LGBTQ+ inequity in crowdfunding cancer costs: The influence of online reach and LGBTQ+ state policy.

Autor: Waters AR; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.; Cancer Control and Population Sciences, Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah, USA., Easterly CW; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA., Turner C; College of Nursing, University of Utah, Salt Lake City, Utah, USA., Ghazal L; Crowdfunding Cancer Costs (C3) LGBTQ+ Study Advisory Board, Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah, USA.; School of Nursing, University of Rochester, Rochester, New York, USA., Tovar I; College of Nursing, University of Utah, Salt Lake City, Utah, USA., Mulvaney M; Crowdfunding Cancer Costs (C3) LGBTQ+ Study Advisory Board, Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah, USA.; School of Public Health, Indiana University Bloomington, Bloomington, Indiana, USA., Poquadeck M; Crowdfunding Cancer Costs (C3) LGBTQ+ Study Advisory Board, Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah, USA.; Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA., Rains SA; Department of Communication, University of Arizona, Tucson, Arizona, USA., Cloyes KG; School of Nursing, Oregon Health and Science University, Portland, Oregon, USA., Kirchhoff AC; Cancer Control and Population Sciences, Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah, USA.; Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA., Kent EE; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA., Warner EL; Cancer Control and Population Sciences, Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah, USA.; College of Nursing, University of Utah, Salt Lake City, Utah, USA.
Jazyk: angličtina
Zdroj: Cancer medicine [Cancer Med] 2024 Feb; Vol. 13 (3), pp. e6926. Date of Electronic Publication: 2024 Jan 26.
DOI: 10.1002/cam4.6926
Abstrakt: Background: Emerging literature suggests that LGBTQ+ cancer survivors are more likely to experience financial burden than non-LGBTQ+ survivors. However, LGBTQ+ cancer survivors experience with cost-coping behaviors such as crowdfunding is understudied.
Methods: We aimed to assess LGBTQ+ inequity in cancer crowdfunding by combining community-engaged and technology-based methods. Crowdfunding campaigns were web-scraped from GoFundMe and classified as cancer-related and LGBTQ+ or non-LGBTQ+ using term dictionaries. Bivariate analyses and generalized linear models were used to assess differential effects in total goal amount raised by LGBTQ+ status. Stratified models were run by online reach and LGBTQ+ inclusivity of state policy.
Results: A total of N = 188,342 active cancer-related crowdfunding campaigns were web-scraped from GoFundMe in November 2022, of which N = 535 were LGBTQ+ and ranged from 2014 to 2022. In multivariable models of recent campaigns (2019-2022), LGBTQ+ campaigns raised $1608 (95% CI: -2139, -1077) less than non-LGBTQ+ campaigns. LGBTQ+ campaigns with low (26-45 donors), moderate (46-87 donors), and high (88-240 donors) online reach raised on average $1152 (95% CI: -$1589, -$716), $1050 (95% CI: -$1737, -$364), and $2655 (95% CI: -$4312, -$998) less than non-LGBTQ+ campaigns respectively. When stratified by LGBTQ+ inclusivity of state level policy states with anti-LGBTQ+ policy/lacking equitable policy raised on average $1910 (95% CI: -2640, -1182) less than non-LGBTQ+ campaigns from the same states.
Conclusions and Relevance: Our findings revealed LGBTQ+ inequity in cancer-related crowdfunding, suggesting that LGBTQ+ cancer survivors may be less able to address financial burden via crowdfunding in comparison to non-LGBTQ+ cancer survivors-potentially widening existing economic inequities.
(© 2024 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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