NCPD Article

Cancer Equity and Affirming Care: An Overview of Disparities and Practical Approaches for the Care of Transgender, Gender-Nonconforming, and Nonbinary People

Elizabeth K. Arthur

Gabriel Glissmeyer


Juno Obedin-Maliver

Em Rabelais

transgender people, health equity, gender identity, cancer survivors, affirming care
CJON 2021, 25(5), 25-35. DOI: 10.1188/21.CJON.S1.25-35

Background: Transgender, gender-nonconforming, and nonbinary (TGNCNB) cancer survivors experience worse overall health, quality of life, and greater distress; are underserved regarding supportive services; perceive discrimination in health care; and report less satisfaction with their cancer care and treatment.

Objectives: This article presents an overview of TGNCNB cancer-related health disparities and marginalization in health care, education, and research.

Methods: The literature was reviewed regarding health equity across the cancer continuum and practical approaches for establishing cancer-related health equity for TGNCNB survivors.

Findings: Nurses can create safe, affirming, and effective clinical spaces by recognizing their shared contributions to bias and discrimination experienced by TGNCNB cancer survivors. Nurses must leverage their influence as clinical care experts to advance TGNCNB cancer health equity through practice, education, advocacy, and research.

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