TY - JOUR
T1 - The Effects of Prostate Cancer Treatment on Role-In-Sex in Gay and Bisexual Men
T2 - Mixed Methods Results from the Restore-1 and Restore-2 Studies
AU - Tatum, Alexander K
AU - Rosser, B. R.Simon
AU - Wheldon, Christopher W.
AU - Torres, Maria Beatriz
AU - Bates, Alex
AU - Haggart, Ryan C
AU - Konety, Badrinath R
AU - Mitteldorf, Darryl
AU - Polter, Elizabeth A
AU - Ross, Michael W
AU - Talley, Kristine M.C.
AU - West, William G
AU - Wright, Morgan M
AU - Zhang, Ziwei
N1 - Publisher Copyright:
© 2022 The Society for the Scientific Study of Sexuality.
PY - 2023
Y1 - 2023
N2 - Gay and bisexual men (GBM) with prostate cancer experience worse sexual and mental health outcomes following prostate cancer treatment than heterosexual men. Emerging evidence suggests that GBM may change their role-in-sex in response to treatment effects. The purpose of this study was to describe the impact of prostate cancer treatment on role-in-sex, to estimate the prevalence of such changes, and to determine the impact on quality of life and mental health. We conducted semi-structured interviews with 30 sexual minority prostate cancer patients. Then, we recruited 401 gay and bisexual prostate cancer patients into a study assessing the effects of rehabilitation. Qualitative data were analyzed using descriptive thematic analysis. Differences in quality of life and mental health outcomes were analyzed using multivariate analyses of variance. Prostate cancer treatment resulted in loss of role-in-sex for many patients. When changes in role-in-sex occurred, the shifts were predominantly from tops to bottoms. Those with a current top role-in-sex had significantly better sexual and mental health outcomes than either versatiles or bottoms. Clinical implications include the need for providers to ask about role-in-sex in order to address disparities in health outcomes by sexual orientation and to provide culturally appropriate care to sexual minority patients.
AB - Gay and bisexual men (GBM) with prostate cancer experience worse sexual and mental health outcomes following prostate cancer treatment than heterosexual men. Emerging evidence suggests that GBM may change their role-in-sex in response to treatment effects. The purpose of this study was to describe the impact of prostate cancer treatment on role-in-sex, to estimate the prevalence of such changes, and to determine the impact on quality of life and mental health. We conducted semi-structured interviews with 30 sexual minority prostate cancer patients. Then, we recruited 401 gay and bisexual prostate cancer patients into a study assessing the effects of rehabilitation. Qualitative data were analyzed using descriptive thematic analysis. Differences in quality of life and mental health outcomes were analyzed using multivariate analyses of variance. Prostate cancer treatment resulted in loss of role-in-sex for many patients. When changes in role-in-sex occurred, the shifts were predominantly from tops to bottoms. Those with a current top role-in-sex had significantly better sexual and mental health outcomes than either versatiles or bottoms. Clinical implications include the need for providers to ask about role-in-sex in order to address disparities in health outcomes by sexual orientation and to provide culturally appropriate care to sexual minority patients.
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U2 - 10.1080/00224499.2022.2128027
DO - 10.1080/00224499.2022.2128027
M3 - Article
C2 - 36200951
AN - SCOPUS:85139530424
SN - 0022-4499
VL - 60
SP - 752
EP - 761
JO - Journal of Sex Research
JF - Journal of Sex Research
IS - 5
ER -