Poster Presentation 2025 Joint Meeting of the COSA ASM and IPOS Congress

A scoping review of sexual health and wellbeing of LGBTQI+ people after cancer (126625)

Daniel J Brown 1 2 , Pierre Roscher 3 , Karina Rune 4
  1. School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
  2. School of Psychology and Wellbeing, University of Southern Queensland, Ipswich, Queensland, Australia
  3. School of Health and Medical Sciences, University of Southern Queensland, Ipswich, Queensland, Australia
  4. School of Health, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia

Introduction and Objectives:

LGBTQI+ individuals diagnosed with cancer often face disproportionately higher levels of distress and lower quality of life compared to non-LGBTQI+ patients. Additionally, issues related to sexuality and relationships may be particularly challenging to discuss, with healthcare providers often lacking understanding and clinical competence in addressing these concerns. Research in this area remains limited and has largely focused on sexual function after specific cancer diagnoses (e.g., prostate cancer). Given the importance of sexual health and wellbeing after cancer and the unique concerns and needs of LGBTQI+ people, the current project sought to conduct a scoping review of sexual health and wellbeing related to a cancer diagnosis and treatment in the LGBTQI+ community, to understand the current state of evidence and to identify gaps in knowledge.

 Method(s) and Sample:

A scoping literature review was conducted to explore themes related to sexual healthcare, cancer, and the LGBTQI+ community. Relevant empirical studies were identified using PubMed, Web of Science, CINAHL, and Scopus. Papers were collaboratively reviewed and analyzed for thematic content.

 Results:

This review explored the impact of a cancer diagnosis and treatment on the sexual function and wellness of LGBTQI+ individuals. Unique challenges included fear of discrimination and a lack of culturally competent care, leading to additional barriers. Existing research predominantly focuses on specific cancer types (prostate, breast) and subpopulations, leaving substantial gaps in understanding the experiences of gender-diverse individuals, effective LGBTQI+-focused psycho-sexual treatments, and the influence of intersectionality.

 Discussion and Recommendations / Conclusion:

LGBTQI+ individuals face unique challenges in accessing sexual healthcare after a cancer diagnosis and during their treatment. While recent research has started to explore these experiences, significant knowledge gaps remain. Future research should prioritize understanding the impact of intersectionality, developing and evaluating culturally sensitive interventions, and addressing the needs of under-represented groups within the LGBTQI+ community.