Medical Help-Seeking for Sexual Concerns in Prostate Cancer Survivors.
Medical Help-Seeking for Sexual Concerns in Prostate Cancer Survivors.
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DOI：
10.1016/j.esxm.2015.12.004
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发表时间：
2016-03
期刊：
影响因子：
2.6
通讯作者：
Chambers SK
中科院分区：
文献类型：
--
作者：
Hyde MK;Zajdlewicz L;Wootten AC;Nelson CJ;Lowe A;Dunn J;Chambers SK
虽然前列腺癌后性功能障碍很常见，但人们对男性寻求性问题帮助的决定并不了解。描述预测前列腺癌幸存者性功能障碍的实际先前求助和未来预期的医疗求助的因素。一项对510名前列腺癌幸存者的横断面调查评估了男性化的信念、态度、来自伴侣/同伴网络的支持/批准（主观规范）和感知控制作为性问题寻求医疗帮助的预测因素。计划行为理论（TPB）的观点被用来检查实际的先前和计划的未来行为和影响因素。统计学分析包括多重和logistic回归。在接下来的6个月里，使用从癌症后寻求帮助的态度量表改编的意图分量表来测量看医生寻求性建议或帮助的意图。先前的求助是用为研究创建的二分是/否量表来测量的。男性的年龄为法师71.69岁（SD = 7.71）;诊断后7.54年（SD = 4.68）;接受治疗（58.1%根治性乳房切除术; 47.1%放射治疗; 29.4%激素消融）; 81.4%报告重度艾德（II艾德0-6）和18.6%中度-轻度艾德（II艾德7-24）。总体而言，30%的人在过去6个月内寻求过性帮助，24%的人打算在接下来的6个月内寻求帮助。重度ED患者的性求助意愿与受教育程度低、性求助史、性重要性/优先性、情感自立、积极态度和主观规范有关（R2 = 0.56）。TPB可以作为一个理论框架来理解前列腺癌幸存者的性求助决定，并可能为更有效的干预措施的发展提供信息。男性的信念非常突出。情感上更加自力更生、对性更加重视的男性会形成更强的求助意愿。主观规范的贡献最强烈的寻求帮助的意图，这表明卫生专业人员/合作伙伴/同行的支持机制和组成部分的心理性干预措施的关键作用。
Although sexual dysfunction is common after prostate cancer, men's decisions to seek help for sexual concerns are not well understood. Describe predictors of actual prior help-seeking and intended future medical help-seeking for sexual dysfunction in prostate cancer survivors. A cross-sectional survey of 510 prostate cancer survivors assessed masculine beliefs, attitudes, support/approval from partner/peer networks (subjective norm), and perceived control as predictors of medical help-seeking for sexual concerns. A theory of planned behavior (TPB) perspective was used to examine actual prior and planned future behavior and contributing factors. Statistical analyses included multiple and logistic regressions. Intention to see a doctor for sexual advice or help in the next 6 months was measured using the intention subscale adapted from the Attitudes to Seeking Help after Cancer Scale. Prior help-seeking was measured with a dichotomous yes/no scale created for the study. Men were Mage 71.69 years (SD = 7.71); 7.54 years (SD = 4.68) post-diagnosis; received treatment(s) (58.1% radical prostatectomy; 47.1% radiation therapy; 29.4% hormonal ablation); 81.4% reported severe ED (IIED 0–6) and 18.6% moderate–mild ED (IIED 7–24). Overall, 30% had sought sexual help in the past 6 months, and 24% intended to seek help in the following 6 months. Prior help-seeking was less frequent among men with severe ED. Sexual help-seeking intentions were associated with lower education, prior sexual help-seeking, sexual importance/ priority, emotional self-reliance, positive attitude, and subjective norm (R2 = 0.56). The TPB has utility as a theoretical framework to understand prostate cancer survivors' sexual help-seeking decisions and may inform development of more effective interventions. Masculine beliefs were highly salient. Men who were more emotionally self-reliant and attributed greater importance to sex formed stronger help-seeking intentions. Subjective norm contributed most strongly to help-seeking intentions suggesting that health professionals/partners/peers have a key role as support mechanisms and components of psycho-sexual interventions.