Poster Presentation Clinical Oncology Society of Australia Annual Scientific Meeting 2022

Exploring the effects of cancer on the lives of gay and bisexual men (#441)

Colin D Ellis 1
  1. Western Sydney University, Penrith, NSW, Australia

Background: Most of the research involving gay and bisexual men (GBM) and cancer focuses on prostate cancer, and predominately from a biological perspective in response to the adverse effects of treatment on the individual.  Very little is known about the broader impacts of cancer on the individual or support structure.  Aim: The aim of this research was to look at the impact cancer has on the lives of GBM.  Methodology: Participants were recruited via an online survey as part of the Out with Cancer Study.  They were asked to participate in two interviews, the second using a photovoice methodology.  The data was entered into NVivo and coded using a coding framework.  Results: It was identified that there had been an assumption of heterosexuality, and a lack of knowledge of the historical societal background individuals had experienced over the years.  Some participants felt HCP behaviour discouraged disclosure, and in some cases, participants were strategic in when to disclose their identity.  Participants who had experienced the adverse effects of cancer treatments identified issues surrounding urinary and faecal elimination.  Two main themes were identified, the abject body, that focuses on the individual’s experience of losing the control of elimination, and the agentive self that highlighted how individuals managed their situation.  Participants shared their experiences of how they were supported through their cancer journey by partners, biological and chosen family members, friends, colleagues, and others.  Pets were identified as providing significant support to a few participants. Conclusion: GBM experience an uncertainty of disclosing their identity to HCP, fearing a possible negative response.  When disclosing their identity this does not guarantee that they are provided information that is specific to their cancer.  There is lack of understanding surrounding the relational support they have during their cancer journey.