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This book provides an overview of research and practice dealing with the specific needs of gay and bisexual men living with prostate cancer, as well as the special psychosocial needs of their partners. The intention is twofold: to provide insight into the unique experiences and concerns of gay or bisexual men living with prostate cancer in order to inform and assist future research, clinical practice and supportive care, and policy; and to ensure that the needs of gay and bisexual men are recognized and advanced on the mainstream prostate cancer agenda. Featuring both cutting-edge research and powerful portraits of gay and bisexual men living with prostate cancer, this book will be indispensable for health care, oncology, and mental health practitioners who seek to address their specific experiences and challenges.
"A Gay Man's Guide to Prostate Cancer explores the medical facts and psychological aspects of being diagnosed and treated for prostate cancer as well as the personal experiences of gay men from various walks of life. This insightful examination from the perspective of being gay in a predominantly heterosexual medical world emphasizes the unique concerns gay men have when confronted with this life-altering disease." --Book Jacket.
"The purpose of this study is to describe the lived experience of ten men with prostate cancer who are between the ages of 50-70. The aim of the study is to understand the lived experience of uncertainty from a patient perspective."--leaf v.
Literature reviews are ideal for summarizing and understanding all the available data about a particular topic. Researchers must find and analyze all the current knowledge on a subject if they are to present a succinct review. A meta-synthesis consists of a literature review of qualitative studies only. The extracted data are then synthetized into a narrative where the current knowledge on a topic can then be evaluated. Research of a qualitative nature is useful for obtaining the thoughts and feelings of a particular population and can provide crucial insights into their ontological perspectives. A meta-synthesis process can be a viable approach to deepening our understanding of a distinct body of qualitative research. This case study will provide an overview into how a review of qualitative studies was conducted on a particular health care issue and will explain the process undertaken by the researchers. The study will explain how the search strategy was conceived, how the data were synthesized, and the value a meta-synthesis can add to the body of existing literature.
At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.
Abstract: Background. An estimated 2.3 million prostate cancer survivors reside in the United States, 50,000–70,000 of which are gay men. Fearing discrimination, stigma, or receipt of substandard care, gay men may not reveal their sexual orientation potentially affecting provider communication, treatment decision-making and post-treatment quality of life (QoL). Sexual orientation and other social factors may play an important role in men's QoL. Research suggests that functional impairments following treatment diminish QoL more for younger (i.e., age 50–64 years) than older men, while supportive partners can positively influence how men adapt to prostate cancer. Yet data are currently limited to heterosexual populations; it is unknown whether these effects are similar among gay prostate cancer survivors. Aims. To revise recent measures of prostate cancer QoL to include the experiences of gay men, assess the role of age and partnership status among gay men and compare QoL between gay and straight men. Methods. We administered a national QoL survey to gay prostate cancer survivors, including questions about sexual orientation disclosure and community rejection derived from qualitative interviews. Survey data were analyzed to assess the role of age and partnership status among gay men for four post-treatment prostate cancer QoL outcomes (masculine self-esteem, health worry, informed treatment decision and treatment regret) and QoL was then compared to straight prostate cancer survivors using data from a previous study to assess for differences based on sexual orientation. Results. Younger gay men experienced poorer QoL outcomes following treatment than older men; no association with partnership status was found. Comfort in revealing one's sexual orientation to a provider may result in better outcomes. Gay men reported more stigma, lower masculine self-esteem and more treatment regret following prostate cancer treatment than straight men. Conclusions. For gay men, greater sensitivity to stigma as a sexual minority may result in poorer QoL compared to straight men. While both gay and straight men struggle with similar QoL issues following localized prostate cancer treatment, gay men may have more difficulty due to sexual orientation. Further research is needed to better understand the role that sexual orientation and stigma play in prostate cancer QoL.
Personal stories show men how to make the right decisions for themselves, with medical insights from a leading Johns Hopkins authority on prostate cancer If you or someone you know has been diagnosed with prostate cancer, you want to know the facts about treatment options as well as what to expect through the process of treatment and recovery. Written by Dr. Arthur L. Burnett, II. one of the world's most distinguished authorities on prostate cancer and veteran CBS News journalist and prostate cancer survivor, Norman Morris, Prostate Cancer Survivors Speak Their Minds gives you the information you need through the experiences of men who have had prostate cancer. Dr. Burnett speaks openly and honestly about prostate cancer options, treatments, and aftereffects and shares stories of both well-known and ordinary prostate cancer survivors who offer their personal reflections on going through treatment and getting well. Includes personal stories from notable prostate cancer survivors such as Arnold Palmer, Ken Griffey Sr., Pat Robertson, and others Takes an authoritative look at prostate cancer treatments, current and promising scientific breakthroughs, and life-altering side effects Author Arthur Burnett, a leading prostate cancer expert, is the Patrick C. Walsh Professor of Urology, Cellular and Molecular Medicine at the Johns Hopkins's James Buchanan Brady Urological Institute and is renowned for his research studies that led to the formulation of Viagra Offers solutions to common side effects such as sexual problems and incontinence Combining the essential medical facts about prostate cancer with personal, intimate stories told by courageous men who have survived it, this book is an invaluable guide for men diagnosed with prostate cancer and those who care about them.
Against My Better Judgment: An Intimate Memoir of an Eminent Gay Psychologist is an extraordinary and moving account of the life of a gay man in his late 60s after he loses his companion of 40 years to cancer. A leading professor of psychology at Harvard University, Roger Brown bravely comes forth with his compelling story of grief, loneliness, and a relentless search for intimacy, healing, and self-acceptance. Readers gain insight into a stage of life experienced by gay men of which little is written or spoken due to the ageism that characterizes homosexual culture. Against My Better Judgment reveals deeply personal truths that will prepare gay men for what to expect in the later stages of life. Universal in nature, these truths will speak to readers from various lifestyles and of all ages. Readers will recognize the book as a story of looking for love in all the wrong places, but will also see in it a process of discovery--both internal and external. In the aftermath of his lover’s death, Brown turns to prostitutes for companionship, for relieving repressed sexual energy, and even for love. Through his unique relationships with three young men, he does not find the romantic love he so desperately seeks, but discovers that his idea of human nature has been formed by his particular life position and association with people who share his values, knowledge, and privileges. Once he goes outside his social and intellectual circle, he acquires a new perspective on life and realizes how far from universal truth his notions of humanity have been.Readers of Against My Better Judgment will gain a different perspective on the complexities of love, relationships, fidelity, human nature, and the hardships of life inevitably faced by all humans--straight, gay, or bisexual. Gay men, lesbians, psychologists, widowers, therapists, and anthropologists, as well as sensitive readers of any background, will heighten their understanding of what it means to be human. This remarkable story makes a tremendous contribution to existing gay literature and the timeless struggle of art and literature to make sense of the universe and the place of humans within it. Echoing life, Against My Better Judgment, with its brutal honesty, intrigues and repels alternately, just as it elicits both sadness and laughter.