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LGBT Populations and Cancer in Australia and New Zealand

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LGBT Populations and Cancer in the Global Context

Abstract

People who identify as lesbian, gay, bisexual, or transgender (LGBT) may experience differences in outcomes or experiences across the cancer pathway compared to the general population. This chapter describes the cancer trajectory of people who identify as LGBT in Australia and New Zealand, drawing on available evidence regarding cancer risk factors, HPV vaccination, cancer screening, cancer incidence, treatment, and survivorship experiences, and importantly, substantial gaps in knowledge are highlighted. Though gains are being made in terms of social and legal equality for LGBT people in both Australia and New Zealand, there are ongoing areas of disparity that may leave LGBT people vulnerable an increased level of some cancer risk factors, as well as inferior cancer-related experiences and outcomes. Greater inclusivity of LGBT people in population-level data collection is urgently needed to address gaps in knowledge regarding cancer risk factors and participation in preventive health care, incidence, and outcomes, with research also required to understand and address disparities in experiences of LGBT people as they navigate each step of the cancer pathway, from screening to survivorship or end-of-life care.

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References

  1. Price E. LGBT sexualities in social care research. London: School for Social Care Research, London School of Economics and Political Science; 2011.

    Google Scholar 

  2. MacCarthy S, Reisner SL, Nunn A, Perez-Brumer A, Operario D. The time is now: attention increases to transgender health in the United States but scientific knowledge gaps remain. LGBT Health. 2015;2(4):287–91.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Witten T, Eyler E. Transgender and aging: beings and becomings. In: Witten T, Eyler E, editors. Gay, lesbian, bisexual & transgender aging: challenges in research, practice & policy. Baltimore: John Hopkins University Press; 2012.

    Google Scholar 

  4. Cover, R. Emergent Identities: new sexualities, genders and relationships in a digital era. United Kingdom, Taylor & Francis, 2018.

    Google Scholar 

  5. Tordoff D, Andrasik M, Hajat A. Misclassification of sex assigned at birth in the behavioral risk factor surveillance system and transgender reproductive health: a quantitative bias analysis. Epidemiology. 2019;30(5):669–78.

    Article  PubMed  Google Scholar 

  6. Newman CE, Smith AKJ, Duck-Chong E, Vivienne S, Davies C, Robinson KH, et al. Waiting to be seen: social perspectives on trans health. Health Sociol Rev. 2021;30(1):1–8.

    Article  PubMed  Google Scholar 

  7. Bauer G, Hammond R, Travers R, Kaay M, Hohenadel K, Boyce M. “I don’t think this is theoretical; this is our lives”: how erasure impacts health care for transgender people. J Assoc Nurses AIDS Care. 2009;20(5):348–61.

    Article  PubMed  Google Scholar 

  8. (APRA), A.P.R.A. Quarterly private health insurance statistics September 2020. 2020.

    Google Scholar 

  9. Australian Institute of Health and Welfare. Health expenditure Australia 2015–16. Health and welfare expenditure series no. 58. Cat. no. HWE 68. Canberra: AIHW; 2017.

    Google Scholar 

  10. Ministry of Health. Private health insurance coverage 2011–15: New Zealand Health survey. Wellington: Ministry of Health; 2016.

    Google Scholar 

  11. OECD. Country note: how does health spending in New Zealand compare? 2015.

    Google Scholar 

  12. Australian Bureau of Statistics. General social survey: summary results, Australia. 2020 [28 November 2020]. Available from: https://www.abs.gov.au/statistics/people/people-and-communities/general-social-survey-summary-results-australia/latest-release.

  13. Australian Bureau of Statistics. Same-sex couples in Australia. 2016. [30 November 2020]. Available from: http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/2071.0~2016~Main%20Features~Same-Sex%20Couples~85.

  14. Ministry of Health. Sexual orientation: findings from the 2014/15 New Zealand health survey. Wellington: Ministry of Health; 2019.

    Google Scholar 

  15. Collin L, Reisner SL, Tangpricha V, Goodman M. Prevalence of transgender depends on the “case” definition: a systematic review. J Sex Med. 2016;13(4):613–26.

