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The Cancer’s Margins Project: Access to Knowledge and Its Mobilization by LGBQ/T Cancer Patients

Author

Listed:
  • Evan T. Taylor

    (Department of Language and Literacy Education, University of British Columbia, Canada)

  • Mary K. Bryson

    (Department of Language and Literacy Education, University of British Columbia, Canada)

  • Lorna Boschman

    (Department of Language and Literacy Education, University of British Columbia, Canada)

  • Tae Hart

    (Department of Psychology, Ryerson University, Canada)

  • Jacqueline Gahagan

    (School of Health and Human Performance, Dalhousie University, Canada)

  • Genevieve Rail

    (Simone de Beauvoir Institute, Concordia University, Canada)

  • Janice Ristock

    (Department of Women’s and Gender Studies, University of Manitoba, Canada)

Abstract

Sexual and/or gender minority populations (LGBQ/T) have particular cancer risks, lower involvement in cancer screening, and experience barriers in communication with healthcare providers. All of these factors increase the probability of health decisions linked with poor outcomes that include higher levels of cancer mortality. Persistent discrimination against, and stigmatization of, LGBQ/T people is reflected in sparse medical curriculum addressing LGBQ/T communities. Marginalization makes LGBQ/T persons particularly reliant on knowledge derived from online networks and mainstream media sources. In what is likely the first nationally-funded and nation-wide study of LGBQ/T experiences of cancer, the Cancer’s Margins project (www.lgbtcancer.ca) conducted face-to-face interviews with 81 sexual and/or gender minority patients diagnosed and treated for breast and/or gynecological cancer in five Canadian provinces and the San Francisco Bay area (US). With specific attention to knowledge access, sharing, and mobilization, our objective was to document and analyze complex intersectional relationships between marginalization, gender and sexuality, and cancer health decision-making and care experiences. Findings indicate that cancer care knowledge in online environments is shaped by cisnormative and heteronormative narratives. Cancer knowledge and support environments need, by contrast, to be designed by taking into account intersectionally diverse models of minority identities and communities.

Suggested Citation

  • Evan T. Taylor & Mary K. Bryson & Lorna Boschman & Tae Hart & Jacqueline Gahagan & Genevieve Rail & Janice Ristock, 2019. "The Cancer’s Margins Project: Access to Knowledge and Its Mobilization by LGBQ/T Cancer Patients," Media and Communication, Cogitatio Press, vol. 7(1), pages 102-113.
  • Handle: RePEc:cog:meanco:v:7:y:2019:i:1:p:102-113
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    References listed on IDEAS

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    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Deborah S. Chung & Sujin Kim, 2008. "Blogging activity among cancer patients and their companions: Uses, gratifications, and predictors of outcomes," Journal of the American Society for Information Science and Technology, Association for Information Science & Technology, vol. 59(2), pages 297-306, January.
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    Cited by:

    1. Leen d’Haenens & Willem Joris, 2019. "Introduction to Communicating on/with Minorities," Media and Communication, Cogitatio Press, vol. 7(1), pages 1-3.

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