前列腺癌披露与性取向：将向医疗保健提供者的公开程度理解为情境性或一致性现象。
Prostate cancer disclosure and sexual orientation: Understanding outness to healthcare providers as a situational or consistent phenomenon.
机构信息
Department of Family Medicine & Community Health, Medical School, University of Minnesota, 516 Delaware St SE, Minneapolis, MN 55455, USA.
Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, 1300S. 2nd St., Minneapolis, MN 55454, USA.
出版信息
Patient Educ Couns. 2022 Jul;105(7):2033-2037. doi: 10.1016/j.pec.2021.11.017. Epub 2021 Nov 24.
OBJECTIVE
In this study, we investigated if outness is more a situational or a consistent characteristic in gay, bisexual, and other men who have sex with men (GBM) treated for prostate cancer and how the disclosure of sexual orientation impacts provider discussions of sexual side effects.
METHODS
Data came from Restore, an online cross-sectional survey of 193 GBM prostate cancer survivors living in North America and were analyzed using various statistical models.
RESULTS
Disclosure of sexual orientation and of living with prostate cancer were not significantly correlated. Participants who were out regarding sexual orientation were more likely to report that their surgeons and urologists discussed the sexual side effects of treatment.
CONCLUSION
Outness appears to be a situational phenomenon. GBM prostate cancer survivors who were out regarding sexual orientation received more discussion surrounding sexual side effects of prostate cancer treatment from their providers.
PRACTICE IMPLICATIONS
It is important for healthcare providers to inquire about patient's sexual orientation to provide holistic care to these patients to address health disparities within this group.
目的
本研究旨在探讨男同性恋、双性恋和其他男男性行为者（GBM）在接受前列腺癌治疗时，公开性取向是一种情境特征还是一种稳定特征，以及性取向的披露如何影响提供者对性副作用的讨论。
方法
数据来自于 Restore，这是一项针对居住在北美的 193 名前列腺癌幸存者的在线横断面调查，使用了各种统计模型进行分析。
结果
性取向的披露和与前列腺癌一起生活的披露并没有显著相关。公开性取向的参与者更有可能报告他们的外科医生和泌尿科医生讨论了治疗的性副作用。
结论
公开性取向似乎是一种情境现象。公开性取向的前列腺癌幸存者从他们的提供者那里获得了更多关于前列腺癌治疗的性副作用的讨论。
实践意义
医疗保健提供者询问患者的性取向对于为这些患者提供全面的护理以解决该群体中的健康差距非常重要。
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