Differentiating gender-based reproductive concerns among adolescent and young adult cancer patients: A mixed methods study.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI:10.1080/07347332.2023.2291798

Chiu Yi Tan, Nina Francis-Levin, Daria Stelmak, Nicholas T Iannarino, Anao Zhang, Lindsey Herrel, Erin Ellman, Emily Walling, Molly B Moravek, Rashmi Chugh, Brad Zebrack

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Abstract

Introduction: Few studies have examined the distinct reproductive concerns (RC) of men and women in the adolescent and young adult (AYA) cancer patient population. The purpose of this mixed-methods study was to explore and differentiate the RC of AYAs.

Methods: Participants completed the Reproductive Concerns After Cancer (RCAC) scale and participated in a semistructured interview. Interviews were deductively coded based on an analytic schema derived from the RCAC.

Results: After identifying participants through the electronic health record, 27 younger AYAs, ages 12-25, enrolled in the study. Four inductive themes emerged and differed by gender. These include differential temporality, acceptance, and openness to alternatives, partner influence, and parental/guardian influence. AYA men reported fewer RC (M = 49.4, SD = 9.6) compared to AYA women (M = 56.8, SD = 8.4).

Conclusions: Oncofertility care providers are advised to account for short- and long-ranging concerns based on AYAs' gender. Future evaluations of patient-reported outcome measures specific to AYA RC are recommended.

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区分青少年和年轻成人癌症患者基于性别的生殖问题：混合方法研究。

介绍：很少有研究对青少年和年轻成人（AYA）癌症患者群体中男性和女性不同的生殖问题（RC）进行研究。这项混合方法研究的目的是探索和区分青少年和青年癌症患者的生殖关注问题：方法：参与者填写癌症后生殖关注量表（RCAC），并参加半结构式访谈。根据 RCAC 得出的分析模式对访谈进行演绎编码：通过电子健康记录确定参与者后，27 名年龄在 12-25 岁之间的年轻青壮年参加了研究。研究中出现了四个归纳主题，并因性别而异。这些主题包括不同的时间性、对替代方案的接受和开放性、伴侣的影响以及父母/监护人的影响。与年轻女性（M = 56.8，SD = 8.4）相比，年轻男性报告的 RC 较少（M = 49.4，SD = 9.6）：建议肿瘤不孕不育治疗提供者根据亚健康人群的性别，考虑其短期和长期的担忧。建议今后对专门针对青壮年生殖中心的患者报告结果指标进行评估。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

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期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.