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Stirling M, Hunter M, Ludwig C, Ristock J, Harrison L, Ross-White A, Nickel N, Schultz A, Banerji V, Mahar A. Mapping gender and sexual minority representation in cancer research: a scoping review protocol. CMAJ Open 2023; 11:E942-E947. [PMID: 37848256 PMCID: PMC10586494 DOI: 10.9778/cmajo.20220225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2023] Open
Abstract
BACKGROUND Addressing the risk of people from gender and sexual minority (GSM) groups experiencing inequities throughout the cancer continuum requires a robust evidence base. In this scoping review, we aim to map the literature on cancer outcomes among adults from GSM groups and the factors that influence them along the cancer continuum. METHODS This mixed-methods scoping review will follow the approach outlined by JBI. We will systematically search electronic databases for literature in collaboration with a health sciences librarian. Two reviewers will screen titles and abstracts to determine eligibility based on inclusion criteria, and then retrieve full text articles for data extraction. Results will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Quantitative data will be qualitized through a narrative interpretation and pooled with qualitative data. We will use meta-aggregation to synthesize findings. This protocol was developed in collaboration with GSM patient and public advisors. We will engage people from GSM groups, community organizations and knowledge users in disseminating results. INTERPRETATION This review will direct future research efforts by expanding the wider body of research examining cancer disparities across the cancer continuum that GSM groups experience, identifying literature gaps and limitations, and highlighting relevant social determinants of health that influence cancer outcomes for adults from GSM groups.
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Affiliation(s)
- Morgan Stirling
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Mikayla Hunter
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Claire Ludwig
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Janice Ristock
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Lyndsay Harrison
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Amanda Ross-White
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Nathan Nickel
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Annette Schultz
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Versha Banerji
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont
| | - Alyson Mahar
- Department of Community Health Sciences (Stirling, Hunter), Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.; The Ottawa Hospital (Ludwig), University of Ottawa, Ottawa, Ont.; Women's and Gender Studies Program (Ristock), University of Manitoba, Winnipeg, Man.; Palliative Care Division (Harrison), Bruyère Research Institute, Ottawa, Ont.; Faculty of Health Sciences (Ross-White), Queen's University, Kingston, Ont.; Manitoba Centre for Health Policy, Department of Community Health Sciences (Nickel), Rady Faculty of Health Sciences, University of Manitoba; College of Nursing (Schultz), Rady Faculty of Health Sciences, University of Manitoba; Internal Medicine (Banerji), Max Rady College of Medicine, University of Manitoba; CancerCare Manitoba (Banerji), Winnipeg, Man.; School of Nursing (Mahar), Queen's University, Kingston, Ont.
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Tokatli MR, Sisti LG, Marziali E, Nachira L, Rossi MF, Amantea C, Moscato U, Malorni W. Hormones and Sex-Specific Medicine in Human Physiopathology. Biomolecules 2022; 12:biom12030413. [PMID: 35327605 PMCID: PMC8946266 DOI: 10.3390/biom12030413] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 03/04/2022] [Indexed: 12/11/2022] Open
Abstract
A prodigious increment of scientific evidence in both preclinical and clinical studies is narrowing a major gap in knowledge regarding sex-specific biological responses observed in numerous branches of clinical practices. Some paradigmatic examples include neurodegenerative and mental disorders, immune-related disorders such as pathogenic infections and autoimmune diseases, oncologic conditions, and cardiovascular morbidities. The male-to-female proportion in a population is expressed as sex ratio and varies eminently with respect to the pathophysiology, natural history, incidence, prevalence, and mortality rates. The factors that determine this scenario incorporate both sex-associated biological differences and gender-dependent sociocultural issues. A broad narrative review focused on the current knowledge about the role of hormone regulation in gender medicine and gender peculiarities across key clinical areas is provided. Sex differences in immune response, cardiovascular diseases, neurological disorders, cancer, and COVID-19 are some of the hints reported. Moreover, gender implications in occupational health and health policy are offered to support the need for more personalized clinical medicine and public health approaches to achieve an ameliorated quality of life of patients and better outcomes in population health.
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Affiliation(s)
| | - Leuconoe Grazia Sisti
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (L.G.S.); (E.M.); (L.N.); (U.M.)
- National Institute for Health, Migration and Poverty, 00153 Rome, Italy
| | - Eleonora Marziali
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (L.G.S.); (E.M.); (L.N.); (U.M.)
| | - Lorenza Nachira
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (L.G.S.); (E.M.); (L.N.); (U.M.)
| | - Maria Francesca Rossi
- Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.F.R.); (C.A.)
| | - Carlotta Amantea
- Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.F.R.); (C.A.)
| | - Umberto Moscato
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (L.G.S.); (E.M.); (L.N.); (U.M.)
- Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.F.R.); (C.A.)
| | - Walter Malorni
- Course in Pharmacy, University of Tor Vergata, 00133 Rome, Italy;
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (L.G.S.); (E.M.); (L.N.); (U.M.)
- Correspondence:
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