Methods: This is a secondary analysis study, which consists in the use of data collected in a previous study to address new issues. The form that will be used for data collection is composed of three parts and was adapted to this study according to the layers of the Social Determination Model proposed by Dahlgren and Whitehead: 1 - (age, sex and hereditary factors), age, schooling and skin color; 2 - (individuals' lifestyle); 3 - (social and community networks) marital status, number of children and religion; 4 - (living and working conditions) diagnosis, diagnosis time, occupation, family income and origin; 5 - (socioeconomic, cultural and environmental conditions).
Participants will be included during the treatment session and according to the pre-established inclusion criteria: presence of confirmed diagnosis of breast cancer, be on pharmacological treatment (chemotherapy, hormone therapy or biological therapy), presence of active sexual life and presence of clinical condition that enable to participate in the study, which will be evaluated from the Karnofsky Scale, which includes a minimum percentage of 60% to include the patient in the study, which shows that the patient has the capacity to perform most daily needs. Patients with altered respiratory function, assessed by presence of dyspnea, respiratory rate greater than 20 rpm, anteroposterior diameter of the thorax equal to or above the transverse diameter, and presence of changes in pulmonary auscultation will be excluded. These parameters will be considered, since these changes could compromise some of the defining characteristics of the nursing diagnosis of sexual dysfunction.
The data will be analyzed using the IBM SPSS Statistics 23.0 statistical package. Pearson's Chi-square test will be used to verify association between the variables, adopting the value of p <0.05 as statistically significant. This study has already been approved by the Research Ethics Committee of the Federal University of Ceará.
Results: Sexual dysfunction consists of several changes that cause significant clinical problems that directly interfere with the sexual responsiveness and pleasure of the individual. Thus, sexual dysfunction appears to be a problem that directly affects the quality of life of women with breast cancer, thereby changing frequency, desire and sexual excitement, reducing orgasm or causing anorgasmia. In addition, it can lead to problems with body image, lack of sexual attractiveness, less vaginal lubrication and dyspaurenia.
Given these facts and the need to promote an integral and holistic view of women with BC, it is essential to promote sexual health in this public, since sexuality also needs to be valued and addressed. Thus, it can be seen that the Social Determinants of Health (SDH) can influence the development of sexual dysfunction in female population, and these are defined as a set of social, economic, cultural, psychological, ethnic / racial and behavioral factors that interfere directly in health. According to the National Commission on Social Determinants of Health (2008), the Dahlgren and Whitehead model includes SDHs arranged in five concentric layers, ranging from individual determinants (self-inherent and non-modifiable) to macrodeterminants economic, cultural and environmental conditions).
Conclusion: With this, it can be seen that the knowledge about SDHs that directly influence the occurrence of sexual dysfunction in women with BC is essential to direct the health practices to be developed in the consultations or in moments of group activities by the health professionals. In addition, evaluation based on a model that considers the multiple dimensions of the health and disease process will provide subsidies to health professionals to identify and articulate support networks that favor care.