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Title: A systematic review of the impact of stigma and nihilism on lung cancer outcomes
Authors: Chambers SK; Dunn J; Occhipinti S; Hughes S; Baade P; Sinclair S; Aitken J; Youl P; O'Connell DL
Categories: Cancer Type - Lung Cancer
Cancer Control, Survivorship, and Outcomes Research - Patient Care and Survivorship Issues
Cancer Control, Survivorship, and Outcomes Research - Population –based Behavioural Factors
Keywords: analysis; psychosocial; Public Health; Quality of Life; Research; Australia; cancer; Caregivers; CLEAR; Data Collection; Lung; methods; Patterns of care
Year: 2012
Journal Title: BMC Cancer
Volume: 12
Page number start: 184
Abstract: BACKGROUND: This study systematically reviewed the evidence on the influence of stigma and nihilism on lung cancer patterns of care; patients' psychosocial and quality of life (QOL) outcomes; and how this may link to public health programs. METHODS: Medline, EMBASE, ProQuest, CINAHL, PsycINFO databases were searched. Inclusion criteria were: included lung cancer patients and/or partners or caregivers and/or health professionals (either at least 80% of participants had lung cancer or were partners or caregivers of lung cancer patients, or there was a lung cancer specific sub-group focus or analysis), assessed stigma or nihilism with respect to lung cancer and published in English between 1st January 1999 and 31st January 2011. Trial quality and levels of evidence were assessed. RESULTS: Eighteen articles describing 15 studies met inclusion criteria. The seven qualitative studies were high quality with regard to data collection, analysis and reporting; however most lacked a clear theoretical framework; did not address interviewer bias; or provide a rationale for sample size. The eight quantitative studies were generally of low quality with highly selected samples, non-comparable groups and low participation rates and employed divergent theoretical and measurement approaches. Stigma about lung cancer was reported by patients and health professionals and was related to poorer QOL and higher psychological distress in patients. Clear empirical explorations of nihilism were not evident. There is qualitative evidence that from the patients' perspectives public health programs contribute to stigma about lung cancer and this was supported by published commentary. CONCLUSIONS: Health-related stigma presents as a part of the lung cancer experience however there are clear limitations in the research to date. Future longitudinal and multi-level research is needed and this should be more clearly linked to relevant theory
Programme: Health Services Research
Division: Cancer Research Division
Funding Body: The project was funded by Cancer Australia under the National Lung Cancer Program
DOI: 10.1186/1471-2407-12-184
Appears in Collections:Research Articles

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