Underinvested, Under-Referred, and Underserved: Applying a Gender Equity Continuum Framework in Cancer Control Continuum Programs and Policies to Expand to Transgender and Nonbinary Populations
Gender-inclusive and gender-specific approaches are critically needed in cancer control continuum services to recognize and meet the needs of transgender and nonbinary (trans) populations. Current research, programs, and policies largely cater to cisgender populations and subscribe to a binary, gendered cisnormative ideology, both within health care systems and insurance policies, leaving trans people's cancer prevention and treatment needs neglected. Such disparities can be attributed to the significant gap in funding and research to address trans cancer prevention and treatment. We discuss the research, program, and policy implications of cisnormative practices and provide recommendations for promoting gender-inclusive and specific services across the cancer control continuum with the goal of eliminating cancer disparities and improving cancer outcomes for people of all gender groups, including trans populations.
Authors
- Asa Radix (ORCID: https://orcid.org/0000-0001-9611-4181)
- Don Operario (ORCID: https://orcid.org/0000-0003-2467-5048)
- Ruby Lucas (ORCID: https://orcid.org/0009-0004-9972-4312)
- Amanda I. Phipps (ORCID: https://orcid.org/0000-0002-1446-2201)
- Carl G. Streed (ORCID: https://orcid.org/0000-0003-3075-253X)
- Kristi E. Gamarel (ORCID: https://orcid.org/0000-0001-9405-7515)
- NFN Scout (ORCID: https://orcid.org/0000-0001-5485-6152)
- Avery Everhart (ORCID: https://orcid.org/0000-0001-6146-0180)
- Arjee Restar (ORCID: https://orcid.org/0000-0003-2992-8198)
- Ash Blythe Alpert (ORCID: https://orcid.org/0000-0003-1736-898X)
- Leigh Ann van der Merwe
- Grace Wang (ORCID: https://orcid.org/0000-0002-1392-1218)
- Sara Lindström (ORCID: https://orcid.org/0000-0002-7137-7281)
Institutions
- Boston University (US)
- Boston Medical Center (US)
- University of British Columbia (CA)
- Emory University (US)
- Providence College (US)
- University of Washington (US)
- University of Michigan (US)
- Yale Cancer Center (US)
- Yale University (US)
- Fred Hutch Cancer Center (US)
- Community Health Center (US)
- Columbia University (US)
Publication Details
- Journal
- JCO oncology advances.
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1200/oa.24.00023
- Primary Topic
- LGBTQ Health, Identity, and Policy
- Type
- article
- Field-Weighted Citation Impact
- 0.00