1990. American Journal of Epidemiology 144:916–923.

    PubMed  CAS  Google Scholar 

  • Kronborg, O., Fenger, C., Oslen, J., Jorgensen, O.D., and Sondergaard, O. (1996) Randomized study of screening for colorectal cancer with faecal-occult-blood-test. Lancet 348:1467–1471.

    Article  PubMed  CAS  Google Scholar 

  • Lasker, R.D., Weiss, E.S., and Miller, R. (2001) Partnership synergy: a practical framework for studying and strengthening the collaborative advantage. Milbank Quarterly 79:179–205, III–IV.

    Article  PubMed  CAS  Google Scholar 

  • Laumann, E.O., Gagnon, J.H., Michael, R.T., and Michael, S. (1994) The social organization of sexuality: sexual practices in the United States. University of Chicago Press, Chicago.

    Google Scholar 

  • Lawrence, A.A. (2001). Vaginal neoplasia in a male-to-female transsexual: case report, review of the literature, and recommendations for cytological screening. The International Journal of Transgenderism 5:1, http://www.symposion.com/ijt/ijtvo05no01_01.htm.

    Google Scholar 

  • Mandel, J.S., Bond, J.H., Church, T.R., and Snover, D.C. (1993) Reducing mortality from colorectal cancer by screening for fecal occult blood. The New England Journal of Medicine 328:1365–1371.

    Article  PubMed  CAS  Google Scholar 

  • Mandel, J.S., Church, T.R., Ederer, F., and Bond, J.H. (1999) Colorectal cancer mortality: effectiveness of biennial screening for fecal occult blood. Journal of the National Cancer Institute 91:434–437.

    Article  PubMed  CAS  Google Scholar 

  • Marrazzo, J. (1996). STDs and cervical neoplasia amoung lesbians: research review and update. Presented at the 19th Annual National Lesbian and Gay Health Association Conference, Seattle, WA.

    Google Scholar 

  • Marrazzo, J.M. (2004) Barriers to infections disease care among lesbians. Emerging Infections Diseases 10:1974–1978.

    Google Scholar 

  • Matthews, A.K., Hughes, T.L., Osterman, G.P., and Kodl, M.M. (2005) Complementary medicine practices in a community-based sample of lesbian and heterosexual women. Health Care for Women International 26:430–447.

    Article  PubMed  Google Scholar 

  • McGregor, B.A., Carver, C.S., Antoni, M.H., Weiss, S., Yount, S.E., and Ironson, G. (2001) Distress and internalized homophobia among lesbian women treated for early stage breast cancer. Psychology of Women Quarterly 25(1):1–9.

    Article  Google Scholar 

  • National Cancer Institute. (2003) Women’s health report, fiscal years 2001–2002. NCI, Bethesda, MD.

    Google Scholar 

  • O’Hanlan, K.A., and Crum, C.P. (1996) Human papvillomavirus-associated cervical intraepithelial neoplasia following lesbian sex. Obstetrics and Gynecology 88:702–703.

    Article  PubMed  CAS  Google Scholar 

  • Phillips-Angeles, E., Wolfe, P., Myers, R., Dawson, P., Marrazzo, J., Soltner, S., et al. (2004) Lesbian health matters: Pap test education campaign nearly thwarted by discrimination. Health Promotion Practice 5:314–325.

    Article  PubMed  Google Scholar 

  • Pritchard, T.J., Pankowsky, D.A., Crowe, J.P., and Abdul-Karim, F.W. (1988) Breast cancer in a male-to-female transsexual: a case report. Journal of the American Medical Association 259:2278–2280.

    Article  PubMed  CAS  Google Scholar 

  • Robertson, P., and Schachter, J. (1981) Failure to identify venereal disease in a lesbian population. Sexually Transmitted Diseases 8(20):75–76.

    PubMed  CAS  Google Scholar 

  • Roetzheim, R.G., Gonzalez, E.C., Ferrante, J.M., Pal, N., Van Durme, D.J., and Krischer, J.P. (2000) Effects of health insurance and race on breast carcinoma treatments and outcomes. Cancer 89:2202–2213.

    Article  PubMed  CAS  Google Scholar 

  • Ryan, H., Wortley, P.M., Easton, A., Pederson, L., and Greenwood, G. (2001) Smoking among lesbians, gays, and bisexuals: a review of the literature. American Journal of Preventive Medicine 21:142–149.

    Article  PubMed  CAS  Google Scholar 

  • Silliman, R.A., Troyan, S.L., Guadagnoli, E., Kaplan, S.H., and Greenfield, S. (1997) The impact of age, marital status, and physician-patient interactions on the care of older women with breast carcinoma. Cancer 80:1326–1334.

