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Development and validation of the expanded prostate cancer index composite EPIC for comprehensive assessment of health-related quality of life in men with prostate cancer. The need for a firmer erection for anal penetration may mean that providers should educate survivors about the limitations of oral therapies for ED and consider more invasive treatments sooner with gay men. The three items addressed experiences related to mean or hurtful comments, pictures, photos, and videos and online rumor-spreading through emails, blogs, social media e. Am J Public Health. Raw scale scores were reversed and transformed to a 0 to scale, with higher scores reflecting greater fear of recurrence. Browse Subject Areas? Adolescent homosexuality and concerns regarding disclosure. Parliament of the United Kingdom; In addition, prior research has documented the cultural significance among gay men around the eroticization of ejaculate and semen [ 31 ]. When indicated, referral to sex therapy will help gay men with PCa address the potentially significant experience of sexual losses and grief due to PCa treatment and achieve a measure of adaptation to a new sexual paradigm [ 4 ]. Table 1. Psychol Med. Having an avoidantly attached partner was also associated with an increase in the number of UAI partners reported. Daniela A. Furthermore, because cyber harassment is less detectable by adults than traditional bullying [ 37 ] and most cyber harassment victims do not report such bullying to an adult or use digital tools to prevent online incidents [ 38 ], experiences of traditional bullying may be used as an indicator for detecting the occurrence of cyber harassment among sexual minority adolescents.

Parliament of the United Kingdom. Implications The present study found several modifiable and unmodifiable factors related to QOL in gay and bisexual men. Annu Rev Clin Psychol. Given the difficulty in recruiting this hard-to reach population, recruitment methods included: postings to electronic listservs targeting PCa survivors, posting flyers in community centers and at support groups, and advertising the study in the local media. Avoidantly attached men reported significantly more casual unprotected anal intercourse UAI partners compared to other attachment styles. Support Center Support Center. Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. Coon Acquisition of Data David M. Across all positive ONS metrics of quality of life 1 , life satisfaction, happiness, and perception that things they do in life are worthwhile, people who were heterosexual or straight rated each of these aspects of quality of life higher than their LGB counterparts. A substantial minority of men reported being dissatisfied Please review our privacy policy. Porno Gay Videos Mens Mature Free

Coon; Justin I. Some men reported that their partner was struggling with the change in their relationship Table 5 , quote 5. Repeated harassment not only leads to chronic stress in LGB adolescents but also increases their perception of negative attitudes toward sexual minorities, potentially causing them to internalize sexuality-related stigma and in turn to form a negative attitude toward themselves [ 13 ].

Patchin JW, Hinduja S. Demographic information age, ethnicity, education, nationality, education level and medical characteristics PSA level, Gleason score, PCa treatment, T-stage at diagnosis, and comorbidities were assessed using the same questions as another large PCa patient-reported outcome study [ 13 ]. Discussion The interest in GMPCa treatment outcomes has grown since our data collection ended and other studies are beginning to be published [ 5 , 7 , 8 , 26 ]. In another small study, gay men undergoing anti-androgen treatment reported worse scores on the International Index of Erectile Function than heterosexual men receiving the same treatment [ 6 ].

Sexy Mens Cocks Devins GM. We were unable to locate other published studies of PCa patients gay sex quality the MSHQ ejaculatory functioning or bother scale scores. Sexual functioning and bother and hormonal functioning varied across studies. Low educational attainment may limit occupation choices and income and therefore link to poor health status. Importantly, gay sex quality, appropriate referrals for evaluation and treatment should be made, particularly for survivors treated with radiotherapy. Please review our privacy policy. Sex therapists may also be important resources to help men grieve for their loss of key aspects of their sexual identity and diminished spontaneity because of their PCa treatment [ 32 ]. Gay Sex Studs

Third, because of the cross-sectional nature of this study, conclusions could not be drawn regarding the causal relationship between bullying victimization experiences and lower QOL. The results indicated that lower levels of peceived social acceptance toward homosexuality and bisexuality and traditional and cyber harassment victimization were significantly associated with lower QOL in all four domains, whereas higher levels of self-reported masculinity were significantly associated with higher QOL on all four domains.

