The Effects of Prostate Cancer Treatment on Role-In-Sex in Gay and Bisexual Men: Mixed Methods Results from the Restore-1 and Restore-2 Studies.
The Effects of Prostate Cancer Treatment on Role-In-Sex in Gay and Bisexual Men: Mixed Methods Results from the Restore-1 and Restore-2 Studies.
复制标题
前列腺癌治疗对男同性恋和双性恋男性性角色的影响：Restore-1 和 Restore-2 研究的混合方法结果。
DOI：
10.1080/00224499.2022.2128027
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发表时间：
2023
影响因子：
3.6
通讯作者：
Zhang,
中科院分区：
文献类型：
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作者：
Tatum,Alexander;Rosser,BRSimon;Wheldon,ChristopherW;Torres,MariaBeatriz;Bates,AlexJ;Haggart,Ryan;Konety,BadrinathR;Mitteldorf,Darryl;Polter,ElizabethJ;Ross,MichaelW;Talley,KristineMC;West,William;Wright,MorganM;Zhang,
患有前列腺癌的男同性恋和双性恋男性（GBM）在前列腺癌治疗后的性和心理健康结果比异性恋男性更差。新出现的证据表明，GBM可能会改变他们的角色在性的反应治疗效果。本研究的目的是描述前列腺癌治疗对性别角色的影响，估计这种变化的患病率，并确定对生活质量和心理健康的影响。我们对30名性少数前列腺癌患者进行了半结构化访谈。然后，我们招募了401名同性恋和双性恋前列腺癌患者参加一项评估康复效果的研究。定性资料采用描述性主题分析法进行分析。生活质量和心理健康结果的差异采用多变量方差分析进行分析。前列腺癌治疗导致许多患者失去了性角色。当性别角色发生变化时，这种变化主要是从上层到下层。那些目前在性方面处于最高地位的人，在性和心理健康方面的结果明显好于那些处于最低地位的人。临床意义包括需要提供者询问性别角色，以解决性取向的健康结果的差异，并提供文化上适当的照顾性少数患者。
Gay and bisexual men (GBM) with prostate cancer experience worse sexual and mental health outcomes following prostate cancer treatment than heterosexual men. Emerging evidence suggests that GBM may change their role-in-sex in response to treatment effects. The purpose of this study was to describe the impact of prostate cancer treatment on role-in-sex, to estimate the prevalence of such changes, and to determine the impact on quality of life and mental health. We conducted semi-structured interviews with 30 sexual minority prostate cancer patients. Then, we recruited 401 gay and bisexual prostate cancer patients into a study assessing the effects of rehabilitation. Qualitative data were analyzed using descriptive thematic analysis. Differences in quality of life and mental health outcomes were analyzed using multivariate analyses of variance. Prostate cancer treatment resulted in loss of role-in-sex for many patients. When changes in role-in-sex occurred, the shifts were predominantly from tops to bottoms. Those with a current top role-in-sex had significantly better sexual and mental health outcomes than either versatiles or bottoms. Clinical implications include the need for providers to ask about role-in-sex in order to address disparities in health outcomes by sexual orientation and to provide culturally appropriate care to sexual minority patients.