Association between patient-provider communication and lung cancer stigma Journal Article


Authors: Shen, M. J.; Hamann, H. A.; Thomas, A. J.; Ostroff, J. S.
Article Title: Association between patient-provider communication and lung cancer stigma
Abstract: The majority (95 %) of lung cancer patients report stigma, with 48 % of lung cancer patients specifically reporting feeling stigmatized by their medical providers. Typically associated with the causal link to smoking and the historically poor prognosis, lung cancer stigma can be seen as a risk factor for poor psychosocial and medical outcomes in the context of lung cancer diagnosis and treatment. Thus, modifiable targets for lung cancer stigma-reducing interventions are needed. The present study sought to test the hypothesis that good patient-provider communication is associated with lower levels of lung cancer stigma. Lung cancer patients (n = 231) across varying stages of disease participated in a cross-sectional, multisite study designed to understand lung cancer stigma. Patients completed several survey measures, including demographic and clinical characteristics, a measure of patient-provider communication (Consumer Assessment of Healthcare Providers and Systems Program or CAHPS), and a measure of lung cancer stigma (Cataldo Lung Cancer Stigma Scale). As hypothesized, results indicated that good patient-provider communication was associated with lower levels of lung cancer stigma (r = -0.18, p < 0.05). These results remained significant, even when controlling for relevant demographic and clinical characteristics (Stan. beta = -0.15, p < 0.05). Results indicate that good patient-provider communication is associated with lower levels of lung cancer stigma, suggesting that improving patient-provider communication may be a good intervention target for reducing lung cancer stigma.
Keywords: breast; lung cancer; oncology; tobacco; quality-of-life; prostate-cancer; primary-care; control; interventions; opportunities; psychometric properties; public-health; patient-provider communication; lung cancer stigma
Journal Title: Supportive Care in Cancer
Volume: 24
Issue: 5
ISSN: 0941-4355
Publisher: Springer Verlag  
Date Published: 2016-05-01
Start Page: 2093
End Page: 2099
Language: English
ACCESSION: WOS:000373157600020
DOI: 10.1007/s00520-015-3014-0
PROVIDER: wos
PMCID: PMC4805469
PUBMED: 26553030
Notes: Article -- Source: Wos
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MSK Authors
  1. Jamie S Ostroff
    208 Ostroff
  2. Megan Johnson Shen
    22 Shen