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Do young adults with cancer receive information about treatment-related impact on sex life? Results from a population-based study

Bergström, Charlotta ; Lampic, Claudia ; Roy, Ricky ; Hedman, Christel LU ; Ahlgren, Johan ; Ståhl, Olof LU ; Smedby, Karin E. ; Hellman, Kristina ; Henriksson, Roger and Eriksson, Lars E. , et al. (2023) In Cancer Medicine 12(8). p.9893-9901
Abstract

Background: Sexual dysfunction is common following a cancer diagnosis in young adulthood (18–39 years) and problems related to sex life are ranked among the core concerns in this age group. Yet, few studies have investigated to what extent adults younger than 40, receive information from healthcare providers about the potential impact of cancer and its treatment on their sex life. Methods: A population-based cross-sectional survey study was conducted with 1010 young adults 1.5 years after being diagnosed with cancer (response rate 67%). Patients with breast, cervical, ovarian and testicular cancer, lymphoma, and brain tumors were identified in national quality registries. Sociodemographic and clinical factors associated with receiving... (More)

Background: Sexual dysfunction is common following a cancer diagnosis in young adulthood (18–39 years) and problems related to sex life are ranked among the core concerns in this age group. Yet, few studies have investigated to what extent adults younger than 40, receive information from healthcare providers about the potential impact of cancer and its treatment on their sex life. Methods: A population-based cross-sectional survey study was conducted with 1010 young adults 1.5 years after being diagnosed with cancer (response rate 67%). Patients with breast, cervical, ovarian and testicular cancer, lymphoma, and brain tumors were identified in national quality registries. Sociodemographic and clinical factors associated with receiving information were examined using multivariable binary logistic regression. Results: Men to a higher extent than women reported having received information about potential cancer-related impact on their sex life (68% vs. 54%, p < 0.001). Receipt of information varied across diagnoses; in separate regression models, using lymphoma as reference, both women and men with brain tumors were less likely to receive information (women: OR 0.10, CI = 0.03–0.30; men: OR 0.37, CI = 0.16–0.85). More intensive treatment was associated with higher odds of receiving information in both women (OR 1.89; CI = 1.28–2.79) and men (OR 2.08; CI = 1.09–3.94). None of the sociodemographic factors were associated with receipt of information. Conclusions: To improve sexual health communication to young adults with cancer, we recommend diagnosis-specific routines that clarify when in the disease trajectory to discuss these issues with patients and what to address in these conversations.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
communication, health personnel, neoplasms, sexual dysfunction, young adult
in
Cancer Medicine
volume
12
issue
8
pages
9893 - 9901
publisher
Wiley-Blackwell
external identifiers
  • scopus:85147494273
  • pmid:36748659
ISSN
2045-7634
DOI
10.1002/cam4.5672
language
English
LU publication?
yes
id
8094619a-a43f-4066-b9c2-fc3e7b74a58a
date added to LUP
2023-02-24 12:03:34
date last changed
2024-06-15 03:01:11
@article{8094619a-a43f-4066-b9c2-fc3e7b74a58a,
  abstract     = {{<p>Background: Sexual dysfunction is common following a cancer diagnosis in young adulthood (18–39 years) and problems related to sex life are ranked among the core concerns in this age group. Yet, few studies have investigated to what extent adults younger than 40, receive information from healthcare providers about the potential impact of cancer and its treatment on their sex life. Methods: A population-based cross-sectional survey study was conducted with 1010 young adults 1.5 years after being diagnosed with cancer (response rate 67%). Patients with breast, cervical, ovarian and testicular cancer, lymphoma, and brain tumors were identified in national quality registries. Sociodemographic and clinical factors associated with receiving information were examined using multivariable binary logistic regression. Results: Men to a higher extent than women reported having received information about potential cancer-related impact on their sex life (68% vs. 54%, p &lt; 0.001). Receipt of information varied across diagnoses; in separate regression models, using lymphoma as reference, both women and men with brain tumors were less likely to receive information (women: OR 0.10, CI = 0.03–0.30; men: OR 0.37, CI = 0.16–0.85). More intensive treatment was associated with higher odds of receiving information in both women (OR 1.89; CI = 1.28–2.79) and men (OR 2.08; CI = 1.09–3.94). None of the sociodemographic factors were associated with receipt of information. Conclusions: To improve sexual health communication to young adults with cancer, we recommend diagnosis-specific routines that clarify when in the disease trajectory to discuss these issues with patients and what to address in these conversations.</p>}},
  author       = {{Bergström, Charlotta and Lampic, Claudia and Roy, Ricky and Hedman, Christel and Ahlgren, Johan and Ståhl, Olof and Smedby, Karin E. and Hellman, Kristina and Henriksson, Roger and Eriksson, Lars E. and Wettergren, Lena}},
  issn         = {{2045-7634}},
  keywords     = {{communication; health personnel; neoplasms; sexual dysfunction; young adult}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{9893--9901}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Cancer Medicine}},
  title        = {{Do young adults with cancer receive information about treatment-related impact on sex life? Results from a population-based study}},
  url          = {{http://dx.doi.org/10.1002/cam4.5672}},
  doi          = {{10.1002/cam4.5672}},
  volume       = {{12}},
  year         = {{2023}},
}