Assessment of sexual activity and dysfunction in medically underserved women with gynecologic cancers

Gynecologic Oncology
Andrea BradfordLois Ramondetta

Abstract

Sexual dysfunction is a common long-term side effect of treatments for gynecologic cancer. Studies of sexual problems in gynecologic cancer survivors overrepresent White non-Hispanic, highly educated, and married women. Less is known about the sexual health needs of women in medically underserved populations. We therefore conducted a study to characterize sexual activity and sexual function in this population. We recruited patients attending two gynecologic oncology clinics in a large public healthcare system that primarily serves uninsured and low-income patients. Participants were invited to complete a one-time survey to assess sexual function, sexual communication, sexual distress, relationship adjustment, depression, anxiety, prior help-seeking and help-seeking preferences, and reasons for sexual inactivity. Data were analyzed using descriptive statistics and multivariate models to predict sexual activity status and sexual dysfunction. Among 243 participants, the majority (n=160, 65.8%) were not sexually active in the past 4weeks, most often due to lack of a partner or lack of desire for sex. Just over one-fourth of sexually active participants were identified as likely cases of sexual dysfunction. Greater endorsement of de...Continue Reading

References

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Citations

Sep 9, 2016·Obstetrics and Gynecology·Deborah Coady, Vanessa Kennedy
Dec 12, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jeanne CarterJulia H Rowland
Aug 2, 2019·Current Opinion in Obstetrics & Gynecology·Megan WancuraJulie C-E Hakim
Apr 22, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jennifer Barsky ReeseJennifer A Haythornthwaite
Aug 11, 2021·The Journal of Obstetrics and Gynaecology Research·Poonsuk DandamrongrakVuthinun Achariyapota

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