“Sorry, no results found”: evaluating LGBTQIA + inclusivity of U.S. cancer centers’ websites
Purpose 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, ca...
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| Veröffentlicht in: | Supportive care in cancer 2024-10, Vol.32 (10), p.640, Article 640 |
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| container_title | Supportive care in cancer |
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| creator | Wang, Katarina Bono, Madeline H. Antonopoulos, Ana Lyerly, Reece Scout, NFN |
| description | Purpose
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. |
| doi_str_mv | 10.1007/s00520-024-08779-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3101794677</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3101794677</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1717-71d4ab4513c6e89a58f7ec97fe9e804d60d170d82a9bd4a72d0cbbfeaf6ad9fb3</originalsourceid><addsrcrecordid>eNp9kc9KHEEQxpugxPXPC-QQGrwIZjb9b6anvRlJVFgIQT03PT3VMjLbo90zK3vbax4hkLzcPom9uxrBg4eiDvWrr4rvQ-gTJWNKiPwaCckZyQgTGSmlVJn8gEZUcJ5JztUWGhElaCZ4nu-g3RjvCKFS5uwj2uGKCSZ4MUJuufh71YUw_4J9hwPEoe0jdt3g6-Xi3wmGmWkH0zf-Fk_Ov13_ujxdLn4fp2q8bYfYzJp-jjuHb8ZXY2yNtxCwBd9DiMvFH_wIVWx6iPto25k2wsFz30M3P75fn11kk5_nl2enk8xSSWUmaS1MJXLKbQGlMnnpJFglHSgoiagLUlNJ6pIZVSVSsprYqnJgXGFq5Sq-h442uvehexgg9nraRAttazx0Q9ScJg-UKKRM6OEb9K4bgk_frSmucsZFotiGsqGLMYDT96GZmjDXlOhVCnqTgk4p6HUKeiX9-Vl6qKZQ_195sT0BfAPENPK3EF5vvyP7BH6zls0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3101395234</pqid></control><display><type>article</type><title>“Sorry, no results found”: evaluating LGBTQIA + inclusivity of U.S. cancer centers’ websites</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Wang, Katarina ; Bono, Madeline H. ; Antonopoulos, Ana ; Lyerly, Reece ; Scout, NFN</creator><creatorcontrib>Wang, Katarina ; Bono, Madeline H. ; Antonopoulos, Ana ; Lyerly, Reece ; Scout, NFN</creatorcontrib><description>Purpose
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.</description><identifier>ISSN: 0941-4355</identifier><identifier>ISSN: 1433-7339</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-024-08779-7</identifier><identifier>PMID: 39242436</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer ; Cancer Care Facilities - organization & administration ; Cancer Care Facilities - standards ; Female ; Health care access ; Health disparities ; Healthcare Disparities ; Humans ; Inclusion ; Internet ; LGBTQ people ; Male ; Medicine ; Medicine & Public Health ; Neoplasms - therapy ; Nursing ; Nursing Research ; Oncology ; Pain Medicine ; Rehabilitation Medicine ; Sexual and Gender Minorities ; Transgender persons ; United States</subject><ispartof>Supportive care in cancer, 2024-10, Vol.32 (10), p.640, Article 640</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1717-71d4ab4513c6e89a58f7ec97fe9e804d60d170d82a9bd4a72d0cbbfeaf6ad9fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-024-08779-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-024-08779-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41466,42535,51296</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39242436$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Katarina</creatorcontrib><creatorcontrib>Bono, Madeline H.</creatorcontrib><creatorcontrib>Antonopoulos, Ana</creatorcontrib><creatorcontrib>Lyerly, Reece</creatorcontrib><creatorcontrib>Scout, NFN</creatorcontrib><title>“Sorry, no results found”: evaluating LGBTQIA + inclusivity of U.S. cancer centers’ websites</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
