{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:02:34Z","timestamp":1777384954407,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["5P30CA056036-17"],"award-info":[{"award-number":["5P30CA056036-17"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We designed a survey to determine the prevalence of sexual dysfunction among cancer patients and to understand the gaps in provider-patient communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An IRB-approved 36-item survey was distributed through the Jefferson Recruitment Enhancement Service team and social media. Questions assessed the impact of cancer treatment on sexual health, provider communication, how sexual health was assessed, and possible interventions. Chi-square test or Fisher\u2019s exact test were used to compare the group differences with a\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -value threshold (\u03b1) of 0.05 for statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      916 patients responded to the survey, with most being diagnosed with breast (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 271, 29.6%) and prostate cancer (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 358, 39.1%). 71.8% of patients experienced an impact on sexual function by cancer treatment. Most experienced issues with their sexual desire, body image, arousal, comfort during intercourse, and ability to achieve orgasm (\u03b1 &lt; 0.001). Only 35.5% reported being asked about their sexual health by an oncologist and only 22.2% were given a questionnaire to assess their sexual health (\u03b1 &lt; 0.001). 49.8% of breast patients and 15.4% of prostate patients were never told their sexual health could be affected by their cancer treatment (\u03b1 &lt; 0.001). 60.3% of prostate patients were formally asked about their sexual health by an oncologist compared to 21.4% of breast patients (\u03b1 &lt; 0.001). 74% of respondents stated it is essential for oncologists to speak to patients about sexual health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cancer survivors believe it is important for providers to discuss sexual health. However, providers are more inclined to address sexual health concerns with male patients than with female counterparts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261425190","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T17:50:29Z","timestamp":1771091429000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Intimacy After Diagnosis: Navigating Sexual Health Conversations and Disparities Among Cancer Survivors"],"prefix":"10.1177","author":[{"given":"Tolulope","family":"Ilori","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8110-9709","authenticated-orcid":false,"given":"Katherine","family":"Gerber","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Burke","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayako","family":"Shimada","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayesha","family":"Ali","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy","family":"Loeb","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"},{"name":"Manhattan Veterans Affairs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Yutong","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Lazar","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman G.","family":"Rosenblum","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramila R.","family":"Anne","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole L.","family":"Simone","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College & Cancer Center at Thomas Jefferson University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1712502"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-16-0133"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2022.08.009"},{"key":"e_1_3_4_5_2","unstructured":"National Cancer Institute. 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