    Article  PubMed  CAS  Google Scholar 

  • Solarz, A.L. (1999) Lesbian health: current assessment and direction for the future. National Academy Press, Washington, DC.

    Google Scholar 

  • Symmers, W.S. (1968) Carcinoma of breast in trans-sexual individuals after surgical and hormonal interference with the primary and secondary sex characteristics. British Medical Journal 2:82–85.

    PubMed  CAS  Google Scholar 

  • Tang, H., Greenwood, G.L., Cowling, D.W., Lloyd, J.C., Roeseler, A.G., and Bal, D.G. (2004) Cigarette smoking among lesbians, gays, and bisexuals: how serious a problem? (United States). Cancer Causes Control 15:797–803.

    Article  PubMed  Google Scholar 

  • Tucker, N., Highleyman, L., and Kaplan, R. (1995) Bisexual politics: theories, queries, and visions. Haworth Press, Binghamton, NY.

    Google Scholar 

  • University of California, San Francisco. (2005) From http://www.ucsf.edu/.

    Google Scholar 

  • U.S. Department of Health and Human Services (DHHS). (1990) The health benefits of smoking cessation. DHHS Publ. No. CDC 90-8416. CDC, Atlanta.

    Google Scholar 

  • U.S. Department of Health and Human Services. (1996) Physical activity and health: a report of the Surgeon General. DHHS, Bethesda, MD.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2000) Healthy people 2010: understanding and improving health (conference edition). Electronic version: http://www.health.gov/healthypeople/default.htm.

    Google Scholar 

  • Valanis, B.G., Bowen, D.J., Bassford, T., Whitlock, E., Charney, P., and Carter, R.A. (2000) Sexual orientation and health: comparisons in the Women’s Health Initiative sample. Archives of Family Medicine 9:843–853.

    Article  PubMed  CAS  Google Scholar 

  • Van Kesteren, P.J., Asscheman, H., Megans, J.A.J., and Gooren, L.J.G. (1997) Mortality and morbidity in transsexual subjects treated with cross-sex hormones. Clinical Endocrinology (Oxford) 47:337–342.

    Article  PubMed  Google Scholar 

  • Voti, L., Richardson, L.C., Reis, I., Fleming, L.E., Mackinnon, J., and Coebergh, J.W. (2005) The effect of race/ethnicity and insurance in the administration of standard therapy for local breast cancer in florida. Breast Cancer Research and Treatment 1–7.

    Google Scholar 

  • Ward, E., Jemal, A., Cokkinides, V., Singh, G.K., Cardinez, C., Ghafoor, A., et al. (2004) Cancer disparities by race/ethnicity and socioeconomic status. CA: a Cancer Journal for Clinicians 54:78–93.

    Article  Google Scholar 

  • Willet, W. (1996) Diet and nutrition. In: Schottenfeld, D., and Fraumeni, J.F. (eds) Cancer epidemiology and prevention, 2nd ed. Oxford University Press, New York, pp. 438–461.

    Google Scholar 

  • Winawer, S.J., Fletcher, R.H., Miller, L., Godlee, F., Stolar, M.H., Mulrow, C.D., et al. (1997) Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 112:594–642.

    Article  PubMed  CAS  Google Scholar 

  • Wingo, P.A., Ries, L.A.G., Giovino, G.A., Miller, D.S., Rosenberg, H.M., Shopland, D.R., et al. (1999) Annual report to the nation on the status of cancer, 1973–1999, with a special section on lung cancer and tobacco smoking. Journal of the National Cancer Institute 91:675–690.

    Article  PubMed  CAS  Google Scholar 

  • Yabroff, K.R., Lawrence, W.F., Clauser, S., Davis, W.W., and Brown, M.L. (2004) Burden of illness in cancer survivors: findings from a population-based national sample. Journal of the National Cancer Institute 96:1322–1330.

    Article  PubMed  Google Scholar 

  • Young, R.M., and Meyer, I.H. (2005) The trouble with “MSM” and “WSW”: erasure of the sexual-minority person in public health discourse. American Journal of Public Health 95:1144–1149.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA

    Deborah J. Bowen & Marla Russo

  2. School of Public Health, Boston University, Boston, Massachusetts, USA

    Ulrike Boehmer

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  1. Deborah J. Bowen
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  2. Ulrike Boehmer
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Editors and Affiliations

  1. Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA

    Ilan H. Meyer PhD  & Mary E. Northridge PhD, MPH  & 

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Bowen, D.J., Boehmer, U., Russo, M. (2007). Cancer and Sexual Minority Women. In: Meyer, I.H., Northridge, M.E. (eds) The Health of Sexual Minorities. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-31334-4_21

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