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Purpose <p>We examined US survivorship care delivery and health behaviors to determine which aspects of survivorship care delivery enhance preventive health behaviors of survivors who differ by sexual orientation and gender identity.</p> Methods <p>We combined 2014–2023 data of the Behavioral Risk Factors Surveillance System from US states and territories that administered the sexual orientation and gender identity module and the treatment-specific cancer survivorship module. Our analytic sample consisted of 37,185 cancer survivors, of whom 1049 reported as sexual and gender minorities (SGM).</p> Results <p>We found that SGM survivors had worse post-cancer preventive behaviors when compared to heterosexual cisgender survivors. Further, when analyzing the impact of survivorship care plans (SCPs) and provider type, we determined that only heterosexual cisgender survivors’ preventive health behaviors were enhanced and not those of SGM survivors.</p> Conclusions <p>Our findings highlight the urgency of developing targeted interventions to enhance care coordination and survivorship programs for SGM survivors of cancer to more effectively support their recovery needs and post-cancer preventive health behaviors with the goals of enhancing their quality of life and overall well-being.</p> Implications for Cancer Survivors <p>In the USA, SGM survivors, compared to heterosexual survivors, are less often cared for by a specialist and engage less frequently in post-cancer preventive health behaviors. For these reasons, targeted interventions are needed to improve cancer and survivorship care coordination and to more effectively address the specific post-cancer preventive health needs of SGM individuals being treated for and surviving cancer.</p>

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Survivorship care and cancer survivors’ preventive health behaviors by sexual orientation and gender identity

  • 期刊论文

  • 发表日期：

    2025年12月23日

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  • Ulrike Boehmer,
  • Miria Kano,
  • Bill M. Jesdale

摘要

Purpose

We examined US survivorship care delivery and health behaviors to determine which aspects of survivorship care delivery enhance preventive health behaviors of survivors who differ by sexual orientation and gender identity.

Methods

We combined 2014–2023 data of the Behavioral Risk Factors Surveillance System from US states and territories that administered the sexual orientation and gender identity module and the treatment-specific cancer survivorship module. Our analytic sample consisted of 37,185 cancer survivors, of whom 1049 reported as sexual and gender minorities (SGM).

Results

We found that SGM survivors had worse post-cancer preventive behaviors when compared to heterosexual cisgender survivors. Further, when analyzing the impact of survivorship care plans (SCPs) and provider type, we determined that only heterosexual cisgender survivors’ preventive health behaviors were enhanced and not those of SGM survivors.

Conclusions

Our findings highlight the urgency of developing targeted interventions to enhance care coordination and survivorship programs for SGM survivors of cancer to more effectively support their recovery needs and post-cancer preventive health behaviors with the goals of enhancing their quality of life and overall well-being.

Implications for Cancer Survivors

In the USA, SGM survivors, compared to heterosexual survivors, are less often cared for by a specialist and engage less frequently in post-cancer preventive health behaviors. For these reasons, targeted interventions are needed to improve cancer and survivorship care coordination and to more effectively address the specific post-cancer preventive health needs of SGM individuals being treated for and surviving cancer.