Grant Number:	1R01CA181392-01A1 Interpret this number
Primary Investigator:	Boehmer, Ulrike
Organization:	Boston University Medical Campus
Project Title:	Variations in Needs After Colorectal Cancer Diagnosis
Fiscal Year:	2014

DESCRIPTION (provided by applicant): Survivorship after a diagnosis of colorectal cancer, the third most common cancer in men and women, has many challenges. Research has shown that colorectal cancer survivors have unmet needs and worse physical and mental quality of life compared to individuals without cancer. Medically underserved populations are known risk groups for poor survivorship care, poor quality of survival, and poor quality of life after colorecal cancer. Sexual minority populations are medically underserved, according to a recent Institute of Medicine Report, yet at present their survivorship care and their quality of life after a diagnosis of colorectal cancer is unknown. The proposed study will determine whether disparities linked to sexual orientation exist in colorectal cancer survivors' health care and quality of life. We will obtain a population-based sample of colorectal cancer survivors who differ by sexual orientation, applying our previously tested recruitment method, which uses cancer registry data from geographic areas with an above average density of sexual minority individuals. After collecting survey data on health care and quality of life, from heterosexual and sexual minority survivors, we will test three study hypotheses: 1) Sexual minority survivors will have poorer quality health care compared to heterosexual survivors, even after controlling for disease and non-disease factors. 2) Heterosexual survivors' quality of life will be better than sexual minority survivors' quality of life, even after controlling for disease and non-disease factors and quality health care. And 3) Sexual minority survivors who are at ease with their sexual minority identity will have better quality health care and quality of life than sexual minorty survivors who have difficulty with their identity. This study will be the first to comprehensively examine sexual minority colorectal cancer survivors' health care and quality of life, illuminating the mechanisms that influence health care and quality of life. The findings will consist of modifiable and non-modifiable factors associated with sexual minority and heterosexual colorectal cancer survivors' health care and quality of life. Researchers, health care providers, and policy makers can then intervene to address the modifiable factors identified by this study to facilitate improvement in diverse colorectal cancer survivors' health care and quality of life. Thi research is critically needed to realize the Institute of Medicine's goals of improving survivorshi in this special population.




Recruitment of sexual minority and heterosexual colorectal cancer survivors through US cancer registries.
Authors: Clark M.A. , Behl-Chadha B. , Winter M. , Ozonoff A. , Boehmer U. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2023-02-25 00:00:00.0; , .
EPub date: 2023-02-25 00:00:00.0.
PMID: 36840834
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Sexual minority-specific experiences of colorectal cancer survivors.
Authors: Boehmer U. , Clark M.A. , Winter M. , Berklein F. , Ozonoff A. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2022 Nov; 41(11), p. 884-892.
EPub date: 2022-09-08 00:00:00.0.
PMID: 36074595
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Anxiety and depression in colorectal cancer survivors: Are there differences by sexual orientation?
Authors: Boehmer U. , Ozonoff A. , Winter M. , Berklein F. , Potter J. , Ceballos R.M. , Clark M.A. .
Source: Psycho-oncology, 2022 03; 31(3), p. 521-531.
EPub date: 2021-10-26 00:00:00.0.
PMID: 34672050
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Intersectionality and cancer survivorship: Sexual orientation and racial/ethnic differences in physical and mental health outcomes among female and male cancer survivors.
Authors: Boehmer U. , Jesdale B.M. , Streed C.G. , Agénor M. .
Source: Cancer, 2022-01-15 00:00:00.0; 128(2), p. 284-291.
EPub date: 2021-09-09 00:00:00.0.
PMID: 34499367
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Health-related quality of life among colorectal cancer survivors of diverse sexual orientations.
Authors: Boehmer U. , Ozonoff A. , Winter M. , Berklein F. , Potter J. , Hartshorn K.L. , Ward K.C. , Ceballos R.M. , Clark M.A. .
Source: Cancer, 2021-07-08 00:00:00.0; , .
EPub date: 2021-07-08 00:00:00.0.
PMID: 34237147
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Follow-up surveillance among colorectal cancer survivors of different sexual orientations.
Authors: Boehmer U. , Potter J. , Clark M.A. , Winter M. , Berklein F. , Ceballos R.M. , Hartshorn K. , Ozonoff A. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2021-04-14 00:00:00.0; , .
EPub date: 2021-04-14 00:00:00.0.
PMID: 33851339
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Assessing the relationship between symptoms and health care utilization in colorectal cancer survivors of different sexual orientations.
Authors: Boehmer U. , Potter J. , Clark M.A. , Ozonoff A. , Winter M. , Berklein F. , Ward K.C. , Hartshorn K. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2021-03-19 00:00:00.0; , .
EPub date: 2021-03-19 00:00:00.0.
PMID: 33742243
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Survivors' Perceptions of Quality of Colorectal Cancer Care by Sexual Orientation.
Authors: Boehmer U. , Clark M.A. , Ozonoff A. , Winter M. , Potter J. .
Source: American Journal Of Clinical Oncology, 2020 09; 43(9), p. 660-666.
PMID: 32889837
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Cancer survivors' access to care and quality of life: Do sexual minorities fare worse than heterosexuals?
Authors: Boehmer U. , Gereige J. , Winter M. , Ozonoff A. .
Source: Cancer, 2019-05-20 00:00:00.0; , .
EPub date: 2019-05-20 00:00:00.0.
PMID: 31106409
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Neighborhood Characteristics and Colorectal Cancer Survivors' Quality of Care.
Authors: Boehmer U. , Potter J. , Clark M.A. , Ozonoff A. , Ceballos R.M. , Winter M. , Hartshorn K.L. .
Source: Health Equity, 2019; 3(1), p. 619-627.
EPub date: 2019-12-13 00:00:00.0.
PMID: 31872167
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Dyadic stress of breast cancer survivors and their caregivers: Are there differences by sexual orientation?
Authors: Boehmer U. , Stokes J.E. , Bazzi A.R. , Winter M. , Clark M.A. .
Source: Psycho-oncology, 2018 Oct; 27(10), p. 2389-2397.
EPub date: 2018-07-26 00:00:00.0.
PMID: 29959808
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Experiences and Concerns of Lesbian, Gay, or Bisexual Survivors of Colorectal Cancer.
Authors: Baughman A. , Clark M.A. , Boehmer U. .
Source: Oncology Nursing Forum, 2017-05-01 00:00:00.0; 44(3), p. 350-357.
PMID: 28635972
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Fear of cancer recurrence in survivor and caregiver dyads: differences by sexual orientation and how dyad members influence each other.
Authors: Boehmer U. , Tripodis Y. , Bazzi A.R. , Winter M. , Clark M.A. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2016 Oct; 10(5), p. 802-13.
PMID: 26899851
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Recruitment of breast cancer survivors and their caregivers: implications for dyad research and practice.
Authors: Bazzi A.R. , Clark M.A. , Winter M. , Tripodis Y. , Boehmer U. .
Source: Translational Behavioral Medicine, 2016-05-06 00:00:00.0; , .
EPub date: 2016-05-06 00:00:00.0.
PMID: 27154790
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