Lung cancer stigma as a barrier to medical help-seeking behavior: Practice implications
Lung cancer stigma as a barrier to medical help-seeking behavior: Practice implications
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DOI：
10.1002/2327-6924.12227
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发表时间：
2015-05-01
影响因子：
1.2
通讯作者：
Carter-Harris, Lisa
中科院分区：
文献类型：
--
作者：
Carter-Harris, Lisa
目的本研究旨在探讨有症状个体的肺癌污名知觉与就医行为时序的关系。资料来源：来自美国东南部某大城市一家学术胸科肿瘤诊所和社区医院门诊放射治疗中心的便利样本。这项描述性的横断面研究采用调查方法和半结构访谈的方法来研究肺癌污名和延迟寻求医疗帮助之间的关系，发现两者之间存在统计学上显著的正相关。进一步的检查显示羞耻感和羞耻感、社会隔离、吸烟相关的污名量表和延迟之间存在正相关。与歧视相关的子量表与延迟无关。此外，吸烟状况与知觉到的肺癌污名无关。结论支持肺癌污名与延迟就医行为之间的关联。因此，肺癌污名是在肺癌症状中及时寻求医疗帮助行为的潜在障碍，这可能会对患者的预后产生重要影响。作为初级保健护士从业者，意识到肺癌污名对患者来说是必不可少的，无论吸烟状况如何，努力减少这一障碍以获得及时的卫生保健是重要的。
Purpose The purpose of this study was to examine the relationship of perceived lung cancer stigma and timing of medical help-seeking behavior in symptomatic individuals.Data sources A convenience sample was recruited from an academic thoracic oncology clinic and community hospital-based outpatient radiation center in a large city in the southeastern United States. This descriptive, cross-sectional study used survey methodology and semistructured interviews to examine the relationship of perceived lung cancer stigma and delayed medical help seeking finding a statistically significant positive correlation. Additional examination revealed positive correlations between the stigma and shame, social isolation, and smoking-related stigma subscales and delay. The discrimination-related subscale was not associated with delay. In addition, smoking status was not related to perceived lung cancer stigma.Conclusions Findings support an association between lung cancer stigma and delayed medical help-seeking behavior. Therefore, lung cancer stigma is a potential barrier to timely medical help-seeking behavior in lung cancer symptoms, which can have important patient outcome implications.Implications for practice As primary care nurse practitioners, awareness that lung cancer stigma exists for patients is essential regardless of smoking status and efforts to decrease this barrier to timely health care are important.