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Cuban American Perspectives on Sexual Dysfunction Following Pelvic Radiotherapy: A Qualitative Study
Mariana Duenas-Lopez1, Orly Morgan2,3,4, Deborah C Marshall5,6
1Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Sexuality and Disability
|July 1, 2024
Summary
Cultural values like Marianismo, Machismo, Familismo, and Espiritismo impact Cuban American women's willingness to discuss sexual dysfunction after pelvic radiotherapy. These values create barriers to communication with healthcare providers and partners.
Area of Science:
- Oncology
- Sexual Medicine
- Sociology
Background:
- Participation in sexual medicine research requires open communication about sensitive topics.
- Cultural backgrounds that stigmatize sexual discussions can amplify patient discomfort.
- Understanding cultural influences is crucial for effective patient engagement in research.
Purpose of the Study:
- To explore the intersection of cultural identity and sexual dysfunction in Cuban American women post-pelvic radiotherapy.
- To understand how cultural values influence willingness to communicate sexual dysfunction with healthcare providers.
- To identify barriers and facilitators for participation in sexual medicine research among this cohort.
Main Methods:
- Qualitative analysis of patient experiences.
- Focus on Cuban American women in Miami, Florida.
- Exploration of radiotherapy-related sexual dysfunction and communication.
Main Results:
- Four cultural themes emerged: Marianismo, Machismo, Familismo, and Espiritismo.
- These themes significantly influenced views on sexual health and relationships.
- Cultural values acted as barriers to discussing sexual dysfunction with providers, partners, and family.
Conclusions:
- Cultural values present significant barriers to open communication about sexual dysfunction in Cuban American women.
- Addressing these cultural barriers is essential for improving participation in sexual medicine research.
- Future research should focus on strategies to overcome these communication challenges.
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