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Tytuł:
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The association between lung cancer stigma and race: A descriptive correlational study.
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Autorzy:
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McDonnell KK; College of Nursing, University of South Carolina, Columbia, South Carolina, USA.
Webb LA; College of Nursing, University of South Carolina, Columbia, South Carolina, USA.
Adams SA; College of Nursing and Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Felder TM; College of Nursing, Cancer Prevention & Control Program and Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Davis RE; Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
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Źródło:
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Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2022 Aug; Vol. 25 (4), pp. 1539-1547. Date of Electronic Publication: 2022 Apr 12.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Oxford, UK : Wiley, c1998-
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MeSH Terms:
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Black or African American*/psychology
Black or African American*/statistics & numerical data
Lung Neoplasms*/epidemiology
Lung Neoplasms*/ethnology
Lung Neoplasms*/psychology
Quality of Life*/psychology
Social Stigma*
Survivors*/psychology
Survivors*/statistics & numerical data
White People*/psychology
White People*/statistics & numerical data
Correlation of Data ; Cost of Illness ; Depression/epidemiology ; Health Surveys/statistics & numerical data ; Humans ; Racial Groups/psychology ; Racial Groups/statistics & numerical data ; Registries/statistics & numerical data ; United States/epidemiology
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References:
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Contributed Indexing:
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Keywords: African American; depression; lung cancer; quality of life; stigma
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Entry Date(s):
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Date Created: 20220413 Date Completed: 20220729 Latest Revision: 20221207
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Update Code:
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20240105
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PubMed Central ID:
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PMC9327804
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DOI:
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10.1111/hex.13495
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PMID:
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35415934
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Background: Stigma is a formidable burden for survivors of lung cancer that can reduce the quality of life (QOL), resulting in physical, social and psychological challenges. This study investigates associations between stigma and depression, QOL and demographic and health-related characteristics, including race.
Design: An adapted conceptual model derived from the Cataldo Lung Cancer Stigma Scale guided this descriptive correlation study assessing stigma in African American and Caucasian survivors of lung cancer. Self-reported, written surveys measuring depression, QOL, lung cancer stigma and demographics were administered. Statistical analysis was conducted to assess associations between stigma and depression, stigma and QOL and stigma and race, while adjusting for demographic characteristics.
Results: Participants (N = 56) included 30 Caucasian and 26 African American survivors of lung cancer recruited from a cancer registry of an American College of Surgeons-accredited programme, a survivors' support club and an ambulatory oncology practice in the southeastern United States. Statistical analysis yielded (1) a significant moderate positive association between depression and lung cancer stigma; (2) a significant moderate negative association between QOL and lung cancer stigma; and (3) significant relationships between race and lung cancer stigma, specifically higher degree of stigma among African Americans compared to Caucasians.
Conclusion: Stigma affects many aspects of survivors' lives. Healthcare professionals need to consider how health-related stigma may further complicate the physical burdens, psychological distresses and social challenges that accompany the disease, especially among African American survivors. Additional enquiry and interventions are needed to assist with mitigating the negative effects of stigma on survivors and their family members and friends.
Patient or Public Contribution: Fifty-six survivors of lung cancer participated in this descriptivecorrelation study. They completed written surveys measuring depression, QOL, and lung cancer stigma, plus an investigator-developed demographic information form.
(© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.)
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