The Health Effects of Masculine Self-Esteem Following Treatment for Localized Prostate Cancer Among Gay Men
The Health Effects of Masculine Self-Esteem Following Treatment for Localized Prostate Cancer Among Gay Men
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DOI：
10.1089/lgbt.2015.0090
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发表时间：
2016-02-01
期刊：
影响因子：
4.8
通讯作者：
Clark, Jack A.
中科院分区：
文献类型：
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作者：
Allensworth-Davies, Donald;Talcott, James A.;Clark, Jack A.
目的：为了确定与男性同性恋男性治疗局限性前列腺癌（PCa）后的男性自尊相关的因素，并确定这些patients.Methods的男性自尊，PCa的具体因素，和心理健康因素之间的关联：同性恋PCa幸存者在2010-2011年进行了全国横断面调查。要符合这项研究的条件，男性需要年龄在50岁或以上，居住在美国，自我认同为同性恋，能够阅读，写作和说英语，并且至少在1年前接受过PCa治疗。111名男性返回surveillance.Results：同时调整后，在我们的模型中的因素，男性年龄在50-64岁和男性年龄在65-74岁报告男性自尊得分低于男性年龄在75岁或以上。报告最近严重耻辱的男性也报告了较低的分数。那些报告说对向医生透露自己的性取向感到舒服的男性比那些不舒服的男性报告了更高的男性自尊分数。从SF-12的精神成分得分也呈正相关，男性self-esteem.Conclusion：PCa供应商是在一个位置，以减少耻辱感和促进弹性意识到，他们可能有同性恋患者，创造一个支持性的环境，同性恋患者可以讨论具体的性问题，并参与患者的治疗决策。这些努力不仅有助于减少污名化，而且有助于提高男性自尊，从而极大地影响同性恋患者的康复、生活质量和对后续护理的依从性。
Purpose: To identify factors associated with masculine self-esteem in gay men following treatment for localized prostate cancer (PCa) and to determine the association between masculine self-esteem, PCa-specific factors, and mental health factors in these patients.Methods: A national cross-sectional survey of gay PCa survivors was conducted in 2010-2011. To be eligible for the study, men needed to be age 50 or older, reside in the United States, self-identify as gay, able to read, write, and speak English, and to have been treated for PCa at least 1 year ago. One hundred eleven men returned surveys.Results: After simultaneously adjusting for the factors in our model, men aged 50-64 years and men aged 65-74 years reported lower masculine self-esteem scores than men aged 75 years or older. Lower scores were also reported by men who reported recent severe stigma. Men who reported feeling comfortable revealing their sexual orientation to their doctor reported higher masculine self-esteem scores than men who were not. The mental component score from the SF-12 was also positively correlated with masculine self-esteem.Conclusion: PCa providers are in a position to reduce feelings of stigma and promote resiliency by being aware that they might have gay patients, creating a supportive environment where gay patients can discuss specific sexual concerns, and engaging patients in treatment decisions. These efforts could help not only in reducing stigma but also in increasing masculine self-esteem, thus greatly influencing gay patients' recovery, quality of life, and compliance with follow-up care.