However, empirical support for these clinical and anecdotal claims is mixed. Based on our clinical experience, we expected that GMPCa would report greater decrements in sexual functioning and report being more bothered by these changes than the published data from primarily heterosexual samples. Because of concerns about recall bias, our study only included men who were within 4 years of diagnosis while other studies enrolled men with substantially longer times since diagnosis [ 7 , 8 ].

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Lower education level, older age at initial identification of sexual orientation, higher perception of gender nonconformity, and lower perceived social acceptance toward homosexuality and bisexuality were significantly associated with lower QOL. We examined their self-efficacy for producing an erection and for having a satisfying sexual relationship.

Common PCa treatments included radical prostatectomy Moreover, sex therapists can assist survivors in rethinking their options for a fulfilling sexual relationship and deciding what adjustments they may be willing to make. However, no significant difference in QOL was observed between single-context harassment victims and nonvictims and between single-form harassment victims and nonvictims.

As social norms continue to change for gay men, future cohorts of GMPCa may experience less psychosocial burden than was reported in our sample. Multiple marginalization indicators may interact synergistically and affect the health status of gay and bisexual men [ 39 ]. A longitudinal study found that childhood bullying victimization is associated with a lack of social relationships, economic hardship, and poor perceived QOL at 50 years of age [ 44 ], indicating the long-term negative effects of peer maltreatment from childhood.

Psychological, physical, and academic correlates of cyberbullying and traditional bullying. Demographic information age, ethnicity, education, nationality, education level and medical characteristics PSA level, Gleason score, PCa treatment, T-stage at diagnosis, and comorbidities were assessed using the same questions as another large PCa patient-reported outcome study [ 13 ].

Many gay or bisexual men who are diagnosed with PCa may be starting their cancer journey from a much more vulnerable position than their heterosexual counterparts and experience poorer outcomes.

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Confronting sexual stigma and prejudice: Theory and practice. S1 Database. Items are summed to form a total score. Eur Urol. Support Care Cancer. Blank TO.

Teen Gay Chat Video Indeed, Blank suggested that at least 5, gay sex quality, gay men develop prostate cancer PCa each year; moreover, at least 50, gay men are PCa survivors in the United States. For example, comparisons on any EPIC construct were made against the EPIC validation cohort, who were approximately 2 years posttreatment and had a mean age Illness intrusiveness refers to perceived disruption from illness and treatment, and their impact on valued life activities that affect HRQOL [ 20 ]. Blank TO. The current results indicated that cyber harassment may interact gay sex quality with traditional harassment, further compromising the QOL of gay and bisexual men. Electronic bullying among middle school students. Men Stroking Off On Camera

Later identification of sexual orientation, lower education and self-reported masculinity levels, and experiences of cyber harassment were associated with lower QOL in the environmental domain. Although these factors are not modifiable, they can serve as the indicators for clinicians and public health professionals to develop subgroup-specified prevention and intervention programs for harassment in gay and bisexual men.

Selected verbatim responses to an open-ended question about changes in sexual functioning after prostate cancer treatment. Cognitive-interpersonal intervention approaches developed to target attachment-related cognitions and behaviors may be relevant to HIV prevention efforts in this population. Research assistants explained the procedures and methods for completing the questionnaires to the participants individually.

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BJU Int. This study revealed that lower self-reported masculinity and perceived social acceptance toward homosexuality and bisexuality were significantly associated with lower QOL in several domains. Moreover, whether a combination of traditional and cyber harassment i. Traditional and cyber harassment, especially traditional harassment across multiple contexts and harassment in multiple forms were significantly associated with low QOL in several domains among gay and bisexual men during emerging adulthood.

The reported interference on the relationship with a spouse or partner was small to moderate. Emerging adulthood is a phase of the life between adolescence and complete adulthood during which adolescents become more independent and explore life possibilities [ 25 ].

This study examined factors related to the quality of life QOL of gay and bisexual men during emerging adulthood in Taiwan. Attachment style is relevant to the sexual relationship quality and sexual safety of partnered gay men. The results indicated that lower levels of peceived social acceptance toward homosexuality and bisexuality and traditional and cyber harassment victimization were significantly associated with lower QOL in all four domains, whereas higher levels of self-reported masculinity were significantly associated with higher QOL on all four domains.

The present study found several modifiable and unmodifiable factors related to QOL in gay and bisexual men. Main outcome measures were self-reported sexual functioning and bother on the Expanded Prostate Cancer Index. Table 5 Selected verbatim responses to an open-ended question about changes in sexual functioning after prostate cancer treatment.