    Article  PubMed  PubMed Central  Google Scholar 

  16. William Leonard MP, Mitchell A, Lyons A, Smith A, Patel S, Couch M, Barrett A. Private lives 2: the second national survey of the health and wellbeing of gay, lesbian, bisexual and transgender (GLBT) Australians. In: Monograph series number 86. Melbourne: The Australian Research Centre in Sex, Health & Society, La Trobe University; 2012.

    Google Scholar 

  17. Karp P. ABS said census questions on gender and sexual orientation risked public backlash. The Guardian. 2019.

    Google Scholar 

  18. Stats NZ. Sex, gender, and sexual orientation. 2019 [28 November 2020]. Available from: https://www.stats.govt.nz/reports/sex-gender-and-sexual-orientation.

  19. Hughes M. Health and well being of lesbian, gay, bisexual, transgender and intersex people aged 50 years and over. Aust Health Rev. 2018;42(2):146–51.

    Article  PubMed  Google Scholar 

  20. Jones T, del pozo de Bolger A, Dune T, Lykins A, Hawkes G. Female-to-male (FtM) transgender people’s experiences in Australia: a national study. Switzerland: Springer International Publishing; 2015.

    Book  Google Scholar 

  21. Power J, Brown R, Schofield M, Pitts M, McNair R, Perlesz A, et al. Social connectedness among lesbian, gay, bisexual, and transgender parents living in metropolitan and regional and rural areas of Australia and New Zealand. J Community Psychol. 2014;42(7):869–89.

    Article  Google Scholar 

  22. McNair R, Andrews C, Parkinson S, Dempsey D. GALFA LGBTQ homeless research project: final report. Melbourne: The University of Melbourne & Swinburne University of Technology; 2017.

    Google Scholar 

  23. Riggs D, Ansara G, Treharne G. An evidence-based model for understanding the mental health experiences of transgender Australians. Aust Psychol. 2015;59(1):32–9.

    Article  Google Scholar 

  24. Kerr L, Fisher CM, Jones T. TRANScending discrimination in health & cancer care: a study of trans & gender diverse Australians. Melbourne: Australian Research Centre in Sex, Health & Society, La Trobe University; 2019.

    Google Scholar 

  25. Fergusson DM, Horwood LJ, Ridder EM, Beautrais AL. Sexual orientation and mental health in a birth cohort of young adults. Psychol Med. 2005;35(7):971–81.

    Article  PubMed  Google Scholar 

  26. Fergusson DM, Horwood LJ, Beautrais AL. Is sexual orientation related to mental health problems and suicidality in young people? Arch Gen Psychiatry. 1999;56(10):876–80.

    Article  CAS  PubMed  Google Scholar 

  27. Veale J, Byrne J, Tan KKH, Guy S, Yee A, Nopera TM-L, Bentham R. Counting ourselves: the health and wellbeing of trans and non-binary people in Aotearoa New Zealand. Hamilton: Transgender Health Research Lab, University of Waikato; 2019.

    Google Scholar 

  28. Burkhalter JE, Margolies L, Sigurdsson HO, Walland J, Radix A, Rice D, et al. The national LGBT cancer action plan: a white paper of the 2014 national summit on cancer in the LGBT communities. LGBT Health. 2016;3(1):19–31.

    Article  PubMed Central  Google Scholar 

  29. Gibson AW, Radix AE, Maingi S, Patel S. Cancer care in lesbian, gay, bisexual, transgender and queer populations. Future Oncol. 2017;13(15):1333–44.

    Article  CAS  PubMed  Google Scholar 

  30. Quinn GP, Sanchez JA, Sutton SK, Vadaparampil ST, Nguyen GT, Green BL, et al. Cancer and lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations. CA Cancer J Clin. 2015;65(5):384–400.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Stein CJ, Colditz GA. Modifiable risk factors for cancer. Br J Cancer. 2004;90(2):299–303.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Australian Institute of Health and Welfare. Australia’s health 2018. Australia’s health series no. 16. AUS 221. Canberra: AIHW; 2018.

