癌症幸存者女性性活动的动机：一项横断面研究
癌症幸存者女性性活动的动机：一项横断面研究
Motivators for sexual activity among women who are cancer survivors: a cross-sectional study
——《性医学杂志》第23卷，第1期，2026年1月——
【摘要】性健康是癌症幸存者女性生活质量 (QOL) 的关键组成部分。随着癌症幸存者生存率的提高，解决性健康等生活质量问题变得日益重要。探索癌症幸存者进行性活动的动机有助于在治疗期间和治疗后，确定以患者为中心的性健康优先事项。
据我们所知，目前尚无定量研究探讨癌症幸存者女性的性动机。本研究旨在了解乳腺癌和盆腔癌幸存者进行性活动的原因，从而为制定有效的、以患者为中心的干预措施提供信息，以预防和减轻性功能障碍，并改善癌症治疗后的性健康和生活质量。
本研究以多阶段优化策略 (MOSt) 框架的准备阶段为指导，构建了一个基于性行为和性反应生物心理社会模型的概念模型，旨在改善癌症幸存者的性生活质量。准备阶段包括确定以患者为中心的干预措施的基本要素和候选治疗方案。研究参与者年龄均大于18岁，能说英语或西班牙语，且至少在一年前已完成乳腺癌或盆腔（肛门、直肠、子宫、宫颈、阴道、外阴）癌症的局部放射治疗。参与者在其他癌症治疗方面存在差异，包括全身治疗或手术治疗，但所有参与者均接受了局部放射治疗。参与者由放射肿瘤科医生在2022年至2024年的随访就诊中前瞻性招募。研究人员收集了经临床注释的定量患者自述调查数据，并使用经验证的问卷（包括经作者许可使用的“为何要性生活简表问卷”（YSEX?-SF）评估癌症治疗对性活动和性功能的影响。
【关键词】性健康；生活质量；生存；癌症；女性健康
[Extract] Sexual health is a key component of quality of life (QOL) among women who are cancer survivors.1,2 With increasing survivorship rates, addressing QOL issues such as sexual health becomes increasingly important. Exploring motivations for sexual activity among cancer survivors may help define patient-centered priorities when addressing sexual health during and after treatment.
To our knowledge, no quantitative study has examined motivations for sex in a sample of women who are cancer survivors. The objective of this study was to understand the reasons why survivors of breast and pelvic cancers engage in sexual activity to inform the development of effective, patient-centered interventions to prevent and mitigate sexual dysfunction and improve sexual health and QOL after cancer treatment.
This study was guided by the preparation phase of the Multiphase Optimization Strategy (MOSt) 3 framework to develop a conceptual model of change to improve sexual QOL for cancer survivors anchored on biopsychosocial models of sexuality and sexual response.2 The preparation phase involves defining the basic elements and candidate treatment components of a patient-centered intervention. Study participants were?>?18 years old, English or Spanish speaking, and had finished local radiation treatment for breast or pelvic (anal, rectal, uterine, cervical, vaginal, vulvar) cancers at least one year prior. Participants varied in other aspects of cancer treatment, including systemic or surgical therapies, but all received local radiation. Participants were recruited prospectively by radiation oncology clinicians at follow-up visits from 2022 to 2024. Clinically-annotated quantitative patient-reported survey data were collected to assess the impact of cancer treatments on sexual activity and function using validated questionnaires, including the Why Have Sex Short Form Questionnaire (YSEX?-SF) with permission from the authors.
[Key words] sexual health; quality of life; survivorship; cancer; women’s health
论文原文：Melanie Besculides, Julia Brody-Barre, Lauren M Carney, et al (2026). Melanie Besculides, Julia Brody-Barre, Lauren M Carney, et al (2026). Motivators for sexual activity among women who are cancer survivors: a cross-sectional study. The Journal of Sexual Medicine, Volume 23, Issue 1, January 2026.
https://doi.org/10.1093/jsxmed/qdaf293
（翻译兼责任编辑：MARY）
（需要英文原文的朋友，请联系微信：millerdeng95或iacmsp）
