title: Breast cancer survivorship: the role of perceived discrimination and sexual orientation.
abstract: Breast cancer disproportionately affects sexual minority women (SMW) compared to heterosexual women and a small but growing literature indicates that SMW may have diminished survivorship outcomes; outcomes that are measurably and importantly different from heterosexual breast cancer survivors. However, it remains unknown how sexual orientation influences breast cancer survivorship outcomes such as quality of life. One possible route of influence is SMW's perceived discrimination in the health care setting. This cross-sectional study examines SMW perceptions of discrimination as one of the multiple facets of the breast cancer survivorship process. This study assessed SMW breast cancer survivor's perceptions of discrimination during their breast cancer treatment experience and secondarily, examined the role of this perceived discrimination on SMW's quality of life. Sixty-eight purposefully sampled sexual minority breast cancer survivors completed assessments of quality of life, perceived discrimination, perceived social support and perceived stress via an online survey. Statistical analyses point to perceived discrimination and perceived social support as important indicators for predicting SMW's quality of life. Future research on SMW's breast cancer survivorship should include measures of perceived discrimination.
authors.affiliation: Department of Community Health Sciences, Boston University School of Public Health, Crosstown Center, 4th floor, Rm 441D, 801 Massachusetts Avenue, Boston, MA 02118, USA. jjabson@bu.edu
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Jabson
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Donatelle
authors.forename: Deborah
authors.initials: D
authors.lastname: Bowen
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000208:ethnology / Q000401:mortality* / Q000523:psychology / Q000534:rehabilitation; D002277:Carcinoma / Q000208:ethnology / Q000401:mortality* / Q000523:psychology / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D010465:Perception / Q000502:physiology*; D011287:Prejudice; D011788:Quality of Life; D012725:Sexual Behavior / Q000502:physiology / Q000523:psychology / Q000706:statistics & numerical data; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology; D015996:Survival Rate; D017741:Survivors / Q000706:statistics & numerical data*