Jessica R Gorman

Jessica R Gorman
Oregon State University | OSU · College of Public Health and Human Sciences

PhD, MPH

About

63
Publications
4,246
Reads
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1,366
Citations
Introduction
I am a behavioral scientist. My research focuses broadly on understanding and improving multilevel factors that influence quality of life after cancer, with a particular focus on the lives of adolescent/young adult cancer survivors. My current projects focus on reproductive and sexual health, health communication, and implementation of strategies to reduce the negative effects of cancer and cancer treatment on the lives of cancer survivors and their partners/support network.
Education
September 2004 - June 2009
University of California, San Diego/ San Diego State University
Field of study
  • Public Health, Health Behavior- Joint Doctoral Program
August 1998 - May 2000
University of North Carolina at Chapel Hill
Field of study
  • Public Health, Health Behavior & Health Education

Publications

Publications (63)
Article
Purpose The aims of this study were to examine the factor structure and reliability of the multidimensional Reproductive Concerns After Cancer (RCAC) scale in a sample of female cancer survivors during their reproductive years, younger than age 45. Methods Female reproductive‐aged survivors (N = 238, current age 18 to 44 years) with a variety of c...
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PurposeThis qualitative study examined how young adult breast cancer survivors (YABCS) and their partners appraised and managed their sexual health and intimate relationships after cancer.Methods We conducted concurrent, individual telephone interviews with 25 YABCS and their male partners. We utilized a thematic, inductive analysis to examine indi...
Article
Purpose: The aims of this study were to adapt the multidimensional Reproductive Concerns After Cancer (RCAC) scale for use with young adult (YA) male cancer survivors, defined as current age 18-35 years and at least 1 year postdiagnosis, and to examine the factor structure, reliability, and validity of the newly adapted RCAC-Male (RCAC-M) scale. M...
Article
Sexual health concerns after cancer are common and distressing, and mindfulness-based interventions (MBIs) are effective in supporting women experiencing these concerns. The goals of this study were to: (i) systematically adapt and document modifications to a mindfulness-based sexual health intervention for cancer survivors in a community setting a...
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Objective: Most young adults diagnosed with breast or gynecologic cancers experience adverse reproductive or sexual health (RSH) outcomes due to cancer and its treatment. However, evidence-based interventions that specifically address the RSH concerns of young adult and/or LGBTQ+ survivor couples are lacking. Our goal is to develop a feasible and...
Article
Introduction The possibility of having children is important to many young adult breast cancer survivors (YABCS) and their partners, but cancer treatment can negatively impact fertility. 1,2 Endocrine therapy is also common in this population, compelling YABCS to avoid pregnancy for at least 5 years, delaying or eliminating potential childbearing p...
Article
Background Mindfulness-based interventions (MBIs) are increasingly recognized as an effective strategy for supporting female cancer survivors experiencing sexual health concerns. Aim To examine the feasibility of a sexual health MBI, Mindful After Cancer, which was adapted to meet the needs of breast and gynecologic cancer survivors in a community...
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Objective Prior research examining sexual and intimacy concerns among metastatic breast cancer (MBC) patients and their intimate partners is limited. In this qualitative study, we explored MBC patients’ and partners’ experiences of sexual and intimacy-related changes and concerns, coping efforts, and information needs and intervention preferences,...
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Objective Cancer researchers have found midlife couples to have poorer outcomes compared to older couples due to the off-time nature of the illness for them. It is unknown if young couples (aged 18–39), who are under-represented in cancer studies and overlooked for supportive programs, are at further risk. This study explored the moderating roles o...
Article
Objective The purpose of this study is to explore the role of dyadic support across the contraceptive decision-making process between young adult breast cancer (YABC) survivors and their partners. Research Approach Semi-structured interviews with YABC survivors and their partners. Participants Twenty-five young adult breast cancer survivors and t...
Article
Objectives: To assess the association between levels of dyadic coping (e.g., collaboration, communication) and sexual satisfaction in young and midlife couples surviving cancer beyond the first year of diagnosis. Sample & setting: This cross-sectional study included 49 young and midlife couples (aged 21-57 years) beyond the first year of diagnos...
Article
Objective The purpose of this study was to explore what young to midlife couples viewed as their strengths as a couple and the greatest challenges in their experience with cancer 1–3 years post-diagnosis. Methods We used qualitative content analysis to extract common themes from open-ended questions from 42 cancer survivors and their partners (age...