    Google Scholar 

  33. Saphira M, Glover M. The effects of coming out on relationships and health. J Lesbian Stud. 2001;5(1–2):183–94.

    Article  CAS  PubMed  Google Scholar 

  34. Deacon RM, Mooney-Somers J. Smoking prevalence among lesbian, bisexual and queer women in Sydney remains high: analysis of trends and correlates. Drug Alcohol Rev. 2017;36(4):546–54.

    Article  PubMed  Google Scholar 

  35. Mooney-Somers J, Deacon RM, Scott P, Price K, Parkhill N. Women in contact with the Sydney LGBTQ communities: report of the SWASH lesbian, bisexual and queer women’s health survey 2014, 2016, 2018. Sydney: Sydney Health Ethics, University of Sydney; 2018.

    Google Scholar 

  36. Brown R, McNair R, Szalacha L, Livingston PM, Hughes T. Cancer risk factors, diagnosis and sexual identity in the Australian Longitudinal Study of Women’s Health. Womens Health Issues. 2015;25(5):509–16.

    Article  PubMed  Google Scholar 

  37. Kolstee J, Deacon RM, Haidar S, Gray J, Mooney-Somers J. Changes in social networks are associated with lesbian, bisexual and queer women quitting smoking: an analysis of Australian survey data. Drug Alcohol Rev. 2019;38(1):76–81.

    Article  PubMed  Google Scholar 

  38. Praeger R, Roxburgh A, Passey M, Mooney-Somers J. The prevalence and factors associated with smoking among lesbian and bisexual women: analysis of the Australian National Drug Strategy Household Survey. Int J Drug Policy. 2019;70:54–60.

    Article  PubMed  Google Scholar 

  39. McNair R, Pennay A, Hughes TL, Love S, Valpied J, Lubman DI. Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study. BJGP Open. 2018;2(2):bjgpopen18X101565.

    Google Scholar 

  40. Pennay A, McNair R, Hughes TL, Leonard W, Brown R, Lubman DI. Improving alcohol and mental health treatment for lesbian, bisexual and queer women: identity matters. Aust N Z J Public Health. 2018;42(1):35–42.

    Article  PubMed  Google Scholar 

  41. Clackett S, Hammoud MA, Bourne A, Maher L, Haire B, Jin F, Lea T, Degenhardt L, Bath N, Mackie B, Batrouney C, Prestage G. Flux: following lives undergoing change 2014–2017 surveillance report. Sydney: The Kirby Institute, UNSW; 2018.

    Google Scholar 

  42. Australian Bureau of Statistics. National health survey: first results. 2018 [27 November 2020]. Available from: https://www.abs.gov.au/statistics/health/health-conditions-and-risks/national-health-survey-first-results/latest-release.

  43. Prestage G, Hammoud M, Jin F, Degenhardt L, Bourne A, Maher L. Mental health, drug use and sexual risk behavior among gay and bisexual men. Int J Drug Policy. 2018;55:169–79.

    Article  PubMed  Google Scholar 

  44. Cheung AS, Ooi O, Leemaqz S, Cundill P, Silberstein N, Bretherton I, et al. Sociodemographic and clinical characteristics of transgender adults in Australia. Transgend Health. 2018;3(1):229–38.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Boza C, Nicholson Perry K. Gender-related victimisation, perceived social support, and predictors of depression among transgender Australians. Int J Transgend. 2014;15(1):35–52.

    Article  Google Scholar 

  46. Ministry of Health. Annual update of key results 2016/17: New Zealand health survey. 2017 [November 27 2020]. Available from: https://www.health.govt.nz/publication/annual-update-key-results-2016-17-new-zealand-health-survey.

  47. Ministry of Health. Obesity statistics. 2020 [20 November 2020]. Available from: https://www.health.govt.nz/nz-health-statistics/health-statistics-and-data-sets/obesity-statistics.

  48. Denison E, Kitchen A. Out on the fields. The first international study of homophobia in sport. 2015. Available from www.outonthefields.com.

  49. Symons C, Sbaraglia M, Hillier L, Mitchell A. Come out to play. The sports experiences of lesbian, gay, bisexual and transgender (LGBT) people in Victoria. Victoria: Institute of Sport, Exercise and Active Living and the School of Sport and Exercise Science at Victoria University; 2010.

