Poster Presentation Clinical Oncology Society of Australia Annual Scientific Meeting 2024

Beyond the Barriers: Exploring the Population Profile of LGBTIQA+ People Affected by Cancer in Western and Central Melbourne  (#498)

Kathy Quade 1 2 , Jannelle Lay 1 2
  1. Peter Mac, Melbourne, VIC, Australia
  2. Western & Central Melbourne Integrated Cancer Service, Melbourne

Background 

LGBTQIA+ people affected by cancer represent a growing, medically underserved population, experiencing greater dissatisfaction with cancer care, lower quality of life, and heightened levels of psychologic distress compared to their non-LGBTIQA+ individuals.  Although 5.7% of Victorian adults identify as LGBTIQA+, comprehensive data on cancer prevalence, risk and outcomes of the population is lacking due to insufficient sexual orientation and gender identity (SOGI) data collection.  

Objectives 

To understand the demographic characteristics and estimated cancer prevalence among LGBTIQA+ populations in Western and Central Melbourne, explore challenges faced by CALD individuals affected by cancer, identify service gaps and propose actionable recommendations for improving outcomes.  

Methodology 

This review utilised a mixed-methods approach, analysing data from the Australian Bureau of Statistics, the Victorian Population Health Survey 2017, the Victorian Admitted Episode Data and semi-structured interviews with patients and service providers. Participants were recruited via convenience sampling, and interviews were transcribed, coded and thematically analysed. 

Key Findings 

  • WCMICS region has a significant proportion of LGBTIQA+ adults, with Melbourne, Merri-bek, and Yarra (9.2%, 9.9%, and 10%, respectively) exceeding the state average (5.7%)   
  • Most LGBTIQA+ adults are aged 18–34, live in metropolitan LGAs, are Australia-born, identify as Aboriginal or Torres Strait Islanders, face economic hardships, higher smoking rates, anxiety, depression, and chronic diseases, and lower screening rates 
  • An estimated 1,282 LGBTIQA+ patients were admitted for cancer treatment in 2022-2023 
  • Increased risk of breast, gynaecological, haematological and anal cancers  
  • Main challenges include: cis-heteronormative assumptions and discrimination; lack of cultural competency, support services and data collection 

Recommendations 

  • Enhance cultural competency 
  • Improve SOGI data practices 
  • Increase support resources 

Conclusion 

Addressing the unique challenges faced by LGBTIQA+ cancer patients require the implementation of appropriate recommendations to effectively serve the diverse patient population.