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. 2024 Sep 13:5:100343.
doi: 10.1016/j.pecinn.2024.100343. eCollection 2024 Dec 15.

Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review

Christabel K Cheung  1   2 , Haelim Lee  2 , Nina Francis-Levin  3 , Eunju Choi  4 , Yimin Geng  5 , Bria N Thomas  6 , Valentina A Roman  2 , Michael E Roth  7
Affiliations

Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review

Christabel K Cheung et al. PEC Innov. .

Abstract

Objective: The purpose of the current scoping review is to explore knowledge and gaps in the literature on the preparedness of health care providers (HCPs) to deliver cancer care that addresses the needs of sexual and gender minority (SGM) adolescent and young adult (AYA) patients diagnosed with cancer between ages 15-39 years.

Methods: We conducted two comprehensive searches on OVID MEDLINE, PsycINFO, and CINAHL in February 2022 and June 2024; examined the empirical literature on HCPs who treat SGM AYA cancer patients; characterized existing research; and evaluated each contribution.

Results: A total of thirteen articles were included in the final review. The reviewed studies varied widely in sample sizes (n = 6 to n = 1253), reflecting different methodological approaches: quantitative cross-sectional (n = 3), qualitative (n = 4), and mixed methods (n = 6).

Innovation: The current scoping review piloted an innovative Quality Assessment (QA) Tool of Foundational Progress for SGM AYA Research to assess the quality of evidence, providing a new framework for evaluating and guiding future research.

Conclusion: The existing literature on provider preparedness to care for SGM AYA cancer patients is limited. Future studies are critically needed to improve providers' ability to holistically respond to the unique health care needs and concerns of this population.

Keywords: AYA; Adolescent and young adult; Health care providers; LGBTQ+; SGM; Sexual and gender minorities.

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Conflict of interest statement

The authors have no conflicts of interest.

Figures

Fig. 1
Fig. 1
Prisma diagram of search results and excluded articles. From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:https://doi.org/10.1371/journal.pmed1000097
Fig. 2
Fig. 2
Conceptual framework of foundational progress in sexual and gender minority (SGM) and adolescent and young adult (AYA) research derived from Levin et al.'s (2022) schema for assessing sex, gender identity, and sexual orientation in oncofertility research by presenting nine essential domains for high-quality research studies that capture SGM AYAs.
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