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Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study.

Publication ,  Journal Article
Teo, I; Bhaskar, A; Ozdemir, S; Malhotra, C; Hapuarachchi, T; Joad, AK; Manalo, MF; Mariam, L; Ning, X; Palat, G; Rahman, R; Tuong, PN ...
Published in: Psychooncology
June 2022

OBJECTIVES: Perceived cancer-related stigma can affect mental health and potentially treatment choices for patients with cancer. Nevertheless, perceived stigma is not very well understood in Asia. This study investigated across six developing Asian countries: (1) the prevalence of perceived stigma among advanced cancer patients, (2) its risk factors, and (3) its association with patient treatment preferences. METHODS: This cross-sectional study recruited patients receiving oncology care across major hospitals in Bangladesh, China, India, Philippines, Sri Lanka and Vietnam. Participants (N = 1358) were adults diagnosed with stage IV metastatic solid cancer who completed self-reported surveys. Multi-variable logistic regression and ordered logit models examined the associations with perceived stigma and variables of interest. RESULTS: Across the countries, 35%, 95% CI [32%, 38%] of patients reported experiencing at least one facet of cancer-related stigma often or always, while 60% [57%, 63%] reported it occurring occasionally. Top-endorsed facets of perceived stigma across the Asian countries suggest a distinct pattern. Having knowingly engaged in health-risk behaviours (OR = 2.03-2.24, 95% CI [1.14-1.19, 3.43-4.41]), unemployment (2.64 [1.67, 4.19]) and body image change (1.57 [1.00, 2.45]) were associated with higher odds of perceived stigma, while time mitigated perceived stigma (0.49-0.65 [0.30-0.45, 0.76-0.92]). Perceived stigma was associated with lower odds of preference for life-extending treatments, although the associations did not hold up in the adjusted model. CONCLUSIONS: Perceived stigma is unique among Asian advanced cancer patients. Stigma is important to assess and address, taking into consideration the various sociodemographic, clinical and psychological factors of cancer patients.

Duke Scholars

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

June 2022

Volume

31

Issue

6

Start / End Page

938 / 949

Location

England

Related Subject Headings

  • Social Stigma
  • Oncology & Carcinogenesis
  • Neoplasms
  • India
  • Humans
  • Cross-Sectional Studies
  • Asian People
  • Adult
  • 52 Psychology
  • 32 Biomedical and clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Teo, I., Bhaskar, A., Ozdemir, S., Malhotra, C., Hapuarachchi, T., Joad, A. K., … APPROACH study group, . (2022). Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study. Psychooncology, 31(6), 938–949. https://doi.org/10.1002/pon.5882
Teo, Irene, Adithya Bhaskar, Semra Ozdemir, Chetna Malhotra, Thushari Hapuarachchi, Anjum Khan Joad, Maria Fidelis Manalo, et al. “Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study.Psychooncology 31, no. 6 (June 2022): 938–49. https://doi.org/10.1002/pon.5882.
Teo I, Bhaskar A, Ozdemir S, Malhotra C, Hapuarachchi T, Joad AK, et al. Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study. Psychooncology. 2022 Jun;31(6):938–49.
Teo, Irene, et al. “Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study.Psychooncology, vol. 31, no. 6, June 2022, pp. 938–49. Pubmed, doi:10.1002/pon.5882.
Teo I, Bhaskar A, Ozdemir S, Malhotra C, Hapuarachchi T, Joad AK, Manalo MF, Mariam L, Ning X, Palat G, Rahman R, Tuong PN, Finkelstein EA, APPROACH study group. Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study. Psychooncology. 2022 Jun;31(6):938–949.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

June 2022

Volume

31

Issue

6

Start / End Page

938 / 949

Location

England

Related Subject Headings

  • Social Stigma
  • Oncology & Carcinogenesis
  • Neoplasms
  • India
  • Humans
  • Cross-Sectional Studies
  • Asian People
  • Adult
  • 52 Psychology
  • 32 Biomedical and clinical sciences