目标:女同性恋的癌症护理,同性恋,双性恋,变性人,酷儿,双性人,无性,和其他性别和性别多样化(LGBTQIA+)的个人的特点是由歧视的历史产生的差异,污名,和系统性不平等。对于寻求癌症治疗的LGBTQIA+个人,癌症中心网站可能是与医疗保健的第一个接触点。两项补充研究试图评估LGBTQIA+癌症中心网站的包容性。
方法:作者在2022-2023年进行了两项研究,回顾了美国国家癌症研究所(NCI)指定的癌症中心和儿童肿瘤学组织(COG)指定的卫生系统和癌症中心的网站。审稿人手动搜索网站,并为LGBTQIA+包容性编码了几个是/否标准。
结果:在2023年的65个NCI癌症中心网站中,66%的网站包括非歧视声明,71%的人提到LGBTQIA+健康差距,65%包括LGBTQIA+定制资源,66%的人有关于LGBTQIA+健康的文章。从2022年到2023年,各个类别的包容性有增加的趋势。2023年,在COG指定的204个卫生系统网站中,有60个儿科护理网站和144个终身护理网站。共有79.9%的COG卫生系统网站引用了LGBTQIA+患者(80.0%的儿科网站和79.9%的寿命网站),16.7%的COG癌症中心网站引用了LGBTQIA+患者在癌症护理方面(6.7%的儿科和20.8%的寿命站点),当输入搜索词时,82.4%产生了结果(83.3%的儿科和81.9%的寿命点).
结论:成人和儿科癌症中心的网站基于非歧视声明,具有不同程度的LGBTQIA+包容性。文章,以及LGBTQIA+资源的可用性。虽然在2022年至2023年期间,NCI指定的癌症中心网站的包容性有了一些改善,但仍需要进一步改善。
OBJECTIVE: Cancer care for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexuality and gender diverse (LGBTQIA +) individuals is marked by disparities stemming from a history of discrimination, stigma, and systemic inequities. For LGBTQIA + individuals seeking cancer care, cancer center websites may be a first point of contact with healthcare. Two complementary studies sought to evaluate the LGBTQIA + inclusivity of cancer centers\' websites.
METHODS: The authors conducted two studies in 2022-2023, reviewing the websites of National Cancer Institute (NCI)-designated cancer centers and Children\'s Oncology Group (COG)-designated health systems and cancer centers. Reviewers manually searched websites and coded several Yes/No criteria for LGBTQIA + inclusivity.
RESULTS: Among the 65 NCI cancer centers\' websites in 2023, 66% included a nondiscrimination statement, 71% mentioned LGBTQIA + health disparities, 65% included LGBTQIA + tailored resources, and 66% had articles about LGBTQIA + health. There was a trend of increased inclusivity across categories from 2022 to 2023. Among the 204 COG-designated health system websites in 2023, there were 60 pediatric care websites and 144 lifespan care websites. A total of 79.9% of COG health system websites referenced LGBTQIA + patients (80.0% of pediatric and 79.9% of lifespan sites), 16.7% of COG cancer center websites referenced LGBTQIA + patients in the context of cancer care (6.7% of pediatric and 20.8% of lifespan sites), and 82.4% yielded results when search terms were input (83.3% of pediatric and 81.9% of lifespan sites).
CONCLUSIONS: Adult and pediatric cancer centers\' websites have varying levels of LGBTQIA + inclusivity based on nondiscrimination statements, articles, and the availability of LGBTQIA + resources. While there have been some improvements in inclusivity on the NCI-designated cancer centers\' websites between 2022 and 2023, there is a need for further improvement.