Sexual health cognition among spouses of cervical cancer patients is affected by multiple factors including age, education, residence, occupation, and income, with high levels of sexual distress and significant correlations among cognition, distress, and needs.
Key Findings
Results
Sexual health cognition scores among spouses of cervical cancer patients were moderate, ranging from 6 to 25.
Mean cognitive score was 13.79 ± 6.74 on a scale of 6 to 25
Sample consisted of 202 spouses of cervical cancer patients selected via convenience sampling
Study was conducted in Chongqing, China from September 27 to October 5, 2022
Data were collected via WeChat-based questionnaire
Results
Sexual distress levels among spouses of cervical cancer patients were high.
Distress scores ranged from 8 to 35 with a mean of 27.24 ± 7.88
The authors noted that 'the degree of sexual distress among these individuals is high'
Distress was assessed as part of a questionnaire covering sexual health cognition, sexual distress, and sexual needs
Results
Sexual need scores among spouses of cervical cancer patients were measured on a scale of 3 to 12.
Need scores ranged from 3 to 12 with a mean of 8.68 ± 3.64
Sexual needs were assessed alongside cognition and distress as part of the same questionnaire
202 spouses participated in the survey
Results
Age, education level, place of residence, occupation type, and monthly family income were all independently associated with sexual health cognition in spouses of cervical cancer patients.
Age was negatively associated with sexual health cognition (β = -0.178; 95% CI: 0.099–1.060)
Education level was positively associated with cognition (β = 0.152; 95% CI: 0.021–0.663)
Place of residence was positively associated with cognition (β = 0.665; 95% CI: 0.102–5.789)
Occupation type was positively associated with cognition (β = 0.507; 95% CI: 0.485–4.982)
Monthly family income was positively associated with cognition (β = 0.229; 95% CI: 0.311–1.344)
Associations were identified using multiple linear regression analysis
Results
Sexual health cognition was negatively correlated with sexual distress among spouses of cervical cancer patients.
Pearson's correlation coefficient r = -0.6165 (95% CI: -0.69 to -0.52, P < 0.001)
This indicates that spouses with higher sexual health knowledge or awareness experienced lower levels of sexual distress
Correlation was identified using Pearson's correlation analysis
Results
Sexual health cognition was positively correlated with sexual needs among spouses of cervical cancer patients.
Pearson's correlation coefficient r = 0.6757 (95% CI: 0.59 to 0.74, P < 0.001)
Higher cognition was associated with greater expressed sexual needs
Correlation was statistically significant at P < 0.001
Results
Sexual distress was positively correlated with sexual needs among spouses of cervical cancer patients.
Pearson's correlation coefficient r = 0.6860 (95% CI: 0.60 to 0.75, P < 0.001)
This was the strongest of the three pairwise correlations examined
Higher distress was associated with higher reported sexual needs
What This Means
This research suggests that when women are treated for cervical cancer, their husbands or male partners also experience significant sexual health challenges that have not been well studied. In a survey of 202 spouses of cervical cancer patients in Chongqing, China, researchers found that these men had moderate knowledge about sexual health but reported high levels of sexual distress. Factors like being younger, having more education, living in an urban area, having a certain type of occupation, and having a higher family income were all linked to better sexual health knowledge.
The study also found important connections between sexual knowledge, distress, and needs: spouses who knew more about sexual health tended to experience less distress, while those with greater knowledge also reported greater sexual needs. Additionally, higher distress was linked to greater unmet sexual needs. These findings suggest that the partners of cervical cancer patients are experiencing real and measurable sexual health burdens that are influenced by socioeconomic and demographic factors.
This research suggests that healthcare providers—particularly nurses—should extend sexual health education and support to include the partners of cervical cancer patients, not just the patients themselves. Tailoring such support based on factors like age, education, and income could help reduce distress and improve the overall quality of life for both patients and their spouses. The study's cross-sectional design and convenience sampling mean the findings reflect a snapshot in time and may not generalize to all populations.
Shi Y, Zhang L, Zhou Y, Liao X, Zhu T, Cai J. (2025). A cross-sectional study of factors influencing sexual health among spouses of patients with cervical cancer.. PloS one. https://doi.org/10.1371/journal.pone.0322141