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LGBTQI Sexual Well-Being and Embodiment After Cancer: A Mixed-Methods Study.

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Title: LGBTQI Sexual Well-Being and Embodiment After Cancer: A Mixed-Methods Study.
Authors: Denes, Amanda, Ussher, Jane M., Power, Rosalie, Perz, Janette, Ryan, Samantha, Hawkey, Alexandra J., Dowsett, Gary W., Parton, Chloe
Source: Journal of Sex Research. Oct2025, Vol. 62 Issue 8, p1480-1497. 18p.
Subjects: LGBTQ+ people, Sexual health, Cancer patients, Gender identity, Quality of life, Social support
Abstract: This study examined lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) cancer patients' sexual well-being post-cancer, and the associations between sexual well-being and social support, physical concerns, distress, quality of life (QOL), and coping. We used a mixed-methods approach, including 430 surveys and 103 interviews, representing a range of tumor types, sexual and gender identities, age groups, and intersex status. The findings indicated that LGBTQI people with cancer experience declines in sexual well-being following cancer, which are associated with reduced QOL, greater physical concerns, and lower social support. The perceived helpfulness of coping mechanisms was associated with greater sexual well-being across genders, with cisgender men reporting the sharpest declines in sexual well-being and highest use of coping mechanisms. Across all groups, searching for information online was the most frequently used coping mechanism, with support groups and counseling the most under-utilized. Qualitative findings facilitated interpretation of these results, providing examples of ways in which cancer impacted sexual well-being and how physical changes influence sexual embodiment or desire to engage in sex. Concerns about reduced sexual desire and activity, associated with changes to breasts, vulva, vagina, penis, erectile dysfunction, incontinence, scarring, and stoma, reflect previous findings in the non-LGBTQI cancer population. Unique to this population are the impact of physical changes on LGBTQI embodiment, including disruption to sexual and gender identities, and feelings of disconnection from queer communities. Addressing LGBTQI sexual well-being within oncology healthcare is a matter of sexual and reproductive justice, for a population whose needs are often overlooked within cancer care. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd 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: LGBTQI Sexual Well-Being and Embodiment After Cancer: A Mixed-Methods Study.
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  Data: <searchLink fieldCode="AR" term="%22Denes%2C+Amanda%22">Denes, Amanda</searchLink><br /><searchLink fieldCode="AR" term="%22Ussher%2C+Jane+M%2E%22">Ussher, Jane M.</searchLink><br /><searchLink fieldCode="AR" term="%22Power%2C+Rosalie%22">Power, Rosalie</searchLink><br /><searchLink fieldCode="AR" term="%22Perz%2C+Janette%22">Perz, Janette</searchLink><br /><searchLink fieldCode="AR" term="%22Ryan%2C+Samantha%22">Ryan, Samantha</searchLink><br /><searchLink fieldCode="AR" term="%22Hawkey%2C+Alexandra+J%2E%22">Hawkey, Alexandra J.</searchLink><br /><searchLink fieldCode="AR" term="%22Dowsett%2C+Gary+W%2E%22">Dowsett, Gary W.</searchLink><br /><searchLink fieldCode="AR" term="%22Parton%2C+Chloe%22">Parton, Chloe</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+Research%22">Journal of Sex Research</searchLink>. Oct2025, Vol. 62 Issue 8, p1480-1497. 18p.
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  Data: <searchLink fieldCode="DE" term="%22LGBTQ%2B+people%22">LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+health%22">Sexual health</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+identity%22">Gender identity</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink>
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  Data: This study examined lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) cancer patients' sexual well-being post-cancer, and the associations between sexual well-being and social support, physical concerns, distress, quality of life (QOL), and coping. We used a mixed-methods approach, including 430 surveys and 103 interviews, representing a range of tumor types, sexual and gender identities, age groups, and intersex status. The findings indicated that LGBTQI people with cancer experience declines in sexual well-being following cancer, which are associated with reduced QOL, greater physical concerns, and lower social support. The perceived helpfulness of coping mechanisms was associated with greater sexual well-being across genders, with cisgender men reporting the sharpest declines in sexual well-being and highest use of coping mechanisms. Across all groups, searching for information online was the most frequently used coping mechanism, with support groups and counseling the most under-utilized. Qualitative findings facilitated interpretation of these results, providing examples of ways in which cancer impacted sexual well-being and how physical changes influence sexual embodiment or desire to engage in sex. Concerns about reduced sexual desire and activity, associated with changes to breasts, vulva, vagina, penis, erectile dysfunction, incontinence, scarring, and stoma, reflect previous findings in the non-LGBTQI cancer population. Unique to this population are the impact of physical changes on LGBTQI embodiment, including disruption to sexual and gender identities, and feelings of disconnection from queer communities. Addressing LGBTQI sexual well-being within oncology healthcare is a matter of sexual and reproductive justice, for a population whose needs are often overlooked within cancer care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd 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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        Value: 10.1080/00224499.2024.2378884
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        Text: English
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      – SubjectFull: Cancer patients
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      – SubjectFull: Gender identity
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              Text: Oct2025
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