Multilevel Opportunities to Address Lung Cancer Stigma across the Cancer Control Continuum.
Multilevel Opportunities to Address Lung Cancer Stigma across the Cancer Control Continuum.
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DOI：
10.1016/j.jtho.2018.05.014
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发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Ostroff JS
中科院分区：
文献类型：
--
作者：
Hamann HA;Ver Hoeve ES;Carter-Harris L;Studts JL;Ostroff JS
近年来，减少肺癌负担的公共卫生任务取得了前所未有的进展。充分认识到肺癌治疗和控制的进展需要注意其势头和实施中的潜在障碍。在这项分析中，我们提出并评估了这样一个论点，即污名是实现先进护理和降低肺癌负担的临床承诺的一个非常重要的障碍。这种对肺癌污名的评估是基于多层次的视角，包括个人，直接环境中的人，医疗保健系统以及塑造感知和决策的更大的社会结构。我们还考虑了目前的干预措施和干预需求，包括预防，筛查，诊断，治疗和生存。目前的证据表明，污名在精神上影响整个肺癌控制连续体和多个层面的心理社会，沟通和行为结果。在肺癌背景下减轻耻辱感的干预努力显示出希望，但需要更多的工作来评估其影响。了解和解决污名的多层次作用是未来研究的一个关键领域，以实现肺癌预防，控制和治疗所提供的全部益处。协调、跨学科和概念化的努力有可能减少肺癌背景下的耻辱障碍，并促进临床护理和生活质量的明显改善。
The public health imperative to reduce the burden of lung cancer has seen unprecedented progress in recent years. Realizing fully the advances in lung cancer treatment and control requires attention to potential barriers in their momentum and implementation. In this analysis, we present and evaluate the argument that stigma is a highly significant barrier to fulfilling the clinical promise of advanced care and reduced lung cancer burden. This evaluation of lung cancer stigma is based on a multilevel perspective that incorporates the individual, persons in their immediate environment, the healthcare system, and the larger societal structure which shapes perceptions and decisions. We also consider current interventions and interventional needs within and across aspects of the lung cancer continuum, including prevention, screening, diagnosis, treatment, and survivorship. Current evidence suggests that stigma detrimentally impacts psychosocial, communication, and behavioral outcomes over the entire lung cancer control continuum and across multiple levels. Interventional efforts to alleviate stigma in the context of lung cancer show promise, yet more work is needed to evaluate their impact. Understanding and addressing the multi-level role of stigma is a crucial area for future study in order to realize the full benefits offered by lung cancer prevention, control, and treatment. Coordinated, interdisciplinary, and well-conceptualized efforts have the potential to reduce the barrier of stigma in the context of lung cancer and facilitate demonstrable improvements in clinical care and quality of life.
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影响因子：
5.4
作者：
Corner, J;Hopkinson, J;Roffe, L
通讯作者：
Roffe, L
DOI：
10.1002/2327-6924.12227
发表时间：
2015-05-01
影响因子：
1.2
作者：
Carter-Harris, Lisa
通讯作者：
Carter-Harris, Lisa
影响因子：
4.5
作者：
Carter, Ashley J. R.;Nguyen, Cecine N.
通讯作者：
Nguyen, Cecine N.
影响因子：
12.7
作者：
Bayer, R;Stuber, J
通讯作者：
Stuber, J
DOI：
10.1016/j.jtho.2016.11.2221
发表时间：
2017-03
期刊：
Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
影响因子：
--
作者：
David EA;Daly ME;Li CS;Chiu CL;Cooke DT;Brown LM;Melnikow J;Kelly K;Canter RJ
通讯作者：
Canter RJ