{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:19:09Z","timestamp":1790839149644,"version":"4.1.0"},"reference-count":51,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Treatment-related sexual problems are common, but understudied, among survivors of Childhood, Adolescent, and Young Adult Cancer Survivors (CAYACS). We investigated awareness of, and information needs regarding, sexual problems as late effects in a nation-wide sample of long-term CAYACS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Five-year survivors were identified by the Cancer Registry of Norway, diagnosed between 1985 and 2009 with any childhood cancer (0\u201318 years of age, excluding central nervous system tumors), leukemia, colorectal cancer, breast cancer, non-Hodgkin lymphoma, or malignant melanoma (19\u201339 years of age). Malignant melanoma survivors treated with local surgery only served as an unmatched reference group. Survivors were mailed a survey, including items on awareness and information needs. Descriptive statistics and logistic regression analyses were used for data analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 5361 CAYACS invited, 2104 responded (39%), of which 1870 were eligible for inclusion. In all, 62% were aware of sexual problems as late effects (46% aware only, 16% experienced it) and 31% reported information needs. Of all groups, childhood cancer survivors reported the lowest level of awareness (43% aware, 7% experienced it) and the highest information needs (38%). In multivariable models, awareness was associated with higher education, shorter time since treatment, more intense treatments, and experiencing hormonal changes and reduced fertility. Information needs were associated with having experienced sexual problems, female gender, higher treatment intensity, chronic fatigue, and increased depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A substantial proportion of long-term CAYACS report being unaware of, and have information needs regarding sexual problems as late effects decades beyond treatment. Addressing such issues during follow-up care is important.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jayao.2023.0031","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T16:10:37Z","timestamp":1692029437000},"page":"203-212","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Sexual Problems as Late Effects: Awareness and Information Needs Among 1870 Long-term Norwegian Childhood, Adolescent, and Young Adult Cancer Survivors (The NOR-CAYACS Study)"],"prefix":"10.1177","volume":"13","author":[{"given":"Ida K.","family":"Holme","sequence":"first","affiliation":[{"name":"Department of Behavioral Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrikke A.","family":"Hollund","sequence":"additional","affiliation":[{"name":"Department of Behavioral Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrine","family":"Vandraas","sequence":"additional","affiliation":[{"name":"National Advisory Unit for Late Effects After Cancer Treatment, Department of Oncology, Oslo University Hospital, Radiumhospitalet, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilie E.","family":"Kiserud","sequence":"additional","affiliation":[{"name":"National Advisory Unit for Late Effects After Cancer Treatment, Department of Oncology, Oslo University Hospital, Radiumhospitalet, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin V.","family":"Reinertsen","sequence":"additional","affiliation":[{"name":"National Advisory Unit for Late Effects After Cancer Treatment, Department of Oncology, Oslo University Hospital, Radiumhospitalet, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon H\u00e5vard","family":"Loge","sequence":"additional","affiliation":[{"name":"Department of Behavioral Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8370-5422","authenticated-orcid":false,"given":"Hanne Cathrine","family":"Lie","sequence":"additional","affiliation":[{"name":"National Advisory Unit for Late Effects After Cancer Treatment, Department of Oncology, Oslo University Hospital, Radiumhospitalet, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa060185"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.24.2705"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.6296"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31610-0"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(19)30800-9"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23448"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.09.005"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.08.041"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2021.06.014"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-017-0643-y"},{"key":"e_1_3_5_12_2","first-page":"10","article-title":"Psychosexual functioning in cancer survivorship: What the pediatric oncologist needs to know","volume":"28437","author":"Frederick NN","year":"2021","unstructured":"Frederick NN, , Lehmann V, , Ahler A, et al. Psychosexual functioning in cancer survivorship: What the pediatric oncologist needs to know. Pediatr Blood Cancer, 2021; e28437; doi: 10.1002\/pbc.28437","journal-title":"Pediatr Blood Cancer"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2022.07.014"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5672"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2020.0025"},{"key":"e_1_3_5_16_2","first-page":"10","article-title":"Sexual health-related care needs among young adult cancer patients and survivors: A systematic literature review","author":"Lehmann V","year":"2021","unstructured":"Lehmann V, , Laan ETM, , den Oudsten BL. Sexual health-related care needs among young adult cancer patients and survivors: A systematic literature review. J Cancer Surviv, 2021; doi: 10.1007\/s11764-021-01084-w","journal-title":"J Cancer