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Sexual health in cancer: the results of a survey exploring practices, attitudes, knowledge, communication, and professional interactions in oncology healthcare providers.

Identifieur interne : 000429 ( Main/Exploration ); précédent : 000428; suivant : 000430

Sexual health in cancer: the results of a survey exploring practices, attitudes, knowledge, communication, and professional interactions in oncology healthcare providers.

Auteurs : Thierry Almont [France] ; Fadila Farsi [France] ; Ivan Krakowski [France] ; Rabih El Osta [France] ; Pierre Bondil [France] ; Éric Huyghe [France]

Source :

RBID : pubmed:30109489

Descripteurs français

English descriptors

Abstract

PURPOSE

To assess, focusing on population of healthcare professionals providing oncosexology care to men with cancer, clinical practice, attitudes, knowledge, communication, and professional interaction.

METHODS

We performed a descriptive cross-sectional study with an online self-administered e-questionnaire addressed to all medical, paramedical, or administrative professionals attending the 4th "Cancer, Sexuality and Fertility" Meeting in Toulouse, France. Their participation was voluntary and totally anonymous.

RESULTS

The 165 respondents comprised 44% of physicians, 47% of paramedics, and 9% of other health professionals in oncology, from all French regions. Paramedics were significantly younger than physicians (p = .006). One third of respondents were degreed in sexology, but 75.8% were in demand of oncosexology-specific trainings, particularly paramedics (p = .029). Regarding the oncosexology network, respondents declared being linked to organ specialists (56.8%), psychologists (49.5%), oncologists (47.4%), nurses (31.5%), radiation therapists (27.4%), and general practitioners (25.3%). Compared to paramedics, physicians were more likely to be engaged in oncosexology care (p = .039) and couple counseling (p = .005), but the proportions of counseled patients or couple were identical (p = .430 and p = .252, respectively). Overall, 90% of respondents reported discussing sexuality issues with patients. Regarding the time for discussion, physicians reported communicating more at cancer announcement (p = .004) or after treatments (p = .015), while more paramedics reported discussing at another time (p = .005). Regarding the place for discussion, paramedics more frequently reported talking about sexuality in the hospital room (p = .001) or during a specific consult (p = .007).

CONCLUSIONS

Results emphasize various levels for improving existing oncosexology care, such as developing oncosexology-specific educational and practical training programs, particularly for paramedics; consolidating information, counseling, and therapeutic education with formal procedures like implementing medical and paramedical "oncosexology moments," or strengthening the community-hospital networks, from diagnosis to survivorship.


