Oncosexology in côte d’Ivoire: Attitudes and Practices of Physicians Involved in the Management of Breast and Prostate Cancer
Abstract
Objective: To evaluate the attitudes and practices of oncosexology in the management of breast and prostate cancer in Côte d’Ivoire. Methods: A cross-sectional, multicenter, descriptive and analytical survey carried out over 02 months from 1 November to 31 December 2022, among doctors involved in the management of breast and prostate cancer in Côte d’Ivoire. Results: 78 physicians on 114 participated in the study, with a participation rate of 79.5%. Only one doctor discussed the sexual risks associated with cancer with all his patients and 7.7% of doctors said they never broached questions of sexuality with their patients. The approach to sexuality was strongly associated with occupation (p = 0.002). A request for onco-sexological care was initiated by the patient and the partner respectively in 3.8% and 25.6% of cases. Only 5.1% of physicians claimed to have received training in oncosexuality. In 92.3% of cases, doctors would like to have training on this topic. Conclusion: On the questions relating to sexuality, Physicians are not addressing sexuality with their patients diagnosed with breast or prostate cancer. The lack of training in this area appears to be the main reason for this lack of communication and onco-sexological care.
References
2.PNLCa Cote d’Ivoire. Profil épidémiologique du cancer en Côte d’Ivoire; 2020. Disponible sur : https://www.pnlca.org/copy-of-cancer-en-cote-d-voire. [Accessed 2023]. [Google Scholar]
3.Nuytten M, Faugeras L, D’Hondt L. Cancer et sexualité. Louvain Med. 2018;137(7):486–91. [Google Scholar]
4.Cella DF. Le concept de qualité de vie : les soins palliatifs et la qualité de vie. Recherche en soins infirmiers. 2007;88(1):25–31. [Google Scholar]
5.McLeod DL, Hamilton J. Parler de la sexualité dans le contexte du cancer : qui le fait en premier ? Can Oncol Nurs J. 2013;23(3):202–7. doi:10.5737/1181912x233202207. [Google Scholar] [CrossRef]
6.Wisard M. Cancer et sexualité masculine. Rev Med Suisse. 2008 déc 3;182(44):2618–23. [Google Scholar]
7.Quinn GP, Gonçalves V, Sehovic I, Bowman ML, Reed DR. Quality of life in adolescent and young adult cancer patients: a systematic review of the literature. Patient Relat Outcome Meas. 2015;17:19–51. [Google Scholar]
8.Bondil P, Habold D, Damiano T, Champsavoir P. Le parcours personnalisé de soins en oncosexologie : une nouvelle offre de soins au service des soignés et des soignants. Bulletin du Cancer. 2012 avr 1;99(4):499–507. [Google Scholar]
9.Santos DB, Vieira EM. Scripts de la sexualité dans le contexte du cancer du sein. Sexologies. 2015;24(2):51–5. doi:10.1016/j.sexol.2013.10.002. [Google Scholar] [CrossRef]
10.Stacy TL, Hanna S, Judith P, Shirley RB. Communication about sexuality and intimacy in couples affected by lung cancer and their clinical-care providers. Psychooncology. 2011;20(2):179–85. doi:10.1002/pon.1787. [Google Scholar] [PubMed] [CrossRef]
11.Almont T, Farsi F, Krakowski I, El Osta R, Bondil P, Huyghe E. Sexual health in cancer: the results of a survey exploring practices, attitudes, knowledge, communication, and professional interactions in oncology healthcare providers. Support Care Cancer. 2018 Aug;27(3):887–94. doi:10.1007/s00520-018-4376-x. [Google Scholar] [PubMed] [CrossRef]
12.Langlade P, Martin C, Robin G, Catteau-Jonard S. Abord de la sexualité et des dysfonctions sexuelles par les médecins de la reproduction en France. Sexologies. 2020;29(3):115–20. doi:10.1016/j.sexol.2020.02.004. [Google Scholar] [CrossRef]
13.Ayanore MA, Pavlova M, Groot W. Unmet reproductive health needs among women in some West African countries: a systematic review of outcome measures and determinants. Reprod Health. 2015;13(5):1–10. doi:10.1186/s12978-015-0104-x. [Google Scholar] [PubMed] [CrossRef]
14.Kotronoulas G, Papadopoulou C, Patiraki E. Nurses’ knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: critical review of the evidence. Support Care Cancer. 2009 May;17(5):479–501. doi:10.1007/s00520-008-0563-5. [Google Scholar] [PubMed] [CrossRef]
15.Letourneau JM, Ebbel EE, Katz PP, Katz A, Ai WZ, Chien AJ, et al. Pretreatment fertility counseling and fertility preservation improve quality of life in reproductive age women with cancer. Cancer. 2012 Mar;118(6):1710–7. doi:10.1002/cncr.26459. [Google Scholar] [PubMed] [CrossRef]
16.Rittenberg CN, Johnson JL, Kuncio GM. An oral history of MASCC, its origin and development from MASCC’s beginnings to 2009. Support Care Cancer. 2010;18(6):775–84. doi:10.1007/s00520-010-0830-0. [Google Scholar] [PubMed] [CrossRef]
17.Lapôtre-Ledoux B, Remontet L, Uhry Z, Dantony E, Grosclaude P, Molinié F, et al. Incidence des principaux cancers en france métropolitaine en 2023 et tendances depuis 1990. Bull épidémio Hebdo. 2023;12–13:188–204. [Google Scholar]
18.Almont T, Delannes M, Ducassou A, Corman A, Bondil P, Moyal E, et al. Sexual quality of life and needs for sexual care of cancer patients admitted for radiotherapy: a 3-month cross-sectional study. J Sex Med. 2017;14(4):566–76. doi:10.1016/j.jsxm.2017.02.013. [Google Scholar] [PubMed] [CrossRef]
19.Albaugh JA, Sufrin N, Lapin BR, Petkewicz J, Tenfelde S. Life after prostate cancer treatment: a mixed methods study of the experiences of men with sexual dysfunction and their partners. BMC Urol. 2017;17(1):45. doi:10.1186/s12894-017-0231-5. [Google Scholar] [PubMed] [CrossRef]
20.Krouwel EM, Nicolai MP, van der Wielen GJ, Putter H, Krol AD, Pelger RC, et al. Sexual concerns after (pelvic) radiotherapy: is there any role for the radiation oncologist? J Sex Med. 2015;12(9):1927–39. doi:10.1111/jsm.12969. [Google Scholar] [PubMed] [CrossRef]
Copyright (c) 2024 The author(s)
This work is licensed under a Creative Commons Attribution 4.0 International License.