Surviv"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.5534\/wjmh.180026"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1641"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12193"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.06.005"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21655"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-018-0684-x"},{"key":"e_1_3_5_23_2","first-page":"10","article-title":"Patient-reported sexual function among young adult cancer survivors","author":"Fitz VW","year":"2022","unstructured":"Fitz VW, , Anderson C, , Manuck TA, et al. Patient-reported sexual function among young adult cancer survivors. J Adolesc Young Adult Oncol, 2022; doi: 10.1089\/jayao.2022.0079","journal-title":"J Adolesc Young Adult Oncol"},{"issue":"12","key":"e_1_3_5_24_2","first-page":"1353","article-title":"Information and service needs for young adult cancer patients","volume":"16","author":"Zebrack B","year":"2008","unstructured":"Zebrack B. Information and service needs for young adult cancer patients. Support Care Cancer, 2008; 16(12):1353\u20131360; doi: 10.1007\/s00520-008-0435-z","journal-title":"Support Care Cancer"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.26041"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27673"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-6009-2"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2014.0036"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2015.07.009"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2012.03.002"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.47.3173"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/children8111058"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-019-00757-x"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2018.0109"},{"issue":"3","key":"e_1_3_5_35_2","first-page":"171","article-title":"Charlson comorbidities index","volume":"62","author":"Roffman CE","year":"2016","unstructured":"Roffman CE, , Buchanan J, , Allison GT. Charlson comorbidities index. J Physio, 2016; 62(3):171; doi: 10.1016\/j.jphys.2016.05.008","journal-title":"J Physio"},{"issue":"6","key":"e_1_3_5_36_2","first-page":"2947","article-title":"Self-reported late effects and long-term follow-up care among 1889 long-term Norwegian Childhood, Adolescent, and Young Adult Cancer Survivors (the NOR-CAYACS study)","volume":"29","author":"Mellblom AV","year":"2021","unstructured":"Mellblom AV, , Kiserud CE, , Rueegg CS, et al. Self-reported late effects and long-term follow-up care among 1889 long-term Norwegian Childhood, Adolescent, and Young Adult Cancer Survivors (the NOR-CAYACS study). Support Care Cancer, 2021; 29(6):2947\u20132957; doi: 10.1007\/s00520-020-05790-6","journal-title":"Support Care Cancer"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(93)90081-P"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-29"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"issue":"5","key":"e_1_3_5_40_2","first-page":"388","article-title":"Addressing sexual dysfunction in colorectal cancer survivorship care","volume":"5","author":"Averyt JC","year":"2014","unstructured":"Averyt JC, , Nishimoto PW. Addressing sexual dysfunction in colorectal cancer survivorship care. J Gastrointest Oncol, 2014; 5(5):388\u2013394; doi: 10.3978\/j.issn.2078-6891.2014.059","journal-title":"J Gastrointest Oncol"},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-016-0577-9"},{"key":"e_1_3_5_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2019.101708"},{"key":"e_1_3_5_43_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3805"},{"key":"e_1_3_5_44_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1221-x"},{"key":"e_1_3_5_45_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27713"},{"key":"e_1_3_5_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3323"},{"key":"e_1_3_5_47_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4181"},{"key":"e_1_3_5_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(03)00025-9"},{"key":"e_1_3_5_49_2","first-page":"1","article-title":"Taboo topics in adolescent and young adult oncology: Strategies for managing challenging but important conversations central to adolescent and young adult cancer survivorship","volume":"40","author":"Perez GK","year":"2020","unstructured":"Perez GK, , Salsman JM, , Fladeboe K, et al. Taboo topics in adolescent and young adult oncology: Strategies for managing challenging but important conversations central to adolescent and young adult cancer survivorship. Am Soc Clin Oncol Educ Book, 2020; 40:1\u201315; doi: 10.1200\/edbk_279787","journal-title":"Am Soc Clin Oncol Educ Book"},{"issue":"9","key":"e_1_3_5_50_2","first-page":"4227","article-title":"Discussing sexuality in cancer care: Towards personalized information for cancer patients and survivors","volume":"28","author":"Albers LF","year":"2020","unstructured":"Albers LF, , van Belzen MA, , van Batenburg C, et al. Discussing sexuality in cancer care: Towards personalized information for cancer patients and survivors. Support Care Cancer, 2020; 28(9):4227\u20134233; doi: 10.1007\/s00520-019-05257-3","journal-title":"Support Care Cancer"},{"key":"e_1_3_5_51_2","doi-asserted-by":"publisher","DOI":"10.1080\/0963828021000031188"},{"key":"e_1_3_5_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.10.037"}],"container-title":["Journal of Adolescent and Young Adult Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jayao.2023.0031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jayao.2023.0031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jayao.2023.0031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:46:35Z","timestamp":1777491995000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jayao.2023.0031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,1]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2,1]]}},"alternative-id":["10.1089\/jayao.2023.0031"],"URL":"https:\/\/doi.org\/10.1089\/jayao.2023.0031","relation":{},"ISSN":["2156-5333","2156-535X"],"issn-type":[{"value":"2156-5333","type":"print"},{"value":"2156-535X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,1]]}}}