Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study
| Autor: | Wettergren, Lena, Kent, Erin E, Mitchell, Sandra A, Zebrack, Brad, Lynch, Charles F, Rubenstein, Mara B, Keegan, Theresa HM, Wu, Xiao-Cheng, Parsons, Helen M, Smith, Ashley Wilder, AYA HOPE Study Collaborative Group |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male young adults Adolescent complications Clinical Sciences Oncology and Carcinogenesis Personal Satisfaction Cohort Studies Young Adult Cancer Survivors 7.1 Individual care needs Clinical Research Neoplasms Behavioral and Social Science Humans cancer Psychology Interpersonal Relations Oncology & Carcinogenesis Adaptation Fatigue Pediatric Prevention survivors Sexual Dysfunctions AYA HOPE Study Collaborative Group sexuality Logistic Models Good Health and Well Being oncology Psychological Female Management of diseases and conditions |
| Zdroj: | Psycho-oncology, vol 26, iss 10 |
| Popis: | ObjectiveThis cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.MethodsParticipants (n = 465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2years post-diagnosis.ResultsForty-nine percent of AYAs reported negative effects on sexual function at 1year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2years after diagnosis. Those reporting a negative impact at 2years were more likely to be 25years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.ConclusionsMany AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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