Development of a scale to assess cancer stigma in the non-patient population.
Development of a scale to assess cancer stigma in the non-patient population.
复制标题
DOI：
10.1186/1471-2407-14-285
复制
发表时间：
2014-04-23
期刊：
影响因子：
3.8
通讯作者：
Wardle J
中科院分区：
文献类型：
--
作者：
Marlow LA;Wardle J
与疾病相关的污名化已经引起了相当大的研究兴趣，但很少有研究专门研究非患者人群中癌症的污名化。本研究开发并验证了癌症污名量表（卡斯）用于一般人群。一个项目池开发的基础上，以前的研究疾病相关的耻辱在一般人群和癌症患者。进行了两项研究。第一项研究采用探索性因素分析，探讨了462名研究生的样本通过伦敦大学招募的项目结构。第二项研究使用了验证性因素分析来确认通过在线市场研究小组招募的238名成年人的结构。内部信度，重测信度和结构效度也进行了评估。探索性因素分析提出了六个分量表，分别代表：尴尬，严重性，回避，政策反对，个人责任和经济歧视。验证性因素分析证实了这一结构与25个项目的规模。所有分量表均表现出良好的内部信度和重测信度。结构效度也很好，每个分量表的平均得分在预期的方向上随年龄、性别、癌症经历、对癌症生活方式风险因素的认识和社会期望而变化。两个样本的分量表平均值一致。这些发现突出了癌症耻辱的复杂性，并提供了癌症耻辱量表（卡斯），可用于比较人群，癌症类型，并评估旨在减少非患者人群癌症耻辱的干预措施的效果。
Illness-related stigma has attracted considerable research interest, but few studies have specifically examined stigmatisation of cancer in the non-patient population. The present study developed and validated a Cancer Stigma Scale (CASS) for use in the general population. An item pool was developed on the basis of previous research into illness-related stigma in the general population and patients with cancer. Two studies were carried out. The first study used Exploratory factor analysis to explore the structure of items in a sample of 462 postgraduate students recruited through a London university. The second study used Confirmatory factor analysis to confirm the structure among 238 adults recruited through an online market research panel. Internal reliability, test-retest reliability and construct validity were also assessed. Exploratory factor analysis suggested six subscales, representing: Awkwardness, Severity, Avoidance, Policy Opposition, Personal Responsibility and Financial Discrimination. Confirmatory factor analysis confirmed this structure with a 25-item scale. All subscales showed adequate to good internal and test-retest reliability in both samples. Construct validity was also good, with mean scores for each subscale varying in the expected directions by age, gender, experience of cancer, awareness of lifestyle risk factors for cancer, and social desirability. Means for the subscales were consistent across the two samples. These findings highlight the complexity of cancer stigma and provide the Cancer Stigma Scale (CASS) which can be used to compare populations, types of cancer and evaluate the effects of interventions designed to reduce cancer stigma in non-patient populations.
登录
查看更多内容
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
5.4
作者：
ALBRECHT, GL;WALKER, VG;LEVY, JA
通讯作者：
LEVY, JA
影响因子：
3.6
作者：
Azaiza, Faisal;Cohen, Miri
通讯作者：
Cohen, Miri
影响因子：
3.6
作者：
Clark, LA;Watson, D
通讯作者：
Watson, D
影响因子：
105.7
作者：
Chapple, A;Ziebland, S;McPherson, A
通讯作者：
McPherson, A