Breast cancer and female homosexuality
An integrative literature review
DOI:
https://doi.org/10.15448/1980-8623.2021.2.36109Keywords:
breast neoplasms, women, homosexuality, sexual orientation, literature reviewAbstract
Due to advances in cancer treatments, the survival of breast neoplasms patients has increased significantly, which requires the need to understand its psychosocial aspects. Gender differences and sexual orientation favor the occurrence of inequalities within health services. This study aimed to analyze the national and international scientific production on variables related to the health of lesbian women with breast cancer. The bibliographic survey was conducted from the LILACS, PubMed, CINAHL and PsycINFO databases. Twenty articles published from 2007 to 2017 were selected. The analysis allowed to outline the themes: physical and psychological repercussions of treatment, coping, risks of morbidity and mortality, quality of life, menopause and population-based studies. The literature explores how the disease and treatment have a different impact on the quality of life of lesbian women affected by breast cancer. This knowledge is essential to support care sensitive to the needs of minority segments of the population.
Downloads
References
Aaron D. J., & Hughes, T. L. (2007). Association of childhood sexual abuse with obesity in a community sample of lesbians. Obesity, 15(4), 1023-1028. https://doi.org/10.1038/oby.2007.634
Agénor, M., Peitzmeier, S., Gordon, A. R., Haneuse, S., Potter, J. E., & Austin, S. B. (2015). Sexual orientation identity disparities in awareness and initiation of the human papillomavirus vaccine among U.S. women and girls: a national survey. Annals of Internal Medicine, 163(2), 99-106. https://doi.org/10.7326/M14-2108
Albuquerque, G. A., Garcia, C. L., Alves, M. J. H., Queiroz, C. M. H. T., & Adami, F. (2013). Homossexualidade e o direito à saúde: um desafio para as políticas públicas de saúde no Brasil. Saúde em Debate, 37(98), 516-524. https://doi.org/10.1590/S0103-11042013000300015
Ambrósio, D. C. M., & Santos, M. A. (2011). Vivências de familiares de mulheres com câncer de mama: uma compreensão fenomenológica. Psicologia: Teoria e Pesquisa, 27(4), 475-484. http://dx.doi.org/10.1590/S0102-37722011000400011
Ambrósio, D. C. M., & Santos, M. A. (2015). Apoio social à mulher mastectomizada: um estudo de revisão. Ciência & Saúde Coletiva, 20(3), 851-864. https://doi.org/10.1590/141381232015203.13482014
Ambrósio, D. C. M., & Santos, M. A. (2017). Vivências de famílias de mulheres com câncer de mama: relações e comunicações. In E. R. Adami, & M. R. C. Chemin (Orgs.), O câncer de mama e a bioética: Clínica, cuidado e prevenção (pp. 85-114). Prismas.,
Angahar, L. T. (2017). An overview of breast cancer epidemiology, risk factors, pathophysiology, and cancer risks reduction. MedCrave Online Journal of Biology and Medicine, 1(4), 92-96. https://doi.org/10.15406/mojbm.2017.01.00019
Aquino, E. M. L., Menezes, G. M. S., & Amoedo, M. B. (1992). Gênero e saúde no Brasil: considerações a partir da Pesquisa Nacional por Amostra de Domicílios. Revista de Saúde Pública, 26(3), 195-202. https://doi.org/10.1590/S0034-89101992000300011
Austin, S. B., Pazaris, M. J., Nichols, L. P., Bowen, D., Wei, E. K., & Spiegelman, D. (2013). An examination of sexual orientation group patterns in mammographic and colorectal screening in a cohort of U.S. women. Cancer Causes & Control, 24(3), 539-547. https://doi.org/10.1007/s10552-012-9991-0
Austin, S. B., Pazaris, M. J., Rosner, B., Bowen, D., Rich-Edwards, J., & Spiegelman, D. (2012). Application of the Rosner-Colditz risk prediction model to estimate sexual orientation group disparities in breast cancer risk in a U.S. cohort of premenopausal women. Cancer Epidemiology, Biomarkers & Prevention, 21(12), 2201-2208. https://doi.org/10.1158/1055-9965.EPI-12-0868
Barbosa, R. M., & Facchini, R. (2009). Acesso a cuidados relativos à saúde sexual entre mulheres que fazem sexo com mulheres em São Paulo, Brasil. Cadernos de Saúde Pública, 25(2), S291 S300. https://doi.org/10.1590/S0102-311X2009001400011
Barrera, I., & Spiegel, D. (2014). Review of psychotherapeutic interventions on depression in cancer patients and their impact on disease progression. International Review of Psychiatry, 26(1), 31-43. https://doi.org/10.3109/09540261.2013.864259
Barros, A. F., Uemura, G., & Macedo, J. L. S. (2012). Atraso no diagnóstico e tratamento do câncer de mama e estratégias para a sua redução. FEMINA, 40(1), 31-36.
