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dc.contributor.authorWootten, Addie-
dc.contributor.otherHyde, Melissa-
dc.contributor.otherZajdlewicz, Leah-
dc.contributor.otherNelson, Christian-
dc.contributor.otherLowe, Anthony-
dc.contributor.otherDunn, Jeff-
dc.contributor.otherChambers, Suzanne-
dc.identifier.citationSex Med. 2016 Mar;4(1):e7-e17. Epub 2016 Jan 11.en_US
dc.description.abstractINTRODUCTION: 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.en_US
dc.publisherWiley Online Libraryen_US
dc.subjectEpworth Prostate Centre, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectProstate Canceren_US
dc.subjectCancer Survivorshipen_US
dc.subjectSexual Problemsen_US
dc.subjectProstate Cancer Survivorsen_US
dc.subjectSexual Dysfunctionen_US
dc.subjectErectile Dysfunctionen_US
dc.subjectSexual Help-Seekingen_US
dc.subjectQuality of Lifeen_US
dc.titleMedical help-seeking for sexual concerns in prostate cancer survivors.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleSexual Medicineen_US
dc.description.affiliatesMenzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australiaen_US
dc.description.affiliatesCancer Council Queensland, Brisbane, Queensland, Australiaen_US
dc.description.affiliatesDepartment of Urology, Royal Melbourne Hospital, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesAustralian Prostate Cancer Research, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USAen_US
dc.description.affiliatesProstate Cancer Foundation of Australia, Sydney, NSW, Australiaen_US
dc.description.affiliatesSchool of Social Science, The University of Queensland, Brisbane, Queensland, Australiaen_US
dc.description.affiliatesExercise Medicine Research Institute, Edith Cowan University, Perth, WA, Australiaen_US
dc.description.affiliatesCentre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.en_US
dc.type.studyortrialCross-Sectional Survey-
Appears in Collections:Cancer Services
UroRenal, Vascular

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