1 Faculty of Health and Life Sciences, Oxford Brookes University, Swindon Campus, UK.
Am J Mens Health. 2018 Nov;12(6):2076-2088. doi: 10.1177/1557988318793785. Epub 2018 Aug 16.
Studies suggest that gay and bisexual men are affected by the psychological aspects of prostate cancer treatment differently than that of heterosexual men; however the data have not yet been synthesized. The focus of this meta-synthesis is to explore gay and bisexual men's experiences of prostate cancer posttreatment. Empirical research published in peer reviewed journals between January 1990 and January 2018 were identified in six databases: CINAHL, Cochrane, Medline, PsycINFO, PubMed, and Web of Science. Titles and abstracts were checked by two reviewers. The six studies that met the inclusion criteria were selected and reviewed for quality and the extracted data were then synthesized. The main themes that emerged were sexual impact, physical and psychological difficulties, challenges to intimacy, and support mechanisms. Gay and bisexual men can have specific sexual roles and developing prostate cancer and undergoing treatment may compromise their ability to perform their sexual role. The needs of heterosexual men were perceived to be accommodated more often than that of gay and bisexual men because of engrained heteronormativity in the health-care system. The review suggests that more support groups specifically for gay and bisexual men should be established, while urologists should cater to the sexual and masculine implications of treatment, and not frame problems for gay and bisexual men in heterosexual terms. By failing to address the salient needs and concerns of gay and bisexual men, health-care professionals are reinforcing invisibility and marginalization of gay and bisexual men with prostate cancer.
研究表明，男同性恋者和双性恋男性在接受前列腺癌治疗的心理方面与异性恋男性不同；然而，这些数据尚未综合。本次元分析的重点是探索男同性恋者和双性恋男性在前列腺癌治疗后的体验。从 1990 年 1 月至 2018 年 1 月，在六个数据库（CINAHL、Cochrane、Medline、PsycINFO、PubMed 和 Web of Science）中确定了发表在同行评议期刊上的实证研究。两名评审员检查了标题和摘要。选择了符合纳入标准的六篇研究进行质量评估，然后综合提取的数据。出现的主要主题是性影响、身体和心理困难、亲密关系的挑战以及支持机制。男同性恋者和双性恋男性可能有特定的性角色，患前列腺癌并接受治疗可能会影响他们履行性角色的能力。由于医疗保健系统中根深蒂固的异性恋规范，异性恋男性的需求被认为比男同性恋者和双性恋男性更能得到满足。该综述表明，应该建立更多专门针对男同性恋者和双性恋男性的支持小组，同时泌尿科医生应该满足治疗的性和男性化含义，而不是用异性恋术语来为男同性恋者和双性恋男性框定问题。未能解决男同性恋者和双性恋男性的突出需求和问题，使医疗保健专业人员加强了对前列腺癌男同性恋者和双性恋者的隐形和边缘化。
