Chuxia Tan1,2, Chenxi Zhong1,2,3, Ranran Mei1,2, Ronghong Yang4, Dangdang Wang4, Xianjiao Deng1,2, Shihao Chen1, Man Ye5,6. 1. Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, Hunan, 410011, China. 2. Xiangya Nursing School of Central South University, Changsha, Hunan, 410013, China. 3. Department of Kidney Transplantation, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. 4. Intensive Care Unit of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. 5. Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, Hunan, 410011, China. yeman82@csu.edu.cn. 6. Xiangya Nursing School of Central South University, Changsha, Hunan, 410013, China. yeman82@csu.edu.cn.
Abstract
PURPOSE: To examine the level of stigma and identify its influencing factors among postoperative oral cancer patients in China. METHODS: In total, 274 postoperative oral cancer patients were recruited from a Grade A Tertiary Hospital in China using convenience sampling methods. Patients completed the Social Impact Scale (SIS), Medical Coping Mode Questionnaire (MCMQ), Social Support Rating Scale (SSRS), and General Self-efficacy Scale (GSE). RESULTS: Stigma reported by postoperative oral cancer patients was moderate (50.17 ± 21.24). Stepped multiple linear regression showed that the related factors influencing their feelings of stigma were educational level (β = - 0.110, P = 0.001), smoking (β = - 0.152, P < 0.001), betel quid (β = - 0.120, P = 0.001), tumor location (β = - 0.390, P < 0.001), tumor stage (β = 0.219, P < 0.001), self-efficacy (β = - 0.253, P < 0.001), and confrontation (β = - 0.117, P = 0.001) and avoidance (β = 0.123, P < 0.001), which explained 74.2% of the total variation in stigma (F = 99.378, P < 0.001). CONCLUSIONS: Stigma was positively predicted by tumor stage and avoidance but negatively predicted by education level, smoking, betel quid, tumor location, confrontation, and self-efficacy. Further work should focus on developing interventions to reduce stigma by improving protective factors and decreasing risk factors.
PURPOSE: To examine the level of stigma and identify its influencing factors among postoperative oral cancer patients in China. METHODS: In total, 274 postoperative oral cancer patients were recruited from a Grade A Tertiary Hospital in China using convenience sampling methods. Patients completed the Social Impact Scale (SIS), Medical Coping Mode Questionnaire (MCMQ), Social Support Rating Scale (SSRS), and General Self-efficacy Scale (GSE). RESULTS: Stigma reported by postoperative oral cancer patients was moderate (50.17 ± 21.24). Stepped multiple linear regression showed that the related factors influencing their feelings of stigma were educational level (β = - 0.110, P = 0.001), smoking (β = - 0.152, P < 0.001), betel quid (β = - 0.120, P = 0.001), tumor location (β = - 0.390, P < 0.001), tumor stage (β = 0.219, P < 0.001), self-efficacy (β = - 0.253, P < 0.001), and confrontation (β = - 0.117, P = 0.001) and avoidance (β = 0.123, P < 0.001), which explained 74.2% of the total variation in stigma (F = 99.378, P < 0.001). CONCLUSIONS: Stigma was positively predicted by tumor stage and avoidance but negatively predicted by education level, smoking, betel quid, tumor location, confrontation, and self-efficacy. Further work should focus on developing interventions to reduce stigma by improving protective factors and decreasing risk factors.
Authors: Sean M Phelan; Joan M Griffin; George L Jackson; S Yousuf Zafar; Wendy Hellerstedt; Mandy Stahre; David Nelson; Leah L Zullig; Diana J Burgess; Michelle van Ryn Journal: Psychooncology Date: 2011-09-26 Impact factor: 3.894
Authors: Elizabeth Meacham; Jackson Orem; Gertrude Nakigudde; Jo Anne Zujewski; Deepa Rao Journal: Psychooncology Date: 2016-08-21 Impact factor: 3.894
Authors: Terry A Day; Betsy K Davis; M Boyd Gillespie; John K Joe; Megan Kibbey; Bonnie Martin-Harris; Brad Neville; Mary S Richardson; Steven Rosenzweig; Anand K Sharma; Michelle M Smith; Stacy Stewart; Robert K Stuart Journal: Curr Treat Options Oncol Date: 2003-02