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Queer, Sick, and Poor: Financial Hardship Among LGBTQ+ Cancer Survivors and Caregivers
Queer, Sick, and Poor: Financial Hardship Among LGBTQ+ Cancer Survivors and Caregivers
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103038
- ISBN
- 9798315714828
- DDC
- 614
- 서명/저자
- Queer, Sick, and Poor: Financial Hardship Among LGBTQ+ Cancer Survivors and Caregivers
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 107 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
- 주기사항
- Advisor: Kent, Erin E.
- 학위논문주기
- Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약Significance: Lesbian, gay, bisexual, transgender and other sexual and gender minority (LGBTQ+) populations make up a substantial proportion of the United States (US) population-over 23 million individuals. LGBTQ+ populations throughout the US face identity-related stigma, ranging from interpersonal to structural, that leads to a variety of physical, mental, and economic health disparities. At the same time, the rising costs of cancer care puts over half of cancer survivors at risk of financial hardship and the subsequent outcomes-poor quality of life and reduced access to care. Emerging research suggests that LGBTQ+ cancer survivors and caregivers may experience worse financial hardship in comparison to non-LGBTQ+ counterparts, driven by existing economic inequities and multi-level anti-LGBTQ+ stigma. However, inequity in financial burden has not been estimated using national datasets, nor, has an intersectional lens been taken to interrogate the diversity of the LGBTQ+ population.Innovation: Employing multiple national datasets with sexual orientation and gender identity data (SOGI) data (Aims 1 and 2) as well as an explanatory sequential mixed-methods design with in-depth qualitative interviews (Aim 3) this dissertation provided a novel opportunity to provide national findings among LGBTQ+ cancer survivors paired with in-depth experiences of LGBTQ+ cancer caregivers. Integration of cancer-related financial hardship frameworks and the theory of intersectionality is not only responsive to national calls to center health equity (NOT-HS-21-014), but it also allows, for the first time, comprehensive and robust estimates to be generated for LGBTQ+ cancer survivors of diverse identities.Aims: Aim 1 used multivariable logit regression to estimate inequities in material, behavioral, and psychological financial hardship between LGB (e.g., lesbian, gay, bisexual) and non-LGB cancer survivors in the National Health Interview Survey. Aim 2 employed intersectional analyses to estimate inequity in behavioral financial hardship across identities and ages between LGBTQ+ and non-LGBTQ+ cancer survivors in the All of Us Research Program dataset. Aim 3 used an explanatory sequential mixed-methods design including in-depth qualitative interview building on an existing federally funded parent grant study. Aim 3 analyses described the lived experience of financial burden among LGBTQ+ cancer caregivers as well as provided multi-level LGBTQ+ specific recommendations.Study Impact: This study employs multiple data sources that each provide unique and important context to LGBTQ+ inequities in financial hardship. Affordability is crucial to access to care, thus understanding the between and within LGBTQ+ community variation in financial hardship promotes equity in health services delivery. Overall, the purpose of this study was to estimate inequity, identify modifiable factors, and elicit LGBTQ+ recommendations to improve the provision of cancer health services to LGBTQ+ populations.
- 일반주제명
- Public health
- 일반주제명
- Public policy
- 일반주제명
- LGBTQ studies
- 일반주제명
- Oncology
- 키워드
- Cancer survivors
- 기타저자
- The University of North Carolina at Chapel Hill Health Policy and Management
- 기본자료저록
- Dissertations Abstracts International. 86-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
■007cr#unu||||||||
■020 ▼a9798315714828
■035 ▼a(MiAaPQ)AAI31847096
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aWaters, Austin Richard.
■24510▼aQueer, Sick, and Poor: Financial Hardship Among LGBTQ+ Cancer Survivors and Caregivers
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a107 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: B.
■500 ▼aAdvisor: Kent, Erin E.
■5021 ▼aThesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aSignificance: Lesbian, gay, bisexual, transgender and other sexual and gender minority (LGBTQ+) populations make up a substantial proportion of the United States (US) population-over 23 million individuals. LGBTQ+ populations throughout the US face identity-related stigma, ranging from interpersonal to structural, that leads to a variety of physical, mental, and economic health disparities. At the same time, the rising costs of cancer care puts over half of cancer survivors at risk of financial hardship and the subsequent outcomes-poor quality of life and reduced access to care. Emerging research suggests that LGBTQ+ cancer survivors and caregivers may experience worse financial hardship in comparison to non-LGBTQ+ counterparts, driven by existing economic inequities and multi-level anti-LGBTQ+ stigma. However, inequity in financial burden has not been estimated using national datasets, nor, has an intersectional lens been taken to interrogate the diversity of the LGBTQ+ population.Innovation: Employing multiple national datasets with sexual orientation and gender identity data (SOGI) data (Aims 1 and 2) as well as an explanatory sequential mixed-methods design with in-depth qualitative interviews (Aim 3) this dissertation provided a novel opportunity to provide national findings among LGBTQ+ cancer survivors paired with in-depth experiences of LGBTQ+ cancer caregivers. Integration of cancer-related financial hardship frameworks and the theory of intersectionality is not only responsive to national calls to center health equity (NOT-HS-21-014), but it also allows, for the first time, comprehensive and robust estimates to be generated for LGBTQ+ cancer survivors of diverse identities.Aims: Aim 1 used multivariable logit regression to estimate inequities in material, behavioral, and psychological financial hardship between LGB (e.g., lesbian, gay, bisexual) and non-LGB cancer survivors in the National Health Interview Survey. Aim 2 employed intersectional analyses to estimate inequity in behavioral financial hardship across identities and ages between LGBTQ+ and non-LGBTQ+ cancer survivors in the All of Us Research Program dataset. Aim 3 used an explanatory sequential mixed-methods design including in-depth qualitative interview building on an existing federally funded parent grant study. Aim 3 analyses described the lived experience of financial burden among LGBTQ+ cancer caregivers as well as provided multi-level LGBTQ+ specific recommendations.Study Impact: This study employs multiple data sources that each provide unique and important context to LGBTQ+ inequities in financial hardship. Affordability is crucial to access to care, thus understanding the between and within LGBTQ+ community variation in financial hardship promotes equity in health services delivery. Overall, the purpose of this study was to estimate inequity, identify modifiable factors, and elicit LGBTQ+ recommendations to improve the provision of cancer health services to LGBTQ+ populations.
■590 ▼aSchool code: 0153.
■650 4▼aPublic health
■650 4▼aPublic policy
■650 4▼aLGBTQ studies
■650 4▼aOncology
■653 ▼aCancer caregivers
■653 ▼aCancer survivors
■653 ▼aFinancial hardship
■653 ▼aFinancial toxicity
■690 ▼a0573
■690 ▼a0769
■690 ▼a0630
■690 ▼a0992
■690 ▼a0492
■71020▼aThe University of North Carolina at Chapel Hill▼bHealth Policy and Management.
■7730 ▼tDissertations Abstracts International▼g86-11B.
■790 ▼a0153
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356804▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
