Differentiating gender-based reproductive concerns among adolescent and young adult cancer patients: A mixed methods study.
| Autor: | Tan CY; School of Social Policy and Practice, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Francis-Levin N; Division of Metabolism, Endocrinology & Diabetes, University of Michigan, Ann Arbor, Michigan, USA., Stelmak D; School of Medicine, University of Michigan, Ann Arbor, Michigan, USA., Iannarino NT; Department of Language, Culture, and the Arts, University of Michigan-Dearborn, Dearborn, Michigan, USA., Zhang A; School of Social Work, University of Michigan, Ann Arbor, Michigan, USA., Herrel L; Department of Urology, University of Michigan, Ann Arbor, Michigan, USA., Ellman E; Rogel Comprehensive Cancer Center, University of Michigan, Ann Arbor, Michigan, USA., Walling E; Department of Pediatric Hematology/Oncology, University of Michigan, Ann Arbor, Michigan, USA., Moravek MB; Department of Urology, University of Michigan, Ann Arbor, Michigan, USA.; Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.; Division of Reproductive Endocrinology and Infertility, University of Michigan, Ann Arbor, Michigan, USA., Chugh R; Rogel Comprehensive Cancer Center, University of Michigan, Ann Arbor, Michigan, USA., Zebrack B; School of Social Work, University of Michigan, Ann Arbor, Michigan, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of psychosocial oncology [J Psychosoc Oncol] 2024; Vol. 42 (4), pp. 526-542. Date of Electronic Publication: 2024 Jan 02. |
| DOI: | 10.1080/07347332.2023.2291798 |
| Abstrakt: | Introduction: Few studies have examined the distinct reproductive concerns (RC) of men and women in the adolescent and young adult (AYA) cancer patient population. The purpose of this mixed-methods study was to explore and differentiate the RC of AYAs. Methods: Participants completed the Reproductive Concerns After Cancer (RCAC) scale and participated in a semistructured interview. Interviews were deductively coded based on an analytic schema derived from the RCAC. Results: After identifying participants through the electronic health record, 27 younger AYAs, ages 12-25, enrolled in the study. Four inductive themes emerged and differed by gender. These include differential temporality, acceptance, and openness to alternatives, partner influence, and parental/guardian influence. AYA men reported fewer RC ( M = 49.4, SD = 9.6) compared to AYA women ( M = 56.8, SD = 8.4). Conclusions: Oncofertility care providers are advised to account for short- and long-ranging concerns based on AYAs' gender. Future evaluations of patient-reported outcome measures specific to AYA RC are recommended. |
| Databáze: | MEDLINE |
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