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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 10 of 10 Research Studies DisplayedJoyce DD, Wallis CJD, Luckenbaugh AN
Sexual function outcomes of radiation and androgen deprivation therapy for localized prostate cancer in men with good baseline function.
This retrospective review study sought to compare sexual function through 5 years for men undergoing radiation treatment for localized prostate cancer with and without systemic androgen deprivation therapy. Out of a cohort of 167 patients, 73 underwent radiation alone and 94 received androgen therapy deprivation therapy plus radiation. Androgen deprivation therapy was associated with worse sexual function through the first year regardless of disease risk. By 3 years the difference was no longer significant for the 51 patients with intermediate-risk disease. Worse sexual function for high-risk disease patients who received androgen deprivation therapy was shown at 3 years but not at 5 years.
AHRQ-funded; HS019356; HS022640.
Citation: Joyce DD, Wallis CJD, Luckenbaugh AN .
Sexual function outcomes of radiation and androgen deprivation therapy for localized prostate cancer in men with good baseline function.
Prostate Cancer Prostatic Dis 2022 Feb;25(2):238-47. doi: 10.1038/s41391-021-00405-5..
Keywords: Cancer: Prostate Cancer, Cancer, Sexual Health, Men's Health
Andino J, Zhu A, Chopra Z
Video visits are practical for the follow-up and management of established male infertility patients.
This study looked at the use and benefits of video visits for the follow-up and management of established male infertility patients at a tertiary academic center in southeast Michigan. This review was conducted for visits prior to the COVID-19 pandemic. Most male infertility patients had an endocrinologic (29%) or anatomic (21%) cause for their infertility. The majority (73%) of visits involved reviewing results; 30% included counseling regarding assistive reproductive technologies; and 25% of visits resulted in prescribing hormonally active medications. No patients required an unplanned in-person visit with two patients coming in for an elective varicocelectomy. Cost savings ranged from $149 to $252 and they were estimated to save a median of 97 minutes of travel per visit.
AHRQ-funded; HS027632.
Citation: Andino J, Zhu A, Chopra Z .
Video visits are practical for the follow-up and management of established male infertility patients.
Urology 2021 Aug;154:158-63. doi: 10.1016/j.urology.2021.03.050..
Keywords: Men's Health, Sexual Health, Telehealth, Health Information Technology (HIT), Healthcare Costs
Cunningham-Erves J, Campbell L, Barlow C
Reducing HPV associated cancers and disparities: engaging African American men to develop a culturally-appropriate program that addresses their needs.
Reducing HPV associated cancers and disparities: engaging African American men to develop a culturally-appropriate program that addresses their needs.
Am J Health Educ 2021;52(4):194-206. doi: 10.1080/19325037.2021.1930614.
This paper discusses the results of the Healthy Men, Healthy Communities program that aims to improve preventive behaviors among African American men to reduce HPV-related cancer disparities. An educational intervention was developed using cultural-targeting strategies such as linguistics, peripherals, evidence, socio-culture, and constituent-involving. Research team members were recruited from community-based (CBO) leaders. Three focus groups, 30 surveys, and a community review and program evaluation with African American men were conducted. The five focus group themes were: 1) The Known and Unknown of Cancer, HPV, and the vaccine; (2) Personal experiences with cancer were commonplace; (3) Barriers to Engaging HPV Cancer Preventive Behaviors; (4) Multi-Modal Strategies are needed to improve preventive behaviors; and (5) Actual versus Preferred Sources of Information. Survey data showed men desired information on penile (52%) and oral cancer (48%). A speaker summit on various topics was the preferred education format (96%). A post-summit evaluation indicated most males intended to get screened (73%), eat healthier (77%), and exercise more (65%). After these interventions the HPV vaccine was administered to about 40% of the men, and their children and grandchildren.
Am J Health Educ 2021;52(4):194-206. doi: 10.1080/19325037.2021.1930614.
