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Gay and Lesbian Patients with Cancer

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Cancer and Sexual Health

Part of the book series: Current Clinical Urology ((CCU))

Abstract

There is a paucity of research on gays and lesbians with cancer and the sexual consequences of the cancer and its treatments. It may reasonably be assumed that the sexual issues facing all men and women during and after treatment for cancer apply to gays and lesbians; however, are there special circumstances or issues for this group of people? It is suggested that between 2 and 3% of the population would self-identify as gay or lesbian [1] and so most oncology care providers would expect to see some gays or lesbians in their practice each year. There is of course regional variation with larger metropolitan cities having greater numbers of gays and lesbians and so one could reasonably expect that oncology care providers in these cities would see more gay/lesbian patients. But perhaps the central issue is that many gays/lesbians do not disclose their sexual orientation to their health care providers, deeming it either not necessary to their care or they limit who they tell.

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References

  1. Blank TO. Gay men and prostate cancer: invisible diversity. J Clin Oncol. 2005;23(0732-183; 12):2593–6.

    PubMed  Google Scholar 

  2. Hughes MK. Sexuality and the cancer survivor: a silent coexistence. Cancer Nurs. 2000;23(0162-220; 6):477–82.

    Article  PubMed  CAS  Google Scholar 

  3. Herson L, Hart KA, Gordon MJ, Rintala DH. Identifying and overcoming barriers to providing sexuality information in the clinical setting. Rehabil Nurs. 1999;24(0278-4807; 4):148–51.

    PubMed  CAS  Google Scholar 

  4. Hautamaki K, Miettinen M, Kellokumpu-Lehtinen P, Aalto P, Lehto J. Opening communication with cancer patients about sexuality-related issues. Cancer Nurs. 2007;30(5):399–404.

    Article  PubMed  Google Scholar 

  5. Rankow EJ. Breast and cervical cancer among lesbians. Womens Health Issues. 1995;5(1049-3867; 3): 123–9.

    Article  PubMed  CAS  Google Scholar 

  6. Carroll NM. Optimal gynecologic and obstetric care for lesbians. Obstet Gynecol. 1999;93(0029-7844; 4):611–3.

    PubMed  CAS  Google Scholar 

  7. Dibble SL, Roberts SA, Nussey B. Comparing breast cancer risk between lesbians and their heterosexual sisters. Womens Health Issues. 2004;14(1049–3867; 2):60–8.

    Article  PubMed  Google Scholar 

  8. Hughes C, Evans A. Health needs of women who have sex with women. Br Med J. 2003;327:939–40.

    Article  Google Scholar 

  9. Dibble SL, Roberts SA, Robertson PA, Paul SM. Risk factors for ovarian cancer: lesbian and heterosexual women. Oncol Nurs Forum. 2002;29(0190–535; 1): E1–7.

    Article  PubMed  Google Scholar 

  10. Ferri RS. Issues in gay men’s health. Nurs Clin North Am. 2004;39(0029–6465; 2):403–10.

    Article  PubMed  Google Scholar 

  11. Fobair P, O’Hanlan K, Koopman C, et al. Comparison of lesbian and heterosexual women’s response to newly diagnosed breast cancer. Psychooncology. 2001;10(1057–9249; 1):40–51.

    Article  PubMed  CAS  Google Scholar 

  12. Matthews AK. Lesbians and cancer support: clinical issues for cancer patients. Health Care Women Int. 1998;19(0739–9332; 3):193–203.

    Article  PubMed  CAS  Google Scholar 

  13. Boehmer U, Potter J, Bowen DJ. Sexual functioning after cancer in sexual minority women. Cancer J. 2009;15(1):65–9.

    Article  PubMed  Google Scholar 

  14. Boehmer U, Linde R, Freund KM. Breast reconstruction following mastectomy for breast cancer: the decisions of sexual minority women. Plast Reconstr Surg. 2007;119(2):464–72.

    Article  PubMed  CAS  Google Scholar 

  15. Boehmer U, Case P. Physicians don’t ask, sometimes patients tell: disclosure of sexual orientation among women with breast carcinoma. Cancer. 2004;101(0008–543; 8):1882–9.