Bergerot, C. D., Araujo, T. C. C. F., & Tróccoli, B. T. (2014). Assessment of distress among chemotherapy patients: A comparative study of gender. Paidéia (Ribeirão Preto), 24(57), 56-65. http://dx.doi.org/10.1590/1982-43272457201408
Boehmer, U., & Case, P. (2004). Physicians don’t ask, sometimes patients tell: disclosure of sexual orientation among women with breast carcinoma. Cancer, 101(8), 1882-1889. https://doi.org/10.1002/cncr.20563
Boehmer, U., Glickman, M., & Winter, M. (2012). Anxiety and depression in breast cancer survivors of different sexual orientations. Journal of Consulting and Clinical Psychology, 80(3), 382-395. https://doi.org/10.1037/a0027494
Boehmer, U., Ozonoff, A., & Potter, J. (2015). Sexual minority women’s health behaviors and outcomes after breast cancer. LGBT Health, 2(3), 221-227. https://doi.org/10.1089/lgbt.2014.0105
Boehmer, U., Glickman, M., Milton, J., & Winter, M. (2012). Health-related quality of life in breast cancer survivors of different sexual orientations. Quality of Life Research, 21(2), 225-236. https://doi.org/10.1007/s11136-011-9947-y
Boehmer, U., Glickman, M., Winter, M., & Clark, M. A. (2013a). Breast cancer survivors of different sexual orientations: which factors explain survivors’ quality of life and adjustment? Annals of Oncology, 24(6), 1622-1630. https://doi.org/10.1093/annonc/mdt035
Boehmer, U., Glickman, M., Winter, M., & Clark, M. A. (2013b). Long-term breast cancer survivors’ symptoms and morbidity: differences by sexual orientation? Journal of Cancer Survivorship, 7(2), 203-210. https://doi.org/10.1007/s11764-012-0260-8
Boehmer, U., Glickman, M., Winter, M., & Clark, M. A. (2013c). Lesbian and bisexual women’s adjustment after a breast cancer diagnosis. Journal of the American Psychiatric Nurses Association, 19(5), 280-292. https://doi.org/10.1177/1078390313504587
Boehmer, U., Glickman, M., Winter, M., & Clark, M. A. (2014). Coping and benefit finding among long-term breast cancer survivors of different sexual orientations. Women & Therapy, 37(3-4), 222-241. https://doi.org/10.1080/02703149.2014.897548
Boehmer, U., Miao, X., Maxwell, N. I., & Ozonoff, A. (2014). Sexual minority population density and incidence of lung, colorectal and female breast cancer in California. BMJ Open, 4, e004461. https://doi.org/10.1136/bmjopen-2013-004461
Boehmer, U., Mertz, M., Timm, A., Glickman, M., Sullivan, M., & Potter, J. (2011). Overweight and obesity in long-term breast cancer survivors: how does sexual orientation impact BMI? Cancer Investigation, 29(3), 220-228. https://doi.org/10.3109/07357907.2010.550664
Boehmer, U., Ozonoff, A., Timm, A., Winter, M., & Potter, J. (2014). After breast cancer: sexual functioning of sexual minority survivors. The Journal of Sex Research, 51(6), 681-689. https://doi.org/10.1080/00224499.2013.772087
Brandenburg, D. L., Matthews, A. K., Johnson, T. P., & Hughes, T. L. (2007). Breast cancer risk and screening: a comparison of lesbian and heterosexual women. Women & Health, 45(4), 109 130. https://doi.org/10.1300/J013v45n04_06
Burns, J. (2015). While Gay Couples Say ‘I Do’, Health Care Often Says ‘We Don’t’. Managed care (Langhorne, Pa.), 24(8), 30-33.
