PMID- 33991869
OWN - NLM
STAT- MEDLINE
DCOM- 20210819
LR  - 20210819
IS  - 1532-2122 (Electronic)
IS  - 1462-3889 (Linking)
VI  - 52
DP  - 2021 Jun
TI  - Stigma and its influencing factors among breast cancer survivors in China: A 
      cross-sectional study.
PG  - 101972
LID - S1462-3889(21)00078-8 [pii]
LID - 10.1016/j.ejon.2021.101972 [doi]
AB  - PURPOSE: Although stigma has attracted considerable scholarly attention, few 
      studies have focused on its influencing factors among discharged breast cancer 
      survivors, especially in a Chinese cultural context. The present study therefore 
      explores stigma and its influencing factors among breast cancer survivors in 
      China. METHOD: Between December 2017 and May 2018, 103 breast cancer survivors at 
      the outpatient clinic of a tertiary cancer center in southern China were enrolled 
      in a cross-sectional study. The research instruments comprised the Social Impact 
      Scale (SIS), the General Self-Efficacy Scale (GSES), the Medical Coping Modes 
      Questionnaire (MCMQ), and sociodemographic and disease-related questionnaires. 
      Descriptive statistics, univariate analysis, and multivariable linear regression 
      were used to explore the current status of stigma and to identify influencing 
      factors. RESULTS: Of the respondents, 76.7% and 8.7%, respectively, reported 
      moderate and high levels of stigma. The mean SIS score was 55.20 +/- 12.15 
      (moderate), and the SIS subscale with the highest average score was financial 
      insecurity. The results of a multivariable linear regression showed that body 
      image (beta = 0.32, P＜0.001), spousal support (beta = -0.47, P < 0.001), personal 
      acceptance of the disease (beta = -0.22, P＜0.001), coping modes (resignation) 
      (beta = 0.14, P < 0.001), support from medical staff (beta = -0.23, P < 0.001) and 
      self-efficacy (beta = -0.10, P = 0.037) were the main factors influencing stigma 
      among breast cancer survivors (R(2) = 0.83). CONCLUSIONS: Stigma, among breast 
      cancer survivors, which is influenced by various sociocultural factors, is a 
      neglected issue requiring attention. Healthcare professionals should therefore 
      formulate effective measures for alleviating stigma in this group by improving 
      their self-efficacy and acceptance of the disease, reducing their poor body image 
      and negative coping mode, and eliciting more support from their spouses and 
      medical staff.
CI  - Copyright (c) 2021 Elsevier Ltd. All rights reserved.
FAU - Jin, Ruiqi
AU  - Jin R
AD  - School of Nursing, Sun Yat-sen University, Zhongshan 2 Rd 74#, Guangzhou, 
      Guangdong, PR China.
FAU - Xie, Tingting
AU  - Xie T
AD  - School of Nursing, Sun Yat-sen University, Zhongshan 2 Rd 74#, Guangzhou, 
      Guangdong, PR China.
FAU - Zhang, Lijuan
AU  - Zhang L
AD  - Department of Breast Surgery, Sun Yat-sen University Cancer Center, Dongfeng 1 Rd 
      651#, Guangzhou, Guangdong, PR China.
FAU - Gong, Ni
AU  - Gong N
AD  - School of Nursing, Jinan University, Huangpudadaoxi Rd 601#, Guangzhou, 
      Guangdong, PR China.
FAU - Zhang, June
AU  - Zhang J
AD  - School of Nursing, Sun Yat-sen University, Zhongshan 2 Rd 74#, Guangzhou, 
      Guangdong, PR China. Electronic address: zhangje@mail.sysu.edu.cn.
LA  - eng
PT  - Journal Article
DEP - 20210504
PL  - Scotland
TA  - Eur J Oncol Nurs
JT  - European journal of oncology nursing : the official journal of European Oncology 
      Nursing Society
JID - 100885136
SB  - IM
MH  - Adaptation, Psychological
MH  - *Breast Neoplasms
MH  - *Cancer Survivors
MH  - China
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Social Stigma
MH  - Social Support
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Body image
OT  - Breast cancer
OT  - Cancer survivors
OT  - Coping mode
OT  - Social support
OT  - Stigma
EDAT- 2021/05/16 06:00
MHDA- 2021/08/20 06:00
CRDT- 2021/05/15 20:21
PHST- 2020/12/29 00:00 [received]
PHST- 2021/04/19 00:00 [revised]
PHST- 2021/04/21 00:00 [accepted]
PHST- 2021/05/16 06:00 [pubmed]
PHST- 2021/08/20 06:00 [medline]
PHST- 2021/05/15 20:21 [entrez]
AID - S1462-3889(21)00078-8 [pii]
AID - 10.1016/j.ejon.2021.101972 [doi]
PST - ppublish
SO  - Eur J Oncol Nurs. 2021 Jun;52:101972. doi: 10.1016/j.ejon.2021.101972. Epub 2021 
      May 4.