A comparison of heterosexual and LGBTQ cancer survivors' outlooks on relationships, family building, possible infertility, and patient-doctor fertility risk communication.

Purpose: Little research about cancer-related infertility has examined the experiences and needs of lesbian, gay, bisexual, transgender, or queer (LGBTQ) cancer survivors. This research seeks to understand how LGBTQ survivors are similar to or different from heterosexual survivors with respect to ca...

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Publicado en:Journal of Cancer Survivorship Vol. 10; no. 5; pp. 935 - 943
Autores principales: Russell, Andrea, Galvin, Kathleen, Harper, Maya, Clayman, Marla, M Russell, Andrea, Galvin, Kathleen M, Harper, Maya M, Clayman, Marla L
Formato: research Journal Article
Publicado: Springer Nature Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2016
      vid: 10
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      pub: Springer Nature
      place: New York, New York
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        atl: A comparison of heterosexual and LGBTQ cancer survivors' outlooks on relationships, family building, possible infertility, and patient-doctor fertility risk communication.
      aug:
        au:
          Russell, Andrea
          Galvin, Kathleen
          Harper, Maya
          Clayman, Marla
          M Russell, Andrea
          Galvin, Kathleen M
          Harper, Maya M
          Clayman, Marla L
        affil: Division of General Internal Medicine, Feinberg School of Medicine , Northwestern University , Evanston USA
      sug:
        subj:
          Survivors Psychosocial Factors
          Infertility Therapy
          Fertility Preservation Psychosocial Factors
          Physician-Patient Relations
          Adaptation, Psychological
          Communication
          Neoplasms Psychosocial Factors
          Neoplasms Therapy
          Middle Age
          Risk Factors
          Interpersonal Relations
          Heterosexuality
          Infertility Etiology
          Adult
          Attitude to Health
          Neoplasms Complications
          Decision Making
          Female
          Male
          Young Adult
          Human
          Sexuality
          Adolescence
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Purpose: Little research about cancer-related infertility has examined the experiences and needs of lesbian, gay, bisexual, transgender, or queer (LGBTQ) cancer survivors. This research seeks to understand how LGBTQ survivors are similar to or different from heterosexual survivors with respect to cancer treatments' effects on relationships, plans for parenthood, and fertility preservation decision making.Methods: Semi-structured telephone interviews conducted with adolescent or young adult (AYA) cancer survivors (n = 56) were coded for themes. Interviews consisted of questions about pre- and post-diagnosis thoughts about relationships, parenthood, possible infertility, and how information about fertility risks was received.Results: While LGBTQ (n = 22) and heterosexual (n = 34) survivors reported similar challenges when dating post-diagnosis, heterosexual survivors were more likely to report fertility concerns as affecting romantic relationships (p < .05). LGBTQ survivors seemed more open to raising non-biological children or not becoming a parent than heterosexual survivors. LGBTQ survivors generally reported being satisfied with or indifferent to the information that they were given regarding fertility loss, despite reporting receiving similar amounts of information as compared to heterosexual patients (p < .10).Conclusions: LGBTQ patients' views on relationships, parenthood, and family building seemed to result in less distress when faced with infertility. However, interventions facilitating information exchange about dating, fertility risks, and family building options may be valuable to LGBTQ and heterosexual cancer survivors.Implications For Cancer Survivors: LGBTQ cancer survivors may display more adaptive coping with respect to relationships and fertility loss. Oncology professionals may want to proactively introduce positive coping strategies to reduce distress among AYA cancer survivors at risk for infertility.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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