Effects of Stigma on the Relationship Between Perceived Social Support and Sexual Satisfaction Among Breast Cancer Survivors |
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| Affiliation: | 1. School of Public Health, National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China;2. Health Guidance Department, Shanghai Municipal Center for Health Promotion, Shanghai, China;1. Beaumont Health, Department of Urology, Royal Oak, MI, USA;2. Oakland University William Beaumont School of Medicine, Rochester, MI, USA;1. Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL, USA;2. Department of Plastic Surgery, University of Virginia, Charlottesville, VA, USA;3. Department of Urology, Temple University Hospital, Philadelphia, PA, USA;4. Center for Urban Bioethics, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA;5. Department of Plastic and Reconstructive Surgery, Temple University Hospital, Philadelphia, PA, USA;1. Division of Adolescent/Young Adult Medicine, Boston Children''s Hospital, Boston, MA, USA;2. Department of Pediatrics, Harvard Medical School, Boston, MA, USA;3. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA;4. Department of Population Health, NYU School of Medicine, New York, NY, USA;5. Department of Obstetrics and Gynecology, NYU School of Medicine, New York, NY, USA;6. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA;7. Department of Obstetrics, Gynecology, and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA;8. Channing Division of Network Medicine, Brigham & Women''s Hospital, Boston, MA, USA;9. Center for Gender Surgery, Department of Plastic and Oral Surgery, Boston Children''s Hospital, Boston, MA, USA;10. Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA, USA;11. Division of Gynecology, Department of Surgery, Boston Children''s Hospital, Boston, MA, USA;12. Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA;1. Department of Urology, Miller School of Medicine, University of Miami, Miami, FL, USA;2. Department of Urology, Dalhousie University, Halifax, Canada;3. Department of Microbiology & Immunology, Miller School of Medicine, University of Miami, Miami, FL, USA;1. Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou 310028, China;2. Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, Beijing Normal University, Beijing 100875, China;3. Department of Psychology, Anhui Normal University, Wuhu 241000, China |
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| Abstract: | BackgroundSexual satisfaction is one of the issues faced by breast cancer survivors (BCSs).AimThis study aims to explore the mediation of stigma in the relationship between perceived social support (PSS) and sexual satisfaction among breast cancer survivors.MethodsA cross-sectional study was conducted among 918 BCSs in Shanghai Cancer Rehabilitation Club. Data were collected using an online questionnaire including questions on sociodemographic characteristics, health status, PSS, stigma and sexual satisfaction of participants. The bootstrap method was used to test the significance of the simple mediation model.OutcomesThe simple mediation of stigma was found significant in the relationship between PSS and sexual satisfaction.ResultsStigma plays an intermediary role in the relationship between 2 dimensions of PSS (family and friends) and sexual satisfaction, but not in the relationship between the dimension of other significant people of PSS and sexual satisfaction.Clinical TranslationIt is important to reduce stigma when improving the sexual satisfaction of BCSs from the perspective of PSS.Strengths & LimitationsThe mediating role of stigma in the relationship between PSS and sexual satisfaction among BCSs has been shown for the first time. Study limitations include limitations in the representativeness of population by the study sample and the cross-sectional study design.ConclusionsStigma mediates the relationship between PSS and sexual satisfaction, which needs to be eliminated in intervention practice.Yuxin Zhang, Jie Zhao, Nan Jiang, et al. Effects of Stigma on the Relationship Between Perceived Social Support and Sexual Satisfaction Among Breast Cancer Survivors. J Sex Med 2022;19:1002–1011. |
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