Instituto Nacional de Câncer José Alencar Gomes da Silva (2020a). Estatísticas de câncer. Ministério da Saúde, Secretaria de Atenção à Saúde. INCA. https://www.inca.gov.br/numeros-de-cancer
Instituto Nacional de Câncer José Alencar Gomes da Silva (2020b). Tipos de câncer: mama. Ministério da Saúde, Secretaria de Atenção à Saúde. https://www.inca.gov.br/tipos-de-cancer/cancer-de-mama
Broome, M. E. (2000). Integrative literature reviews in the development of concepts. In B. L. Rodgers, & K. A. Knafl (Eds.), Concept development in nursing: Foundations, techniques and applications (2nd ed., pp. 231-250). W. B. Saunders.
Caetano, E. A., Panobianco, M. S., & Gradim, C. V. C. (2012). Análise da produção científica nacional sobre a utilização de grupos na reabilitação de mastectomizadas. Revista Eletrônica de Enfermagem, 14(4), 965-973. https://doi.org/10.5216/ree.v14i4.17112
Cesnik, V. M., & Santos, M. A. (2012a). Do the physical discomforts from breast cancer treatments affect the sexuality of women who underwent mastectomy? Revista da Escola de Enfermagem da USP, 46(4), 1001-1008. https://doi.org/10.1590/S0080-62342012000400031
Cesnik, V. M., & Santos, M. A. (2012b). Mastectomia e sexualidade: uma revisão integrativa. Psicologia: Reflexão e Crítica, 25(2), 339-349. https://doi.org/10.1590/S0102-79722012000200016
Cesnik, V. M., Vieira, E. M., Giami, A., Almeida, A. M., Santos, D. B., Santos, M. A. (2013). The sexual life of women with breast cancer: meanings attributed to the diagnosis and its impact on sexuality. Estudos de Psicologia (Campinas), 30(2), 187-197. https://doi.org/10.1590/S0103-166X2013000200005
Clavelle, K., King, D., Bazzi, A. R., Fein-Zachary, V., & Potter, J. (2015). Breast cancer risk in sexual minority women during routine screening at an urban LGBT health center. Women’s Health Issues, 25(4), 341-348. https://doi.org/10.1016/j.whi.2015.03.014
Cochran, S. D., & Mays, V. M. (2012). Risk of breast cancer mortality among women cohabiting with same sex partners: findings from the National Health Interview Survey, 1997-2003. Journal of Women’s Health, 21(5), 528-533. https://doi.org/10.1089/jwh.2011.3134
Colares, V., Franca, C., & Gonzalez, E. (2009). Condutas de saúde entre universitários: diferenças entre gêneros. Cadernos de Saúde Pública, 25(3), 521-528. https://doi.org/10.1590/S0102311X2009000300007
Ferreira, M. L. S. M., & Mamede, M. V. (2003). Representação do corpo na relação consigo mesma após mastectomia. Revista Latino-Americana de Enfermagem, 11(3), 299-304. https://doi.org/10.1590/S010411692003000300006
Fobair, P., O’Hanlan, K., Koopman, C., Classen, C., Dimiceli, S., Drooker, N., Warner, D., Davids, H. R., Loulan, J., Wallsten, D., Goffinet, D., Morrow, G., & Spiegel, D. (2001). Comparison of lesbian and heterosexual women’s response to newly diagnosed breast cancer. Psycho-Oncology, 10(1), 40-51. https://doi.org/10.1002/1099-1611(200101/02)10:1<40::aid-pon480>3.0.co;2-s
Fonseca, S., Lencastre, L., & Guerra, M. (2014). Life satisfaction in women with breast cancer. Paidéia (Ribeirão Preto), 24(59), 295-303. https://doi.org/10.1590/198243272459201403
Fredriksen-Goldsen, K. I., Simoni, J. M., Kim, H. J., Lehavot, K., Walters, K. L., Yang, J., & Hoy-Ellis, C. P. (2014). The health equity promotion model: reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities. American Journal of Orthopsychiatry, 84(6), 653-663. https://doi.org/10.1037/ort0000030
Gonçalves, C. O., Tavares, M. C. G. C. F., Campana, A. N. N. B., Cabello, C., & Shimo, A. K. K. (2012). Instrumentos para avaliar a imagem corporal de mulheres com câncer de mama. Psicologia: Teoria e Prática, 14(2), 43-55.