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Collecting partner-specific data about multiple sexual partners is resource intensive. However, many variables that have been measured with generalized questions may, in fact, vary across different partnerships. Few studies have examined the need for data from all partners. The goal of this study was to examine if measuring intrapersonal and relati...
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PurposeThis study examined associations between fertility consultation (FC) and multiple dimensions of reproductive concerns among young adult (YA) male cancer survivors.Methods One hundred and seventy YA male cancer survivors (age 18 to 35) across the USA completed an online survey between 2016 and 2018. Participants reported demographics, receipt...
Article
Women faced with a diagnosis of breast cancer as young adults commonly experience negative effects of cancer and cancer treatment on their reproductive and sexual health (RSH) that are inadequately addressed by their healthcare providers (HCPs). The objectives of this study were to 1) identify approaches to improving RSH communication from YA breas...
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Purpose Breast cancer survivorship care plans (SCP) have limited content addressing women’s health issues. This trial tested if young breast cancer survivors who receive a web-based, women’s health SCP were more likely to improve on at least one of the four targeted issues (hot flashes, fertility-related concerns, contraception, and vaginal symptom...
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Introduction: The survival rates for testicular cancer are excellent; still, there is a lack of knowledge regarding important survivorship issues, such as sexual dysfunction and reproductive concerns. Aim: The aim of this study was to investigate the prevalence and predictors of sexual dysfunction and reproductive concerns and the potential asso...
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Purpose To explore contraceptive counseling and utilization among breast cancer survivors. Methods We enrolled reproductive-aged women with a history of breast cancer for a cross-sectional study. Participants were recruited via the Athena Breast Health Network and via the Young Survival Coalition’s social media postings. Descriptive statistics wer...
Chapter
Cancer survivors who wish to become parents but are unable, or choose not, to have biological children have the option to build their families through adoption. Many young adult survivors are willing to consider adoption, but need for more information. Although many would still prefer to have a biological child, one study indicated twofold higher i...
Chapter
A 30-year-old woman presented to a referring hospital emergency room with abdominal pain and vaginal bleeding. She worked as a musician and had limited financial security but had medical insurance. Ultrasound was performed, demonstrating lobulated, bilateral ovarian masses with concern for ovarian torsion. Emergency surgery was performed to relieve...
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Objective The objective of this study was to examine the association between theoretical constructs from the Health Belief Model and fertility consultation status after cancer. Methods Reproductive‐aged female cancer survivors self‐reported their use of fertility consultation, perceived severity of and susceptibility to infertility, perceived barr...
Article
Background: Young breast cancer survivors (YBCS) have unmet needs for managing hot flashes, fertility-related concerns, sexual health, and contraception. Purpose: Describe the design and participant characteristics of a randomized controlled trial testing the efficacy of the survivorship care plan on reproductive health (SCP-R) intervention on i...
Article
Background Fertility counseling before cancer treatment has been advocated by clinical guidelines, though little is known about its long‐term impact on the unique reproductive concerns of female adolescent and young adult (AYA) cancer survivors. The goal of this study was to measure the association between fertility counseling by fertility speciali...
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Objective A dearth of studies focusing on young women (<40 years) with breast cancer have hampered the understanding of the type, prevalence and predictors of sexual dysfunction and reproductive concerns in this population. Methods Data were collected from 181 women (response rate=60%) diagnosed with breast cancer approximately 2 years previously...
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Purpose: Reproductive-aged breast cancer survivors (BCS) who have completed initial cancer treatment frequently want to know about their future fertility potential. The purpose of this qualitative study was to assess if the fertility-related content presented in the survivorship care plan prototype met the informational needs of post-treatment BCS...
Article
Objective: To conduct a scoping literature review to identify practices or programs that promote AYA patient-centered communication. Methods: Between January and May of 2016, we applied standard scoping review methodology to systematically review articles. We considered peer-reviewed, English language articles written at any phase of interventio...
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Purpose: Detailed cancer treatment information is important to fertility and pregnancy care of female young adult cancer survivors. Accuracy of self-report of treatments that impact fertility and pregnancy is unknown. This study assessed agreement between self-report and medical records on receipt of fertility-threatening treatments. Methods: A...
Article
