Faculty of Kinesiology, University of Calgary, Calgary, Canada.
Division of Physical Medicine and Rehabilitation, University of Calgary, Calgary, Canada.
J Cancer Surviv. 2022 Apr;16(2):421-431. doi: 10.1007/s11764-021-01037-3. Epub 2021 Apr 9.
Prostate cancer can result in a shift in the way men perceive their masculinity. Despite the interest in exercise as a treatment strategy to address masculinity concerns, there is insufficient information about how perceptions may differ in active and inactive men. The aim of this study was to explore how exercise might influence self-perceptions of masculinity in men across the exercise continuum (from active to inactive) and in men receiving different forms of treatment for their prostate cancer, including androgen deprivation therapy.
Individual, semi-structured interviews were conducted with 15 men. Ten men met aerobic and/or resistance guidelines and were considered active, while five men, considered inactive, reached neither guideline. This study used a grounded theory approach to data analysis, examining masculinity issues in active men and compared them to inactive men.
Redefining masculinity emerged as an overarching theme. Subthemes were the various coping strategies men used to redefining masculinity and directly related to their exercise habits. Coping subthemes included re-establishing control, tapping into competition, remaining socially connected, rationalization, and acceptance.
In the active men, dominant coping strategies achieved from exercise included control through active participation, acceptance, competition, and leadership. In inactive men, control was observed with knowledge-seeking behaviors, rationalization, and acceptance.
A tailored approach to exercise counseling based upon specific masculine traits and motivations could lead to improved exercise engagement.
前列腺癌可能导致男性对自身男性气质的认知发生转变。尽管人们对运动作为一种治疗策略来解决男性气质问题很感兴趣，但对于活跃男性和不活跃男性的认知差异，相关信息还不够充分。本研究旨在探讨运动如何影响处于运动连续体（从活跃到不活跃）中的男性以及接受不同形式前列腺癌治疗（包括雄激素剥夺疗法）的男性对自身男性气质的自我认知。
对 15 名男性进行了个体半结构化访谈。10 名男性符合有氧运动和/或抗阻运动指南，被认为是活跃的，而 5 名男性既不符合有氧运动也不符合抗阻运动指南，被认为是不活跃的。本研究采用扎根理论方法进行数据分析，研究了活跃男性的男性气质问题，并将其与不活跃男性进行了比较。
重新定义男性气质是一个总体主题。子主题是男性用来重新定义男性气质的各种应对策略，这些策略与他们的运动习惯直接相关。应对策略包括重新建立控制感、利用竞争、保持社交联系、合理化和接受。
在活跃男性中，通过积极参与、接受、竞争和领导获得的主导应对策略包括通过运动来控制。在不活跃的男性中，通过寻求知识、合理化和接受来控制。
基于特定的男性气质特征和动机，对运动咨询进行个性化方法可能会提高运动参与度。
