Revealing and Receiving Sexual Health Information.

This investigation applies communication privacy management theory to examine sexual health disclosures from the perspectives of disclosers and confidants. A Qualtrics survey distributed through Amazon Mechanical Turk yielded 161 participants who disclosed sexual health information to a partner and 130 who received a disclosure. Accounts of the conversations were analyzed with content analysis to describe the linkage rules of the disclosures. Motivation to reveal or conceal, risks and benefits, and gender hypotheses and research questions were ascertained using descriptive statistics and tests of difference. Linkage rules for the majority of participants indicate that disclosures are made in a straightforward style before a sexual episode or on the day of diagnosis. Disclosures were perceived to be of above average quality and resulted in increased relational closeness. Tentative results suggest there may be disclosure differences based on privacy orientation. There were no significant differences based on type of diagnosis or gender.

"The uncertainty is what is driving me crazy": the tripartite model of uncertainty in the adolescent and young adult cancer context.

Building on scholarship indicating that uncertainty is a fundamental component of the cancer experience, this study focuses on an understudied population: adolescents and young adults (AYAs) with cancer. Because AYAs' health outcomes lag behind those of older and younger people with cancer, scholars have recommended that the subjective experiences of AYAs be better understood. Using the tripartite model of uncertainty sources as a guiding framework, we analyzed naturally occurring messages from an online discussion forum for AYA cancer survivors. The majority of messages communicating uncertainty expressed medical uncertainty regarding the complexities of understanding treatment options and sequelae. Results indicated that several overarching areas of AYA uncertainty correspond to themes reported by other cancer populations, but that some distinctive concerns arise amid the normative complexities of late adolescence and young adulthood.

Exploring psychosocial support online: a content analysis of messages in an adolescent and young adult cancer community.

The increased usage of online cancer support groups as a resource for health-related information and social support has sparked numerous discussions about the role of online support in healthcare. However, little is known about the role of social-networking groups focused on supporting adolescents and young adults (AYAs) dealing with cancer. The current investigation report findings from a content analysis designed to explore how AYAs use an online support group to meet their psychosocial needs. Overall, members of the community focused on exchanging emotional and informational support, coping with difficult emotions through expression, describing experiences of being an AYA dealing with cancer through language (metaphors), enacting identity through evaluations of the new normal (life with and after cancer), and communicating membership as an AYA with cancer. This study highlights the unique needs of the AYA cancer community and offers a preliminary roadmap for practitioners, and network members, such as family and friends, to attempt to meet the needs of this unique community.