The study determined factors associated with patient-reported receipt of survivorship care plans and/or treatment summaries (SCP/TS). Two hundred forty female young adult cancer survivors ages 18-44 completed a web-based survey that included self-report on receiving SCP/TS. Mean age was 32.8 (standard deviation 5.8) years; 20% were diagnosed with c...
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Introduction Reproductive-aged women who have had breast cancer face unique challenges when it comes to making decisions about contraception. Clinical guidelines indicate that patients should avoid pregnancy during cancer treatment, however the extent of contraception counseling and utilization after diagnosis has not been well studied. Methods We...
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PurposeWe compared adoption consideration between female young adult cancer survivors and women of the same age in the general US population, hypothesizing that cancer survivors who desired children would report greater interest in adoption than an age-adjusted general population sample who desired children. Methods After age-standardizing the canc...
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Purpose: The purpose of the present study is to investigate factors associated with female young adult cancer survivors' (YCSs) use of fertility care (FC), including consultation or fertility treatment, after completing their cancer treatment. Methods: In this cross-sectional study, females between that ages of 18 and 35 years who had been diagn...
Article
Study question: Are female young cancer survivors (YCS) able to self-collect high-quality dried blood spots (DBSs) at home to provide biospecimens for studying ovarian reserve? Summary answer: YCS can self-collect high-quality DBS specimens in non-clinical settings, and anti-Mullerian hormone (AMH) levels can be assayed in such specimens. What...
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Patient-centered decision making about hot flash treatments often incorporates a balance of efficacy and side effects in addition to patient preference. This systematic review examines randomized controlled trials (RCTs) comparing at least two non-hormonal hot flash treatments in breast cancer survivors. In July 2015, PubMed, SCOPUS, CINAHL, Cochra...
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Female sexual dysfunction occurs frequently in midlife breast cancer survivors (BCS) and encompasses problems with sexual desire, interest, arousal, orgasm and genitopelvic pain. Although common, sexual problems are under-diagnosed and under-treated in BCS. The objective of this review was to assess primary studies that intervene on sexual dysfunct...
Article
To compare rates of contraception between reproductive-aged cancer survivors and women in the general U.S. Among survivors, the study examined factors associated with use of contraception and emergency contraception. This study analyzed enrollment data from an ongoing national prospective cohort study on reproductive health after cancer entitled th...
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We assessed alcohol consumption and depression in 234 American Indian/Alaska Native women (aged 18-45 years) in Southern California. Women were randomized to intervention or assessment alone and followed for 6 months (2011-2013). Depression was associated with risk factors for alcohol-exposed pregnancy (AEP). Both treatment groups reduced drinking...
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Objective: The goal of this study was to assess the concerns pregnant women have about influenza vaccination while breastfeeding and to determine if having these concerns represents a barrier to vaccination uptake. Methods: The Vaccines and Medications in Pregnancy Surveillance System (VAMPSS) conducted a prospective cohort study in the US and C...
Article
Background Fetal alcohol spectrum disorders are the result of alcohol-exposed pregnancies (AEP) and believed to be the leading known cause of developmental disabilities in the United States. Our objective was to determine whether a culturally targeted Screening, Brief Intervention, and Referral to Treatment (SBIRT) intervention may reduce risky dri...
Article
BACKGROUND Young adult female cancer survivors have unmet reproductive concerns and informational needs that are associated with poorer quality of life. The purpose of this study was to examine the association between current reproductive concerns and moderate to severe depression among young survivors.METHODS This cross-sectional study included 20...
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Purpose: Cancer survivors in their adolescent and young adult (AYA) years are an understudied population, possibly in part because of the high effort required to recruit them into research studies. The aim of this paper is to describe the specific recruitment strategies used in four studies recruiting AYA-aged female cancer survivors and to identif...
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Purpose: Little is known about pregnancy attempts among female young cancer survivors (YCS). We sought to determine fertility preservation (FP), demographic, cancer, and reproductive characteristics associated with pregnancy attempts after cancer. Methods: We recruited 251 female YCS (ages 18-44) to complete a survey on reproductive health outco...
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Concerns about fertility and parenthood are important to many young adult (YA) female cancer survivors and are associated with poorer quality of life. We aimed to develop a new scale to comprehensively measure these concerns so that they can be better addressed. Scale development involved: (1) seven focus groups to identify reproductive concerns am...
Article
