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https://hdl.handle.net/2440/129037
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Type: | Journal article |
Title: | Men's sexual help-seeking and care needs after radical prostatectomy or other non-hormonal, active prostate cancer treatments |
Author: | Hyde, M.K. Opozda, M. Laurie, K. Vincent, A.D. Oliffe, J.L. Nelson, C.J. Dunn, J. Chung, E. Gillman, M. Manecksha, R.P. Wittert, G. Chambers, S.K. |
Citation: | Supportive Care in Cancer, 2021; 29(5):2699-2711 |
Publisher: | Springer-Verlag |
Issue Date: | 2021 |
ISSN: | 0941-4355 1433-7339 |
Statement of Responsibility: | Melissa K. Hyde, Melissa Opozda, Kirstyn Laurie, Andrew D. Vincent, John L. Oliffe, Christian J. Nelson ... et al. |
Abstract: | OBJECTIVE: To examine prostate cancer (PCa) survivors' sexual help-seeking intentions, behaviours, and unmet needs. METHODS: In this prospective cohort study, men who underwent active, non-hormonal treatment completed baseline (N = 558) and 6-month follow-up (N = 387) questionnaires. Theory of planned behaviour (TPB) constructs (sexual help-seeking intention, perceived behavioural control (PBC), subjective norm, attitude), masculine values (e.g., sexual importance/priority, emotional self-reliance), sex life and functioning, sexual supportive care needs, distress (anxiety, depression), and sexual help-seeking behaviour were assessed. RESULTS: Most men (M age = 64.6 years; M years post-diagnosis = 4.0) received prostatectomy (93%), reported severe erectile dysfunction (52%), ≥ 1 unmet sexual care need (66%), and sought help from a doctor (baseline 52%, follow-up 42%). Sexual care needs were significantly associated with poorer erectile function, reduced satisfaction with sex-life, valuing sex as important/integral to identity (masculine values), and increased depression (p ≤ 0.001). Sexual help-seeking intentions were significantly associated with valuing sex as important/integral to identity, recent help-seeking, greater confidence/control, perceiving support from important others, and positive attitudes, for sexual help-seeking (p < 0.001). Significant predictors of sexual help-seeking (follow-up) were baseline intentions, recent help-seeking (p < 0.001), and increased anxiety (p < 0.05). CONCLUSIONS: Men's unmet sexual care needs, sexual help-seeking intentions, and behaviour appear driven by the importance/value attributed to sex, distress, positive feelings, support from others, and confidence for help-seeking. Psychosocial providers are well-placed to address men's concerns, yet few sought their assistance. Interventions to improve men's access to effective sexual care are needed, particularly focused on reframing masculine values about the importance of sex and leveraging TPB-based predictors of help-seeking. |
Keywords: | Health service needs Help-seeking behaviour Longitudinal studies Men Prostate cancer Sexuality |
Description: | Published: 26 September 2020 |
Rights: | © Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
DOI: | 10.1007/s00520-020-05775-5 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1098042 |
Published version: | http://dx.doi.org/10.1007/s00520-020-05775-5 |
Appears in Collections: | Aurora harvest 8 Medicine publications |
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