Assessing gynecologic and breast cancer survivors' sexual health care needs.

Assessing gynecologic and breast cancer survivors' sexual health care needs.
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DOI:
10.1002/cncr.25832
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发表时间:
2011-06-15
期刊:
影响因子:
6.2
通讯作者:
Lindau, Stacy T.
Lindau, Stacy T.
中科院分区:
医学1区
文献类型:
--
作者:
Hill, Emily K.;Sandbo, Stacey;Abramsohn, Emily;Makelarski, Jennifer;Wroblewski, Kristen;Wenrich, Emily R.;McCoy, Stacy;Temkin, Sarah M.;Yamada, S. Diane;Lindau, Stacy T.

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确定女性癌症幸存者因性问题接受护理的兴趣模式。调查和病历资料收集2008年6月至2009年3月从261名妇科和乳腺癌患者。使用逻辑回归来估计年龄和治疗后的月数对接受性保健的兴趣的影响。参与者的平均年龄为55岁(范围21-88)。只有7%的人最近曾因性问题寻求医疗帮助,但41.6%的人有兴趣接受治疗。超过30%的人回答说,他们可能会去看医生解决性问题,35%的妇女愿意在提供正式计划的情况下与医生联系。与年长女性相比,(65岁以上),年轻妇女(18-47岁)更有可能报告有兴趣接受治疗,以解决性问题(OR 2.94,95% CI 1.14-7.54),看医生解决性问题(OR 4.51,95% CI 1.51-13.43),更愿意联系正式项目(AOR 5.00,95% CI 1.63-15.28)。与目前正在接受治疗的患者相比,最后一次接受治疗超过12个月的女性对接受护理更感兴趣(AOR 2.02,95% CI 1.02-4.01),更愿意被联系(AOR 2.49,95% CI 1.18-5.26)。超过40%的幸存者表示有兴趣接受性健康护理,但很少有人寻求过这种护理。在妇科和乳腺癌患者中,关注性问题的需求尚未得到满足。
To identify patterns of female cancer survivors’ interest in receiving care for sexual concerns. Survey and medical record data were collected June 2008 to March 2009 from 261 gynecologic and breast cancer patients. Logistic regression was used to estimate the effect of age and months since treatment on interest in receiving sexual health care. Participants’ mean age was 55 years (range 21–88). Only 7% had recently sought medical help for sexual issues, yet 41.6% were interested in receiving care. More than 30% responded that they would be likely to see a physician to address sexual matters and 35% of all women were willing to be contacted if a formal program was offered. When compared to older women (>65 years), younger women (18–47 years) were significantly more likely to report interest in receiving care to address sexual issues (OR 2.94, 95% CI 1.14–7.54), to see a physician to address sexual matters (OR 4.51, 95% CI 1.51–13.43) and more willing to be contacted for a formal program (AOR 5.00, 95% CI 1.63–15.28). Compared to those currently in treatment, women who last received treatment more than 12 months prior were significantly more interested in receiving care (AOR 2.02, 95% CI 1.02–4.01) and more willing to be contacted (AOR 2.49, 95% CI 1.18–5.26). More than 40% of survivors expressed interest in receiving sexual health care, but few had ever sought such care. There is an unmet need for attention to sexual concerns among women with gynecologic and breast cancer.
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