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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.

DOI:10.1016/j.pec.2021.11.017
PMID:34865891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9126994/
Abstract

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.

摘要

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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本文引用的文献

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What Gay and Bisexual Men Treated for Prostate Cancer Want in a Sexual Rehabilitation Program: Results of the Needs Assessment.接受前列腺癌治疗的男同性恋者和双性恋者对性康复计划的需求:需求评估结果
Urol Pract. 2018 May;5(3):192-197. doi: 10.1016/j.urpr.2017.05.001. Epub 2017 Apr 21.
2
Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention Among Men Who Have Sex with Men in Seattle, Washington.移民身份与性取向披露:对华盛顿州西雅图男男性行为人群中 HIV/性病预防的影响。
AIDS Behav. 2020 Oct;24(10):2819-2828. doi: 10.1007/s10461-020-02831-3.
3
Understanding Prostate Cancer in Gay, Bisexual, and Other Men Who Have Sex with Men and Transgender Women: A Review of the Literature.了解男同性恋者、双性恋者及其他与男性发生性关系的男性和跨性别女性中的前列腺癌:文献综述
Curr Sex Health Rep. 2019 Dec;11(4):430-441. doi: 10.1007/s11930-019-00234-7. Epub 2019 Nov 8.
4
Addressing Participant Validity in a Small Internet Health Survey (The Restore Study): Protocol and Recommendations for Survey Response Validation.解决小型互联网健康调查中的参与者有效性问题(恢复研究):调查回复验证的方案与建议
JMIR Res Protoc. 2018 Apr 24;7(4):e96. doi: 10.2196/resprot.7655.
5
Gay men's experiences with prostate cancer: Implications for future research.男同性恋者的前列腺癌经历:对未来研究的启示。
J Health Psychol. 2020 Mar;25(3):298-310. doi: 10.1177/1359105317711491. Epub 2017 Jun 15.
6
A qualitative metasynthesis exploring the impact of prostate cancer and its management on younger, unpartnered and gay men.一项探索前列腺癌及其治疗对年轻、未婚和男同性恋者影响的定性元综合研究。
Eur J Cancer Care (Engl). 2017 Nov;26(6). doi: 10.1111/ecc.12676. Epub 2017 Apr 5.
7
Sexual Orientation Disclosure in Primary Care Settings by Gay, Bisexual, and Other Men Who Have Sex with Men in a Canadian City.在加拿大某城市,男同性恋、双性恋和其他与男性发生性行为的男性在初级保健环境中披露性取向。
LGBT Health. 2017 Feb;4(1):42-54. doi: 10.1089/lgbt.2016.0004. Epub 2016 Dec 20.
8
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Eur J Cancer Care (Engl). 2017 Jan;26(1). doi: 10.1111/ecc.12469. Epub 2016 Feb 26.
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LGBT Health. 2015 Mar;2(1):48-54. doi: 10.1089/lgbt.2013.0050. Epub 2014 Jun 3.