肺癌查和耻辱:在诊断之前,感知到肺癌耻辱的吸烟相关差异是否出现?
Timothy J Williamson1, Susan M Rawl2,3, Minal S Kale4
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
肺癌的耻辱与年龄,性别,种族和教育等社会人口统计因素有关,而不是吸烟史. 这些因素影响患者在诊断早期对值的看法.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 公共卫生 公共卫生
背景情况:
- 肺癌的耻辱,基于诊断的值,是普遍存在的,并与负面的健康结果相关.
- 这种耻辱来自于与吸烟的强烈关联,以及人们认为肺癌是自己造成的.
研究的目的:
- 确定与肺癌查有资格的成年人感知耻辱相关的社会人口统计学和吸烟相关因素.
- 为旨在减少耻辱和改善新诊断肺癌患者健康的心理社会干预提供信息.
主要方法:
- 全国515名有资格接受肺癌查的成年人样本填写了有关社会人口统计,吸烟史和感知耻辱感的问卷.
- 统计分析包括皮尔森的相关性,t测试,ANOVA和多变量回归来评估关系.
主要成果:
- 年龄较小,女性性别,西班牙裔/拉丁裔种族和高等教育水平与感知到的肺癌耻辱感的增加有显著联系.
- 没有与吸烟相关的特征与这种早期查符合条件的人群中感知到的耻辱有显著的关联.
结论:
- 社会人口统计学变量,而不是吸烟史,显著预测了可接受查的个人的肺癌耻辱感.
- 与吸烟相关的耻辱的差异可能在患者的旅程中以后变得明显,在诊断后.
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