Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study
Objective This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes. Methods Participants (n = 465, ages 15–39) i...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) Jg. 26; H. 10; S. 1632 - 1639 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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England
Wiley Subscription Services, Inc
01.10.2017
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| ISSN: | 1057-9249, 1099-1611, 1099-1611 |
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| Abstract | Objective
This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.
Methods
Participants (n = 465, ages 15–39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post‐cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post‐diagnosis.
Results
Forty‐nine percent of AYAs reported negative effects on sexual function at 1 year post‐cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44–4.42), currently not raising children (OR, 1.81; 95% CI, 1.06–3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975–0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97–4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.
Conclusions
Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. |
|---|---|
| AbstractList | Objective
This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.
Methods
Participants (n = 465, ages 15–39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post‐cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post‐diagnosis.
Results
Forty‐nine percent of AYAs reported negative effects on sexual function at 1 year post‐cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44–4.42), currently not raising children (OR, 1.81; 95% CI, 1.06–3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975–0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97–4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.
Conclusions
Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes. Participants (n = 465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post-diagnosis. Forty-nine percent of AYAs reported negative effects on sexual function at 1 year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function. Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.OBJECTIVEThis cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.Participants (n = 465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post-diagnosis.METHODSParticipants (n = 465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post-diagnosis.Forty-nine percent of AYAs reported negative effects on sexual function at 1 year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.RESULTSForty-nine percent of AYAs reported negative effects on sexual function at 1 year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd.CONCLUSIONSMany AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. Objective This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes. Methods Participants (n=465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post-diagnosis. Results Forty-nine percent of AYAs reported negative effects on sexual function at 1 year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function. Conclusions Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. |
| Author | Keegan, Theresa H. M. Wu, Xiao‐Cheng Mitchell, Sandra A. Zebrack, Brad Parsons, Helen M. Smith, Ashley Wilder Wettergren, Lena Rubenstein, Mara B. Kent, Erin E. Lynch, Charles F. |
| AuthorAffiliation | The AYA HOPE Study Collaborative Group, National Cancer Institute, Bethesda, MD, USA |
| AuthorAffiliation_xml | – name: The AYA HOPE Study Collaborative Group, National Cancer Institute, Bethesda, MD, USA – name: 6 Division of Hematology and Oncology, UC Davis Comprehensive Cancer Center, CA, USA – name: 7 Epidemiology Program/Louisiana Tumor Registry, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA – name: 2 Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden – name: 1 Outcomes Research Branch, Healthcare Delivery Research Program, National Cancer Institute, Bethesda, MD, USA – name: 4 Department of Epidemiology, University of Iowa, Iowa City, IA, USA – name: 3 University of Michigan, School of Social Work, Ann Arbor, MI, USA – name: 5 Children’s Hospital of Michigan, Detroit, MI, USA – name: 9 The AYA HOPE Study Collaborative Group, National Cancer Institute, Bethesda, MD, USA – name: 8 Department of Epidemiology and Biostatistics, University of Texas Health Sciences Center, San Antonio, TX, USA |
| Author_xml | – sequence: 1 givenname: Lena surname: Wettergren fullname: Wettergren, Lena email: lena.wettergren@ki.se organization: Karolinska Institutet – sequence: 2 givenname: Erin E. surname: Kent fullname: Kent, Erin E. organization: National Cancer Institute – sequence: 3 givenname: Sandra A. surname: Mitchell fullname: Mitchell, Sandra A. organization: National Cancer Institute – sequence: 4 givenname: Brad surname: Zebrack fullname: Zebrack, Brad organization: University of Michigan – sequence: 5 givenname: Charles F. surname: Lynch fullname: Lynch, Charles F. organization: University of Iowa – sequence: 6 givenname: Mara B. surname: Rubenstein fullname: Rubenstein, Mara B. organization: Children's Hospital of Michigan – sequence: 7 givenname: Theresa H. M. surname: Keegan fullname: Keegan, Theresa H. M. organization: UC Davis Comprehensive Cancer Center – sequence: 8 givenname: Xiao‐Cheng surname: Wu fullname: Wu, Xiao‐Cheng organization: Louisiana State University Health Sciences Center – sequence: 9 givenname: Helen M. surname: Parsons fullname: Parsons, Helen M. organization: University of Texas Health Sciences Center – sequence: 10 givenname: Ashley Wilder surname: Smith fullname: Smith, Ashley Wilder organization: National Cancer Institute |
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This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also... This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors... Objective This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also... |
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| SubjectTerms | Adaptation, Psychological Adolescent Adolescents Adult Adults Cancer Cancer Survivors - psychology Cohort analysis Cohort Studies complications Fatigue Fatigue - psychology Female Function Health status Humans Interpersonal Relations Intimacy Logistic Models Male Medical diagnosis Mental health Mental health services Neoplasms - complications Neoplasms - psychology Neoplasms - therapy oncology Perceptions Personal appearance Personal Satisfaction Sexual behavior Sexual Dysfunctions, Psychological - etiology Sexual Dysfunctions, Psychological - psychology sexuality survivors Teenagers Young Adult Young adults |
| Title | Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study |
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