Page 33 - BEQ Magazine Iss 20 Fall 2021 WebRev09272021
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14   Social Networks & Support



             SOCIAL NETWORKS & SUPPORT
                             study we have in the United States showed us that   better care, but [they] still don’t want the journey to
             >>  Social support and networks are a vital resource for navigating cancer survivorship. For many in
                                                                        be as rough or as long to get there.”
                             there’s one thing that’s more important for your
             the LGBTQI+ community, their primary support team includes their chosen family, which may or may
             not include biological relatives. Few LGBTQI+ survivors have participated in support groups, with many
                                                                           Eighty-nine percent of respondents described
                             long-term  health  than  anything  else.  What  is  that
             describing difficulties finding welcoming spaces for their intersectional identities, including their
                             one  thing?  It’s  our  relationships,”  said  National   their cancer treatment experience as welcoming and
             cancer diagnosis.
                             LGBT Cancer Network Executive Director Scout,   most said their primary care providers and nurses
                             Ph.D. (who goes by one name).              offered culturally competent care. But welcoming
             # OF PEOPLE AWARE OF LGBTQI+ IDENTITY  # OF CLOSE FRIENDS
                               If social support and relationships are proven to   care was not always easy to find. Eighty-eight per-
             In general, how many people in your life know you are   How many people in your life would you describe as close
             LGBTQI+?                               friends (friends you speak with at least once a week)?
                             be crucial to surviving cancer, then how does that   cent of respondents said they witnessed no environ-
                                                        33%      45%      12%
             all or most     translate for LGBTQI+ individuals, who are histori-  mental indication of welcoming care at treatment
                                     85%
             people
                             cally marginalized in healthcare?   two or less   three to six   seven or more
                                                                        centers,  making  it  difficult  for  survivors  to  inten-
             half or less  15%                         close friends  close friends  close friends
                               The survey showed that                                       tionally seek treatment
                             LGBTQ people often have                                        from welcoming providers.
             SEEN AS LGBTQI+ IN PUBLIC
                             alternative social support
             In general, how often do people identify you as LGBTQI+ or                     Many said they relied
             not LGBTQI+ in public?  structures, choosing to rely                           on referrals from other
                             on friends, chosen family                                      LGBTQI+ survivors or vis-
             mostly LGBTQI+  40%
                             and tribes than on legal                                       ited  multiple  providers in
             neither         45%
                             spouses or biological family                                   order to receive culturally
             mostly NOT   15%
             LGBTQI+         members. Asked about their                                     competent care, causing
                             primary support people,                                        delays in care during a
                             64%  of  respondents  said
             FEELINGS OF SAFETY WITH DISCLOSURE                                             critical period.
             TO OTHERS
                             friends, 59% said current                                        “This  survey  has  some
             Aside from healthcare professionals, how safe or unsafe do
             you feel disclosing your LGBTQI+ identity to people in your life?
                             partners, 38% said siblings,                                   really  positive  news,
                             29% said parents and 15%               “                       for  example,  that  many
                             said former partners.        My Tribe, to this day,            people can get to welcom-
                               “Your emergency contact   are my rock. My family,            ing  cancer  care,”  Scout
                   85%       isn’t necessarily the person   not at all. But having the      said.  “It  also  has  some
                                          *
                                  8%
                                           7%
                     safe    who supports you every      Tribe with me made all             very clear areas where
                                          unsafe
                                  neither
                             single  day,”  said  Dr.  Don                                  the health care industry
                                                             the difference in
                                       *
                             Dizon of Brown University,                                     needs to listen and act, for
                                        5%   cis male
                                        8%   cis female
                             a medical oncologist who     the world. I owe each             example  how  frequently
                                        14% gender
                                                 expansive
                             is gay himself. “We need to    of them so much.                [LGBTQI]  people  want
                             help clinicians understand                                     tailored resources and how
                             the concept of tribe and                                       often we can’t find any.”
                             get away from the idea that your spouse is the only   Finding inclusive support has been slightly easier
                             person you will talk to.”                  during the pandemic, thanks to relaxed telehealth
                               One of the greatest challenges for LGBTI+ indi-  guidelines. This opens the door to more marginalized
                             viduals  is  identifying  healthcare  providers  that   people being able to find inclusive and specialized
                             are welcoming and inclusive, the study revealed.   care. Efforts to retain those resources are underway,
                             Considering the recent climate in the United States   including  the  proposed  TREAT  act  (S.168/H.R.708)
                             toward the LGBTQI+ community, outing oneself as   that asks for a temporary continuation allowing
                             part of a gender or sexual minority can be an added   virtual care from any state without penalizing the
                             stressor on top of a cancer diagnosis.     provider.
                               Scout  said the research team was pleasantly   The survey also revealed a gap in information.
                             surprised to find that “many people were accessing   STORY CONTINUES ON PAGE 42
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