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Let's Discuss! LGBT Cancer Health Disparities and Cultural Competency

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We had another great R2R cyber-seminar this month as we had the opportunity to understand a new population for R2R, LGBT and sexual minorities, as we examined the health disparities of this population across the cancer continuum.  Thank you to everyone who joined the seminar and especially to our wonderful speakers who shared the exciting research and resources on which their organizations have worked. 

But we know there are lots of others doing great work with this important population too and we would love to hear from you and have you share your experience and knowledge...ask a question of the speakers or your fellow R2R members about interventions for cancer control and prevention or issues of treatment and survivorship for this population, let us know about the work you are doing, are their other tools/resources you and/or organization/community you have used in your cancer control planning and intervention efforts to reach and engage the LGBT population.  What lessons have you learned that others might benefit from?  

Join us in the discussion! 

If you would like to request a PDF copy of the slides from the seminar, please use the contact us link at the bottom of the page or email

If you missed the live seminar, the archive is now available.  Watch and then come share your thoughts.


There were so many great

There were so many great questions during the session that we, unfortunately, couldn't get to them all.  I have included them here and will have our speakers respond, but I would also encourage other community members to share their own thoughts in regards to these questions.

  • From Shayna: "I am a health educator and often do outreach in the community to promote mammograms. is there literature out there reccommending that trans women get mammograms since they have breast tissue from hormone therapy?"
  • From Emily: "What suggestions do you have in getting the word out that your cancer center is sensative to the LGBT community?"
  • From Alexandra and Kirk: "For Liz: three questions: 1) Were the experiences of your trans participants significantly different than other participants? 2) You reported "2% trans," does that overlap with the sexual orientation identities or was it a unique option? 3) Were all participants asked to identify as trans or cisgender?"

Thanks for all the great questions and I hope we can engage in some good discussion here!

Emily,  I would recommend

Emily,  I would recommend that you contact all your local LGBT organizations and look into ways to partner with them on a screening day or a health fair.  You can also advertise in any of the LGBT publications in your area.  If you are not yet in our directory of LGBT-welcoming cancer screening facilities, part of our Take Care of That Body campaign,, please write and let me know about your place.


Hello, Would you recommend me


Would you recommend me a website and/or link about cultural competence training on LGBT?

Thank you,


Maria, It's probably not


It's probably not surprising, but I feel very strongly about the curriculum my organization developed.  We were hired to write a curriculum for all 38,000 employees of the city hospital system and we have been upgrading and improving it ever since.  Called "Reexamining LGBT Healthcare", you can learn more about it on our website,  It also includes a 10-minute video; you can watch a 3-minute excerpt on the website.

Maria - Thanks for your

Maria - Thanks for your question.  I am sure that there are others that might have recommendations of trainings that might be relevant, but here are a couple of options that I found.  I don't know enough about either to recommend these over any other trainings that are out there, but just wanted to share the resources as a starting point.

I hope these suggestions prove useful and I hope some other people will chime in and share any recommendations that they might have as well. I think this is an important area in which we need to build capacity in the workforce so I am glad to hear you are interested in developing your skills and knowledge.

Alexandra and Kirk, We asked

Alexandra and Kirk,

We asked one question about gender identity at the time of diagnosis.  The choices were a) male, b) female, c) transgender MTF, d) transgender FTM and e) other.

THe next question asked about sexual orientation at the time of diagnosis, with the choices being gay, lesbian, bisexual, heterosexual, asexual.

We are still looking at the data and we had, sadly, very few trans responders.

Shayna,  Here is a sheet from


Here is a sheet from The Fenway Institute about transgender screening.


Here's another link.  Hopefully, others will come forward with other and better links.

Shayna,  Here is a sheet from


Here is a sheet from The Fenway Institute about transgender screening.


Here's another link.  Hopefully, others will come forward with other and better links.

Thanks a lot!!  

Thanks a lot!!


Recently the Multicultural

Recently the Multicultural Media Outreach team at NCI, who writes health articles for minority populations, expanded to include articles specific to the LGBT population.  Their first article focuses on tobacco use and cessation among the LGBT population.   Check it out and share your thoughts -- are there other resources you are familiar with that you can share?  Other topics related to LGBT population you would like to see MMO discuss in future articles?

Check out the recent article here. You can also view articles on lung cancer for other populations as well as a multitude of other health topics for a range of minority populations.