Biology Department, Brown University, Providence, RI 02912, USA. Zoe
J Psychosoc Oncol. 2010;28(1):116-25. doi: 10.1080/07347330903438990.
This article examines the effects of an individual's smoking status (current, former, or never-smoker) on the biological, social, and psychological aspects of lung cancer. Current and never-smokers differ in their biological risk factors, responses to treatment, and survival rate. In partial contrast, smoking status does not affect the major social aspect of the disease. The social stigma, which stems from the public perception that lung cancer is a preventable disease, affects social interactions for all patients irrespective of smoking status. The psychological aspects of the disease, including feelings of guilt, vary with smoking status. These observations point to the heterogeneity of lung cancer and underscore the complex links between the disease and smoking behavior.
本文探讨了个体吸烟状况（当前吸烟者、曾经吸烟者或从不吸烟者）对肺癌生物学、社会学和心理学方面的影响。当前吸烟者和从不吸烟者在生物学风险因素、对治疗的反应和生存率方面存在差异。与之部分相反的是，吸烟状况并不影响疾病的主要社会学方面。源于公众认为肺癌是一种可预防疾病的看法而产生的社会耻辱感，影响着所有患者的社会互动，而不论其吸烟状况如何。疾病的心理学方面，包括内疚感，因吸烟状况而异。这些观察结果表明肺癌存在异质性，并强调了疾病与吸烟行为之间的复杂联系。