This paper discusses the results of the Healthy Men, Healthy Communities program that aims to improve preventive behaviors among African American men to reduce HPV-related cancer disparities. An educational intervention was developed using cultural-targeting strategies such as linguistics, peripherals, evidence, socio-culture, and constituent-involving. Research team members were recruited from community-based (CBO) leaders. Three focus groups, 30 surveys, and a community review and program evaluation with African American men were conducted. The five focus group themes were: 1) The Known and Unknown of Cancer, HPV, and the vaccine; (2) Personal experiences with cancer were commonplace; (3) Barriers to Engaging HPV Cancer Preventive Behaviors; (4) Multi-Modal Strategies are needed to improve preventive behaviors; and (5) Actual versus Preferred Sources of Information. Survey data showed men desired information on penile (52%) and oral cancer (48%). A speaker summit on various topics was the preferred education format (96%). A post-summit evaluation indicated most males intended to get screened (73%), eat healthier (77%), and exercise more (65%). After these interventions the HPV vaccine was administered to about 40% of the men, and their children and grandchildren.
AHRQ-funded; HS022990.
Citation: Cunningham-Erves J, Campbell L, Barlow C .
Reducing HPV associated cancers and disparities: engaging African American men to develop a culturally-appropriate program that addresses their needs.
Am J Health Educ 2021;52(4):194-206. doi: 10.1080/19325037.2021.1930614..
Keywords: Sexual Health, Infectious Diseases, Cancer, Disparities, Racial and Ethnic Minorities, Men's Health, Prevention, Health Promotion, Education: Patient and Caregiver
Gravett RM, Westfall AO, Overton ET
Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic.
This study examines the behavior of men who have sex with men (MSM) who use HIV pre-exposure prophylaxis (PrEP). A higher incidence of sexually transmitted infections (STIs) has been associated with PrEP use. A retrospective analysis of MSM in the Deep South was conducted at a PrEP clinic to calculate the prevalence and incidence of bacterial STIs and identify associated risk factors. There was an 11% STI prevalence out of 139 MSM who accessed the clinic between 2014 and 2018. Higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were associated with incident STI.
AHRQ-funded; HS023009.
Citation: Gravett RM, Westfall AO, Overton ET .
Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic.
Int J STD AIDS 2020 Feb;31(2):127-35. doi: 10.1177/0956462419886228..
Keywords: Infectious Diseases, Sexual Health, Men's Health, Prevention, Human Immunodeficiency Virus (HIV)
Campbell AD, Turok DK, White K
Fertility intentions and perspectives on contraceptive involvement among low-income men aged 25 to 55.
In this study the authors examined the pregnancy-related attitudes and behaviors among men older than 24, who are involved in the majority of pregnancies ending in a birth. Between December 2015 and August 2016, in-depth interviews were conducted with 26 low-income men in Alabama who were aged 25-55, were sexually active and did not want more children. The investigators found that some low-income adult men were uncertain about their pregnancy desires, and many lacked contraceptive knowledge that would help them avoid unwanted pregnancy.
AHRQ-funded; HS013852.
Citation: Campbell AD, Turok DK, White K .
Fertility intentions and perspectives on contraceptive involvement among low-income men aged 25 to 55.
Perspect Sex Reprod Health 2019 Sep;51(3):125-33. doi: 10.1363/psrh.12115..
Keywords: Sexual Health, Low-Income, Men's Health, Pregnancy
Sun CJ, Tobin K, Spikes P
Correlates of same-sex behavior disclosure to health care providers among Black MSM in the United States: implications for HIV prevention.
Disclosure of same-sex behavior to health care providers (HCPs) by men who have sex with men (MSM) has been argued to be an important aspect of HIV prevention. However, Black MSM are less likely to disclose compared to white MSM. This analysis of data collected in the United States from 2006-2009 identified individual and social network characteristics of Black MSM that were associated with disclosure that may be leveraged to increase disclosure.
AHRQ-funded; HS022981.
Citation: Sun CJ, Tobin K, Spikes P .
Correlates of same-sex behavior disclosure to health care providers among Black MSM in the United States: implications for HIV prevention.
AIDS Care 2019 Aug;31(8):1011-18. doi: 10.1080/09540121.2018.1548753..
