Pub Date : 2018-06-01DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.00a
Jonathan C. Bergman, Mark S. Litwin
{"title":"Forward","authors":"Jonathan C. Bergman, Mark S. Litwin","doi":"10.17312/harringtonparkpress/2018.06.gbmlpc.00a","DOIUrl":"https://doi.org/10.17312/harringtonparkpress/2018.06.gbmlpc.00a","url":null,"abstract":"","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"39 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125740190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.020
B. Rosser, W. West, B. Konety
{"title":"A Shared Decision-Making Approach to Assessing Prostate Cancer Risk: A Gay Diary Case Study","authors":"B. Rosser, W. West, B. Konety","doi":"10.17312/harringtonparkpress/2018.06.gbmlpc.020","DOIUrl":"https://doi.org/10.17312/harringtonparkpress/2018.06.gbmlpc.020","url":null,"abstract":"","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122132870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.009
G. Quinn, M. Schabath, C. Gwede
C H A P T E R S U M M A R Y A man who identifies as a gay or bisexual man (GBM), or as a man who has sex with men (MSM), and who is diagnosed with prostate cancer may experience survivorship and sexual roles and functioning differently from a man who identifies as heterosexual or straight. Whether actual treatment decisions differ between gay or bisexual men and straight or heterosexual men is not known. The effects and consequences of prostate cancer treatment are typically experienced by all men, regardless of sexual orientation, but the concern and bother of treatment side effects in survivorship may have different manifestations. Partnered men of all sexual orientations may have improved survivorship over men not in relationships. Younger men, particularly younger GBM, may have poorer quality of life in cancer survivorship. Healthcare providers are encouraged to create safe and accepting environments for patients to disclose sexual orientation and gender identity and to make the appropriate clinical decisions based on this information with knowledgeable recommendations and strategies during treatment decision making and survivorship. In this chapter we review the published literature about GBM with prostate cancer, decision making when considering treatment options, symptom burden, and sexual roles and functioning in survivorship. Interspersed throughout the chapter are qualitative comments collected by our group from a series of surveys conducted among the LGBT community about their experiences with receiving general healthcare.
{"title":"Prostate Cancer Treatment Decision-Making and Survivorship Considerations among Gay and Bisexual Men: Implications for Sexual Roles and Functioning","authors":"G. Quinn, M. Schabath, C. Gwede","doi":"10.17312/harringtonparkpress/2018.06.gbmlpc.009","DOIUrl":"https://doi.org/10.17312/harringtonparkpress/2018.06.gbmlpc.009","url":null,"abstract":"C H A P T E R S U M M A R Y A man who identifies as a gay or bisexual man (GBM), or as a man who has sex with men (MSM), and who is diagnosed with prostate cancer may experience survivorship and sexual roles and functioning differently from a man who identifies as heterosexual or straight. Whether actual treatment decisions differ between gay or bisexual men and straight or heterosexual men is not known. The effects and consequences of prostate cancer treatment are typically experienced by all men, regardless of sexual orientation, but the concern and bother of treatment side effects in survivorship may have different manifestations. Partnered men of all sexual orientations may have improved survivorship over men not in relationships. Younger men, particularly younger GBM, may have poorer quality of life in cancer survivorship. Healthcare providers are encouraged to create safe and accepting environments for patients to disclose sexual orientation and gender identity and to make the appropriate clinical decisions based on this information with knowledgeable recommendations and strategies during treatment decision making and survivorship. In this chapter we review the published literature about GBM with prostate cancer, decision making when considering treatment options, symptom burden, and sexual roles and functioning in survivorship. Interspersed throughout the chapter are qualitative comments collected by our group from a series of surveys conducted among the LGBT community about their experiences with receiving general healthcare.","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126438596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.005
M. Hoyt, B. Millar
C H A P T E R S U M M A R Y The experience of prostate cancer can exact a psychological and physical toll. Gay and bisexual men (GBM) have been underrepresented in prostate cancer care and research and represent a subpopulation at high risk for poorer health-related quality of life and psychological adjustment following diagnosis. The physical and psychological demands of prostate cancer present new circumstances to which patients and loved ones must adjust, and GBM disproportionately experience risk factors for impaired physical and emotional functioning, including general and minority-related stressors, unmet healthcare needs, and social isolation. Psychological adjustment to chronic disease is a complex and multidimensional process that constitutes more than merely the absence of psychopathology and includes both positive and negative domains. Theories of stress and coping, self-regulation, and personal growth have informed the understanding of the dynamics of psychological adjustment and its determinants. These, coupled with considerations of the unique risk and resilience factors experienced by GBM, will inform a more inclusive model of psychological adjustment to prostate cancer. This chapter integrates existing theories of psychological adjustment to chronic illness with theories of minority stress and observations from focus groups comprising GBM with prostate cancer to identify influences on adjustment across the cancer trajectory.
