ABSTRACT

Individuals within the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community who are diagnosed with cancer experience inequitable treatment in healthcare systems worldwide, resulting in dissatisfaction, communication challenges with healthcare providers, and a deep sense of disappointment. Stigma, discrimination, and perceived homophobia further heighten the risk of psychological and attitudinal disorders, including depression and suicidal tendencies, among LGBTQ cancer patients. To comprehensively assess the discrimination faced by LGBTQ cancer patients and gain deeper insights into their needs and experiences, we conducted a systematic review following PRISMA guidelines. We searched for relevant articles using specific keywords in reputable databases such as PubMed, Google Scholar, and PsycINFO. We rigorously evaluated article quality using the CASP (Critical Appraisal Skills Programme) checklist. From a total of 75 eligible studies, we carefully selected 14 studies, specifically examining LGBTQ cancer patients who were currently undergoing or had previously undergone cancer treatment. The studies revealed various factors, including unmet needs related to anxiety and depression, instances of discrimination, disparities in care, and inadequate support systems. A majority of patients expressed dissatisfaction with their cancer care and continued to encounter discrimination and disparities throughout their treatment journeys. Consequently, this led to heightened levels of anxiety, stress, depression, and negative perceptions of healthcare providers. Based on these findings, we recommend providing specialized training to social workers and healthcare providers. This training will equip them with the necessary skills and knowledge to deliver culturally sensitive care tailored to the unique needs of LGBTQ cancer patients. By addressing discrimination, reducing disparities, and fostering an inclusive environment, healthcare professionals can strive to ensure that LGBTQ cancer patients receive the care they deserve.

 抽象的

被诊断患有癌症的女同性恋、男同性恋、双性恋、跨性别者和酷儿 (LGBTQ) 群体中的个人在全球医疗保健系统中经历着不公平的待遇，导致不满、与医疗保健提供者的沟通困难以及深深的失望感。耻辱、歧视和仇视同性恋进一步增加了 LGBTQ 癌症患者心理和态度障碍的风险，包括抑郁和自杀倾向。为了全面评估 LGBTQ 癌症患者所面临的歧视并更深入地了解他们的需求和经历，我们按照 PRISMA 指南进行了系统评价。我们使用特定关键字在 PubMed、Google Scholar 和 PsycINFO 等知名数据库中搜索相关文章。我们使用 CASP（批判性评估技能计划）检查表严格评估文章质量。从总共 75 项符合条件的研究中，我们精心挑选了 14 项研究，专门检查目前正在接受或曾经接受过癌症治疗的 LGBTQ 癌症患者。研究揭示了各种因素，包括与焦虑和抑郁相关的未满足的需求、歧视情况、护理差异以及支持系统不足。大多数患者对他们的癌症治疗表示不满，并在整个治疗过程中继续遇到歧视和差异。因此，这导致医疗服务提供者的焦虑、压力、抑郁和负面看法加剧。根据这些发现，我们建议为社会工作者和医疗保健提供者提供专门培训。 该培训将为他们提供必要的技能和知识，以便根据 LGBTQ 癌症患者的独特需求提供文化敏感的护理。通过解决歧视、减少差异和营造包容性环境，医疗保健专业人员可以努力确保 LGBTQ 癌症患者得到应有的护理。