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Patchin JW, Hinduja S. Youth Violence Juv Justice. Contrary to the hypothesis that early identification of sexual orientation is significantly associated with lower QOL, the results of the current study found that an initial identification of sexual orientation at an older age is significantly associated with lower QOL.

People who identified as bisexual had the biggest well-being gap, reporting significantly higher levels of anxiety than any other group, as well as reporting lower levels of life satisfaction and happiness. Greater scores reflect better function. The present study found several modifiable and unmodifiable factors related to QOL in gay and bisexual men.

Free Gay Sex Mobile Illness intrusiveness refers to perceived disruption from illness and treatment, and their impact on valued life activities that affect HRQOL [ 20 ]. The WHOQOL-BREF Taiwan version contains four domains, including seven physical health items including activities of daily living, gay sex quality, dependence on medical aids, energy and fatigue, mobility, pain and discomfort, sleep, and work capacity, e. Level of self-reported masculinity was rated on a Likert scale, with scores ranging from gay sex quality extreme femininity to 9 extreme masculinity. Gay men and prostate cancer: Invisible diversity. Second, LGB youths may experience harassment not only at schools but also in other environments, such as tutoring centers and gay sex quality. Discrimination, as a behavioral manifestation of stigma [ 9 ], has been found to account for the low QOL in LGB people [ 1011 ]. Bi Boys Chat

Traditional harassment across multiple contexts and harassment of multiple forms In this study, over one-fourth of the gay and bisexual male respondents reported experiencing traditional harassment across multiple contexts Hart; David W. An assessment of quality of life following radical prostatectomy, high dose external beam radiation therapy and brachytherapy iodine implantation as monotherapies for localized prostate cancer.

However, long-term exposure to homophobia-motivated harassment also significantly accounts for poor general health, disability, and depression among older LGB adults [ 18 ]. The health of lesbian gay bisexual, and transgender people: Building a foundation for better understanding.

The effect of comorbidity and socioeconomic status on sexual and urinary function and on general health-related quality of life in men treated with radical prostatectomy for localized prostate cancer.

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London has the highest proportion of LGB-identifying population. Table 3 Mean score on other psychosocial variables. Victimization through both traditional harassment across multiple contexts and harassment in multiple forms indicate discrimination toward sexual minorities from multiple sources; during emerging adulthood, gay and bisexual men may perceive more severe marginalization than those who experienced harassment at a single context or form.

Sex therapists may also be important resources to help men grieve for their loss of key aspects of their sexual identity and diminished spontaneity because of their PCa treatment [ 32 ]. ONS figures 2 based on the Annual Population Survey suggest there are an estimated , people in the UK who identify as gay, lesbian, or bisexual, making up 1. However, almost half of LGB adolescents experience online peer victimization [ 23 ]. Hersom; Heather H. The J Adoles Health. Goltz; Daniela A. Ideally, future studies should recruit an age and treatment-matched heterosexual sample of men as a comparator.

Sexual health providers must have an awareness of the unique functional and HRQOL differences between gay and heterosexual men with PCa.

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For instance, Zhu et al. Lambda Legal. To compare our data with published data, we carefully selected studies that contained similarly-aged men who had been treated for PCa within a comparable time frame. Table 5 presents the results of the multiple regression analysis on the association of QOL with traditional harassment across multiple contexts and harassment in multiple forms.

Emerging adulthood: A theory of development from the late teens through the twenties.

Black Men Huge Cock Diagnostic and outcome differences between heterosexual and nonheterosexual men treated for prostate cancer. Discussion The interest in Gay sex quality treatment outcomes has grown since our data collection ended and other studies are beginning to be published [ 57826 ]. Assessing localized prostate cancer post-treatment quality of life outcomes among gay men. Meyer IH. Schools should provide LGBT students the critical resources, including gay-straight alliances and supportive educators [ 45 ]. Multiple marginalization indicators may interact synergistically and affect the health status of gay sex quality and bisexual men [ 39 ]. Emerging adulthood is a phase of the life between adolescence and complete adulthood during which adolescents become more independent and explore life possibilities [ 25 ]. Third, lower educational level, gay sex quality, identifying as a gay man compared with identification as a bisexual manearly identification of sexual orientation, lower perception of masculinity, and lower perceived social acceptance toward the LGB community in society are significantly associated with lower QOL. Hottest Naked Bkys

Forty-five men responded to the optional question about changes in sexual functioning after treatment. However, no significant difference in QOL was observed between single-context harassment victims and nonvictims and between single-form harassment victims and nonvictims.

