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dc.contributor.authorUssher, Jane M
dc.contributor.authorPerz, Janette
dc.contributor.authorKellett, Andrew
dc.contributor.authorChambers, Suzanne
dc.contributor.authorLatini, David
dc.contributor.authorDavis, Ian D
dc.contributor.authorRose, Duncan
dc.contributor.authorDowsett, Gary W
dc.contributor.authorWilliams, Scott
dc.date.accessioned2018-07-27T01:30:30Z
dc.date.available2018-07-27T01:30:30Z
dc.date.issued2016
dc.identifier.issn1743-6095
dc.identifier.doi10.1016/j.jsxm.2015.12.026
dc.identifier.urihttp://hdl.handle.net/10072/142781
dc.description.abstractIntroduction: 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom425
dc.relation.ispartofpageto434
dc.relation.ispartofissue3
dc.relation.ispartofjournalJournal of Sexual Medicine
dc.relation.ispartofvolume13
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.titleHealth-Related Quality of Life, Psychological Distress, and Sexual Changes Following Prostate Cancer: A Comparison of Gay and Bisexual Men With Heterosexual Men
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 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.
gro.hasfulltextFull Text
gro.griffith.authorChambers, Suzanne K.


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