Explorations of lung cancer stigma for female long-term survivors
Article first published online: 16 FEB 2013
© 2013 John Wiley & Sons Ltd
Volume 20, Issue 4, pages 352–362, December 2013
How to Cite
Nursing Inquiry 2013; 20: 352–362 Explorations of lung cancer stigma for female long-term survivorsand .
- Issue published online: 13 NOV 2013
- Article first published online: 16 FEB 2013
- Manuscript Accepted: 24 DEC 2012
- National Cancer Institute. Grant Number: CA-113710
- long-term lung cancer;
- lung cancer;
- patient outcomes;
- women's health
Lung cancer is the leading cause of cancer death in women, accompanied by greater psychological distress than other cancers. There is minimal but increasing awareness of the impact of lung cancer stigma (LCS) on patient outcomes. LCS is associated with increased symptom burden and decreased quality of life. The purpose of this study was to explore the experience of female long-term lung cancer survivors in the context of LCS and examine how participants discursively adhere to or reject stigmatizing beliefs. Findings situated within Cataldo and colleagues' theoretical model include: (1) addiction and tobacco marketing as possible precursors for LCS, (2) the possible role of expert providers as LCS enhancers, (3) response of overlapping complicated identity shifts, (4) simultaneous rejection and assumption of LCS, and (5) information control via advocacy activities as a LCS mitigation response. These findings expand the current understanding of LCS, and call for future conceptual exploration and theoretical revision, particularly with respect to the possibility of interaction between relevant/related stigma(s) and LCS. As the number of women living with lung cancer increases, with longer survival times, the effect of LCS and other experiences of discrimination on patient outcomes could be substantial.