AYA世代がんサバイバーのセクシュアリティにまつわる経験

The Experience of AYA Generation Cancer Survivors Regarding Sexuality

要旨

　目的：AYA世代がんサバイバーのセクシュアリティにまつわる経験を明らかにする．

　方法：AYA世代でがんを発症し，現在18〜39歳の男性5名，女性6名を対象に半構造化面接を行い，質的記述的に分析した．

　結果：男女共に【性や子をもつことの悩みを一人で抱え込む】経験をしていた．男性は【男として受け入れられることへの自信の喪失】によってアイデンティティが揺らぎ【子をもてないかもしれないことでパートナーの将来への負の影響を危惧する】経験をしていた．女性は【外見の変化や後遺症のためにパートナーの反応に受け身になる】経験をしながらも【子をもてないかもしれないと思いながらパートナーとの関係性と子をもつ意味を再考する】に至っていた．

　結論：AYA世代がんサバイバーは性や子をもつことの悩みを抱え込み，アイデンティティが揺らぎながらも，子をもつことを含むこれからのパートナーとの関係性や自らの生き方を模索していた．

　Objective: To clarify sexuality-related experiences among adolescent and young adult (AYA) cancer survivors.

　Method: Semi-structured interviews were conducted with 5 men and 6 women aged 18-39 years who had survived cancer as AYA, and the collected data were analyzed qualitatively and descriptively.

　Results: Both men and women experienced "concerns regarding sex and having children by themselves". Men experienced "loss of confidence in being accepted as a man", which undermined their identity and led to a "fear of the negative impact their potential inability to reproduce would have on their partner's future". Women showed "defensiveness toward their partner's response to changes in their physical appearance and aftereffects of their illness", but ultimately, they "reevaluated their relationship with their partner and the importance of having children with an understanding of their potential inability to reproduce".

　Conclusion: AYA cancer survivors experience concerns about sex and having children, and have their identities undermined, but still seek a way to live their lives and have relationships with their partners going forward, including the idea of having children.