Finally, we did not collect data on time since treatment patients were, on average, 1. Bullying and quality of life in youths perceived as gay, lesbian, or bisexual in Washington State, The current results indicated that cyber harassment may interact synergistically with traditional harassment, further compromising the QOL of gay and bisexual men.

Three items from the Male Sexual Health Questionnaire Short-Form MSHQ [ 17 ], which were validated in several probability samples, some of which included gay men, assessed the degree of dysfunction in ejaculation ability, volume, and strength.

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Table 5 Selected verbatim responses to an open-ended question about changes in sexual functioning after prostate cancer treatment. Hart; Heather H. The experiences of gay and bisexual men diagnosed with prostate cancer: Results from an online focus group. Research found that early coming out predicts suicidality during emerging adulthood in gay and bisexual men [ 41 ].

Psychological, physical, and academic correlates of cyberbullying and traditional bullying. These scales have well-established reliability and validity [ 16 ]. It is hypothesized that bisexual women and men experience significantly higher levels of internalized stigma and sexual identity concealment, and lower levels of social support than lesbians and gays [ 17 ].

Since surgery, my ED means we need to discover other ways to have sex that I enjoy, and this takes time and patience. Retrieved on March 13, Shunned: Discrimination against people with mental illness.

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J Homosex. Limitations This study involved several limitations. No significant differences on any demographic, medical characteristic, or outcome variable were found between U. Cyberbullying Experiences Questionnaire. Corresponding Author: David M. Table 5 presents the results of the multiple regression analysis on the association of QOL with traditional harassment across multiple contexts and harassment in multiple forms.

Free Gay Bi Webcam Marc A. Hong JS, gay sex quality, Garbarino J. As no previously validated measures were available, we developed these questions for this study. Common PCa treatments included radical prostatectomy The process of coming out to others for the first time is not easy for gay and lesbian adolescents and thus may cause them considerable stress [ 40 ], potentially leading to suboptimal developmental outcomes, including decrements in school performance, self-esteem, and physical and mental health [ 1938 ]. Early development and disclosure of LGB identity may increase rejection and exclusion by intolerant families, peers, and teachers and cause psychological stress in gay and bisexual adolescents [ 18 ]. Many gay sex quality the observed differences met criteria for gay sex quality significance. Also, it feels funny when I have an orgasm, sometimes it would ache and hurt in the area of my prostate for several days after an orgasm. Bi Guy Chat

The current study results should serve as a reminder to mental health and education professionals regarding the necessity of evaluating whether an individual is being bullied in the face-to-face context when these professionals address cyber harassment victimization among sexual minority youths.

J Adolesc Health. SPSS database of qualitative responses to survey questions. Moreover, gays and lesbians are more likely to be bullying victims than are heterosexual people [ 27 ]. Associations of traditional harassment across multiple contexts and harassment in multiple forms with quality of life a.

Contrary to our expectations, they did not report significantly worse sexual bother scores. Gay and bisexual men who encountered traditional harassment across multiple contexts and harassment in multiple forms had lower QOL in nearly all domains than did those who encountered traditional harassment in a single context and harassment in a single form, respectively; however, QOL did not significantly differ between victims of traditional harassment in a single context and nonvictims and between victims of harassment in single form and nonvictims.

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An assessment of quality of life following radical prostatectomy, high dose external beam radiation therapy and brachytherapy iodine implantation as monotherapies for localized prostate cancer. By contrast, gay and bisexual men who perceive low environmental QOL may spend time online more frequently than those who perceive high environmental QOL. Sex therapists may also be important resources to help men grieve for their loss of key aspects of their sexual identity and diminished spontaneity because of their PCa treatment [ 32 ].

To conceptualize processes leading to LGB health disparities, Meyer articulated the theory of minority stress, which posits that increased stress due to discrimination, stigma, and prejudice faced by sexual minorities worsens their mental and physical health outcomes and increases their likelihood of using maladaptive coping strategies [ 3 ]. However, the QOL did not significantly differ between individuals who had experienced traditional harassment in a single context and nonvictims nor between individuals who had experienced harassment of a single form and nonvictims.

