Healthcare

Background/Objectives: Luteinizing hormone-releasing hormone agonists (LHRHa) are widely used to induce ovarian suppression in premenopausal women with hormone receptor-positive breast cancer. Although effective, abrupt medical menopause may negatively affect sexual health and intimate partner interactions. Sexual coercion—ranging from manipulation to explicit pressure—remains an underrecognized psychosocial burden in oncology. This multicenter study aimed to evaluate the association between LHRHa therapy and sexual coercion, including relational dynamics measured through the Sexual Coercion in Intimate Relationships Scale (SCIRS). Methods: This cross-sectional study included 81 premenopausal breast cancer patients receiving endocrine therapy at three tertiary centers in Türkiye. Participants were categorized into tamoxifen monotherapy users (n = 39) and LHRHa users (n = 42). Sexual coercion was assessed using the validated Turkish SCIRS, which includes Resource Manipulation/Violence, Defection Threat, and Commitment Manipulation domains. Mann–Whitney U, Kruskal–Wallis, and ANCOVA analyses were performed, adjusting for age, treatment duration, surgery type, chemotherapy, radiotherapy, and education level. The study was ethically approved (2023-KAEK-148) and prospectively registered (NCT06840847). Results: LHRHa users demonstrated significantly higher SCIRS scores across all domains compared with non-users (RM/V: p = 0.039; DT: p = 0.001; CM: p < 0.001; Total: p = 0.004). ANCOVA confirmed LHRHa therapy as an independent predictor after adjusting for covariates (p = 0.001–0.006). The largest effect was observed in the Commitment Manipulation domain (partial η² = 0.177). Younger patients (≤ 36 years) reported significantly greater coercion exposure across all domains (p = 0.018–0.042). Conclusions: LHRHa therapy is associated with increased sexual coercion and strained relational dynamics in premenopausal breast cancer patients, particularly among younger women. These findings emphasize the need for routine sexual health assessment, confidential psychosocial screening, and age-sensitive supportive interventions in endocrine therapy management.

Background/Objectives: Eating mindfulness and healthy lifestyle behaviors play a key role in preventing unhealthy weight gain. Understanding how these behaviors differ according to exercise habits can guide interventions targeting women’s health. This study aimed to compare healthy lifestyle behaviors and eating mindfulness between women with and without regular exercise habits. Methods: A cross-sectional, analytical, and descriptive study was conducted with 156 women: a Regular Exercise Group (REG, n = 68) and a Non-Exercise Group (NEG, n = 88). Data were collected through face-to-face interviews using the Mindful Eating Questionnaire (MEQ-30) and the Healthy Lifestyle Behavior Scale II (HLBS-II), along with dietary records and anthropometric measurements. Results: The REG scored significantly higher in eating discipline (p = 0.003) and in HLBS-II subscales of physical activity, nutrition, and stress management (p < 0.05). No significant differences were found in total MEQ scores, BMI-related nutrient intake, or other HLBS-II dimensions (p > 0.05). BMI values and smoking rates were lower in the REG (p < 0.05). Univariate logistic regression showed that BMI, eating discipline, physical activity, nutrition, stress management, and total HPLP-II scores were significantly associated with regular exercise (p < 0.05). In the multivariate model, BMI (OR = 1.114, 95% CI: 1.021–1.216) remained independently associated with regular exercise status. Conclusions: Although eating discipline was higher in the REG, overall mindful eating levels did not differ between groups. BMI were the strongest independent variables associated with regular exercise status, suggesting that while exercise supports positive lifestyle patterns, enhancing mindful eating may require additional targeted interventions.

In contemporary health discourse, the terms “mental health,” “psychological health,” and “social wellbeing” are prominent, collectively representing the emotional, cognitive, and social facets of overall wellness [...]