{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T19:33:58Z","timestamp":1784835238741,"version":"3.55.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008615","name":"Lineberger Comprehensive Cancer Center, University of North Carolina","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008615","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["HRSA 2-T03-MC07643-04"],"award-info":[{"award-number":["HRSA 2-T03-MC07643-04"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>The long-term reproductive health impact of cancer treatments is a concern for premenopausal women with a history of breast cancer. This study examined the unmet sexual and reproductive health needs of breast cancer survivors, as well as concordances and discordances in needs by childbearing status and race. We interviewed 17 women diagnosed with breast cancer between the ages of 18 and 45 years and living in North Carolina. To analyze these data, we used the Sort and Sift, Think and Shift\u00a9 method, a multidimensional qualitative analysis approach. We learned that breast cancer survivors (a) received limited reproductive health information, (b) desired realistic expectations of conceiving postcancer, (c) struggled with adjusting to their altered physical appearance, and (d) had menopause symptoms that led to sexual health and quality of life issues. Breast cancer survivors are in need of and desire more education and resources to address their sexual and reproductive health concerns.<\/jats:p>","DOI":"10.1177\/1049732320929649","type":"journal-article","created":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T05:49:21Z","timestamp":1592459361000},"page":"2019-2032","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["The Other Side of Through: Young Breast Cancer Survivors\u2019 Spectrum of Sexual and Reproductive Health Needs"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1152-1069","authenticated-orcid":false,"given":"Kristin Z.","family":"Black","sequence":"first","affiliation":[{"name":"East Carolina University, Greenville, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenia","family":"Eng","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer C.","family":"Schaal","sequence":"additional","affiliation":[{"name":"The Partnership Project, Greensboro, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"La-Shell","family":"Johnson","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazel B.","family":"Nichols","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-3912","authenticated-orcid":false,"given":"Katrina R.","family":"Ellis","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane L.","family":"Rowley","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,18]]},"reference":[{"key":"bibr1-1049732320929649","unstructured":"American Cancer Society. (2017). Breast cancer facts & figures 2017-2018. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/breast-cancer-facts-and-figures\/breast-cancer-facts-and-figures-2017-2018.pdf"},{"key":"bibr2-1049732320929649","doi-asserted-by":"crossref","unstructured":"Avis N. E., Crawford S., Manuel J. (2004). Psychosocial problems among younger women with breast cancer. Psycho-Oncology, 13(5), 295\u2013308. https:\/\/doi.org\/10.1002\/pon.744","DOI":"10.1002\/pon.744"},{"key":"bibr3-1049732320929649","doi-asserted-by":"crossref","unstructured":"Azim H. A., Santoro L., Pavlidis N., Gelber S., Kroman N., Azim H., Peccatori F. A. (2011). Safety of pregnancy following breast cancer diagnosis: A meta-analysis of 14 studies. European Journal of Cancer, 47(1), 74\u201383. https:\/\/doi.org\/10.1016\/j.ejca.2010.09.007","DOI":"10.1016\/j.ejca.2010.09.007"},{"key":"bibr4-1049732320929649","doi-asserted-by":"crossref","unstructured":"Barton D. L., Ganz P. A. (2015). Symptoms: Menopause, infertility, and sexual health. In Ganz P. A. (Ed.), Improving outcomes for breast cancer survivors: Perspectives on research challenges and opportunities (pp. 115\u2013141). Springer. https:\/\/doi.org\/10.1007\/978-3-319-16366-6_9","DOI":"10.1007\/978-3-319-16366-6_9"},{"key":"bibr5-1049732320929649","doi-asserted-by":"crossref","unstructured":"Bouchlariotou S., Tsikouras P., Benjamin R., Neulen J. (2012). Fertility sparing in cancer patients. Journal of the Society for Minimally Invasive Therapy, 21(4), 282\u2013292. https:\/\/doi.org\/10.3109\/13645706.2011.611520","DOI":"10.3109\/13645706.2011.611520"},{"key":"bibr6-1049732320929649","doi-asserted-by":"crossref","unstructured":"Camp-Sorrell D. (2009). Cancer and its treatment effect on young breast cancer survivors. Seminars in Oncology Nursing, 25(4), 251\u2013258. https:\/\/doi.org\/10.1016\/j.soncn.2009.08.002","DOI":"10.1016\/j.soncn.2009.08.002"},{"key":"bibr7-1049732320929649","doi-asserted-by":"crossref","unstructured":"Cho J., Jung S.Y., Lee J. E., Shim E.J., Kim N. H., Kim Z. Lee M. H. (2014). A review of breast cancer survivorship issues from survivors\u2019 perspectives. Journal of Breast Cancer, 17(3), 189\u2013199. https:\/\/doi.org\/10.4048\/jbc.2014.17.3.189","DOI":"10.4048\/jbc.2014.17.3.189"},{"key":"bibr8-1049732320929649","volume-title":"30 essential skills for the qualitative researcher","author":"Creswell J. W.","year":"2015"},{"key":"bibr9-1049732320929649","doi-asserted-by":"crossref","unstructured":"Crowley S. A., Foley S. M., Wittmann D., Jagielski C. H., Dunn R. L., Clark P. M. Janz N. K. (2016). Sexual health concerns among cancer survivors: Testing a novel information-need measure among breast and prostate cancer patients. 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