Hughes T. L., Johnson T. P., Wilsnack S. C., & Szalacha L. A. (2007). Childhood risk factors for alcohol abuse and psychological distress among adult lesbians. Child Abuse & Neglect, 31(7), 769-789. https://doi.org/10.1016/j.chiabu.2006.12.014
Jabson, J. M. & Bowen, D. J. (2014). Perceived stress and sexual orientation among breast cancer survivors. Journal of Homosexuality, 61(6), 889-898. https://doi.org/10.1080/00918369.2014.870814
Jabson, J. M., Donatelle, R. J., & Bowen, D. J. (2011). Relationship between sexual orientation and quality of life in female breast cancer survivors. Journal of Women’s Health, 20(12), 1819-1824. https://doi.org/10.1089/jwh.2011.2921
Junqueira, L. C. U., Vieira, E. M., Giami, A., & Santos, M. A. (2013). Análise da comunicação acerca da sexualidade, estabelecida pelas enfermeiras, com pacientes no contexto assistencial do câncer de mama. Interface: Comunicação, Saúde, Educação, 17(44), 89-101. https://doi.org/10.1590/S1414-32832013000100008
Kates, J., Ranji, U., Beamesderfer, A., Salganicoff, A., & Dawson, L. (2018). Health and access to care and coverage for lesbian, gay, bisexual, and transgender (LGBT) individuals in the U.S. San Francisco, USA: Henry J. Kaiser Family Foundation. https://files.kff.org/attachment/Issue-Brief-Health-and-Access-to-Care-and-Coverage-for-LGBT-Individuals-in-the-US
McElroy, J. A., Wintemberg, J. J., & Williams, A. (2015). Comparison of lesbian and bisexual women to heterosexual women’s screening prevalence for breast, cervical, and colorectal cancer in Missouri. LGBT Health, 2(2), 188-192. https://doi.org/10.1089/lgbt.2014.0119
McNair, R. P. & Bush, R. (2016). Mental health help seeking patterns and associations among Australian same sex attracted women, trans and gender diverse people: a survey-based study. BMC Psychiatry, 16(209), 1-16. https://doi.org/10.1186/s12888-016-0916-4
Mello, A. P. L. (2014). Panorama da saúde de mulheres lésbicas e bissexuais: um olhar a partir do discurso de profissionais de saúde da família. In Atenção integral à saúde de mulheres lésbicas e bissexuais (pp. 19-23). Ministério da Saúde, Secretaria de Políticas para as Mulheres. https://portalarquivos2.saude.gov.br/images/pdf/2015/agosto/31/livreto-atencao-a-saude-de-mulheres-lesbicas-versao-web.pdf
Minayo, M. C. (2008). O desafio do conhecimento: Pesquisa qualitativa em saúde. Hucitec; Abrasco. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The
PRISMA Group. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLOS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed1000097
Moreira, L. M., Ferreira, R. A., & Costa Junior, A. L. (2012). Discussão de protocolo para cuidadores de pacientes com câncer em cuidados paliativos. Paidéia (Ribeirão Preto), 22(53), 383-392. https://doi.org/10.1590/S0103863X2012000300010
Naaman, S., Radwan, K., Fhaergusson, D., & Johnson, S. (2009). Status of psychological trials in breast cancer patients: a report of three meta-analyses. Psychiatry, 72(1), 50-69. https://doi.org/10.1521/psyc.2009.72.1.50
Paul, L. B., Pitagora, D., Brown, B., Tworecke, A., & Rubin, L. (2014). Support needs and resources of sexual minority women with breast cancer. Psychooncology, 23(5), 578-584. https://doi.org/10.1002/pon.3451
Peres, R. S., & Santos, M. A. (2012). Psicossomática psicanalítica: Intersecções entre teoria, pesquisa e clínica. Alínea.
Porter, L. S., Marco, C. A., Schwartz, J. E., Neale, J. M., Shiffman, S., & Stone, A. A. (2000). Gender differences in coping: a comparison of trait and momentary assessments. Journal of Social and Clinical Psychology, 19(4), 480-498. https://doi.org/10.1521/jscp.2000.19.4.480
Santos, D. B., Santos, M. A., & Vieira, E. M. (2014). Sexualidade e câncer de mama: uma revisão sistemática da literatura. Saúde & Sociedade, 23(4), 1342-1355. https://doi.org/10.1590/S010412902014000400018
Santos, D. B., Santos, M. A., Cesnik-Geest, V. M., & Vieira, E. M. (2017). Interrupção e retomada da vida sexual após o câncer de mama. Psicologia: Teoria e Pesquisa, 32(4), e324219. https://doi.org/10.1590/0102.3772e324219
Santos, D. B., Ford, N. J., Santos, M., & Vieira, E. M. (2014). Breast cancer and sexuality: the impacts of breast cancer treatment on the sex lives of women in Brazil. Culture, Health & Sexuality: An International Journal for Research, Intervention and Care, 16(3), 246-257. https://doi.org/10.1080/13691058.2013.867075
Santos, M. A., & Souza, C. (2019). Intervenções grupais para mulheres com câncer de mama: desafios e possibilidades. Psicologia: Teoria e Pesquisa, 35, e35410. https://doi.org/10.1590/0102.3772e35410
Santos, M. A., Prado, M. A. S., Panobianco, M. S., & Almeida, A. M. (2011). Grupo de apoio a mulheres mastectomizadas: Cuidando das dimensões subjetivas do adoecer. Revista da SPAGESP, 12, 27-33.
