(65) psychosexual development, sexual functioning and sexual satisfaction in long term childhood cancer survivors: dccss-later 2 sexuality substudy

Abstract Objectives Childhood cancer may negatively impact childhood cancer survivors’ (CCS) sexuality. However, this is an understudied area of research. Our study aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, compare these outcomes to the Dutch population and identify determinants for CCS’ sexuality. Methods From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963-2001), 1912 CCS (18-71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Sexuality of CCS age 18-24 was compared to the general Dutch population using binominal tests and t-tests. Multivariable regression analysis was used to identify determinants. Results Compared to general population peers, CCS age 18-24 showed significantly less experience with masturbation (p=.045), French kissing (p=.007), petting under clothes (p=.001), oral (p=.008) and anal sex (p=.016). No significant differences were found for problems with sexual functioning and sexual satisfaction neither among female CCS nor male CCS when compared to peers age 18-24. One third of all CCS reported hindered sexuality due to childhood cancer, with body dissatisfaction most often mentioned reason (44.8%). The regression analysis identified older attained age, body perception, lower mental health and surviving central nervous system tumors as determinants for reduced sexuality. Conclusions CSS reported less psychosexual development, but similar sexual functioning and sexual satisfaction compared to the general population. We identified determinants for sexuality, which could be integrated in specific communication training for health professionals and development of clinical interventions for CSS with reduced sexuality. Conflicts of Interest No conflict of intrest.