Arthur Elizabeth K, Bissram Jennifer, Rechenberg Kaitlyn, Wills Annie, Campanelli Katie, Menon Usha, Nolan Timiya S
The Ohio State University James Comprehensive Cancer Center, Columbus, Ohio, USA.
University of North Carolina, Chapel Hill, North Carolina, USA.
Psychooncology. 2022 Oct;31(10):1637-1650. doi: 10.1002/pon.6005. Epub 2022 Aug 18.
Cancer diagnosis and treatment can significantly affect women's sexual health and intimacy, leading to diminished quality of life in survivorship. The perspectives and experiences of women of color (WOC) with cancer are critical to inform comprehensive, inclusive sexual wellbeing care in survivorship. The purpose of this systematic review is to summarize contemporary literature describing sexual wellbeing experiences of WOC treated for cancer.
A comprehensive search of CINAHL, PubMed, Embase and PsycInfo and Scopus identified studies that addressed sex and intimacy of U.S. WOC treated for cancer published in the last 15 years. The authors identified emergent themes from the literature through thematic content analysis.
Eighteen studies (10 qualitative, 8 quantitative) met the inclusion criteria, all with breast or gynecologic cancer samples. Studies include African American (13), Asian American (3), and Latina (10) women, as well as Non-Hispanic Whites and 'other' race/ethnicity women. Overarching themes identified were: 1) impacts of treatment on sexual health and body image, 2) process of accepting and overcoming, 3) value of an engaged and supportive partner, and 4) current clinical practice and barriers to sexual health care.
WOC experience changes in sex and intimacy after cancer treatment, and experiences of sexual function, sexual communication, and sexual healthcare are often shaped by sociocultural experiences. An understanding of WOC's sexual health and intimacy after cancer treatment can inform inclusive, culturally responsive sexual health interventions.
癌症的诊断和治疗会对女性的性健康和亲密关系产生重大影响，导致生存期间生活质量下降。有色人种女性（WOC）患癌症后的观点和经历对于为生存期间全面、包容的性健康护理提供信息至关重要。本系统综述的目的是总结描述接受癌症治疗的WOC性健康经历的当代文献。
对CINAHL、PubMed、Embase、PsycInfo和Scopus进行全面检索，以确定过去15年发表的关于接受癌症治疗的美国WOC的性与亲密关系的研究。作者通过主题内容分析从文献中确定了新出现的主题。
18项研究（10项定性研究，8项定量研究）符合纳入标准，所有研究样本均为乳腺癌或妇科癌症。研究对象包括非裔美国女性（13名）、亚裔美国女性（3名）、拉丁裔女性（10名），以及非西班牙裔白人女性和“其他”种族/族裔女性。确定的总体主题为：1）治疗对性健康和身体形象的影响；2）接受和克服的过程；3）有参与感且给予支持的伴侣的价值；4）当前的临床实践及性健康护理的障碍。
WOC在癌症治疗后性与亲密关系会发生变化，性功能、性沟通和性健康护理的经历往往受社会文化经历的影响。了解WOC癌症治疗后的性健康和亲密关系可为包容性的、具有文化响应性的性健康干预提供信息。
