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Title: Medical help-seeking for sexual concerns in prostate cancer survivors.
Epworth Authors: Wootten, Addie
Other Authors: Hyde, Melissa
Zajdlewicz, Leah
Nelson, Christian
Lowe, Anthony
Dunn, Jeff
Chambers, Suzanne
Keywords: Epworth Prostate Centre, Epworth HealthCare, Victoria, Australia
Prostate Cancer
Cancer Survivorship
Sexual Problems
Prostate Cancer Survivors
Sexual Dysfunction
Erectile Dysfunction
Sexual Help-Seeking
Quality of Life
Issue Date: Mar-2016
Publisher: Wiley Online Library
Citation: Sex Med. 2016 Mar;4(1):e7-e17. Epub 2016 Jan 11.
Abstract: INTRODUCTION: Although sexual dysfunction is common after prostate cancer, men's decisions to seek help for sexual concerns are not well understood. AIM: Describe predictors of actual prior help-seeking and intended future medical help-seeking for sexual dysfunction in prostate cancer survivors. METHODS: 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. MAIN OUTCOME MEASURES: 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. RESULTS: 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 (R(2) = 0.56). CONCLUSION: 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.
DOI: 10.1016/j.esxm.2015.12.004
PubMed URL:
ISSN: 2050-1161
Journal Title: Sexual Medicine
Type: Journal Article
Affiliated Organisations: Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
Cancer Council Queensland, Brisbane, Queensland, Australia
Department of Urology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
Australian Prostate Cancer Research, Melbourne, Victoria, Australia
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
Prostate Cancer Foundation of Australia, Sydney, NSW, Australia
School of Social Science, The University of Queensland, Brisbane, Queensland, Australia
Exercise Medicine Research Institute, Edith Cowan University, Perth, WA, Australia
Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.
Type of Clinical Study or Trial: Cross-Sectional Survey
Appears in Collections:Cancer Services
UroRenal, Vascular

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