Disparities in Cancer Screening in Sexual and Gender Minority Populations: A Secondary Analysis of Behavioral Risk Factor Surveillance System Data.
Kelly Haviland, Martina Mueller, Chasity B Walters and 1 others
PMID 37677801WHAT IT FOUND
Sexual and gender minority (SGM) respondents with healthcare coverage were less likely to screen for cancer than those without.
Black SGM respondents had higher odds of not screening. These findings suggest insurance status alone does not ensure screening uptake in this population.
Key findings
01SGM respondents with healthcare coverage had 1.7 times the odds of being nonscreeners compared to SGM respondents without coverage.
02Black respondents had 1.4 times the odds of being nonscreeners compared to White respondents.
03SGM respondents with some college education or more had 1.5 times the odds of being nonscreeners compared to those with a high school education or less.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The data are from an existing survey and may be outdated. The survey excludes institutionalized and homeless individuals. Not all states collected SOGI data, limiting generalizability. Small sample sizes in some gender minority subsets increase the risk of missing disparities. Transgender data may be misclassified because callers identified gender by voice rather than self-report. Self-selection bias exists because participants willing to take the survey may differ from those who declined.
Declared interests
The study was supported by the National Institute of Nursing Research (NINR) of the National Institutes of Health (NIH). The authors declared no conflicts of interest.
The easy way to misread this
Do not assume that having healthcare coverage or higher education guarantees cancer screening participation in sexual and gender minority populations. The data show these factors were associated with higher odds of not screening in this group, which is contrary to general population trends.