title: Sexuality and health-related quality of life after prostate cancer in African-American and white men treated for localized disease.
abstract: The purpose of this study was to examine differences in sexual attitudes and quality of life of White and African-American men who have undergone radical prostatectomy or radiation therapy for localized prostate cancer. Respondents included 1,112 White and 118 African-American men. Response rates differed by race, with 51% of White men and 28% of African-American men returning the questionnaire assessing demographics, medical history, sexual functioning, attitudes about seeking help for sexual problems, sexual self-schema, and health-related quality of life. African Americans were more likely than Whites to have undergone radiation therapy (p <.0001) and were more likely to indicate that a desire to maintain sexual functioning influenced their treatment choice (p <.0001). African-American men also had more positive attitudes than did White men toward seeking help for sexual problems and were more likely to report seeking past help and intending to seek future help. African-American men reported more problems with sexual desire (p =.0003), although their sexual function scores did not differ significantly from those of Whites. African-American men may be more at risk for distress when prostate cancer treatment causes sexual dysfunction.
authors.affiliation: Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA. rljeffrie@mdanderson.org
authors.forename: Rosell
authors.initials: R
authors.lastname: Jenkins
authors.forename: Leslie R
authors.initials: LR
authors.lastname: Schover
authors.forename: Rachel T
authors.initials: RT
authors.lastname: Fouladi
authors.forename: Carla
authors.initials: C
authors.lastname: Warneke
authors.forename: Leah
authors.initials: L
authors.lastname: Neese
authors.forename: Eric A
authors.initials: EA
authors.lastname: Klein
authors.forename: Craig
authors.initials: C
authors.lastname: Zippe
authors.forename: Patrick
authors.initials: P
authors.lastname: Kupelian
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D007172:Erectile Dysfunction / Q000209:etiology* / Q000523:psychology; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects; D011471:Prostatic Neoplasms / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology; D013315:Stress, Psychological / Q000209:etiology; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data*