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.</description><subject>Cancer</subject><subject>Cancer Care Facilities - organization & administration</subject><subject>Cancer Care Facilities - standards</subject><subject>Female</subject><subject>Health care access</subject><subject>Health disparities</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Inclusion</subject><subject>Internet</subject><subject>LGBTQ people</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasms - therapy</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Pain Medicine</subject><subject>Rehabilitation Medicine</subject><subject>Sexual and Gender Minorities</subject><subject>Transgender persons</subject><subject>United States</subject><issn>0941-4355</issn><issn>1433-7339</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9KHEEQxpugxPXPC-QQGrwIZjb9b6anvRlJVFgIQT03PT3VMjLbo90zK3vbax4hkLzcPom9uxrBg4eiDvWrr4rvQ-gTJWNKiPwaCckZyQgTGSmlVJn8gEZUcJ5JztUWGhElaCZ4nu-g3RjvCKFS5uwj2uGKCSZ4MUJuufh71YUw_4J9hwPEoe0jdt3g6-Xi3wmGmWkH0zf-Fk_Ov13_ujxdLn4fp2q8bYfYzJp-jjuHb8ZXY2yNtxCwBd9DiMvFH_wIVWx6iPto25k2wsFz30M3P75fn11kk5_nl2enk8xSSWUmaS1MJXLKbQGlMnnpJFglHSgoiagLUlNJ6pIZVSVSsprYqnJgXGFq5Sq-h442uvehexgg9nraRAttazx0Q9ScJg-UKKRM6OEb9K4bgk_frSmucsZFotiGsqGLMYDT96GZmjDXlOhVCnqTgk4p6HUKeiX9-Vl6qKZQ_195sT0BfAPENPK3EF5vvyP7BH6zls0</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Wang, Katarina</creator><creator>Bono, Madeline H.</creator><creator>Antonopoulos, Ana</creator><creator>Lyerly, Reece</creator><creator>Scout, NFN</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20241001</creationdate><title>“Sorry, no results found”: evaluating LGBTQIA + inclusivity of U.S. cancer centers’ websites</title><author>Wang, Katarina ; Bono, Madeline H. ; Antonopoulos, Ana ; Lyerly, Reece ; Scout, NFN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1717-71d4ab4513c6e89a58f7ec97fe9e804d60d170d82a9bd4a72d0cbbfeaf6ad9fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cancer</topic><topic>Cancer Care Facilities - organization & administration</topic><topic>Cancer Care Facilities - standards</topic><topic>Female</topic><topic>Health care access</topic><topic>Health disparities</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Inclusion</topic><topic>Internet</topic><topic>LGBTQ people</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neoplasms - therapy</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Pain Medicine</topic><topic>Rehabilitation Medicine</topic><topic>Sexual and Gender Minorities</topic><topic>Transgender persons</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Katarina</creatorcontrib><creatorcontrib>Bono, Madeline H.</creatorcontrib><creatorcontrib>Antonopoulos, Ana</creatorcontrib><creatorcontrib>Lyerly, Reece</creatorcontrib><creatorcontrib>Scout, NFN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Katarina</au><au>Bono, Madeline H.</au><au>Antonopoulos, Ana</au><au>Lyerly, Reece</au><au>Scout, NFN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Sorry, no results found”: evaluating LGBTQIA + inclusivity of U.S. cancer centers’ websites</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>32</volume><issue>10</issue><spage>640</spage><pages>640-</pages><artnum>640</artnum><issn>0941-4355</issn><issn>1433-7339</issn><eissn>1433-7339</eissn><abstract>Purpose
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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39242436</pmid><doi>10.1007/s00520-024-08779-7</doi></addata></record> |
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| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2024-10, Vol.32 (10), p.640, Article 640 |
| issn | 0941-4355 1433-7339 1433-7339 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Cancer Cancer Care Facilities - organization & administration Cancer Care Facilities - standards Female Health care access Health disparities Healthcare Disparities Humans Inclusion Internet LGBTQ people Male Medicine Medicine & Public Health Neoplasms - therapy Nursing Nursing Research Oncology Pain Medicine Rehabilitation Medicine Sexual and Gender Minorities Transgender persons United States |
| title | “Sorry, no results found”: evaluating LGBTQIA + inclusivity of U.S. cancer centers’ websites |
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