Santos, M. A., Peres, R. S., Ferreira, S. M. A., Gozzo, T. O., Panobianco, M. S., Almeida, A. M. (2013). A (in)sustentável leveza dos vínculos afetivos: investigando a sexualidade em mulheres que enfrentam o tratamento do câncer de mama. Vínculo: Revista do NESME, 10(1), 1-8.
Silva, G., & Santos, M. A. (2008). “Será que não vai acabar nunca?”: perscrutando o universo do pós-tratamento do câncer de mama. Texto & Contexto - Enfermagem, 17(3), 561-568. https://doi.org/10.1590/S0104-07072008000300018
Silva, G., & Santos, M. A. (2010). Stressors in breast cancer post-treatment: a qualitative approach. Revista Latino-Americana de Enfermagem, 18(4), 688-695. https://doi.org/10.1590/S010411692010000400005
Silva, N. C. B., Franco, M. A. P., & Marques, S. L. (2005). Conhecimento de mulheres sobre câncer de mama e de colo do útero. Paidéia (Ribeirão Preto), 15(32), 409-416. http://dx.doi.org/10.1590/S0103-863X2005000300010
Souza, B. F., Moraes, J. A. M., Inocenti, A., Santos, M. A., Silva, A. E. B. C., & Miasso, A. I. (2014). Women with breast cancer taking chemotherapy: depression symptoms and treatment adherence. Revista Latino-Americana de Enfermagem, 22(5), 866-873. https://doi.org/10.1590/0104-1169.3564.2491
Vidotti, J. F., Scorsolini-Comin, F., & Santos, M. A. (2013). Qualidade de vida em sobreviventes de longo prazo ao câncer de mama: análise da produção científica. Psicologia: Teoria e Prática, 15(3), 49-68.
Vieira, E. M., Santos, D. B., Santos, M. A., & Giami, A. (2014). Experience of sexuality after breast cancer: a qualitative study with women in rehabilitation. Revista Latino-Americana de Enfermagem, 22(3), 408-414. https://doi.org/10.1590/0104-1169.3258.2431
Vieira, E. M., Ford, N. J., Santos, M. A., Junqueira, L. C. U., & Giami, A. (2013). Representations of nurses regarding sexuality of women treated for breast cancer in Brazil. Cadernos de Saúde Pública, 29(10), 2049-2056. https://doi.org/10.1590/0102-311X00158512
Vieira, R. V. A., Sbicigo, J. B., Armiliato, M. J., Castro, E. K., & Figueiras, M. J. (2021). Psychometric properties of the Brazilian version of the Revised Illness Perception Questionnaire for Healthy Women (IPQ-RH). Paidéia (Ribeirão Preto), 31, e3103. https://doi.org/10.1590/1982-4327e3103
Whitehead, J., Shaver, J., & Stephenson, R. (2016). Outness, stigma, and primary health care utilization among rural LGBT populations. Plos One, 11(1), 1-17. https://doi.org/10.1371/journal.pone.0146139
White, J. L., & Boehmer, U. (2012). Long-term breast cancer survivors’ perceptions of support from female partners: an exploratory study. Oncology Nursing Forum, 39(2), 210-217. https://doi.org/10.1188/12.ONF.210-217
Yoshimochi, L. T. B., Santos, M. A., Loyola, E. A. C., Magalhães, P. A. P., & Panobianco, M. S. (2018). The experience of the partners of women with breast cancer. Revista da Escola de Enfermagem da USP, 52, e03366. https://doi.org/10.1590/s1980-220x2017025203366
Zaritsky, E., & Dibble, S. L. (2010). Risk factors for reproductive and breast cancers among older lesbians. Journal of Women’s Health, 19(1), 125-131. https://doi.org/10.1089/jwh.2008.1094
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Psico
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to Psico implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Psico as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.
