دورية أكاديمية
أعرض في EDS

Examining evidence of lung cancer stigma among health-care trainees.

التفاصيل البيبلوغرافية
العنوان: Examining evidence of lung cancer stigma among health-care trainees.
المؤلفون: Studts JL; Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Deffendall CM; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA., McCubbin SL; University of Kentucky College of Medicine, Lexington, KY, USA., Hamann HA; Department of Psychology, University of Arizona, Tucson, AZ, USA., Hoover K; Population Health Shared Resource, University of Colorado Cancer Center, Aurora, CO, USA., Brymwitt WM; Department of Psychological Science, Loyola Marymount University, Los Angeles, CA, USA., Williamson TJ; Department of Psychological Science, Loyola Marymount University, Los Angeles, CA, USA.
المصدر: Journal of the National Cancer Institute. Monographs [J Natl Cancer Inst Monogr] 2024 Jun 05; Vol. 2024 (63), pp. 20-29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: United States NLM ID: 9011255 Publication Model: Print Cited Medium: Internet ISSN: 1745-6614 (Electronic) Linking ISSN: 10526773 NLM ISO Abbreviation: J Natl Cancer Inst Monogr Subsets: MEDLINE
أسماء مطبوعة: Publication: <2003-> : Cary Nc : Oxford University Press
Original Publication: Bethesda, MD : U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health ; Washington, DC : For sale by the Supt. of Docs., U.S. G.P.O., [1990-
مواضيع طبية MeSH: Lung Neoplasms*/psychology , Lung Neoplasms*/diagnosis , Social Stigma*, Humans ; Male ; Female ; Adult ; Attitude of Health Personnel ; Health Personnel/psychology ; Smoking/psychology ; Smoking/epidemiology ; Stereotyping ; Surveys and Questionnaires
مستخلص: Background: Innovations in lung cancer control and care have started to transform the landscape of lung cancer outcomes, but lung cancer stigma and biases have been implicated as a deterrent to realizing the promise of these innovations. Research has documented lung cancer stigma among the general public and lung cancer survivors (self-blame), as well as clinicians across many disciplines. However, studies have not explored lung cancer stigma in health-care trainees. These data seek to address that gap and inform efforts to prevent the emergence or mitigate the presence of lung cancer stigma among future clinicians.
Methods: Using clinical vignettes and a 2x2 factorial design, this investigation evaluated the impact of a history of smoking (yes vs no) and cancer diagnosis (lung vs colorectal) on perceptions of the described patient among 2 groups of preclinical health-care trainees (medical = 94 and nursing = 138). A charitable giving paradigm also asked participants to donate provided funds to 1 of 2 cancer advocacy organizations: one serving the lung cancer community and one serving the colorectal cancer community.
Results: In study 1, results revealed a consistent pattern of statistically significant and medium to large effect size differences regarding stigmatized perceptions (eg, higher stigmatizing behavior, increased pity, greater anger, and less helping) for individuals with a history of smoking but no reliable differences regarding cancer diagnosis. Analysis of data from nursing trainees in study 2 showed a similar pattern of statistically significant and medium to large effects pertaining to stigma behavior and perceptions of individuals who had a history of smoking depicted in the vignettes. The charitable giving paradigm did not identify any reliable difference between the groups in either study.
Conclusions: Findings revealed a consistent pattern of health-care trainee perceptions that varied by smoking status but much less evidence that the cancer diagnosis contributed to different perceptions. This suggests that efforts to integrate consideration of stigma and biases in health-care training needs to adopt an approach that seeks to mitigate or eliminate stigmatizing perceptions and behaviors toward individuals with a history of smoking.
(© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
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معلومات مُعتمدة: UL1TR001998 United States TR NCATS NIH HHS; NIH; University of Kentucky Center for Clinical and Translational Science; R00-CA-256351 United States CA NCI NIH HHS; R00 CA256351 United States CA NCI NIH HHS; University of Kentucky; Genentech; Population Health Shared Resource; UL1 TR001998 United States TR NCATS NIH HHS; P30 CA046934 United States CA NCI NIH HHS; P30CA046934 University of Colorado Cancer Center; United States NH NIH HHS; United States HH HHS
تواريخ الأحداث: Date Created: 20240605 Date Completed: 20240605 Latest Revision: 20240608
رمز التحديث: 20240608
مُعرف محوري في PubMed: PMC11151328
DOI: 10.1093/jncimonographs/lgae010
PMID: 38836527
قاعدة البيانات: MEDLINE
الوصف
تدمد:1745-6614
DOI:10.1093/jncimonographs/lgae010