    Google Scholar 

  50. Australian Human Rights Commission. Guidelines for the inclusion of transgender and gender diverse people in sport. Sydney; 2019

    Google Scholar 

  51. Lee E, Mao L, Broady T, Bavinton B, McKenzie T, Batrouney C, Malholtra S, Manwaring J, West M, Prestage G, Holt M. Gay community periodic survey: Melbourne 2018. Sydney: Centre for Social Research in Health, UNSW Sydney; 2018.

    Google Scholar 

  52. UNSW. Gay community periodic surveys. [14 November 2021]. Available from: https://www.unsw.edu.au/arts-design-architecture/our-research/research-centres-institutes/centre-social-research-health/our-projects/gay-community-periodic-surveys.

  53. Callander D, Wiggins J, Rosenberg S, Cornelisse V, Duck-Chong E, Holt M, Pony M, Vlahakis E, MacGibbon J, Cook T. The 2018 Australian trans and gender diverse sexual health survey: report of findings. Sydney: Kirby Institute. https://doi.org/10.26190/5d7ed96ceaa70. https://tgdsexualhealth.com/.

  54. Saxton PJ, Dickson NP, Hughes AJ, Ludlam AH. Infrequent condom use with casual partners among New Zealand gay and bisexual men. N Z Med J. 2015;128(1426):49–61.

    PubMed  Google Scholar 

  55. Poynten IM, Jin F, Templeton DJ, Prestage GP, Donovan B, Pawlita M, et al. Prevalence, incidence, and risk factors for human papillomavirus 16 seropositivity in Australian homosexual men. Sex Transm Dis. 2012;39(9):726–32.

    Article  CAS  PubMed  Google Scholar 

  56. Poynten IM, Tabrizi SN, Jin F, Templeton DJ, Machalek DA, Cornall A, et al. Vaccine-preventable anal human papillomavirus in Australian gay and bisexual men. Papillomavirus Res. 2017;3:80–4.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Templeton DJ, Williamson C, Jin F, Hillman RJ, Roberts JM, Law C, et al. Prevalence and associations of larger burden of intra-anal high-grade squamous intraepithelial lesions at baseline in an Australian cohort of gay and bisexual men: the study of the prevention of anal cancer. Cancer Epidemiol. 2020;64:101661.

    Article  CAS  PubMed  Google Scholar 

  58. Kirby Institute. SPANC: study of the prevention of anal cancer [20 November 2020]. Available from: https://kirby.unsw.edu.au/project/spanc.

  59. Poynten IM, Stein AN, Conway EL, Prestage G, Regan DG, Jin F, et al. Geographical clustering of anal cancer incidence in Australia. Sex Health. 2012;9(6):509–12.

    Article  PubMed  Google Scholar 

  60. Ong JJ, Chen M, Tabrizi SN, Cornall A, Garland SM, Jin F, et al. Anal HPV detection in men who have sex with men living with HIV who report no recent anal sexual behaviours: baseline analysis of the Anal Cancer Examination (ACE) study. Sex Transm Infect. 2016;92(5):368–70.

    Article  PubMed  Google Scholar 

  61. Petoumenos K, van Leuwen MT, Vajdic CM, Woolley I, Chuah J, Templeton DJ, et al. Cancer, immunodeficiency and antiretroviral treatment: results from the Australian HIV Observational Database (AHOD). HIV Med. 2013;14(2):77–84.

    Article  CAS  PubMed  Google Scholar 

  62. Austalian Government Department of Health. Eighth national HIV strategy 2018–2022. Canberra: Department of Health.

    Google Scholar 

  63. Saxton PJ, Dickson NP, Griffiths R, Hughes AJ, Rowden J. Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand. BMC Public Health. 2012;12:92.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Saxton PJ, Dickson NP, McAllister SM, Hughes AJ, Sharples K. HIV prevalence among men who have sex with men in New Zealand 1985–2009: 25 years of public health monitoring. Int J STD AIDS. 2012;23(4):274–9.

    Article  CAS  PubMed  Google Scholar 

  65. The Kirby Institute. Hepatitis B and C in Australia annual surveillance report supplement 2016. Sydney: The Kirby Institute, UNSW Australia; 2016.

