Gay men’s experiences with prostate cancer: Implications for future research

Hoyt, Michael F.; Frost, David M.; Cohn, Eric; Millar, Brett M.; Diefenbach, Michael A.; Revenson, Tracey A.

doi:10.1177/1359105317711491

Cited by 25 publications

(81 citation statements)

References 49 publications

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“…We identified 14 studies that characterized the mental health impact and degree of adjustment to cancer . In 1 large survey study of individuals with a history of cancer that compared SGM with propensity score‐adjusted heterosexual peers, SGM survivors reported higher rates of depression and relationship difficulty .…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies in the review focused explicitly on sexual functioning among SGM survivors or included satisfaction and/or adjustment to sexual functioning after cancer . One study of the impact of cancer on sexual performance in SGM couples found that pain and other symptoms of cancer were associated with impaired sexual functioning, including a decrease in arousal and desire .…”

Section: Resultsmentioning

confidence: 99%

“…We identified 14 studies that characterized the mental health impact and degree of adjustment to cancer. 22,28,[38][39][40][41][42][43][44][45][46][47][48][49] In 1 large survey study of individuals with a history of cancer that compared SGM with propensity score-adjusted heterosexual peers, SGM survivors reported higher rates of depression and relationship difficulty. 22 SM status and gender appeared to interact with symptom reporting, such that worse symptoms were reported by SGM versus heterosexual men, but not by SGM versus heterosexual women.…”

Section: Psychosocial Impact Of and Adjustment To Cancermentioning

confidence: 99%

“…Nine studies in the review focused explicitly on sexual functioning among SGM survivors or included satisfaction and/or adjustment to sexual functioning after cancer. 26,41,[46][47][48][53][54][55][56] One study of the impact of cancer on sexual performance in SGM couples found that pain and other symptoms of cancer were associated with impaired sexual functioning, including a decrease in arousal and desire. 55 A study of SM women with and without breast cancer found lower sexual frequency and higher difficulties with orgasm and higher sexual pain in cases compared with controls.…”

Section: Sexual Functioningmentioning

confidence: 99%

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Care delivery, patient experiences, and health outcomes among sexual and gender minority patients with cancer and survivors: A scoping review

Kent

Wheldon

Smith

et al. 2019

Cancer

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Sexual and gender minorities (SGMs) face a disproportionate burden of cancer, yet little is known about the experiences and specific needs of these underserved populations in cancer care delivery. The authors conducted a scoping review to characterize the literature on cancer care delivery, health outcomes, and health care experiences for patients with cancer and survivors identifying as SGM. In total, 1176 peer‐reviewed citations were identified after a systematic search of the PubMed/Medline, PsycInfo, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Web of Sciences databases without restriction on publication date. The details captured included study aims, design, population, cancer site, and main findings. Thirty‐seven studies published from 1998 to 2017 met the study criteria. Most studies were conducted in the post‐treatment survivorship phase of the continuum (n = 30), and breast cancer was the most common cancer site (n = 20). There were only 2 intervention studies. The studies reviewed were classified under the following areas of focus: 1) disclosure of sexual orientation and gender identity, 2) quality of care, 3) psychosocial impact of/ adjustment to cancer, 4) social support, 5) sexual functioning, and 6) health risks/health behavior. Very little research reported an assessment of gender minority status or included a focus on gender minorities (n = 7). This review revealed substantial research gaps given a lack of population‐based data and small sample sizes, likely related to the absence of systematic collection of sexual orientation and gender identity information in the cancer care context. Deficient research in this area likely perpetuates health disparities. Further research is needed to identify and remove the barriers to delivering high‐quality care to SGM individuals with cancer.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Psychosocial Impact Of and Adjustment To Cancermentioning

confidence: 99%

Section: Sexual Functioningmentioning

confidence: 99%

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Care delivery, patient experiences, and health outcomes among sexual and gender minority patients with cancer and survivors: A scoping review

Kent

Wheldon

Smith

et al. 2019

Cancer

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“…Distress related to ED appeared to be dependent on the patient’s sexual preference as a penetrator, which was compromised by the inability to sustain an erection ( Hartman et al, 2014 ). Evidence from the studies suggests that sexual dysfunction may force men to change their roles ( Lee et al, 2015 ), as some men reported their inability to penetrate as “devastating,” with some switching roles to be the receptive partner ( Simon Rosser et al, 2016b , p. 439), and one man opining to Hoyt et al (2017 , p. 6) that “being a top was part of my identity.” This was also true in the study by Thomas et al (2013) where one participant had to change from being an insertive to a receptive partner due to ED. Simon Rosser et al (2016b) noted that gay and bisexual men would adopt novel substitution behaviors to circumvent penetration, including using dominant-submissive role play to maintain the role of ‘top’.…”

Section: Sexual Impactmentioning

confidence: 99%

The Experiences of Gay and Bisexual Men Post-Prostate Cancer Treatment: A Meta-Synthesis of Qualitative Studies

Alexis

Worsley

2018

Am J Mens Health

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Studies suggest that gay and bisexual men are affected by the psychological aspects of prostate cancer treatment differently than that of heterosexual men; however the data have not yet been synthesized. The focus of this meta-synthesis is to explore gay and bisexual men’s experiences of prostate cancer posttreatment. Empirical research published in peer reviewed journals between January 1990 and January 2018 were identified in six databases: CINAHL, Cochrane, Medline, PsycINFO, PubMed, and Web of Science. Titles and abstracts were checked by two reviewers. The six studies that met the inclusion criteria were selected and reviewed for quality and the extracted data were then synthesized. The main themes that emerged were sexual impact, physical and psychological difficulties, challenges to intimacy, and support mechanisms. Gay and bisexual men can have specific sexual roles and developing prostate cancer and undergoing treatment may compromise their ability to perform their sexual role. The needs of heterosexual men were perceived to be accommodated more often than that of gay and bisexual men because of engrained heteronormativity in the health-care system. The review suggests that more support groups specifically for gay and bisexual men should be established, while urologists should cater to the sexual and masculine implications of treatment, and not frame problems for gay and bisexual men in heterosexual terms. By failing to address the salient needs and concerns of gay and bisexual men, health-care professionals are reinforcing invisibility and marginalization of gay and bisexual men with prostate cancer.

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