{"title":"Psychological Adjustment in Gay and Bisexual Men after Prostate Cancer","authors":"M. Hoyt, B. Millar","doi":"10.17312/harringtonparkpress/2018.06.gbmlpc.005","DOIUrl":"https://doi.org/10.17312/harringtonparkpress/2018.06.gbmlpc.005","url":null,"abstract":"C H A P T E R S U M M A R Y The experience of prostate cancer can exact a psychological and physical toll. Gay and bisexual men (GBM) have been underrepresented in prostate cancer care and research and represent a subpopulation at high risk for poorer health-related quality of life and psychological adjustment following diagnosis. The physical and psychological demands of prostate cancer present new circumstances to which patients and loved ones must adjust, and GBM disproportionately experience risk factors for impaired physical and emotional functioning, including general and minority-related stressors, unmet healthcare needs, and social isolation. Psychological adjustment to chronic disease is a complex and multidimensional process that constitutes more than merely the absence of psychopathology and includes both positive and negative domains. Theories of stress and coping, self-regulation, and personal growth have informed the understanding of the dynamics of psychological adjustment and its determinants. These, coupled with considerations of the unique risk and resilience factors experienced by GBM, will inform a more inclusive model of psychological adjustment to prostate cancer. This chapter integrates existing theories of psychological adjustment to chronic illness with theories of minority stress and observations from focus groups comprising GBM with prostate cancer to identify influences on adjustment across the cancer trajectory.","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124474844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.002
J. Ussher, J. Perz, D. Rose, G. Dowsett, D. Latini
{"title":"Threat to Gay Identity and Sexual Relationships: The Consequences of Prostate Cancer Treatment for Gay and Bisexual Men","authors":"J. Ussher, J. Perz, D. Rose, G. Dowsett, D. Latini","doi":"10.17312/harringtonparkpress/2018.06.gbmlpc.002","DOIUrl":"https://doi.org/10.17312/harringtonparkpress/2018.06.gbmlpc.002","url":null,"abstract":"","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123575799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.00e
Jane M. Ussher, J. Perz, B. Simon Rosser
{"title":"Index","authors":"Jane M. Ussher, J. Perz, B. Simon Rosser","doi":"10.17312/harringtonparkpress/2018.06.gbmlpc.00e","DOIUrl":"https://doi.org/10.17312/harringtonparkpress/2018.06.gbmlpc.00e","url":null,"abstract":"","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130158700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.014
D. Allensworth-Davies, Thomas O. Blank, B. Vries, E. Lombardi
C H A P T E R S U M M A R Y Despite the recent growth in cancer care research specific to sexual-minority populations, comprehensive care models of prostate cancer inclusive of gay and bisexual men (GBM) and transgender women (TGW) are lacking. The prostate cancer care process is described as occurring in four phases: (1) screening, (2) diagnosis, (3) treatment, and (4) post-treatment and survivorship. Research in the past ten years has shown that while the biology of prostate cancer is similar regardless of sexual orientation or gender identity, the psychosocial needs of gay, bisexual, and transgender persons are quite different from those of their straight peers. In this chapter we describe a comprehensive care model for GBM, TGW, and others with diverse sexual and gender identities at risk for prostate cancer; the model includes these four phases and was informed by a national survey of gay prostate cancer survivors that we conducted. It is our hope that this model of prostate cancer care can be used as a foundation for both clinicians and GBM and TGW patients in understanding and addressing some of the unique needs at each stage of the prostate cancer care process.
{"title":"Toward a More Comprehensive Model of Prostate Cancer Care Inclusive of Gay and Bisexual Men and Transgender Women","authors":"D. Allensworth-Davies, Thomas O. Blank, B. Vries, E. Lombardi","doi":"10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.014","DOIUrl":"https://doi.org/10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.014","url":null,"abstract":"C H A P T E R S U M M A R Y Despite the recent growth in cancer care research specific to sexual-minority populations, comprehensive care models of prostate cancer inclusive of gay and bisexual men (GBM) and transgender women (TGW) are lacking. The prostate cancer care process is described as occurring in four phases: (1) screening, (2) diagnosis, (3) treatment, and (4) post-treatment and survivorship. Research in the past ten years has shown that while the biology of prostate cancer is similar regardless of sexual orientation or gender identity, the psychosocial needs of gay, bisexual, and transgender persons are quite different from those of their straight peers. In this chapter we describe a comprehensive care model for GBM, TGW, and others with diverse sexual and gender identities at risk for prostate cancer; the model includes these four phases and was informed by a national survey of gay prostate cancer survivors that we conducted. It is our hope that this model of prostate cancer care can be used as a foundation for both clinicians and GBM and TGW patients in understanding and addressing some of the unique needs at each stage of the prostate cancer care process.","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134231377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.007
M. Drummond, James A. Smith, Shaun M. Filiault
C H A P T E R S U M M A R Y Ten years ago, we published a study on gay men and prostate cancer. The paper gave a voice to gay men with prostate cancer whose voices had been largely unheard or, in some respects, silenced. Fortunately, there has been a groundswell of work in this area since the publication of our study. This chapter begins with a personal vignette of the first author, Murray Drummond, to provide important contextual information for how gay men and prostate cancer are perceived at a primary healthcare level. We then draw on contemporary health promotion scholarship to discuss what is known about men’s health promotion and describe how this promotion intersects with gay men and prostate cancer. We then use some of the concerns voiced by the original group of gay men with prostate cancer in our study to illuminate the key issues they faced — and in many cases continue to face. We then reflect on some of the legal aspects associated with these concerns in the face of the rapidly changing landscape of LGBTQI rights (and lack thereof) in contemporary Western cultures. We conclude by describing a way forward in light of the sociocultural, legal, and physical health concerns these men face with respect to their illness.
