Chinese Women’s Sexuality Concerns After Gynecologic Cancer

Zeng, Yingchun; Li, Qiuping; Li, Xuefen; Loke, Alice Yuen

doi:10.1097/ncc.0b013e31822f65e9

Cited by 32 publications

(43 citation statements)

References 26 publications

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“…For example, a research survey conducted in China has shown that the rate of sexual inactivity was relatively high (70.5%) in this population. Reasons for sexual inactivity were related to worry about possibly weakening the potency of treatment, fear of cancer recurrence, and lack of sexual interest 6. Similar concerns of sexuality after gynecologic cancers for women were observed in qualitative studies in Taiwan5 and Hong Kong 7.…”

Section: Introductionmentioning

confidence: 55%

Sexual satisfaction and sexual function in women with gynecologic cancer: validation of the Sexual Satisfaction Scale for Women in Taiwan

Lee

Lin

et al. 2019

Int J Gynecol Cancer

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ObjectiveTo date, there are few validated multidimensional measures of sexual satisfaction that have been translated and empirically validated among Chinese speaking women with gynecologic cancer. The study was undertaken to validate the Sexual Satisfaction Scale for Women and to examine sexual satisfaction and sexual functioning in a sample of women with gynecologic cancer.MethodsA cross-sectional survey was conducted in 209 women, of which 106 had gynecologic cancer and 103 were in the non-cancer group with no history of cancer. Self-evaluations included the Female Sexual Function Index and Sexual Satisfaction Scale for Women Traditional Chinese version. Analyses for internal consistency, test–retest reliability, and construct validity were performed. Analysis of variance was conducted for group comparison on sexual satisfaction and sexual functioning.ResultsThe Sexual Satisfaction Scale for Women Traditional Chinese version showed good internal consistency reliability (Cronbach’s α=0.965) and acceptable test–retest reliability (r=0.954). The confirmatory factor analysis on the Sexual Satisfaction Scale for Women Traditional Chinese version suggested the goodness of fit indices (χ²/df, root mean square residual, goodness of fit index, normed-fit index, comparative fit index, and adjusted goodness of fit index) were good. The women with gynecologic cancer gave significantly lower ratings (mean 102.18) than those without cancer (mean 118.09) for each of the Sexual Satisfaction Scale for Women Traditional Chinese version domains and total score. Significant differences between women with cancer (mean 13.08) and without cancer (mean 22.92) were noted for each of the Female Sexual Function Index domains and total scores (all p<0.0001).ConclusionsThis translated version of the Sexual Satisfaction Scale for Women appears to be a reliable and valid instrument for measuring multifaceted components of sexual satisfaction in the general and clinical population of women rooted in Chinese culture.

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Section: Introductionmentioning

confidence: 55%

Sexual satisfaction and sexual function in women with gynecologic cancer: validation of the Sexual Satisfaction Scale for Women in Taiwan

Lee

Lin

et al. 2019

Int J Gynecol Cancer

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“…8 In the present study, we noted a sexual inactivity rate of 55.9% among patients with EC but do not have any information for comparison, and the most common reason for a lack of intercourse was a ''psychological problem'' (30.8%). Zeng et al 22 reported a high sexual inactivity rate of 70.5% after they investigated 156 Chinese women with gynecological cancer. They also reported details on various sexual concerns, such as a possible weakening in the potency of treatment and a fear of cancer recurrence, which were determined to be the main causes of sexual inactivity.…”

Section: Discussionmentioning

confidence: 99%

“…They also reported details on various sexual concerns, such as a possible weakening in the potency of treatment and a fear of cancer recurrence, which were determined to be the main causes of sexual inactivity. 22 Psychological factors play an important role in sexual dysfunction. According to our research, because of their lack of diseaserelated knowledge, a relatively large number of patients expressed concerns that sex may cause vaginal stump wound pain, poor healing, or dehiscence, and even disease recurrence.…”

Section: Discussionmentioning

confidence: 99%

Sexual Function and Quality of Life Among Patients With Endometrial Cancer After Surgery

Gao

Xiao

Bai

et al. 2017

International Journal of Gynecological Cancer

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“…This phenomenon is also very significant in China. Recently, a descriptive correlational study of 156 Chinese patients with gynecologic cancer revealed that sexual dysfunction was an important concern (62.2%), and the rate of sexual inactivity was 70.5% [11]. Despite this, little attention has been paid to the behaviors and attitudes of sexual issues in survivors with gynecologic malignancy.…”

Section: Discussionmentioning

confidence: 99%

“…However, we cannot assume that these patients had no problems if they did not ask questions. According to two studies from China, 56~71% of participants did not engage in sexual intercourse after treatment [11,13]. There are many concerns about resuming sexual activity, which may be the current situation of many gynecological malignancy survivors in China.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and Behavior of Patients with Gynecologic Malignancy Towards Sexual Issues: a Single-institutional Survey

Chen

et al. 2019

J Canc Educ

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To better understand patients' perspectives and preferences for sexual issues and to provide information to guide medical staff in delivering sexual health care, an anonymous, cross-sectional survey of inpatient gynecologic cancer patients was conducted from April 2017 to March 2018. The questionnaire consisted of three parts: basic information, a history of sexuality discussion, and eight preference questions. A total of 1192 patients were included, and the median age was 43 years. More than half of the patients had a junior high school education or less and low income. Of the patients, 46.2% agreed that, "Doctors should deal with patients' sexual issues," and 56.2% agreed that, "Doctors should raise the topic of sexual issues." While 69.1% of the patients were willing to raise the topic themselves if any sexual problem existed, 35.9% of the patients agreed, "It's not the right time to discuss sex due to my severe disease." Less than 30% of the patients thought that "There's no need to intervene because sex is private" and "I do not feel comfortable discussing sex." A total of 41.1% of the patients were interested in undertaking basic sexual health consultation. Multiple logistic regression analysis demonstrated the following predictive factors for a history of consultation: young age; good education; and agreement with the statements, "Doctors should raise the topic of sexual issues," "If any sexual problem exists, I will raise the topic," and "I have an interest in participating in sex-counseling activities." Patients were willing to discuss sexual issues and were interested in sexual health training. It is important to increase the medical staff awareness of the need to inquire about and address patients' sexual issues.

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Chinese Women’s Sexuality Concerns After Gynecologic Cancer

Abstract: Considering the high rates of sexual dysfunction and sexual inactivity, there is a need to integrate sexuality into routine nursing care.

Cited by 32 publications

References 26 publications

Sexual satisfaction and sexual function in women with gynecologic cancer: validation of the Sexual Satisfaction Scale for Women in Taiwan

Sexual satisfaction and sexual function in women with gynecologic cancer: validation of the Sexual Satisfaction Scale for Women in Taiwan

Sexual Function and Quality of Life Among Patients With Endometrial Cancer After Surgery

Attitudes and Behavior of Patients with Gynecologic Malignancy Towards Sexual Issues: a Single-institutional Survey

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