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Cancer Disparities and Health Equity: Challenges, Insights, and Transformative Strategies

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Epidemiology and Prevention".

Deadline for manuscript submissions: 30 June 2026 | Viewed by 368

Special Issue Editors


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Guest Editor
The George Washington University Cancer Center, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA
Interests: LGBTQI+ cancer care; health equity; patient-centered care; patient navigation

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Guest Editor
Translational Health Research Institute, Western Sydney University, Sydney, Australia
Interests: LGBTQI+ cancer care; health equity; sexual and reproductive health; mixed methods

Special Issue Information

Dear Colleagues,

Lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI+) people represent an “ignored epidemic” in cancer care, facing disproportionate cancer burden and unique psychosocial challenges. These include higher levels of distress and sexual concerns, reduced family support, barriers to accessing services, poor communication with providers, and lower satisfaction with care. The American Society of Clinical Oncology has recognized this disparity, highlighting limited knowledge of LGBTQI+ healthcare needs, outcomes, and effective interventions. Consequently, providers and policymakers remain ill-prepared to deliver culturally safe and inclusive cancer prevention, treatment, and survivorship support. It is essential that these health are addressed.

Research on LGBTQI+ cancer suvivorship and care is at a critical juncture. After significant investments in research that shed light on structural bias, federal funding in the United States took a 180 degree turn in 2025. With sudden grant terminations, research focused on health equity broadly, with specific targeting of research to advance LGBTQI+ health equity, scientists have had to stop work, pause, and redirect reseearch efforts to comply with new U.S. federal priorities for research.

As a result of this sudden defunding of health equity research, some U.S. scientists may have research with partial results that may still be informative to the research community at large. Additioanlly, researchers outside the U.S. are well positioned to make strides in LGBTQI+-specific cancer health equity research that well may outpace work in the U.S. with its current restrictions.

This Special Issue invites research involving LGBTQI+ cancer patients and survivors, focusing on public health, social sciences, supportive care interventions, clinical trials and training interventions that advance LGBTQI+ cancer health equity. Examples may include but are not restricted to:

  • Evidence from LGBTQI+-focused cancer research studies prematurely terminated in the U.S. in 2025, as well as those that were refinanced but endured a gap in funding. Discussions of the impact of termination or suspension of funding and implications of the publication of incomplete data are welcome. Sufficient data collection to provide a robust discussion of incomplete findings are critical for manuscripts to be accepted in the Special Issue.
  • Innovations in methodologies, interventions, and approaches that are novel and/or poised to lead future advancements in LGBTQI+-focused cancer research (from research conducted in any country or state).
  • Rigorous LGBTQI+ cancer randomized controled trials, comparative effectiveness research, qualitative and mixed methods approaches.
  • Science that systematically quantifies and/or qualitatively describes the state of the science and scientists that focus on LGBTQI cancer research and implications for the field
  • Editorials that synthesize vital information for LGBTQI-focused cancer research in the current environment.

A limited number of submissions may qualify for discounted open access fees. Please include justification for discount request with your manuscript submission.

Dr. Mandi Pratt-Chapman
Prof. Dr. Jane Ussher
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • scientific censorship
  • terminated grants
  • identity politics and health
  • LGBTQI+ cancer health equity
  • LGBTQI+ cancer survivorship and care

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Published Papers (1 paper)

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Research

21 pages, 482 KB  
Article
Barriers to Care Among LGBT Cancer Survivors: An Analysis of the All of Us Research Program
by Madeline Brown-Savita and Jennifer M. Jabson Tree
Cancers 2026, 18(3), 398; https://doi.org/10.3390/cancers18030398 - 27 Jan 2026
Abstract
Background/Objectives: Lesbian, gay, bisexual, and transgender (LGBT) cancer survivors face disproportionately high structural and psychosocial barriers to post-diagnosis care. However, heterogeneity within this population remains understudied. This study aimed to characterize healthcare utilization (HCU) barriers among LGBT cancer survivors, assess psychosocial vulnerabilities [...] Read more.
Background/Objectives: Lesbian, gay, bisexual, and transgender (LGBT) cancer survivors face disproportionately high structural and psychosocial barriers to post-diagnosis care. However, heterogeneity within this population remains understudied. This study aimed to characterize healthcare utilization (HCU) barriers among LGBT cancer survivors, assess psychosocial vulnerabilities (discrimination, stress, and social support), and identify survivor subgroups at greatest risk for care disengagement. Methods: Data were drawn from the All of Us Research Program. A sample of 3502 LGBT cancer survivors was analyzed, including lesbian (n = 730), gay (n = 1285), bisexual (n = 1296), and transgender/gender expansive (TGE) (n = 209) individuals. HCU barriers were assessed using 21 binary indicators. Psychosocial measures included the Everyday Discrimination Scale, Perceived Stress Scale, and MOS Social Support Survey. Agglomerative hierarchical cluster analysis identified latent HCU barrier profiles. Differences across clusters and identity groups were assessed using ANOVA and chi-square tests, and multinomial logistic regression examined demographics, socioeconomic, and psychosocial predictors of cluster membership. Results: Three distinct HCU barrier clusters were identified: low (59.7%), moderate (27.8%), and high (12.5%). Bisexual and TGE survivors were disproportionately represented in the high-barrier cluster, which was characterized by widespread cost-related nonadherence, structural delays in care, and higher levels of perceived discrimination and stress. In adjusted models, bisexual identity, lower income, female sex assigned at birth, and higher discrimination and perceived stress were independently associated with increased odds of high-barrier cluster membership. Conclusions: Substantial heterogeneity exists in HCU barriers among LGBT cancer survivors. Bisexual and TGE survivors experience a concentrated burden of structural and psychosocial barriers to survivorship care, highlighting the relevance of targeted, data-driven approaches to reduce access inequities within this population. Full article
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