Patients' perceived barriers to discussing sexual health with breast cancer healthcare providers Article Swipe
Lauren A. Zimmaro
,
Stephen J. Lepore
,
Mary Catherine Beach
,
Jennifer Barsky Reese
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/pon.5386
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/pon.5386
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 < .001). Three clusters emerged: women who endorsed (a) high self‐centered and high provider‐centered (n = 19; 13%), (b) high self‐centered and low provider‐centered (n = 95; 66%), and (c) low self‐centered and low provider‐centered (n = 30; 21%). Women endorsing more barriers reported lower sexual communication self‐efficacy, outcome expectancies, and general clinical self‐efficacy ( P 's ≤ .001); no differences in sexual concerns, emotional distress, or discussing sexual health were found. Conclusions Women more strongly endorsed self‐centered barriers than provider‐centered. When grouped according to these barriers, women differed in their confidence and expectations for sexual health communication, regardless of degree of sexual or emotional distress. Interventions are needed to improve both patients' and providers' skills for discussing sexual health.
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All OpenAlex metadata
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https://openalex.org/W3015999242Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/pon.5386Digital Object Identifier
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Patients' perceived barriers to discussing sexual health with breast cancer healthcare providersWork title
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articleOpenAlex work type
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enPrimary language
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2020Year of publication
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2020-04-13Full publication date if available
- Authors
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Lauren A. Zimmaro, Stephen J. Lepore, Mary Catherine Beach, Jennifer Barsky ReeseList of authors in order
- Landing page
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https://doi.org/10.1002/pon.5386Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
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https://www.ncbi.nlm.nih.gov/pmc/articles/7500072Direct OA link when available
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Health care, Breast cancer, Medicine, Family medicine, Nursing, Psychology, Cancer, Political science, Internal medicine, LawTop concepts (fields/topics) attached by OpenAlex
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24Total citation count in OpenAlex
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2025: 7, 2024: 5, 2023: 5, 2022: 3, 2021: 1Per-year citation counts (last 5 years)
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