Factors related to sexual health in Chinese women with breast cancer in Hong Kong

Aim: To examine the association between a broad array of characteristics and sexuality in breast cancer patients in Hong Kong. Method: We collected data on demographic and clinical factors, psychosocial well-being, quality of life (QOL), body image and sexual health of breast cancer patients presented to the Department of Clinical Oncology, Prince of Wales Hospital from November 2005 to February 2006. Results: More than 40% of Chinese breast cancer patients experienced moderate problems in sexual health. Their medical treatment had a greater influence on their sexual functioning in a change in their social activities, whereas more support from their partner predicted less influence. The presence of a child and more support from their partner predicted greater sexual satisfaction. Undergoing the menopause related to a longer time to resume sexual activity after cancer treatment. A change of relationship with their partner and a loss of self-confidence were strong predictors of sexual problems influencing their QOL. Patients who had experienced a change in their relationship with their partner or had greater sexual problems were more likely to perceive greater benefit from professional intervention on sexual problem. Conclusion: An improvement in their intimate relationships and enhanced psychosocial functioning should improve the sexual health of Chinese women with breast cancer.