Seguin Lorène, Touzani Rajae, Bouhnik Anne-Déborah, Charif Ali Ben, Marino Patricia, Bendiane Marc-Karim, Gonçalves Anthony, Gravis Gwenaelle, Mancini Julien
INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Aix Marseille Univ, 13009 Marseille, France.
Department of Medical Oncology, Institut Paoli-Calmettes, Aix-Marseille Université, Inserm, CNRS, CRCM, 13009 Marseille, France.
Cancers (Basel). 2020 Nov 20;12(11):3453. doi: 10.3390/cancers12113453.
Little is known about cancer survivors' sexual health (SH)-particularly, from well after diagnosis and in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis. We analyzed data from the French national VIe après le CANcer (VICAN) survey. Six items from the Relationship and Sexuality Scale were used to assess SH. Respondents were grouped according to an ascending hierarchical classification in four clusters: strong, moderate, and weak deterioration or stable (WD, SD, MD, or St). Out of 2195 eligible participants, 57.3% reported substantial SH deterioration as either SD (30.8%) or MD (26.5%), while WD and St accounted for 31.2% and 11.5% of respondents, respectively. Substantial deterioration was reported in all cancer sites (from 27.7% in melanoma to 83.1% in prostate). Treatment type, cancer sequelae, and pain, as well as psychological consequences (depression and anxiety, especially for younger patients) were associated with substantial SH deterioration. The same factors were identified after restricting the analysis to survivors of cancers unrelated to sexuality. Five years after diagnosis, the majority of cancer survivors reported SH deterioration. Interventions should be developed to improve SH regardless of cancer site. Particular attention should be paid to depression and anxiety, especially in younger survivors.
关于癌症幸存者的性健康（SH），人们了解甚少——尤其是在诊断后的很长一段时间以及与性无关的癌症方面。本研究旨在评估诊断五年后的性健康恶化情况。我们分析了来自法国全国性的“癌症后第六年”（VICAN）调查的数据。使用关系与性量表中的六个项目来评估性健康。根据升序分层分类，将受访者分为四个组：严重恶化、中度恶化、轻度恶化或稳定（WD、SD、MD或St）。在2195名符合条件的参与者中，57.3%报告性健康有严重恶化，即SD（30.8%）或MD（26.5%），而WD和St分别占受访者的31.2%和11.5%。所有癌症部位均报告有严重恶化（从黑色素瘤的27.7%到前列腺癌的83.1%）。治疗类型、癌症后遗症、疼痛以及心理后果（抑郁和焦虑，尤其是年轻患者）与性健康严重恶化有关。在将分析限制于与性无关的癌症幸存者后，也发现了相同的因素。诊断五年后，大多数癌症幸存者报告性健康恶化。应制定干预措施以改善性健康，无论癌症部位如何。应特别关注抑郁和焦虑，尤其是年轻幸存者。
