Patients' perceived barriers to discussing sexual health with breast cancer healthcare providers

Objectives We characterized barriers reported by women with breast cancer (BC) regarding clinical discussions of sexual health, clustered women by their endorsement of these barriers, and compared these groups. Methods BC outpatients (N = 144; M age = 56, 67% White) in a sexual health communication...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2020-07, Vol.29 (7), p.1123-1131
Main Authors: Zimmaro, Lauren A., Lepore, Stephen J., Beach, Mary Catherine, Reese, Jennifer B.
Format: Article
Language:English
Subjects:
Adult
Barriers
Breast cancer
breast neoplasm
Breast Neoplasms - psychology
cancer
Chi-square test
Communication
Communication Barriers
Cross-Sectional Studies
Demography
Efficacy
Emotional distress
Endorsements
Exploratory factor analysis
Female
Health education
Health information
Health Personnel - psychology
Humans
Intervention
Medical Oncology
Middle Aged
oncologists
Oncology
Outpatients
Patient communication
Patient satisfaction
Physician-Patient Relations
Psychological Distress
Self Efficacy
Sexual behavior
Sexual Behavior - psychology
Sexual Health
Women
Womens health
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Summary:Objectives We characterized barriers reported by women with breast cancer (BC) regarding clinical discussions of sexual health, clustered women by their endorsement of these barriers, and compared these groups. Methods BC outpatients (N = 144; M age = 56, 67% White) in a sexual health communication intervention study provided baseline data. Exploratory factor analysis characterized sexual health communication barriers on a standardized measure. Hierarchical cluster analysis detected patient groups with similar response patterns on these factors. ANOVAs, Chi‐Square and Fisher's Exact tests compared groups on socio‐demographic/medical factors, sexual health communication self‐efficacy and outcome expectancies, general clinical self‐efficacy, sexual concerns, emotional distress, and discussion about sexual health with an oncology provider. Results Two factors emerged: patients' own beliefs about or perceived inability to discuss sexual health (self‐centered barriers), and patients' perceptions of providers' reactions to discussing sexual health (provider‐centered barriers); self‐centered barriers were endorsed more than provider‐centered (P 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.5386