    Google Scholar 

  66. Lockwood J, Gray J, Selvey C. Undiagnosed hepatitis B and C infection is rare in Sydney gay and bisexual men attending a community HIV testing site. Sex Health. 2017;14(3):296–7.

    Article  PubMed  Google Scholar 

  67. McFarlane T, Zajac JD, Cheung AS. Gender-affirming hormone therapy and the risk of sex hormone-dependent tumours in transgender individuals-a systematic review. Clin Endocrinol. 2018;89(6):700–11.

    Article  CAS  Google Scholar 

  68. Lienhoop T, Smetko M, Green L. Breast cancer in transgender women: a case report. Clin Imaging. 2020;68:20–3.

    Article  PubMed  Google Scholar 

  69. Pattison ST, McLaren BR. Triple negative breast cancer in a male-to-female transsexual. Intern Med J. 2013;43(2):203–5.

    Article  CAS  PubMed  Google Scholar 

  70. Treskova I, Hes O, Bursa V. Long-term hormonal therapy resulting in breast cancer in female-to-male transsexual: case report. Medicine (Baltimore). 2018;97(52):e13653.

    Article  Google Scholar 

  71. Stone JP, Hartley RL, Temple-Oberle C. Breast cancer in transgender patients: a systematic review. Part 2: female to male. Eur J Surg Oncol. 2018;44(10):1463–8.

    Article  PubMed  Google Scholar 

  72. Hyde Z, Doherty M, Tilley M, McCaul K, Rooney R, Jancey J. The first Australian national trans mental health study: summary of results. Perth: School of Public Health, Curtin University; 2014.

    Google Scholar 

  73. Peitzmeier S, Gardner I, Weinard J, Corbet A, Acevado K. Health impact of chest binding among transgender adults: a community-engaged, cross-sectional study. Cult Health Sex. 2017;19(1):64–75.

    Article  PubMed  Google Scholar 

  74. Wolf-Gould C, Wolf-Gould C. A transgender woman with testicular cancer: a new twist on an old problem. LGBT Health. 2016;3(1):90–5.

    Article  PubMed  Google Scholar 

  75. Chow EPF, Tabrizi SN, Fairley CK, Wigan R, Machalek DA, Garland SM, et al. Prevalence of human papillomavirus in young men who have sex with men after the implementation of gender-neutral HPV vaccination: a repeated cross-sectional study. Lancet Infect Dis. 2021;21(10):1448–57.

    Article  PubMed  Google Scholar 

  76. Australian Institute of Health and Welfare. Cervical screening in Australia 2018. Canberra: AIHW; 2018.

    Google Scholar 

  77. Saphira M, Glover M. New Zealand national lesbian health survey. J Gay Lesbian Med Assoc. 2000;4:49–56.

    Article  Google Scholar 

  78. Curmi C, Peters K, Salamonson Y. Barriers to cervical cancer screening experienced by lesbian women: a qualitative study. J Clin Nurs. 2016;25(23–24):3643–51.

    Article  PubMed  Google Scholar 

  79. Curmi C, Peters K, Salamonson Y. Lesbians’ attitudes and practices of cervical cancer screening: a qualitative study. BMC Womens Health. 2014;14:153.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Tamargo CL, Quinn GP, Sanchez JA, Schabath MB. Cancer and the LGBTQ population: quantitative and qualitative results from an oncology providers’ survey on knowledge, attitudes, and practice behaviors. J Clin Med. 2017;6(10):93.

    Article  PubMed Central  Google Scholar 

  81. Beswick A, Corkum M, D’Souza D. Locally advanced cervical cancer in a transgender man (PRACTICE: CASES: VULNERABLE POPULATIONS: CPD). CMAJ. 2019;191(3):E76–8.

    Article  PubMed  PubMed Central  Google Scholar 

  82. Brown B, Poteat T, Marg L, Galea JT. Human papillomavirus-related cancer surveillance, prevention, and screening among transgender men and women: neglected populations at high risk. LGBT Health. 2017;4(5):315.

