After Breast Cancer: Sexual Functioning of Sexual Minority Survivors
After Breast Cancer: Sexual Functioning of Sexual Minority Survivors
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DOI：
10.1080/00224499.2013.772087
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发表时间：
2014-08-01
影响因子：
3.6
通讯作者：
Potter, Jennifer
中科院分区：
文献类型：
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作者：
Boehmer, Ulrike;Ozonoff, Al;Potter, Jennifer
关于癌症后的性困难的研究忽略了性少数群体妇女(SMW)；例如，女同性恋和双性恋妇女。因此，治疗这些妇女的临床医生处于不利地位，因为他们缺乏关于这一人群中的性问题的信息。这项研究测试了这样一种假设，即患有乳腺癌的SMW的性功能比没有乳腺癌的SMW更差，区分了有伴侣的女性和没有伴侣的女性。采用方便样本募集的方法，我们进行了一项病例对照研究，以比较患有SMW的乳腺癌幸存者，换句话说，病例和对照，即SMW没有癌症的患者。匿名调查数据来自85名完成癌症积极治疗的患者和85名年龄和伴侣状况匹配、没有任何癌症病史的对照组。评价受试者自我报告的性频率和用女性性功能指数测量的性功能。病例和对照组在性功能障碍的风险或总体性功能水平上没有差异；然而，与对照组相比，病例的性频率较低，性欲和达到性高潮的能力得分较低，而疼痛得分较高。结果告知临床医生性少数幸存者的性领域受到癌症的影响。在讨论性问题和治疗方案时，应该确定性取向。
Research on sexual difficulties after cancer has neglected sexual minority women (SMW); for example, lesbian and bisexual women. Clinicians treating these women are therefore at a disadvantage as they lack information about sexual problems in this population. This study tested the hypothesis that SMW with breast cancer have poorer sexual function than SMW without breast cancer, distinguishing partnered from unpartnered women. Using convenience sample recruitment, we conducted a case-control study to compare survivors of breast cancers who are SMW, in other words, cases to controls, that is, SMW without cancer. Anonymous survey data were collected from 85 cases after they had completed active cancer treatment and 85 age- and partner-status matched controls with no history of any cancer. Participants' self-reported sexual frequency and sexual function measured by the Female Sexual Function Index were evaluated. Cases and controls did not differ in risk of sexual dysfunction or the level of overall sexual functioning; however, cases had lower sexual frequency and scored lower on desire and ability to reach orgasm, and higher on pain compared to controls. Results inform clinicians about sexual minority survivors' sexual domains affected by cancer. When discussing sexual problems and therapeutic options, sexual orientation should be ascertained.