    Article  PubMed  Google Scholar 

  16. Sinding C, Barnoff L, Grassau P. Homophobia and heterosexism in cancer care: the experiences of lesbians. Can J Nurs Res. 2004;36(0844–5621; 4): 170–88.

    PubMed  Google Scholar 

  17. Boehmer U, Fabbri F, Linde R. Support providers of sexual minority women with breast cancer. Who are they and how they impact the breast cancer experience. J Psychosom Res. 2005;59:307–14.

    Article  PubMed  Google Scholar 

  18. Matthews AK, Peterman AH, Delaney P, Menard L, Brandenburg D. A qualitative exploration of the experiences of lesbian and heterosexual patients with breast cancer. Oncol Nurs Forum. 2002;29(1538–0688; 10):1455–62.

    Article  PubMed  Google Scholar 

  19. Katz A. It’s getting better all the time: gays and lesbians in cancer care. Oncol Nurs Forum. 2009;36(2):203–7.

    Article  PubMed  Google Scholar 

  20. Brotman S, Ryan B, Jalbert Y, Rowe B. The impact of coming out on health and health care access: the experience of gay, lesbian, bisexual and two-spirit people. J Health Soc Policy. 2002;15:1–29.

    Article  PubMed  Google Scholar 

  21. Williams-Barnard C, Mendoza D, Shippee-Rice R. The lived experience of college student lesbians’ encounters with health care providers. J Holist Nurs. 2001;19:127–42.

    Article  PubMed  CAS  Google Scholar 

  22. Cant B. Exploring the implications for health professionals of men coming out as gay in healthcare settings. Health Soc Care Community. 2006;14(1):9–16.

    Article  PubMed  Google Scholar 

  23. Hinchliff S, Gott M, Galena E. “I daresay I might find it embarrassing”: general practitioners’ perspectives on discussing sexual health issues with lesbian and gay patients. Health Soc Care Community. 2005;13(4):345–53.

    Article  PubMed  Google Scholar 

  24. Cole SW, Kemeny ME, Taylor SE, Visscher BR. Elevated physical health risk among gay men who conceal their homosexual identity. Health Psychol. 1996;15(0278–6133; 4):243–51.

    Article  PubMed  CAS  Google Scholar 

  25. Case P, Austin SB, Hunter DJ, et al. Sexual orientation, health risk factors, and physical functioning in the Nurses’ Health Study II. J Womens Health (Larchmt). 2004;13(1540–9996; 9):1033–47.

    Article  Google Scholar 

  26. Klitzman R, Greenberg J. Patterns of communication between gay and lesbian patients and their health care providers. J Homosex. 2002;42:65–75.

    Article  PubMed  Google Scholar 

  27. Mulligan E, Heath M. Seeking open minded doctors – how women who identify as bisexual, queer or lesbian seek quality health care. Aust Fam Physician. 2007;36(6):469–71.

    PubMed  Google Scholar 

  28. Rondahl G, Innala S, Carlsson M. Heterosexual assumptions in verbal and non-verbal communication in nursing. J Adv Nurs. 2006;56(4):373–81.

    Article  PubMed  Google Scholar 

  29. Sanchez NF, Rabatin J, Sanchez JP, Hubbard S, Kalet A. Medical students’ ability to care for lesbian, gay, bisexual, and transgendered patients. Fam Med. 2006;38(1):21–7.

    PubMed  Google Scholar 

  30. Annon J. The behavioral treatment of sexual problems. Honolulu: Enabling Systems; 1974.

    Google Scholar 

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Correspondence to Anne Katz .

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Katz, A. (2011). Gay and Lesbian Patients with Cancer. In: Mulhall, J., Incrocci, L., Goldstein, I., Rosen, R. (eds) Cancer and Sexual Health. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60761-916-1_26

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  • DOI: https://doi.org/10.1007/978-1-60761-916-1_26

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60761-915-4

  • Online ISBN: 978-1-60761-916-1

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