    Article  PubMed  Google Scholar 

  83. Cancer Australia. Cancer incidence. 2019 [5 August 2020]. Available from: https://ncci.canceraustralia.gov.au/diagnosis/cancer-incidence/cancer-incidence.

  84. Ministry of Health. Cancer: historical summary 1948–2017. 2020 [29 November 2020]. Available from: health.govt.nz/publication/cancer-historical-summary-1948-2017.

  85. Australian Institute of Health and Welfare. Australasian Association of Cancer Registries. 2020 [cited 2020 27th of May]. Available from: https://www.aihw.gov.au/about-our-data/our-data-collections/aacr.

  86. Poynten IM. Current policy and research on cancer in LGBT communities internationally. In: Boehmer U, Elk R, editors. Cancer and the LGBT community: unique perspectives from risk to survivorship. Cham: Springer International Publishing; 2015. p. 293–311.

    Chapter  Google Scholar 

  87. Meads C, Moore D. Breast cancer in lesbians and bisexual women: systematic review of incidence, prevalence and risk studies. BMC Public Health. 2013;13:1127.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Quinn GP, Alpert AB, Sutter M, Schabath MB. What oncologists should know about treating sexual and gender minority patients with cancer. JCO Oncol Pract. 2020;16(6):309–16.

    Article  PubMed Central  Google Scholar 

  89. Margolies L, Brown CG. Current state of knowledge about cancer in lesbians, gay, bisexual, and transgender (LGBT) people. Semin Oncol Nurs. 2018;34(1):3–11.

    Article  PubMed  Google Scholar 

  90. Jin F, Vajdic CM, Law M, Amin J, van Leeuwen M, McGregor S, et al. Incidence and time trends of anal cancer among people living with HIV in Australia. AIDS. 2019;33(8):1361–8.

    Article  PubMed  Google Scholar 

  91. van Leeuwen MT, Vajdic CM, Middleton MG, McDonald AM, Law M, Kaldor JM, et al. Continuing declines in some but not all HIV-associated cancers in Australia after widespread use of antiretroviral therapy. AIDS. 2009;23(16):2183–90.

    Article  PubMed  Google Scholar 

  92. Australian Human Rights Commission. Resilient individuals: sexual orientation, gender identity & intersex rights. National Consultation Report. 2015.

    Google Scholar 

  93. Dhand A, Dhaliwal G. Examining patient conceptions: a case of metastatic breast cancer in an African American male to female transgender patient. J Gen Intern Med. 2009;25(2):158–61.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Gooren L, Morgentaler A. Prostate cancer incidence in orchidectomised mate-to-female transsexual persons treated with oestrogens. Andrologia. 2013;46(10):1156–60.

    Article  PubMed  Google Scholar 

  95. Clarke M, Lewin J, Lazarakis S, Thompson K. Overlooked minorities: the intersection of cancer in lesbian, gay, bisexual, transgender, and/or intersex adolescents and young adults. J Adolesc Young Adult Oncol. 2019;8(5):525–8.

    Article  PubMed  Google Scholar 

  96. Russo S, McCaffery K, Ellard J, Poynten M, Prestage G, Templeton DJ, et al. Experience and psychological impact of anal cancer screening in gay, bisexual and other men who have sex with men: a qualitative study. Psychooncology. 2018;27(1):125–31.

    Article  CAS  PubMed  Google Scholar 

  97. Feeney L, Poynten M, Jin FJ, Cooper C, Templeton DJ, Dwyer MRO, et al. Awareness and knowledge of anal cancer in a community-recruited sample of HIV-negative and HIV-positive gay and bisexual men. Sex Health. 2019;16(3):240–6.

    PubMed  Google Scholar 

  98. Ussher JM, Perz J, Kellett A, Chambers S, Latini D, Davis ID, et al. Health-related quality of life, psychological distress, and sexual changes following prostate cancer: a comparison of gay and bisexual men with heterosexual men. J Sex Med. 2016;13(3):425–34.

    Article  PubMed  Google Scholar 

  99. Thomas C, Wootten A, Robinson P. The experiences of gay and bisexual men diagnosed with prostate cancer: results from an online focus group. Eur J Cancer Care (Engl). 2013;22(4):522–9.

