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Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study.

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Title: Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study.
Authors: Wettergren, Lena, Kent, Erin E., Mitchell, Sandra A., Zebrack, Brad, Lynch, Charles F., Rubenstein, Mara B., Keegan, Theresa H. M., Wu, Xiao‐Cheng, Parsons, Helen M., Smith, Ashley Wilder, Wu, Xiao-Cheng (AUTHOR), AYA HOPE Study Collaborative Group (CORPORATE AUTHOR)
Source: Psycho-Oncology. Oct2017, Vol. 26 Issue 10, p1632-1639. 8p.
Subjects: Cancer & psychology, Cancer diagnosis, Human sexuality, Mental health of cancer patients, Young adult psychology, Interpersonal relations in young adults
Abstract: Objective: This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.Methods: Participants (n = 465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post-diagnosis.Results: Forty-nine percent of AYAs reported negative effects on sexual function at 1 year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.Conclusions: Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study.
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  Data: <searchLink fieldCode="AR" term="%22Wettergren%2C+Lena%22">Wettergren, Lena</searchLink><br /><searchLink fieldCode="AR" term="%22Kent%2C+Erin+E%2E%22">Kent, Erin E.</searchLink><br /><searchLink fieldCode="AR" term="%22Mitchell%2C+Sandra+A%2E%22">Mitchell, Sandra A.</searchLink><br /><searchLink fieldCode="AR" term="%22Zebrack%2C+Brad%22">Zebrack, Brad</searchLink><br /><searchLink fieldCode="AR" term="%22Lynch%2C+Charles+F%2E%22">Lynch, Charles F.</searchLink><br /><searchLink fieldCode="AR" term="%22Rubenstein%2C+Mara+B%2E%22">Rubenstein, Mara B.</searchLink><br /><searchLink fieldCode="AR" term="%22Keegan%2C+Theresa+H%2E+M%2E%22">Keegan, Theresa H. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Wu%2C+Xiao‐Cheng%22">Wu, Xiao‐Cheng</searchLink><br /><searchLink fieldCode="AR" term="%22Parsons%2C+Helen+M%2E%22">Parsons, Helen M.</searchLink><br /><searchLink fieldCode="AR" term="%22Smith%2C+Ashley+Wilder%22">Smith, Ashley Wilder</searchLink><br /><searchLink fieldCode="AR" term="%22Wu%2C+Xiao-Cheng%22">Wu, Xiao-Cheng</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22AYA+HOPE+Study+Collaborative+Group%22">AYA HOPE Study Collaborative Group</searchLink> (CORPORATE AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Oct2017, Vol. 26 Issue 10, p1632-1639. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+%26+psychology%22">Cancer & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+diagnosis%22">Cancer diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+of+cancer+patients%22">Mental health of cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Young+adult+psychology%22">Young adult psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+relations+in+young+adults%22">Interpersonal relations in young adults</searchLink>
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  Data: <bold>Objective: </bold>This cohort study examined the impact of cancer on sexual function and intimate relationships in adolescents and young adults (AYAs). We also explored factors predicting an increased likelihood that cancer had negatively affected these outcomes.<bold>Methods: </bold>Participants (n = 465, ages 15-39) in the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) study completed two surveys approximately 1 and 2 years post-cancer diagnosis. We used multivariable logistic regression to determine factors negatively affected by perceptions of sexual function at 2 years post-diagnosis.<bold>Results: </bold>Forty-nine percent of AYAs reported negative effects on sexual function at 1 year post-cancer diagnosis and 70% of those persisted in their negative perceptions 2 years after diagnosis. Those reporting a negative impact at 2 years were more likely to be 25 years or older (OR, 2.53; 95% CI, 1.44-4.42), currently not raising children (OR, 1.81; 95% CI, 1.06-3.08), experiencing fatigue (OR, 0.99; 95% CI, 0.975-0.998) and more likely to report that their diagnosis has had a negative effect on physical appearance (OR, 3.08; 95% CI, 1.97-4.81). Clinical factors and mental health were not significant predictors of negative effects on sexual function.<bold>Conclusions: </bold>Many AYAs diagnosed with cancer experience a persistent negative impact on sexual life up to 2 years following diagnosis. The findings underscore the need to develop routine protocols to assess sexual function in AYAs with cancer and to provide comprehensive management in the clinical setting. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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