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Title: The impact of sexual orientation on body image, self-esteem, urinary and sexual functions in the experience of prostate cancer.
Authors: Thomas, Christopher
Wootten, Addie
McKenzie, Dean
Other Authors: Robinson, Priscilla
Law, P. C. F.
Keywords: Body Image
Health Orientation
Prostate Cancer
Urinary Functions
Sexual Functions
Quality of Life
Health Evaluation
Psychological Challenges
Epworth Research Institute, Epworth HealthCare, Richmond, Victoria, Australia
Epworth Prostate Centre, Epworth Healthcare, Victoria, Australia
Issue Date: Feb-2018
Publisher: Wiley
Citation: Eur J Cancer Care (Engl). 2018 Feb 20; e12827
Abstract: Prostate cancer (PCa) poses a large health burden globally. Research indicates that men experience a range of psychological challenges associated with PCa including changes to identity, self-esteem and body image. The ways in which sexual orientation plays a role in the experience of PCa, and the subsequent impact on quality of life (QoL), body image and self-esteem have only recently been addressed. By addressing treatment modality, where participant numbers were sufficient, we also sought to explore whether gay (homosexual) men diagnosed with PCa (PCaDx) and with a primary treatment modality of surgery would report differences in body image and self-esteem compared with straight (heterosexual) men with PCaDx with a primary treatment modality of surgery, compared with gay and straight men without PCaDx. The results of our study identified overall differences with respect to PCaDx (related to urinary function, sexual function and health evaluation), and sexual orientation (related to self-esteem), rather than interactions between sexual orientation and PCaDx. Gay men with PCaDx exhibited higher levels of urinary functioning than straight men with PCaDx, the difference being reversed for gay and straight men without PCaDx; but this result narrowly failed to achieve statistical significance, suggesting a need for further research, with larger samples.
DOI: 10.1111/ecc.12827
PubMed URL:
ISSN: 1365-2354
Journal Title: European Journal of Cancer Care
Type: Journal Article
Affiliated Organisations: School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia.
Monash Alfred Psychiatry Research Centre, Monash University Central Clinical School, The Alfred Hospital, Melbourne, Victoria, Australia.
Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Cancer Services
Epworth Prostate Centre

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