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Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey

SIMPLE SUMMARY: Cancer impacts sexual health (SH) even years after diagnosis, but long-term consequences are not fully documented, especially in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis in a large population of cancer survivors. Our resul...

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Autores principales: Seguin, Lorène, Touzani, Rajae, Bouhnik, Anne-Déborah, Charif, Ali Ben, Marino, Patricia, Bendiane, Marc-Karim, Gonçalves, Anthony, Gravis, Gwenaelle, Mancini, Julien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699784/
https://www.ncbi.nlm.nih.gov/pubmed/33233583
http://dx.doi.org/10.3390/cancers12113453
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author Seguin, Lorène
Touzani, Rajae
Bouhnik, Anne-Déborah
Charif, Ali Ben
Marino, Patricia
Bendiane, Marc-Karim
Gonçalves, Anthony
Gravis, Gwenaelle
Mancini, Julien
author_facet Seguin, Lorène
Touzani, Rajae
Bouhnik, Anne-Déborah
Charif, Ali Ben
Marino, Patricia
Bendiane, Marc-Karim
Gonçalves, Anthony
Gravis, Gwenaelle
Mancini, Julien
author_sort Seguin, Lorène
collection PubMed
description SIMPLE SUMMARY: Cancer impacts sexual health (SH) even years after diagnosis, but long-term consequences are not fully documented, especially in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis in a large population of cancer survivors. Our results show that 57.3% reported substantial SH deterioration. Substantial deterioration was reported in all cancer sites (from 27.7% in melanoma to 83.1% in prostate). Treatment type, cancer sequelae, and pain, as well as psychological consequences (depression and anxiety, especially for younger patients) were associated with substantial SH deterioration. Five years after diagnosis, the majority of cancer survivors reported SH deterioration. Interventions should be developed to improve sexual health regardless of cancer site. Particular attention should be paid to depression and anxiety, especially in younger survivors. ABSTRACT: Little is known about cancer survivors’ sexual health (SH)—particularly, from well after diagnosis and in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis. We analyzed data from the French national VIe après le CANcer (VICAN) survey. Six items from the Relationship and Sexuality Scale were used to assess SH. Respondents were grouped according to an ascending hierarchical classification in four clusters: strong, moderate, and weak deterioration or stable (WD, SD, MD, or St). Out of 2195 eligible participants, 57.3% reported substantial SH deterioration as either SD (30.8%) or MD (26.5%), while WD and St accounted for 31.2% and 11.5% of respondents, respectively. Substantial deterioration was reported in all cancer sites (from 27.7% in melanoma to 83.1% in prostate). Treatment type, cancer sequelae, and pain, as well as psychological consequences (depression and anxiety, especially for younger patients) were associated with substantial SH deterioration. The same factors were identified after restricting the analysis to survivors of cancers unrelated to sexuality. Five years after diagnosis, the majority of cancer survivors reported SH deterioration. Interventions should be developed to improve SH regardless of cancer site. Particular attention should be paid to depression and anxiety, especially in younger survivors.
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spelling pubmed-76997842020-11-29 Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey Seguin, Lorène Touzani, Rajae Bouhnik, Anne-Déborah Charif, Ali Ben Marino, Patricia Bendiane, Marc-Karim Gonçalves, Anthony Gravis, Gwenaelle Mancini, Julien Cancers (Basel) Article SIMPLE SUMMARY: Cancer impacts sexual health (SH) even years after diagnosis, but long-term consequences are not fully documented, especially in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis in a large population of cancer survivors. Our results show that 57.3% reported substantial SH deterioration. Substantial deterioration was reported in all cancer sites (from 27.7% in melanoma to 83.1% in prostate). Treatment type, cancer sequelae, and pain, as well as psychological consequences (depression and anxiety, especially for younger patients) were associated with substantial SH deterioration. Five years after diagnosis, the majority of cancer survivors reported SH deterioration. Interventions should be developed to improve sexual health regardless of cancer site. Particular attention should be paid to depression and anxiety, especially in younger survivors. ABSTRACT: Little is known about cancer survivors’ sexual health (SH)—particularly, from well after diagnosis and in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis. We analyzed data from the French national VIe après le CANcer (VICAN) survey. Six items from the Relationship and Sexuality Scale were used to assess SH. Respondents were grouped according to an ascending hierarchical classification in four clusters: strong, moderate, and weak deterioration or stable (WD, SD, MD, or St). Out of 2195 eligible participants, 57.3% reported substantial SH deterioration as either SD (30.8%) or MD (26.5%), while WD and St accounted for 31.2% and 11.5% of respondents, respectively. Substantial deterioration was reported in all cancer sites (from 27.7% in melanoma to 83.1% in prostate). Treatment type, cancer sequelae, and pain, as well as psychological consequences (depression and anxiety, especially for younger patients) were associated with substantial SH deterioration. The same factors were identified after restricting the analysis to survivors of cancers unrelated to sexuality. Five years after diagnosis, the majority of cancer survivors reported SH deterioration. Interventions should be developed to improve SH regardless of cancer site. Particular attention should be paid to depression and anxiety, especially in younger survivors. MDPI 2020-11-20 /pmc/articles/PMC7699784/ /pubmed/33233583 http://dx.doi.org/10.3390/cancers12113453 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Seguin, Lorène
Touzani, Rajae
Bouhnik, Anne-Déborah
Charif, Ali Ben
Marino, Patricia
Bendiane, Marc-Karim
Gonçalves, Anthony
Gravis, Gwenaelle
Mancini, Julien
Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey
title Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey
title_full Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey
title_fullStr Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey
title_full_unstemmed Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey
title_short Deterioration of Sexual Health in Cancer Survivors Five Years after Diagnosis: Data from the French National Prospective VICAN Survey
title_sort deterioration of sexual health in cancer survivors five years after diagnosis: data from the french national prospective vican survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699784/
https://www.ncbi.nlm.nih.gov/pubmed/33233583
http://dx.doi.org/10.3390/cancers12113453
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