Gay men and prostate cancer: voicing the concerns of a hidden population

Filiault, Shaun M.; Drummond, Murray; Smith, James A.

doi:10.1016/j.jomh.2008.08.005

Cited by 63 publications

(79 citation statements)

References 11 publications

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“…Ussher et al 2007), and serves to marginalise the sexual needs and concerns of individuals whose cancer or cancer treatment does not directly affect the reproductive organs. It also reinforces the positioning of sex within narrow coitally focused constructions of sexual 'functioning' and performance (Traa et al, 2012), negating the myriad of ways in which individuals can renegotiate sex and intimacy in the context of cancer (Ussher, Perz, Gilbert, Wong, & Hobbs, 2013), and marginalises those who are in non-heterosexual relationships (Brown & Tracy, 2008;Filiault, Drummond, & Smith, 2008). Evidence of heterocentric biomedical constructions acting in such a matter were present in the positioning of sex as irrelevant or inappropriate for some people, those who were described as 'older', who did not have reproductive cancers, who were not in a relationship, or were in the later stages of cancer.…”

Section: Discussionmentioning

confidence: 90%

“…Equally, there is growing evidence to suggest that sexual changes are experienced by individuals with non-reproductive cancers (Carolan, Meneses, Shell, & Zhang, 2008;Ramirez et al, 2010;Traa et al, 2012) and their partners (Hawkins et al, 2009). Sexuality is also a concern for many single people with cancer , those in palliative care (Hordern & Currow, 2003;Woodhouse & Baldwin, 2008), and those who are gay, lesbian or transgender (Brown & Tracy, 2008;Filiault et al, 2008). This suggests that constructions of particular groups of patients as asexual, or as unaffected by sexual changes, reflect cultural discourse associated with age, terminal illness and with sex as coital performance (see Hyde, 2007;McPhillips et al, 2001;Watters & Boyd, 2009;Williams, 1998), rather than clinical knowledge and experience.…”

Section: Discussionmentioning

confidence: 99%

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Talking about sex after cancer: A discourse analytic study of health care professional accounts of sexual communication with patients

Ussher

Perz

Gilbert

et al. 2013

Psychology & Health

185

115

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There is consistent evidence that health care professionals (hcps) are not addressing the sexual information and support needs of people with cancer. Thirty-eight Australian hcps across a range of professions working in cancer care were interviewed, to examine constructions of sexuality post-cancer, the subject positions adopted in relation to sexual communication, and the ways in which discourses and subject positions shape information provision and communication about sexuality. Participants constructed sexual changes post-cancer in physical, psychological and relational terms, and positioned such changes as having the potential to significantly impact on patient and partner well-being. This was associated with widespread adoption of a discourse of psychosocial support, which legitimated discussion of sexual changes within a clinical consultation, to alleviate distress, dispel myths and facilitate renegotiation of sexual practices. However, this did not necessarily translate into patient-centred practice outcomes, with the majority of participants positioning personal, patient-centred and situational factors as barriers to the discussion of sex within many clinical consultations. This included: absence of knowledge, confidence and comfort; positioning sex as irrelevant or inappropriate for some people; and limitations of the clinical context. In contrast, those who did routinely discuss sexuality adopted a subject position of agency, responsibility and confidence.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Talking about sex after cancer: A discourse analytic study of health care professional accounts of sexual communication with patients

Ussher

Perz

Gilbert

et al. 2013

Psychology & Health

185

115

View full text Add to dashboard Cite

show abstract

“…This review found contrasting views on body image and sexual minority individuals appear to be affected by this in different ways [35][36][37]. One study uncovered examined 15 SMW and their partners who had either received or declined reconstructive surgery after mastectomy [35].…”

Section: Body Imagementioning

confidence: 99%

“…An Australian study examined the effects of prostate cancer in three SMM using in-depth face-to-face interviews [37]. The study uncovered several themes.…”

Section: Body Imagementioning

confidence: 99%

Sexual minority experiences of cancer care: A systematic review

Hill

Holborn

2015

Journal of Cancer Policy

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a b s t r a c tThere is a lack of published evidence from within the UK examining the needs of LGB cancer patients. A full systematic review of the worldwide literature was carried out with the aim to ascertain the experiences of sexual minority cancer patients and identify specific needs required.Key databases were searched with a variety of terms relating to the sexual minority cancer experience. Suitable literature was reviewed and references within all articles were search to ensure as inclusive a review as possible. Articles were subject to critical appraisal and scoring using The Support Unit for Research Evidence (SURE 2013) critical appraisal tools to assess eligibility for inclusion within the review. Twenty-five articles were selected for inclusion and were analysed. The papers were categorised into the emerging themes from the literature: Experiences of care (n = 6), Coping and Wellbeing (n = 6), Emotional Support (n = 4), Body Image (n = 3), and Sexual Function (n = 6). The data extraction revealed contrasting views and experiences of LGB individuals' experience of cancer care. Lesbian and gay individuals have different perspectives of cancer care and needs from heterosexuals. Discriminatory attitudes were found to be present in many studies as well as inequalities and gaps within care and support.There is evidence that supports the development of sexual minority specific cancer support groups. Further research of sexual minorities affected by cancer in the UK should be carried out to increase the evidence base and better identify the needs in this cultural group.

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“…Beaucoup d'homosexuels ne se sentent pas à l'aise ou en sécu-rité d'avoir à discuter de leurs préoccupations d'ordre sexuel au sein d'un groupe de soutien pour le cancer de la prostate destiné aux hétérosexuels (Blank, 2005;Filiault, Drummond & Smith, 2008;Perlman & Drescher, 2005;Santillo, 2005). Notre système d'accès centralisé nous permet d'aiguiller les patients vers les sources de soutien et les ressources appropriées au sein de la collectivité.…”

Section: Liens Communautairesunclassified

Prix de conférence Merck: La communication: la clé de l’amélioration de l’expérience du patient ayant un cancer prostatique

Waldie¹,

Smylie²

2012

CONJ

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Gay men and prostate cancer: voicing the concerns of a hidden population

Cited by 63 publications

References 11 publications

Talking about sex after cancer: A discourse analytic study of health care professional accounts of sexual communication with patients

Talking about sex after cancer: A discourse analytic study of health care professional accounts of sexual communication with patients

Sexual minority experiences of cancer care: A systematic review

Prix de conférence Merck: La communication: la clé de l’amélioration de l’expérience du patient ayant un cancer prostatique

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