Challenging the status quo of gendered cancer care
DOI:
https://doi.org/10.11157/anzswj-vol34iss1id920Keywords:
transgender, gynaecology, equity, sexuality, cancer, genderAbstract
LGBTTQIA+ patients are at a higher risk for certain cancers yet access relevant screening
and healthcare less frequently than cis-gendered, heterosexual women. This can be attributed to fears of discrimination, feeling unrepresented, and past experiences of disrespect from healthcare professionals, especially in a gendered healthcare environment. The use of Women’s Clinics in health endorses a viewpoint of binary gender, with an assumption of cis- gendered heteronormativity. As social workers we have responsibilities under the Code of Ethics and Core Competencies to advocate for change and challenge the status quo. We need to take action to improve healthcare experiences for LGBTTQIA+ patients. These include the correct use of inclusive language, changes to the physical environment, and practical changes to how we undertake routine examinations and engage with LGBTTQIA+ patients.
References
Aotearoa New Zealand Association of Social Workers (ANZASW). (2019). Code of ethics. https://www.anzasw. nz/index.cfm//code-of-ethics/
Bryson, M. K., Taylor, E. T., Boschman, L., Hart, T. L., Gahagan, J., Rail, G., & Ristock, J. (2020). Awkward choreographies from cancer’s margins: Incommensurabilities of biographical and biomedical knowledge in sexual and/or gender minority cancer patients’ treatment. Journal of Medical Humanities, 41(3), 341–361.
Buchting, F. O., Margolies, L., Bare, M. G., Bruessow, D., Diaz-Toro, E. C., Kamen, C., Ka’opua, L. S., Lee, T. J., Maingi, S., O’Mahony, S., Pearson-Fields, A., Radix, A., & Scout. (2015). LGBT Best and promising practices throughout the cancer continuum. LGBT HealthLink. https://www.lgbthealthlink.org/Assets/U/Documents/ Cancer-Best-Practices/cbpp-april2016.pdf
Burton, H., Pilkington, P., & Bridge, P. (2020). Evaluating the perceptions of transgender and non-binary communities of pelvic radiotherapy side effect information booklets. Radiography, 26(2), 122–126.
Gibson, A. W., Radix, A. E., Shail, M., & Patel, S. (2017). Cancer care in lesbian, gay, bisexual, transgender and queer populations. Future Oncology, 13(15), 1333–1344.
Johnson, M., Wakefield, C., & Garthe, K. (2020). Qualitative socioecological factors of cervical cancer screening use among transgender men. Preventive Medicine Reports, 17. https://doi.org/10.1016/j.pmedr.2020.101052
Peitzmeier, S. M., Agénor, M., Bernstein, I. M., McDowell, M., Alizaga, N. M., Reisner, S. L., Pardee, D. J., & Potter,J. (2017). “It can promote an existential crisis”: Factors influencing pap test acceptability and utilization among transmasculine individuals. Qualitative Health Research, 27(14), 2138–2149.
Potter, J., Peitzmeier, S., Bernstein, I., Reisner, S., Alizaga, N., Agenor, M., & Pardee, D. (2015). Cervical cancer screening for patients on the female-to-male spectrum: A narrative review and guide for clinicians. Journal of General Internal Medicine, 30(12), 1857–1864.
Sledge, P. (2019). From decision to incision: Ideologies of gender in surgical cancer care. Social Science & Medicine, 239, 112550.
Social Workers Registration Board. (2021). Nga ̄ paerewa kaiakatanga matua core competence standards. https:// swrb.govt.nz/practice/core-competence-standards/
Taylor, E. T., & Bryson, M. K. (2016). Cancer’s margins: Trans* and gender nonconforming people’s access to knowledge, experiences of cancer health, and decision-making. LGBT Health, 3(1), 79–89. https://doi. org/10.1089/lgbt.2015.0096
Temkin, S. M., Rimel, B. J., Bruegl, A. S., Gunderson, C. C., Beavis, A. L., & Doll, K. M. (2018). A contemporary framework of health equity applied to gynaecologic cancer care: A Society of Gynaecologic Oncology evidence-based review. Gynaecologic Oncology, 149(1), 70–77.
Weyers, S., Garland, S. M., Cruickshank, M., Kyrgiou, M., & Arbyn, M. (2020). Cervical cancer prevention in transgender men: A review. International Journal of Obstetrics and Gynaecology, 128(5), 822–826. https:// doi.org/10.1111/1471-0528.16503
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Aotearoa New Zealand Association of Social Workers
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
By completing the online submission process, you confirm you accept this agreement. The following is the entire agreement between you and the Aotearoa New Zealand Association of Social Workers (ANZASW) and it may be modified only in writing.
You and any co-authors
If you are completing this agreement on behalf of co-authors, you confirm that you are acting on their behalf with their knowledge.
First publication
By submitting the work you are:
- granting the ANZASW the right of first publication of this work;
- confirming that the work is original; and
- confirming that the work has not been published in any other form.
Once published, you are free to use the final, accepted version in any way, as outlined below under Copyright.
Copyright
You assign copyright in the final, accepted version of your article to the ANZASW. You and any co-authors of the article retain the right to be identified as authors of the work.
The ANZASW will publish the final, accepted manuscript under a Creative Commons Attribution licence (CC BY 4.0). This licence allows anyone – including you – to share, copy, distribute, transmit, adapt and make commercial use of the work without needing additional permission, provided appropriate attribution is made to the original author or source.
A human-readable summary of the licence is available from http://creativecommons.org/licenses/by/4.0, which includes a link to the full licence text.
Under this licence you can use the final, published version of the article freely – such as depositing a copy in your institutional research repository, uploading a copy to your profile on an academic networking site or including it in a different publication, such as a collection of articles on a topic or in conference proceedings – provided that original publication in Aotearoa New Zealand Social Work is acknowledged.
This agreement has no effect on any pre-publication versions or elements, which remain entirely yours, and to which we claim no right.
Reviewers hold copyright in their own comments and should not be further copied in any way without their permission.
The copyright of others
If your article includes the copyright material of others (e.g. graphs, diagrams etc.), you confirm that your use either:
- falls within the limits of fair dealing for the purposes of criticism and review or fair use; OR
- that you have gained permission from the rights holder for publication in an open access journal.