{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:32:08Z","timestamp":1777786328018,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"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":[[2024,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to examine the association between fertility issues and demographic characteristics of unmarried adolescent and young adult cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a survey among cancer survivors who were 15\u201339 years old and unmarried at the time of cancer diagnosis and 20\u201345 years old at the time of the survey. Views on fertility issues, originally developed based on the results of a qualitative study conducted with the same inclusion criteria, were used to assess thoughts and feelings regarding fertility issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Through exploratory factor analysis of the 128 respondents who either had children or desired children, two factors related to fertility issues were identified: \u201canxiety related to the possibility of not being able to have children\u201d and \u201cpressure from others to have children.\u201d Multiple regression analysis was performed to examine the association between these factors and demographic characteristics. The analysis revealed that being male and having a partner were significant predictors for both factors for views on fertility issues. Additionally, younger age at the time of diagnosis was a significant predictor for the first factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Greater fertility issues among unmarried cancer survivors were associated with younger age at diagnosis, having a partner, and being male. Surprisingly, contrary to previous findings, male cancer survivors experienced more significant fertility problems than women. This result may be attributed to the well-established gender roles in Japan, where men are predominantly considered the heirs and inheritors of the family.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jayao.2023.0097","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T12:19:33Z","timestamp":1698668373000},"page":"293-299","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["An Examination of the Association Between Psychosocial Aspects of Fertility Issues and Demographic Characteristics of Unmarried Adolescent and Young Adult Cancer Survivors"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1750-2723","authenticated-orcid":false,"given":"Kanako","family":"Yoshida","sequence":"first","affiliation":[{"name":"Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Matsui","sequence":"additional","affiliation":[{"name":"Institute of Human Sciences, University of Tsukuba, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.39.6333"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.4708"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2020.0199"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4927"},{"key":"e_1_3_4_6_2","article-title":"Cancer and marriage: Report on unmarried cancer patient 1","author":"Sakurai N","year":"2016","unstructured":"Sakurai N, Cancer and marriage: Report on unmarried cancer patient 1. J Jpn Soc Cancer Nurs, 2016;21(1): 67\u201371 (in Japanese).","journal-title":"J Jpn Soc Cancer Nurs"},{"issue":"4","key":"e_1_3_4_7_2","first-page":"381","article-title":"Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years","volume":"18","author":"Crawshaw MA","year":"2009","unstructured":"Crawshaw MA, , Glaser AW, , Hale JP, et al. Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years. 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(eds.). Family Values in East Asia: A Comparison Among Japan South Korea China and Taiwan Based on East Asian Social Survey 2006. Nakanishiya Shuppan Co. Ltd.: Kyoto; 2011 (in Japanese)."},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-72293-1_13"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2016.1193588"},{"issue":"1","key":"e_1_3_4_21_2","first-page":"e13348","article-title":"The impact of cancer-related fertility concerns on current and future couple relationships: People with cancer and partner perspectives","volume":"30","author":"Hawkey AJ","year":"2021","unstructured":"Hawkey AJ, , Ussher JM, , Perz J, et al. The impact of cancer-related fertility concerns on current and future couple relationships: People with cancer and partner perspectives. 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