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. 2020 Jun;37(6):418-423.
doi: 10.1177/1049909119879129. Epub 2019 Oct 10.

Querying Patients With Cancer About Sexual Health and Sexual and Gender Minority Status: A Qualitative Study of Health-Care Providers

Elizabeth Cathcart-Rake  1 , Jennifer M O'Connor  1 , Jennifer L Ridgeway  2 , Carmen Radecki Breitkopf  3   4 , Lois J Mc Guire  5 , Eric A Olson  1 , Judith S Kaur  6 , Konstantinos Leventakos  1 , Aminah Jatoi  1
Affiliations

Querying Patients With Cancer About Sexual Health and Sexual and Gender Minority Status: A Qualitative Study of Health-Care Providers

Elizabeth Cathcart-Rake et al. Am J Hosp Palliat Care. 2020 Jun.

Abstract

Background: Although national organizations advocate that health-care providers ask patients about sexual health and sexual and gender minority status-to learn, for example, about side effects of treatment and to understand patients' social support-these conversations often do not occur. This study explored health-care providers' reasons for having/not having these conversations.

Methods: This single-institution study recruited health-care providers from medical oncology, hematology, radiation oncology, and gynecology. Face-to-face interviews were recorded, transcribed, and analyzed qualitatively.

Results: Three main themes emerged: (1) patient-centric reasons for discussing/not discussing sexual health and sexual and gender minority status ("So I think just the holistic viewpoint is important"); (2) health-care provider-centric reasons for discussing/not discussing these issues ("That's going to take more time to talk about and to deal with…" or "I was raised orthodox, so this is not something we talk about…"; and (3) reasons that appeared to straddle both of the above themes (eg, acknowledgment of the sometimes taboo nature of these topics).

Conclusion: Although many health-care providers favor talking with patients with cancer about sexual health and sexual and gender minority status, limited time, personal reluctance, and the taboo nature of these topics appear at times to hamper the initiation of these conversations.

Keywords: cancer; gender; health-care provider; qualitative; sexual health; side effects.

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References

    1. https://www.who.int/topics/sexual_health/en/; last accessed July 17, 2019
    1. Carter J, Lacchetti C, Andersen BL, et al. Interventions to Address Sexual Problems in People with Cancer: American Society of Clinical Oncology Clinical practice Guideline daptation of Cancer Care Ontario Guideline. 2017
    1. Zhou et al. The primary health care physician and the cancer patient: Tips and strategies for managing sexual health. Transl Androl Urol 4: 218–231, 2015. - PMC - PubMed
    1. Hendren SK, O’Connor BI, Liu M, et al. Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer. Ann Surg 242: 212–223, 2005. - PMC - PubMed
    1. Sport NJ, Smith KB, Piri WF et al. Sexual health communication between cancer survivors and providers: how frequently does it occur and which providers are preferred? Psychooncology. 2015. September;24(9): 1167–73. - PubMed