{"title":"Gay Men and Prostate Cancer: Learning from the Voices of a Hidden Population","authors":"M. Drummond, James A. Smith, Shaun M. Filiault","doi":"10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.007","DOIUrl":"https://doi.org/10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.007","url":null,"abstract":"C H A P T E R S U M M A R Y Ten years ago, we published a study on gay men and prostate cancer. The paper gave a voice to gay men with prostate cancer whose voices had been largely unheard or, in some respects, silenced. Fortunately, there has been a groundswell of work in this area since the publication of our study. This chapter begins with a personal vignette of the first author, Murray Drummond, to provide important contextual information for how gay men and prostate cancer are perceived at a primary healthcare level. We then draw on contemporary health promotion scholarship to discuss what is known about men’s health promotion and describe how this promotion intersects with gay men and prostate cancer. We then use some of the concerns voiced by the original group of gay men with prostate cancer in our study to illuminate the key issues they faced — and in many cases continue to face. We then reflect on some of the legal aspects associated with these concerns in the face of the rapidly changing landscape of LGBTQI rights (and lack thereof) in contemporary Western cultures. We conclude by describing a way forward in light of the sociocultural, legal, and physical health concerns these men face with respect to their illness.","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127480542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.016
G. Dowsett
{"title":"“Losing My Chestnut”: One Gay Man’s Wrangle with Prostate Cancer — Ten Years On","authors":"G. Dowsett","doi":"10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.016","DOIUrl":"https://doi.org/10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.016","url":null,"abstract":"","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133217819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.010
E. Wibowo, R. Wassersug
C H A P T E R S U M M A R Y Prostate cancer treatments can affect the sexual experience of individuals regardless of sexual orientation. While the absence of orgasm is a common result of most treatments for prostate cancer, some patients have reported experiencing multiple, more intense, or diffuse orgasm after prostate cancer treatment. Interestingly, many transgender women also claim similar orgasmic changes after sexual reassignment. In this chapter we discuss how some products that are marketed as sex aids or “toys” may facilitate sexual recovery after prostate cancer treatments. These products include external penile prostheses, penile sleeves, and penile support devices. We stress the relevance of having a partner or partners for satisfactory sexual recovery. This includes the importance of involving partners in selecting sexual aids and using the aids in a way that develops an erotic association between the aids and the partner. Statistically, gay men are more likely than heterosexual men to be unpartnered. Being single may be a contributing, but under-investigated, factor in the higher level of distress experienced by gay prostate cancer patients in contrast to their heterosexual counterparts.
{"title":"Sexual Aids for Gay and Bisexual Men and Transgender Women after Prostate Cancer Treatments","authors":"E. Wibowo, R. Wassersug","doi":"10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.010","DOIUrl":"https://doi.org/10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.010","url":null,"abstract":"C H A P T E R S U M M A R Y Prostate cancer treatments can affect the sexual experience of individuals regardless of sexual orientation. While the absence of orgasm is a common result of most treatments for prostate cancer, some patients have reported experiencing multiple, more intense, or diffuse orgasm after prostate cancer treatment. Interestingly, many transgender women also claim similar orgasmic changes after sexual reassignment. In this chapter we discuss how some products that are marketed as sex aids or “toys” may facilitate sexual recovery after prostate cancer treatments. These products include external penile prostheses, penile sleeves, and penile support devices. We stress the relevance of having a partner or partners for satisfactory sexual recovery. This includes the importance of involving partners in selecting sexual aids and using the aids in a way that develops an erotic association between the aids and the partner. Statistically, gay men are more likely than heterosexual men to be unpartnered. Being single may be a contributing, but under-investigated, factor in the higher level of distress experienced by gay prostate cancer patients in contrast to their heterosexual counterparts.","PeriodicalId":287468,"journal":{"name":"Gay & Bisexual Men Living with Prostate Cancer","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122347709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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