“Our Community is not Appropriately Served”: LGBTQ+ Cancer Survivors and Caregivers have Suggestions for Providers

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.