Purpose: The purpose of this study was to examine the association between fertility issues and demographic characteristics of unmarried adolescent and young adult cancer survivors. Methods: We conducted a survey among cancer survivors who were 15-39 years old and unmarried at the time of cancer diagnosis and 20-45 years old at the time of the survey. Views on fertility issues, originally developed based on the results of a qualitative study conducted with the same inclusion criteria, were used to assess thoughts and feelings regarding fertility issues. Results: Through exploratory factor analysis of the 128 respondents who either had children or desired children, two factors related to fertility issues were identified: "anxiety related to the possibility of not being able to have children" and "pressure from others to have children." Multiple regression analysis was performed to examine the association between these factors and demographic characteristics. The analysis revealed that being male and having a partner were significant predictors for both factors for views on fertility issues. Additionally, younger age at the time of diagnosis was a significant predictor for the first factor. Conclusions: Greater fertility issues among unmarried cancer survivors were associated with younger age at diagnosis, having a partner, and being male. Surprisingly, contrary to previous findings, male cancer survivors experienced more significant fertility problems than women. This result may be attributed to the well-established gender roles in Japan, where men are predominantly considered the heirs and inheritors of the family.

中文翻译：

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生育问题的心理社会方面与未婚青少年和年轻成年癌症幸存者的人口特征之间关联的检查。

目的：本研究的目的是探讨生育问题与未婚青少年和年轻成年癌症幸存者的人口特征之间的关联。方法：我们对癌症幸存者进行了一项调查，他们在癌症诊断时年龄为 15-39 岁且未婚，调查时年龄为 20-45 岁。对生育问题的看法最初是根据采用相同纳入标准进行的定性研究的结果得出的，用于评估有关生育问题的想法和感受。结果：通过对128名有孩子或想要孩子的受访者进行探索性因素分析，发现与生育问题相关的两个因素：“与无法生育的可能性相关的焦虑”和“来自他人的生育压力”。 ” 进行多元回归分析以检查这些因素与人口特征之间的关联。分析显示，男性身份和有伴侣是这两个因素对生育问题看法的重要预测因素。此外，诊断时的年龄较小是第一个因素的重要预测因素。结论：未婚癌症幸存者中更严重的生育问题与诊断年龄较小、有伴侣和男性有关。令人惊讶的是，与之前的研究结果相反，男性癌症幸存者比女性经历了更严重的生育问题。这一结果可能归因于日本根深蒂固的性别角色，男性主要被视为家庭的继承人和继承人。