Experiences of Inclusion and Exclusion Across the Gynaecological Cancer Continuum for Individuals With Diverse Gender and Sexuality Backgrounds: A Systematic Review.
Saved in:
| Title: | Experiences of Inclusion and Exclusion Across the Gynaecological Cancer Continuum for Individuals With Diverse Gender and Sexuality Backgrounds: A Systematic Review. |
|---|---|
| Authors: | Boding, Sally‐Anne (AUTHOR), Webb, Stephanie Newton (AUTHOR), Butler, Tamara (AUTHOR), Hutchinson, Amanda (AUTHOR), Hanlon, Laura (AUTHOR), Russell, Hayley (AUTHOR) |
| Source: | Psycho-Oncology. Jun2026, Vol. 35 Issue 6, p1-14. 14p. |
| Subjects: | Health of LGBTQ+ people, Pap test, Health services accessibility, Discrimination in medical care, Gender dysphoria, Physician-patient relations, Health literacy, Gynecologic cancer |
| Abstract: | Objective: Despite growing research on cancer care and survivorship among LGBTQIA+ populations, studies specific to gynaecological cancer care remain limited. This review explores experiences of inclusion and exclusion in gynaecological cancer care services for LGBTQIA+ individuals. Methods: A systematic search was conducted in August 2024, retrieving 4000 results, of which 15 met the inclusion criteria. Critical appraisal was conducted using the Mixed Methods Appraisal Tool, and a convergent integrated approach was applied with narrative synthesis of findings according to the socio‐ecological model of health. Results: All articles focussed on cervical screening. Experiences of inclusion and exclusion across intrapersonal, interpersonal, and organisational levels related to the socio‐ecological model. At the intrapersonal level, lack of individual knowledge and gender dysphoria contributed to exclusion, while access to information and supportive screening experiences fostered inclusion. Interpersonal factors associated with exclusion were inadequate provider knowledge, poor communication, lack of sensitivity and fear of speculum insertion due to experiences of pain, while inclusion was associated with strong patient‐provider relationships and knowledgeable, affirming care. At the organisational level, exclusion stemmed from binary intake forms, gendered environments, insurance issues, and absence in heath resources, while inclusive strategies, such as non‐gendered waiting rooms, inclusive materials, and appropriate insurance coverage supported engagement. Conclusion: Improved health literacy, healthcare provider knowledge, and welcoming clinical environments are key to inclusive cervical screening experiences for LGBTQIA+ individuals. Despite the initial aim to review care across the gynaecological cancer continuum, available studies focussed only on cervical screening. Research is urgently needed to inform inclusive practices across all tumour types and stages of gynaecological cancer care. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194947573 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Experiences of Inclusion and Exclusion Across the Gynaecological Cancer Continuum for Individuals With Diverse Gender and Sexuality Backgrounds: A Systematic Review. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Boding%2C+Sally‐Anne%22">Boding, Sally‐Anne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Webb%2C+Stephanie+Newton%22">Webb, Stephanie Newton</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Butler%2C+Tamara%22">Butler, Tamara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hutchinson%2C+Amanda%22">Hutchinson, Amanda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hanlon%2C+Laura%22">Hanlon, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Russell%2C+Hayley%22">Russell, Hayley</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jun2026, Vol. 35 Issue 6, p1-14. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Health+of+LGBTQ%2B+people%22">Health of LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Pap+test%22">Pap test</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Discrimination+in+medical+care%22">Discrimination in medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+dysphoria%22">Gender dysphoria</searchLink><br /><searchLink fieldCode="DE" term="%22Physician-patient+relations%22">Physician-patient relations</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Gynecologic+cancer%22">Gynecologic cancer</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Despite growing research on cancer care and survivorship among LGBTQIA+ populations, studies specific to gynaecological cancer care remain limited. This review explores experiences of inclusion and exclusion in gynaecological cancer care services for LGBTQIA+ individuals. Methods: A systematic search was conducted in August 2024, retrieving 4000 results, of which 15 met the inclusion criteria. Critical appraisal was conducted using the Mixed Methods Appraisal Tool, and a convergent integrated approach was applied with narrative synthesis of findings according to the socio‐ecological model of health. Results: All articles focussed on cervical screening. Experiences of inclusion and exclusion across intrapersonal, interpersonal, and organisational levels related to the socio‐ecological model. At the intrapersonal level, lack of individual knowledge and gender dysphoria contributed to exclusion, while access to information and supportive screening experiences fostered inclusion. Interpersonal factors associated with exclusion were inadequate provider knowledge, poor communication, lack of sensitivity and fear of speculum insertion due to experiences of pain, while inclusion was associated with strong patient‐provider relationships and knowledgeable, affirming care. At the organisational level, exclusion stemmed from binary intake forms, gendered environments, insurance issues, and absence in heath resources, while inclusive strategies, such as non‐gendered waiting rooms, inclusive materials, and appropriate insurance coverage supported engagement. Conclusion: Improved health literacy, healthcare provider knowledge, and welcoming clinical environments are key to inclusive cervical screening experiences for LGBTQIA+ individuals. Despite the initial aim to review care across the gynaecological cancer continuum, available studies focussed only on cervical screening. Research is urgently needed to inform inclusive practices across all tumour types and stages of gynaecological cancer care. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194947573 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.70518 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 1 Subjects: – SubjectFull: Health of LGBTQ+ people Type: general – SubjectFull: Pap test Type: general – SubjectFull: Health services accessibility Type: general – SubjectFull: Discrimination in medical care Type: general – SubjectFull: Gender dysphoria Type: general – SubjectFull: Physician-patient relations Type: general – SubjectFull: Health literacy Type: general – SubjectFull: Gynecologic cancer Type: general Titles: – TitleFull: Experiences of Inclusion and Exclusion Across the Gynaecological Cancer Continuum for Individuals With Diverse Gender and Sexuality Backgrounds: A Systematic Review. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Boding, Sally‐Anne – PersonEntity: Name: NameFull: Webb, Stephanie Newton – PersonEntity: Name: NameFull: Butler, Tamara – PersonEntity: Name: NameFull: Hutchinson, Amanda – PersonEntity: Name: NameFull: Hanlon, Laura – PersonEntity: Name: NameFull: Russell, Hayley IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 35 – Type: issue Value: 6 Titles: – TitleFull: Psycho-Oncology Type: main |
| ResultId | 1 |