    Article  CAS  Google Scholar 

  100. Riggs D, Due C. Gender identity Australia: the healthcare experiences of people whose gender identity differs from that expected of their natally assigned sex. Adelaide: School of Social and Policy Studies, Flinders University; 2013.

    Google Scholar 

  101. Beyond Blue. In my shoes: experiences of discrimination, depression, and anxiety among gay, lesbian, bisexual, trans, and intersex people. Hawthorn: Beyond Blue; 2012.

    Google Scholar 

  102. Kerr L, Fisher CM, Jones T. “I’m not from another planet” – the alienating cancer care experiences of trans and gender diverse people. Cancer Nurs. 2021;44(6):E438–46.

    Article  PubMed  Google Scholar 

  103. Kerr L, Fisher CM, Jones T. Key informants discuss cancer care research for trans and gender diverse people. J Cancer Educ. 2021;36(4):741–6.

    Article  PubMed  Google Scholar 

  104. Lisy K, Ward A, Schofield P, Hulbert-Williams N, Bishop J, Jefford M. Patient-reported outcomes of sexual and gender minority cancer survivors in Australia. Psychooncology. 2019;28(2):442–4.

    Article  PubMed  Google Scholar 

  105. Wassersug RJ, Lyons A, Duncan D, Dowsett GW, Pitts M. Diagnostic and outcome differences between heterosexual and nonheterosexual men treated for prostate cancer. Urology. 2013;82(3):565–71.

    Article  PubMed  Google Scholar 

  106. Thomas C, Wootten AC, Robinson P, Law PCF, McKenzie DP. The impact of sexual orientation on body image, self-esteem, urinary and sexual functions in the experience of prostate cancer. Eur J Cancer Care (Engl). 2018;27(2):e12827.

    Article  CAS  Google Scholar 

  107. Ussher JM, Perz J, Rose D, Dowsett GW, Chambers S, Williams S, et al. Threat of sexual disqualification: the consequences of erectile dysfunction and other sexual changes for gay and bisexual men with prostate cancer. Arch Sex Behav. 2017;46(7):2043–57.

    Article  PubMed  Google Scholar 

  108. Rose D, Ussher JM, Perz J. Let’s talk about gay sex: gay and bisexual men’s sexual communication with healthcare professionals after prostate cancer. Eur J Cancer Care (Engl). 2017;26(1). https://doi.org/10.1111/ecc.12469.

  109. Ussher JM, Perz J, Gilbert E, Australian C, Sexuality Study T. Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer. 2015;15:268.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Drysdale K, Cama E, Botfield J, Bear B, Cerio R, Newman CE. Targeting cancer prevention and screening interventions to LGBTQ communities: a scoping review. Health Soc Care Community. 2021;29(5):1233–48.

    Article  PubMed  Google Scholar 

  111. Cartwright C, Hughes M, Lienert T. End-of-life care for gay, lesbian, bisexual and transgender people. Cult Health Sex. 2012;14(5):537–48.

    Article  PubMed  Google Scholar 

  112. Hughes M, Cartwright C. LGBT people’s knowledge of and preparedness to discuss end-of-life care planning options. Health Soc Care Community. 2014;22(5):545–52.

    Article  PubMed  Google Scholar 

  113. Australian Government Department of Health. Exploratory analysis of barriers to palliative care. issues report on people who identify as lesbian, gay, bisexual, transgender or intersex. 2019.

    Google Scholar 

  114. Better Health Channel. Palliative care for the LGBTI community. 2020 [30 November 2020]. Available from: https://www.betterhealth.vic.gov.au/health/servicesandsupport/Palliative-care-for-the-LGBTI-community.

  115. Palliative Care Victoria. For healthcare professionals. LGBTI people. [30 November 2020]. Available from: https://www.pallcarevic.asn.au/healthcare-professionals/cultural-safety/lgbti-people/.

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Lisy, K., Peters, M.D.J., Kerr, L., Fisher, C. (2022). LGBT Populations and Cancer in Australia and New Zealand. In: Boehmer, U., Dennert, G. (eds) LGBT Populations and Cancer in the Global Context. Springer, Cham. https://doi.org/10.1007/978-3-031-06585-9_14

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