{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:43:55Z","timestamp":1787615035102,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"18","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100010347","name":"Fabrikant Einar Willumsens Mindelegat","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2025,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Being diagnosed with and treated for cancer often results in physical symptoms and psychosocial distress that may affect sexual health. This population\u2010based study in Denmark aimed to compare the sexual health of cancer survivors across multiple cancer sites with that of individuals with no history of cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were used from 4085 cancer survivors and 58,590 individuals without cancer aged 15 to 89 years, who participated in the nationally representative\n                      <jats:italic>Project SEXUS<\/jats:italic>\n                      cohort study. Prevalence estimates for sexual outcomes were calculated, and logistic regression analyses yielded confounder\u2010adjusted odds ratios (aORs) with 95% confidence intervals (CIs) for associations of cancer survivorship with sexual outcomes, both overall and across cancer sites.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Cancer survivors experienced significantly more sexual challenges than individuals without cancer, both overall and in the first 5 years after their most recent cancer diagnosis. This difference was seen across multiple cancer sites and regardless of age at diagnosis (&lt;60 vs. \u226560 years). Among several statistically significant findings, particularly high aORs were noted for dissatisfaction with breast appearance (aOR: 1.89; CI, 1.49\u20132.41) and genital pain dysfunction (aOR: 1.74; CI, 1.32\u20132.28) among women and lack of sexual needs (aOR: 1.93; CI, 1.61\u20132.30) and erectile dysfunction (aOR: 2.79; CI, 2.30\u20133.38) among men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared to individuals with no history of cancer, sexual health was significantly affected among cancer survivors of both sexes and across cancer sites, time since diagnosis, and age at diagnosis. Health care professionals should recognize and routinely address the sexual challenges experienced by cancer survivors to enhance their biopsychosocial recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.70074","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T06:55:47Z","timestamp":1758092147000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sexual health among Danish cancer survivors and individuals with no history of cancer: Baseline findings from the nationwide\n                    <i>Project SEXUS<\/i>\n                    cohort study"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9540-7527","authenticated-orcid":false,"given":"Cecilie H.","family":"Madsen","sequence":"first","affiliation":[{"name":"Psychological Aspects of Cancer Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"},{"name":"Department of Clinical Medicine The Faculty of Medicine Center for Sexology Research Aalborg University  Aalborg Denmark"},{"name":"Department of Epidemiology Research Project SEXUS Group Statens Serum Institut  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0217-3637","authenticated-orcid":false,"given":"Christian","family":"Graugaard","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine The Faculty of Medicine Center for Sexology Research Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5485-2730","authenticated-orcid":false,"given":"Susanne O.","family":"Dalton","sequence":"additional","affiliation":[{"name":"Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"},{"name":"Department of Clinical Oncology &amp; Palliative Care Zealand University Hospital  N\u00e6stved Denmark"},{"name":"Faculty of Health Institute of Clinical Medicine Copenhagen University  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0114-2057","authenticated-orcid":false,"given":"Mikael","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Research Project SEXUS Group Statens Serum Institut  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9704-6800","authenticated-orcid":false,"given":"Pernille E.","family":"Bidstrup","sequence":"additional","affiliation":[{"name":"Psychological Aspects of Cancer Cancer Survivorship Danish Cancer Institute  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3864-8860","authenticated-orcid":false,"given":"Morten","family":"Frisch","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine The Faculty of Medicine Center for Sexology Research Aalborg University  Aalborg Denmark"},{"name":"Department of Epidemiology Research Project SEXUS Group Statens Serum Institut  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"International Agency for Research on Cancer.Cancer Tomorrow.2024. Available from:https:\/\/gco.iarc.who.int"},{"key":"e_1_2_10_3_1","unstructured":"American Cancer Society.Managing Cancer as a Chronic Illness.2024. Available from:https:\/\/www.cancer.org\/cancer\/survivorship\/long\u2010term\u2010health\u2010concerns\/cancer\u2010as\u2010a\u2010chronic\u2010illness.html"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.10210"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2471\/blt.24.291565"},{"key":"e_1_2_10_6_1","unstructured":"World Health Organization.Sexual Health Overview 2024. 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