Exploring Stigma Among Lung Cancer Survivors: A Scoping Literature Review

Webb, Lisa A.; McDonnell, Karen Kane; Adams, Swann Arp; Davis, Rachel; Felder, Tisha M.

doi:10.1188/19.onf.402-418

Cited by 20 publications

(31 citation statements)

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“…A national survey in Korea reported that 71.8% of participants agreed that cancer patients or survivors could not contribute to society (Cho et al, 2013). Even after treatment is completed, cancer survivors remain socially isolated, leading to stigma (Webb et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Stigma, self‐efficacy and late toxicities among Chinese nasopharyngeal carcinoma survivors

Yan

Fan

Jun-e

2021

European J Cancer Care

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Objective: This study explores the level of stigma among Chinese nasopharyngeal carcinoma survivors, its influencing factors and relationship with self-efficacy.Methods: In total, 281 nasopharyngeal carcinoma survivors were recruited from China, who completed the demographic, disease-related and late toxicities questionnaire, as well as the General Self-Efficacy Scale and Social Impact Scale. Results:The mean scores for stigma and self-efficacy were 57.22 ± 9.58 and 28.06 ± 3.97, respectively, both showing a moderate level. The late toxicities with the highest incidence were xerostomia (91.8%), fatigue (78.3%) and hearing loss (63.0%).Stigma was significantly and negatively related to self-efficacy (r = À0.295, P < 0.001). Multivariable linear regression showed that self-efficacy, number of children, educational level, perceived support from spouse and other family members and some late toxicities (nasal obstruction and toothache) were influencing factors of stigma, accounting for 49.4% of the variance. Conclusion:Medical staff should be more aware of stigma among Chinese nasopharyngeal carcinoma survivors, especially those with more children and weaker educational backgrounds who are at a higher risk of stigma. They should take effective measures to alleviate stigma by improving patients' self-efficacy, relieving late toxicities and encouraging spouses and family members to provide more support for them.

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Section: Discussionmentioning

confidence: 99%

Stigma, self‐efficacy and late toxicities among Chinese nasopharyngeal carcinoma survivors

Yan

Fan

Jun-e

2021

European J Cancer Care

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“…The experience of cancer stigma related to shame and blame appeared highest amongst patients with lung and cervical cancers due to their links with smoking [ 55 , 81 ] and STIs [ 18 , 62 ], respectively. Studies reported significantly higher levels of stigma in lung cancer patients with younger age, depression, greater social deprivation/constraints, unemployment, higher negative changes following diagnosis, higher cancer stage, perceived blame from others, concealment of cancer diagnosis, lower coping self-efficacy, poor self-esteem and being an ever smoker [ 93 , 40 , 43 , 57 , 81 , 84 ]. However, findings on the relationship between smoking status and level of stigma are inconsistent as some studies did not find significant association between smoking status and lung cancer stigma [ 8 , 40 ].…”

Section: Methodsmentioning

confidence: 99%

“…The notion of cancer as a terrible disease that is linked with death, dread, doubt, distress, shame and blame [ 33 , 35 , 50 , 64 , 65 , 77 , 78 , 92 , 92 ] lead to disease concealment to avoid being judged, delayed treatment and use of traditional healers rather than biomedical treatment [ 18 , 29 , 40 , 58 , 81 , 63 ].…”

Section: Methodsmentioning

confidence: 99%

“…Studies showed that stigma had negative relationship with QoL and/or some of its subscales in patients with oral cancer, prostate cancer, breast cancer, lung cancer and in a group of patients with different cancer type [ 22 , 37 , 52 , 84 – 87 , 89 , 91 ]. It also had an inverse relationship with hope and social support [ 91 ], posttraumatic growth [ 85 ], good healthcare provider communication [ 81 ], NK subset of cellular immunity, doctors’ empathy and patients’ self-efficacy [ 88 ]. Pain intensity was found to mediate the relationship between stigma and QoL in breast cancer patients [ 52 ].…”

Section: Methodsmentioning

confidence: 99%

“…The other study on cancer-related stigma intervention was located amongst studies reviewed by Webb et al [ 81 ]. The authors of the study used telephone acceptance-focused cognitive behavioural intervention to address stigma in people with lung cancer.…”

Section: Methodsmentioning

confidence: 99%

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Impact of stigma and stigma-focused interventions on screening and treatment outcomes in cancer patients

Akin-Odanye

Husman

2021

ecancer

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Real‐world analysis of the relationships between smoking, lung cancer stigma, and emotional functioning

Chansky,

Rigney,

King

2024

Cancer Medicine

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IntroductionPeople diagnosed with lung cancer experience high rates of distress, which can be compounded by the stigma of the disease. This study assessed a real‐world population to understand patient‐reported emotional functioning, types of stigma experienced, and relationship with smoking history.MethodsQuestionnaires using validated survey tools assessing demographics, smoking history, stigma, and quality of life (EORTC QLQ‐C30 Emotional Functioning Scale) were analyzed from 539 global participants in the Lung Cancer Registry between November 2019 and July 2022. The associations between smoking history and self‐reported internalized and perceived stigma and constrained disclosure of lung cancer diagnosis, as well as the potential impact of stigma on emotional functioning, were examined using multivariable logistic regression models.ResultsAmong the broad geographic mix of study participants, all types of lung cancer stigma were associated with decreased emotional functioning due to a combination of factors including depression, anxiety, stress, and irritability. Participants who reported a history of current or former smoking experienced higher levels of internalized stigma and perceived stigma. Constrained disclosure about a diagnosis was common, associated with decreased emotional functioning, and not related to a history of smoking. Smoking status itself was not associated with reduced emotional functioning, implicating the role of stigma in distress.ConclusionsIn this study, all types of lung cancer stigma were associated with clinically important decreases in emotional functioning. This impact was not dependent on smoking history. Internalized and perceived stigma were associated with the presence of a smoking history. These findings have implications for proper psychosocial care of people diagnosed with lung cancer.

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Exploring Stigma Among Lung Cancer Survivors: A Scoping Literature Review

Cited by 20 publications

References 0 publications

Stigma, self‐efficacy and late toxicities among Chinese nasopharyngeal carcinoma survivors

Stigma, self‐efficacy and late toxicities among Chinese nasopharyngeal carcinoma survivors

Impact of stigma and stigma-focused interventions on screening and treatment outcomes in cancer patients

Real‐world analysis of the relationships between smoking, lung cancer stigma, and emotional functioning

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