Keywords: Human Immunodeficiency Virus (HIV), Racial and Ethnic Minorities, Sexual Health, Men's Health, Prevention
Spees LP, ledikwe JH, Kleinman NJ
Immediate motivators to seeking voluntary medical male circumcision among HIV-negative adult men in an urban setting in Botswana.
The goal of this study was to identify subpopulations of Botswanan men with high levels of voluntary medical male circumcision (VMMC) uptake. An observational cohort of men presenting for circumcision services at two high-volume clinics in Gabo-rone, Botswana's capital, were compared with a matched, population-based random sample of uncircumcised men with regard to factors that played a role in the men's decision to seek VMMC services. The results indicate that married men and highly educated men are more likely to undergo circumcision for personal hygiene reasons. The authors conclude that these findings have implications for activities designed to increase VMMC uptake in Botswana and reduce HIV acquisition risk in men.
AHRQ-funded; HS000032.
Citation: Spees LP, ledikwe JH, Kleinman NJ .
Immediate motivators to seeking voluntary medical male circumcision among HIV-negative adult men in an urban setting in Botswana.
AIDS Educ Prev 2019 Apr;31(2):136-51. doi: 10.1521/aeap.2019.31.2.136..
Keywords: Shared Decision Making, Human Immunodeficiency Virus (HIV), Men's Health, Urban Health, Sexual Health
Reeve BB, Wang M, Weinfurt K
Psychometric evaluation of PROMIS sexual function and satisfaction measures in a longitudinal population-based cohort of men with localized prostate cancer.
The purpose of this study was to evaluate the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) Sexual Function and Satisfaction (SexFS) measures. A population-based cohort of men with localized prostate cancer who were living in North Carolina and who could self-report their health-related quality of life in English completed surveys via phone interviews prior to treatment and at 3, 12, and 24 months after cancer treatment initiation. The researchers’ hypothesis was that men undergoing prostatectomy surgery would report the poorest sexual function at the 3-month survey. The study concludes that use of the PROMIS SexFS measures to assess sexual interest, erectile function, and satisfaction is strongly supported, and that these measures may be useful to identify effective interventions to treat sexual dysfunction and monitor sexual functioning in men with localized prostate cancer over time.
AHRQ-funded; 29020050040ITO6.
Citation: Reeve BB, Wang M, Weinfurt K .
Psychometric evaluation of PROMIS sexual function and satisfaction measures in a longitudinal population-based cohort of men with localized prostate cancer.
J Sex Med 2018 Dec;15(12):1792-810. doi: 10.1016/j.jsxm.2018.09.015..
Keywords: Cancer: Prostate Cancer, Men's Health, Sexual Health
Najari BB, Katz MJ, Schulster ML
Increased body mass index in men with varicocele is associated with larger spermatic vein diameters when supine.
The researchers evaluated the association of body mass index (BMI) and spermatic vein diameters (SVDs) in men treated for varicocele. They concluded that increased BMI is associated with larger left SVD while supine, suggesting that increased abdominal pressure while recumbent may contribute to varicocele pathology in this population.
AHRQ-funded; HS00066.
Citation: Najari BB, Katz MJ, Schulster ML .
Increased body mass index in men with varicocele is associated with larger spermatic vein diameters when supine.
Urology 2016 Mar;89:40-4. doi: 10.1016/j.urology.2015.11.033.
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Keywords: Obesity, Men's Health, Sexual Health
Lee DJ, Najari BB, Davison WL
Trends in the utilization of penile prostheses in the treatment of erectile dysfunction in the United States.
This study assessed the national temporal trends in the surgical management of ED utilizing penile prosthesis (PP). It found that the surgical management of ED with PP changed significantly between 2001 and 2010. Also, the overall utilization of PP decreased, but its use in patients with significant medical comorbidities increased.
AHRQ-funded; HS000066.
Citation: Lee DJ, Najari BB, Davison WL .
Trends in the utilization of penile prostheses in the treatment of erectile dysfunction in the United States.
J Sex Med 2015 Jul;12(7):1638-45. doi: 10.1111/jsm.12921..
Keywords: Healthcare Utilization, Men's Health, Patient-Centered Healthcare, Sexual Health, Surgery