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  • Health-Related Quality of Life, Psychological Distress, and Sexual Changes Following Prostate Cancer: A Comparison of Gay and Bisexual Men With Heterosexual Men

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    Author(s)
    Ussher, Jane M
    Perz, Janette
    Kellett, Andrew
    Chambers, Suzanne
    Latini, David
    Davis, Ian D
    Rose, Duncan
    Dowsett, Gary W
    Williams, Scott
    Griffith University Author(s)
    Chambers, Suzanne K.
    Year published
    2016
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    Abstract
    Introduction: Decrements in health-related quality of life (HRQOL) and sexual difficulties are a recognized consequence of prostate cancer (PCa) treatment. However little is known about the experience of gay and bisexual (GB) men. Aim: HRQOL and psychosexual predictors of HRQOL were examined in GB and heterosexual men with PCa to inform targeted health information and support. Method: One hundred twenty-four GB and 225 heterosexual men with PCa completed a range of validated psychosexual instruments. Main outcome measure: Functional Assessment of Cancer Therapy e Prostate (FACT-P) was used to measure HRQOL, with validated ...
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    Introduction: Decrements in health-related quality of life (HRQOL) and sexual difficulties are a recognized consequence of prostate cancer (PCa) treatment. However little is known about the experience of gay and bisexual (GB) men. Aim: HRQOL and psychosexual predictors of HRQOL were examined in GB and heterosexual men with PCa to inform targeted health information and support. Method: One hundred twenty-four GB and 225 heterosexual men with PCa completed a range of validated psychosexual instruments. Main outcome measure: Functional Assessment of Cancer Therapy e Prostate (FACT-P) was used to measure HRQOL, with validated psychosexual measures, and demographic and treatment variables used as predictors. Results: GB men were significantly younger (64.25 years) than heterosexual men (71.54 years), less likely to be in an ongoing relationship, and more likely to have casual sexual partners. Compared with age-matched population norms, participants in both groups reported significantly lower sexual functioning and HRQOL, increased psychological distress, disruptions to dyadic sexual communication, and lower masculine self-esteem, sexual confi- dence, and sexual intimacy. In comparison with heterosexual men, GB men reported significantly lower HRQOL (P ¼ .046), masculine self-esteem (P < .001), and satisfaction with treatment (P ¼ .013); higher psychological distress (P ¼ .005), cancer related distress (P < .001) and ejaculatory concern (P < .001); and higher sexual functioning (P < .001) and sexual confidence (P ¼ .001). In regression analysis, psychological distress, cancerrelated distress, masculine self-esteem, and satisfaction with treatment were predictors of HRQOL for GB men (R2 Adj ¼ .804); psychological distress and sexual confidence were predictors for heterosexual men (R2 Adj ¼ .690). Conclusion: These findings confirm differences between GB and heterosexual men in the impact of PCa on HRQOL across a range of domains, suggesting there is a need for GB targeted PCa information and support, to address the concerns of this “hidden population” in PCa care.
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    Journal Title
    Journal of Sexual Medicine
    Volume
    13
    Issue
    3
    DOI
    https://doi.org/10.1016/j.jsxm.2015.12.026
    Copyright Statement
    © 2016, The Authors. Published by Elsevier Inc. on behalf of the International Society forSexualMedicine.This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Biomedical and clinical sciences
    Psychology
    Publication URI
    http://hdl.handle.net/10072/142781
    Collection
    • Journal articles

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