Health-Related Quality of Life, Psychological Distress, and Sexual Changes Following Prostate Cancer: A Comparison of Gay and Bisexual Men with Heterosexual Men.
- Publisher:
- ELSEVIER SCI LTD
- Publication Type:
- Journal Article
- Citation:
- J Sex Med, 2016, 13, (3), pp. 425-434
- Issue Date:
- 2016-03
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Field | Value | Language |
---|---|---|
dc.contributor.author | Ussher, JM | |
dc.contributor.author | Perz, J | |
dc.contributor.author | Kellett, A | |
dc.contributor.author |
Chambers, S https://orcid.org/0000-0003-2369-6111 |
|
dc.contributor.author | Latini, D | |
dc.contributor.author | Davis, ID | |
dc.contributor.author | Rose, D | |
dc.contributor.author | Dowsett, GW | |
dc.contributor.author | Williams, S | |
dc.date.accessioned | 2022-08-03T04:54:50Z | |
dc.date.available | 2015-12-18 | |
dc.date.available | 2022-08-03T04:54:50Z | |
dc.date.issued | 2016-03 | |
dc.identifier.citation | J Sex Med, 2016, 13, (3), pp. 425-434 | |
dc.identifier.issn | 1743-6095 | |
dc.identifier.issn | 1743-6109 | |
dc.identifier.uri | http://hdl.handle.net/10453/159556 | |
dc.description.abstract | INTRODUCTION: Decrements in health-related quality of life (HRQOL) and sexual difficulties are a recognized consequence of prostate cancer (PCa) treatment. However little is known about the experience of gay and bisexual (GB) men. AIM: HRQOL and psychosexual predictors of HRQOL were examined in GB and heterosexual men with PCa to inform targeted health information and support. METHOD: One hundred twenty-four GB and 225 heterosexual men with PCa completed a range of validated psychosexual instruments. MAIN OUTCOME MEASURE: Functional Assessment of Cancer Therapy-Prostate (FACT-P) was used to measure HRQOL, with validated psychosexual measures, and demographic and treatment variables used as predictors. RESULTS: GB men were significantly younger (64.25 years) than heterosexual men (71.54 years), less likely to be in an ongoing relationship, and more likely to have casual sexual partners. Compared with age-matched population norms, participants in both groups reported significantly lower sexual functioning and HRQOL, increased psychological distress, disruptions to dyadic sexual communication, and lower masculine self-esteem, sexual confidence, and sexual intimacy. In comparison with heterosexual men, GB men reported significantly lower HRQOL (P = .046), masculine self-esteem (P < .001), and satisfaction with treatment (P = .013); higher psychological distress (P = .005), cancer related distress (P < .001) and ejaculatory concern (P < .001); and higher sexual functioning (P < .001) and sexual confidence (P = .001). In regression analysis, psychological distress, cancer-related distress, masculine self-esteem, and satisfaction with treatment were predictors of HRQOL for GB men (R2Adj = .804); psychological distress and sexual confidence were predictors for heterosexual men (R2Adj = .690). CONCLUSION: These findings confirm differences between GB and heterosexual men in the impact of PCa on HRQOL across a range of domains, suggesting there is a need for GB targeted PCa information and support, to address the concerns of this "hidden population" in PCa care. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | ELSEVIER SCI LTD | |
dc.relation.ispartof | J Sex Med | |
dc.relation.isbasedon | 10.1016/j.jsxm.2015.12.026 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences | |
dc.subject.classification | Obstetrics & Reproductive Medicine | |
dc.subject.mesh | Adaptation, Psychological | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Bisexuality | |
dc.subject.mesh | Health Status | |
dc.subject.mesh | Heterosexuality | |
dc.subject.mesh | Homosexuality | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Prostatectomy | |
dc.subject.mesh | Prostatic Neoplasms | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Self Concept | |
dc.subject.mesh | Sexual Behavior | |
dc.subject.mesh | Sexual Dysfunction, Physiological | |
dc.subject.mesh | Sexual Partners | |
dc.subject.mesh | Stress, Psychological | |
dc.subject.mesh | Survivors | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Prostatic Neoplasms | |
dc.subject.mesh | Prostatectomy | |
dc.subject.mesh | Adaptation, Psychological | |
dc.subject.mesh | Stress, Psychological | |
dc.subject.mesh | Sexual Behavior | |
dc.subject.mesh | Bisexuality | |
dc.subject.mesh | Heterosexuality | |
dc.subject.mesh | Homosexuality | |
dc.subject.mesh | Self Concept | |
dc.subject.mesh | Health Status | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Survivors | |
dc.subject.mesh | Sexual Partners | |
dc.subject.mesh | Male | |
dc.subject.mesh | Sexual Dysfunction, Physiological | |
dc.title | Health-Related Quality of Life, Psychological Distress, and Sexual Changes Following Prostate Cancer: A Comparison of Gay and Bisexual Men with Heterosexual Men. | |
dc.type | Journal Article | |
utslib.citation.volume | 13 | |
utslib.location.activity | Netherlands | |
utslib.for | 11 Medical and Health Sciences | |
utslib.for | 17 Psychology and Cognitive Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | open_access | * |
dc.date.updated | 2022-08-03T04:54:49Z | |
pubs.issue | 3 | |
pubs.publication-status | Published | |
pubs.volume | 13 | |
utslib.citation.issue | 3 |
Abstract:
INTRODUCTION: Decrements in health-related quality of life (HRQOL) and sexual difficulties are a recognized consequence of prostate cancer (PCa) treatment. However little is known about the experience of gay and bisexual (GB) men. AIM: HRQOL and psychosexual predictors of HRQOL were examined in GB and heterosexual men with PCa to inform targeted health information and support. METHOD: One hundred twenty-four GB and 225 heterosexual men with PCa completed a range of validated psychosexual instruments. MAIN OUTCOME MEASURE: Functional Assessment of Cancer Therapy-Prostate (FACT-P) was used to measure HRQOL, with validated psychosexual measures, and demographic and treatment variables used as predictors. RESULTS: GB men were significantly younger (64.25 years) than heterosexual men (71.54 years), less likely to be in an ongoing relationship, and more likely to have casual sexual partners. Compared with age-matched population norms, participants in both groups reported significantly lower sexual functioning and HRQOL, increased psychological distress, disruptions to dyadic sexual communication, and lower masculine self-esteem, sexual confidence, and sexual intimacy. In comparison with heterosexual men, GB men reported significantly lower HRQOL (P = .046), masculine self-esteem (P < .001), and satisfaction with treatment (P = .013); higher psychological distress (P = .005), cancer related distress (P < .001) and ejaculatory concern (P < .001); and higher sexual functioning (P < .001) and sexual confidence (P = .001). In regression analysis, psychological distress, cancer-related distress, masculine self-esteem, and satisfaction with treatment were predictors of HRQOL for GB men (R2Adj = .804); psychological distress and sexual confidence were predictors for heterosexual men (R2Adj = .690). CONCLUSION: These findings confirm differences between GB and heterosexual men in the impact of PCa on HRQOL across a range of domains, suggesting there is a need for GB targeted PCa information and support, to address the concerns of this "hidden population" in PCa care.
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