{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T22:30:04Z","timestamp":1778625004950,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Sunway Medical Centre Clinical Research Centre","award":["SRB\/IIR\/SMC\/F\/23\/001"],"award-info":[{"award-number":["SRB\/IIR\/SMC\/F\/23\/001"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sexual health is a significant aspect of health-related quality of life. Impaired sexual health adversely affects the well-being and relationship between cancer patients and their partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To investigate the attitudes and perceptions of sexual health among advanced cancer patients and partners, and the impact of cancer on sexual health in the Asian context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Reflexive thematic analysis was applied to the data collected from semi-structured face-to-face interviews, which were transcribed verbatim.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants:<\/jats:title>\n                    <jats:p>Stage 3 and 4 cancer patients and partners were recruited at the oncology outpatient clinic in Malaysia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighteen patients (13\u2009[72%] female, median age 38.5 (interquartile range 17.5) years and nine partners (8\u2009[89%] male, median age 33 (interquartile range 15) years were interviewed. Main themes include: (1) physical intimacy remains a vital part of the relationship, (2) impact of cancer on sexual desire, activity and satisfaction, (3) impact of cancer on patient-partner relationship, (4) changes in perceptions of body image, attractiveness and self-esteem, and (5) patient-partner coping mechanisms. Most participants perceived both physical and emotional intimacy as important and felt their relationship improved post-cancer due to better communication and more support from their partners. Coping strategies include acceptance of their illness, prioritising cancer control over sexual needs, and finding meaning through spirituality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although cancer can reduce sexual desire and satisfaction, sexual health and relationship well-being can be maintained through emotional and physical intimacy, improved communication, companionship and support, and psycho-spiritual coping strategies. Further research is needed to develop sexual health interventions that are culturally adaptable and effective across diverse populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163251385874","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T06:13:25Z","timestamp":1762496005000},"page":"422-431","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The impact of advanced cancer on sexual health and relationships: A qualitative study on patient and partner perspectives"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9934-7423","authenticated-orcid":false,"given":"Julia Fee Voon","family":"Ho","sequence":"first","affiliation":[{"name":"Supportive &amp; Palliative Care Service, Sunway Medical Centre, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8652-7369","authenticated-orcid":false,"given":"Mark Wing Loong","family":"Cheong","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Monash University, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7080-4784","authenticated-orcid":false,"given":"Qian Yi","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7678-7123","authenticated-orcid":false,"given":"Puy Lyng","family":"Wong","sequence":"additional","affiliation":[{"name":"Clinical Research Centre, Division of Medical Education and Research, Sunway Medical Centre, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5256-6343","authenticated-orcid":false,"given":"Hasrina","family":"Mustafa","sequence":"additional","affiliation":[{"name":"School of Communication, Universiti Sains Malaysia, Pulau Pinang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1249-9710","authenticated-orcid":false,"given":"Pei Hwa","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5715-8667","authenticated-orcid":false,"given":"Hayati","family":"Yaakup","sequence":"additional","affiliation":[{"name":"Supportive &amp; Palliative Care Service, Sunway Medical Centre, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01513-4"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909110386044"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221074541"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0311"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2024.102236"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.9303"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.03.004"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001305"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2032-z"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15459"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-016-0577-9"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/IGC.0b013e3181d24ce0"},{"key":"e_1_3_3_14_2","article-title":"Care for breast cancer survivors in Asian countries: a review of sexual dysfunction","volume":"20","author":"Jehan M","year":"2024","unstructured":"Jehan M, Azam S, Taimuri MA, et al. 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