Third, lower educational level, identifying as a gay man compared with identification as a bisexual man , early identification of sexual orientation, lower perception of masculinity, and lower perceived social acceptance toward the LGB community in society are significantly associated with lower QOL.

Indeed, Blank suggested that at least 5, gay men develop prostate cancer PCa each year; moreover, at least 50, gay men are PCa survivors in the United States. Cancer of the prostate strategic urologic research endeavor. All other authors report no conflicts of interest. Bullying among lesbian, gay, bisexual, and transgender youth. However, anal penetration requires a greater rigidity [ 9 ]. The challenge of prostate cancer: Half a man or a man and a half?

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Abstract Introduction Gay men with prostate cancer GMPCa may have differential health-related quality of life HRQOL and sexual health outcomes than heterosexual men with prostate cancer PCa , but existing information is based on clinical experience and small studies. Longitudinal associations of homophobic name-calling victimization with psychological distress and alcohol use during adolescence.

The interest in GMPCa treatment outcomes has grown since our data collection ended and other studies are beginning to be published [ 5 , 7 , 8 , 26 ]. First, according to the theory of minority stress, experiences of traditional and cyber harassment are significantly associated with lower QOL in gay and bisexual men during emerging adulthood.

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Hot Gay Male Sex Videos Effects of traditional and cyber homophobic bullying in childhood on depression, anxiety, and pain in emerging adulthood and the moderating effects of social support among gay and bisexual men in Taiwan. Kowalkowski; Karen Zhang; Justin I. Therefore, we carried out an Internet-based study of a convenience sample of GMPCa to determine the extent to which study participants reported significantly different HRQOL and psychosocial gay sex quality compared with published reports. All other authors report no conflicts of interest. New York: Lambda Legal; The current results indicated that cyber harassment may interact synergistically with traditional harassment, further compromising the QOL of gay and bisexual men. Shunned: Discrimination against people with mental illness. At diagnosis, gay sex quality, the average PSA level was 8. Pinoy Man2man Sex

Corresponding Author: David M. People who identified as bisexual had the biggest well-being gap, reporting significantly higher levels of anxiety than any other group, as well as reporting lower levels of life satisfaction and happiness.

Using the illness intrusiveness ratings scale to understand health-related quality of life in chronic disease. Third, lower educational level, identifying as a gay man compared with identification as a bisexual man , early identification of sexual orientation, lower perception of masculinity, and lower perceived social acceptance toward the LGB community in society are significantly associated with lower QOL.

Sexual health providers must have an awareness of the unique functional and HRQOL differences between gay and heterosexual men with PCa.

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Emerging adulthood is a phase of the life between adolescence and complete adulthood during which adolescents become more independent and explore life possibilities [ 25 ]. Importantly, appropriate referrals for evaluation and treatment should be made, particularly for survivors treated with radiotherapy. Diagnostic and outcome differences between heterosexual and nonheterosexual men treated for prostate cancer. Given the difficulty in recruiting this hard-to reach population, recruitment methods included: postings to electronic listservs targeting PCa survivors, posting flyers in community centers and at support groups, and advertising the study in the local media.

Data Availability: All relevant data are within the paper and its Supporting Information files. The time period was selected to ensure participants had been diagnosed and treated recently enough to accurately report current HRQOL and recall changes in sexual behavior since treatment. Table 3. For instance, Zhu et al. In: Perlman G, Drescher J, editors. After anal penetration, the insertive partner also may have difficulty maintaining their erections, if penetration forces blood from the penis [ 9 ].

Diagnostic and outcome differences between heterosexual and nonheterosexual men treated for prostate cancer. In total, two responders were excluded due to intellectual disability, and gay or bisexual Taiwanese men, aged 20—25 years, were recruited. Blank TO. In this study, cyber, but not traditional, harassment victimization was significantly associated with lower QOL in the environmental domain. Table 3. When indicated, referral to sex therapy will help gay men with PCa address the potentially significant experience of sexual losses and grief due to PCa treatment and achieve a measure of adaptation to a new sexual paradigm [ 4 ]. The National Institute of Economic and Social Research published a report which found LGB people were more likely to suffer with mental health problems. How traditional harassment across multiple contexts and harassment of multiple forms compromise the QOL of gay and bisexual men warrants further investigation along with the development of QOL improvement programs.