The decision to pursue fertility preservation (FP) after a cancer diagnosis is complex. We examined the prevalence of high decisional conflict and specific factors that influence this decision using the Decisional Conflict Scale (DCS). The FIRST project is a web-based survey of female cancer survivors (ages 18-44 years) who have undergone gonadotox...
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Health disparities in fetal alcohol spectrum disorders (FASD) are of high importance to American Indian/Alaska Native (AI/AN) communities. We conducted focus groups and interviews with 21 AI/AN women and key informants in Southern California to modify a brief, Web-based program for screening and prevention of prenatal alcohol use. This process resu...
Article
Background: Guidelines recommend influenza vaccination for pregnant women, but vaccine uptake in this population is far below the goal set by Healthy People 2020. The purpose of this study was to examine predictors of seasonal influenza vaccination among pregnant women. Methods: Between 2009 and 2012, the Vaccines and Medications in Pregnancy Su...
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Fetal alcohol spectrum disorders (FASDs) are the leading preventable cause of developmental disabilities in the United States and likely throughout the world. FASDs can be prevented by avoiding alcohol use during pregnancy; however, efforts to prevent risky alcohol consumption in women of childbearing potential have not been universally successful....
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This prospective cohort study compares the breastfeeding outcomes of women exposed to selective serotonin reuptake inhibitor (SSRI) antidepressants at the time of delivery, those who discontinued use prior to delivery, and those not exposed. Participants include 466 pregnant women who enrolled in the California Teratogen Information Service Clinica...
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Young adult cancer survivors are often unaware of their fertility status and uninformed regarding their fertility and fertility preservation options. This qualitative research study explores the fertility and parenthood concerns of reproductive-age female cancer survivors and how they make parenthood decisions. Population- and clinic-based recruitm...
Article
Younger women diagnosed with breast cancer are more likely to have survival concerns related to fertility, which may influence their treatment decisions. This qualitative study explores how young women make cancer treatment decisions and the role of fertility concerns in that process. We used purposeful sampling to identify a diverse group of 20 yo...
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Breast cancer diagnosis and treatment can negatively impact fertility in premenopausal women and influence reproductive planning. This study investigates whether concerns about reproduction after breast cancer treatment were associated with long-term depressive symptoms. Participants include 131 women diagnosed with early-stage breast cancer at age...
Article
The safety of pregnancy after breast cancer is an important issue for many younger breast cancer survivors and their health care providers. Current research does not indicate that pregnancy negatively affects survival, but the 'healthy mother bias,' suggesting that survivors who go on to become pregnant are a self-selected healthier group based on...
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This is an exploratory, qualitative investigation of breast cancer survivors' experiences with breastfeeding. Previous studies have focused on the physiology of lactation after surgery and treatment, but have not explored factors influencing breastfeeding decisions and behavior. We used purposeful sampling to identify 11 breast cancer survivors who...
Article
e20552 Background: The possibility and safety of pregnancy after breast cancer is an important issue for many younger breast cancer survivors and their health care providers. Current research does not indicate that survival is negatively affected by pregnancy. However, the “healthy mother bias”, suggesting that survivors who go on to become pregnan...
Article
Exclusive breastfeeding in the hospital is predictive of postpartum breastfeeding patterns. Although breastfeeding rates are similar for Hispanic and white women in the United States, evidence shows that more acculturated Hispanic mothers have lower rates of breastfeeding than those less acculturated. To date, no studies have examined whether this...
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Despite the high incidence of spontaneous abortion, little is known about its causes, in part because of the challenge of assembling a large cohort of women in early pregnancy for prospective study. We describe the effectiveness of recruitment strategies used in Right From The Start (RFTS), a prospective, community-based study of spontaneous aborti...

Projects

Projects (2)
Project
As many as two-thirds of women diagnosed with breast or gynecologic cancers during young adulthood experience negative effects of cancer and cancer treatment on their reproductive health, including sexual function and ability to have children. These are among the most distressing aspects of survivorship for young couples. This research focuses on developing and implementing strategies to help young survivors and their partners effectively communicate and cope with the reproductive health consequences of cancer, and avoid the negative outcomes of failing to do so. Funded by the American Cancer Society RSG-19-123-01-CPPB
Project
This project focuses on characterizing and measuring reproductive concerns, and understanding their relationship to health and quality of life outcomes.