DOI: 10.1007/s00520-018-4376-x
PubMed: 30109489


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<nlm:affiliation>EA 3694 Human Fertility Research Group, CHU Toulouse, Paule de Viguier, Reproductive Medicine Department, 330 avenue de Grande- Bretagne TSA 70034, 31059, Toulouse cedex 9, France.</nlm:affiliation>
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<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
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<term>Educational Status (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
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<term>Sexualité (psychologie)</term>
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<term>Sexology</term>
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<term>Médecins</term>
<term>Oncologie médicale</term>
<term>Sexologie</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Attitude of Health Personnel</term>
<term>Communication</term>
<term>Cross-Sectional Studies</term>
<term>Educational Status</term>
<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Interprofessional Relations</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Sexual Health</term>
<term>Surveys and Questionnaires</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Communication</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes et questionnaires</term>
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<term>Humains</term>
<term>Mâle</term>
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<term>Relations interprofessionnelles</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>PURPOSE</b>
</p>
<p>To assess, focusing on population of healthcare professionals providing oncosexology care to men with cancer, clinical practice, attitudes, knowledge, communication, and professional interaction.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We performed a descriptive cross-sectional study with an online self-administered e-questionnaire addressed to all medical, paramedical, or administrative professionals attending the 4th "Cancer, Sexuality and Fertility" Meeting in Toulouse, France. Their participation was voluntary and totally anonymous.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The 165 respondents comprised 44% of physicians, 47% of paramedics, and 9% of other health professionals in oncology, from all French regions. Paramedics were significantly younger than physicians (p = .006). One third of respondents were degreed in sexology, but 75.8% were in demand of oncosexology-specific trainings, particularly paramedics (p = .029). Regarding the oncosexology network, respondents declared being linked to organ specialists (56.8%), psychologists (49.5%), oncologists (47.4%), nurses (31.5%), radiation therapists (27.4%), and general practitioners (25.3%). Compared to paramedics, physicians were more likely to be engaged in oncosexology care (p = .039) and couple counseling (p = .005), but the proportions of counseled patients or couple were identical (p = .430 and p = .252, respectively). Overall, 90% of respondents reported discussing sexuality issues with patients. Regarding the time for discussion, physicians reported communicating more at cancer announcement (p = .004) or after treatments (p = .015), while more paramedics reported discussing at another time (p = .005). Regarding the place for discussion, paramedics more frequently reported talking about sexuality in the hospital room (p = .001) or during a specific consult (p = .007).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Results emphasize various levels for improving existing oncosexology care, such as developing oncosexology-specific educational and practical training programs, particularly for paramedics; consolidating information, counseling, and therapeutic education with formal procedures like implementing medical and paramedical "oncosexology moments," or strengthening the community-hospital networks, from diagnosis to survivorship.</p>
</div>
</front>
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<Year>2019</Year>
<Month>03</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>02</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-7339</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>27</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2019</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title>
<ISOAbbreviation>Support Care Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Sexual health in cancer: the results of a survey exploring practices, attitudes, knowledge, communication, and professional interactions in oncology healthcare providers.</ArticleTitle>
<Pagination>
<MedlinePgn>887-894</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-018-4376-x</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess, focusing on population of healthcare professionals providing oncosexology care to men with cancer, clinical practice, attitudes, knowledge, communication, and professional interaction.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed a descriptive cross-sectional study with an online self-administered e-questionnaire addressed to all medical, paramedical, or administrative professionals attending the 4th "Cancer, Sexuality and Fertility" Meeting in Toulouse, France. Their participation was voluntary and totally anonymous.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The 165 respondents comprised 44% of physicians, 47% of paramedics, and 9% of other health professionals in oncology, from all French regions. Paramedics were significantly younger than physicians (p = .006). One third of respondents were degreed in sexology, but 75.8% were in demand of oncosexology-specific trainings, particularly paramedics (p = .029). Regarding the oncosexology network, respondents declared being linked to organ specialists (56.8%), psychologists (49.5%), oncologists (47.4%), nurses (31.5%), radiation therapists (27.4%), and general practitioners (25.3%). Compared to paramedics, physicians were more likely to be engaged in oncosexology care (p = .039) and couple counseling (p = .005), but the proportions of counseled patients or couple were identical (p = .430 and p = .252, respectively). Overall, 90% of respondents reported discussing sexuality issues with patients. Regarding the time for discussion, physicians reported communicating more at cancer announcement (p = .004) or after treatments (p = .015), while more paramedics reported discussing at another time (p = .005). Regarding the place for discussion, paramedics more frequently reported talking about sexuality in the hospital room (p = .001) or during a specific consult (p = .007).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Results emphasize various levels for improving existing oncosexology care, such as developing oncosexology-specific educational and practical training programs, particularly for paramedics; consolidating information, counseling, and therapeutic education with formal procedures like implementing medical and paramedical "oncosexology moments," or strengthening the community-hospital networks, from diagnosis to survivorship.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Almont</LastName>
<ForeName>Thierry</ForeName>
<Initials>T</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-2536-2636</Identifier>
<AffiliationInfo>
<Affiliation>EA 3694 Human Fertility Research Group, CHU Toulouse, Paule de Viguier, Reproductive Medicine Department, 330 avenue de Grande- Bretagne TSA 70034, 31059, Toulouse cedex 9, France. almont.t@chu-toulouse.fr.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), Paule de Viguier University Hospital, Reproductive Medicine Department, 330 avenue de Grande- Bretagne TSA 70034, 31059, Toulouse cedex 9, France. almont.t@chu-toulouse.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Farsi</LastName>
<ForeName>Fadila</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Francophone Association for Supportive Care (AFSOS), 76, rue Marcel Sembat, 33130, Bègles, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Krakowski</LastName>
<ForeName>Ivan</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Francophone Association for Supportive Care (AFSOS), 76, rue Marcel Sembat, 33130, Bègles, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>El Osta</LastName>
<ForeName>Rabih</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Urology Department of Brabois University Hospital, CHU de Nancy, Allée du Morvan, 54511, Vandoeuvre les Nancy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bondil</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Francophone Association for Supportive Care (AFSOS), 76, rue Marcel Sembat, 33130, Bègles, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Huyghe</LastName>
<ForeName>Éric</ForeName>
<Initials>É</Initials>
<AffiliationInfo>
<Affiliation>EA 3694 Human Fertility Research Group, CHU Toulouse, Paule de Viguier, Reproductive Medicine Department, 330 avenue de Grande- Bretagne TSA 70034, 31059, Toulouse cedex 9, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), Paule de Viguier University Hospital, Reproductive Medicine Department, 330 avenue de Grande- Bretagne TSA 70034, 31059, Toulouse cedex 9, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Francophone Association for Supportive Care (AFSOS), 76, rue Marcel Sembat, 33130, Bègles, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>PhD Grant N°: TDTJ12441 - 2013e2016</GrantID>
<Agency>Ligue Contre le Cancer</Agency>
<Country></Country>
</Grant>
</GrantList>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2018</Year>
<Month>08</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Germany</Country>
<MedlineTA>Support Care Cancer</MedlineTA>
<NlmUniqueID>9302957</NlmUniqueID>
<ISSNLinking>0941-4355</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003142" MajorTopicYN="N">Communication</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004522" MajorTopicYN="N">Educational Status</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007400" MajorTopicYN="N">Interprofessional Relations</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008495" MajorTopicYN="N">Medical Oncology</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
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</MeshHeading>
<MeshHeading>
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</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012725" MajorTopicYN="N">Sexual Behavior</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000074384" MajorTopicYN="Y">Sexual Health</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019529" MajorTopicYN="N">Sexuality</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Attitudes</Keyword>
<Keyword MajorTopicYN="N">Clinical practice</Keyword>
<Keyword MajorTopicYN="N">Communication</Keyword>
<Keyword MajorTopicYN="N">Healthcare professionals</Keyword>
<Keyword MajorTopicYN="N">Oncosexology</Keyword>
<Keyword MajorTopicYN="N">Training</Keyword>
</KeywordList>
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<Day>19</Day>
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<Year>2018</Year>
<Month>07</Month>
<Day>24</Day>
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<Month>3</Month>
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<list>
<country>
<li>France</li>
</country>
<region>
<li>Aquitaine</li>
<li>Grand Est</li>
<li>Lorraine (région)</li>
<li>Midi-Pyrénées</li>
<li>Nouvelle-Aquitaine</li>
<li>Occitanie (région administrative)</li>
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