Elangovan Vidhubala, Rajaraman Swaminathan, Basumalik Barsha, Pandian Dhivya
All authors: Cancer Institute (Women Indian Association), Chennai, India.
J Glob Oncol. 2016 Nov 9;3(5):469-479. doi: 10.1200/JGO.2016.006502. eCollection 2017 Oct.
Cancer-related stigma influences the way people perceive cancer, which renders cancer control-beginning with prevention and proceeding to palliation-a challenging task. This study aimed to assess the current levels of awareness and perceptions about cancer among people with various socioeconomic status and diverse backgrounds in the city of Chennai, India.
The sample population (N = 2,981; 18 to 88 years of age) was stratified into four groups: patients (n = 510), caregivers (n = 494) consulting at the Cancer Institute (Women Indian Association), college students (n = 978), and general public (n = 999). Fourteen statements related to cancer stigma or myths were identified and categorized by awareness (10 items) or perception (4 items). Responses to those statements were recorded by using a Likert scale (yes, no, and don't know). The data were described by frequency analysis and χ test using SPSS Version 13 (SPSS, Chicago, IL).
More than 70% of the study participants were aware that cancer is curable, that cancer is not contagious, and that cancer is not a curse or a death sentence. However, only approximately half believed that surgery or biopsy do not cause cancer to spread to other organs or that radiation therapy does not consist of receiving an electric shock. Higher education, younger age, male sex, personal experience with cancer (either as a patient or caregiver), and high socioeconomic status were the categories of people with increased awareness about cancer.
These factors need to be taken into consideration in tailoring information, education, and communication campaigns. Resource allocation for these campaigns is an investment in cancer control.
癌症相关的污名影响人们对癌症的认知方式,这使得从预防到姑息治疗的癌症控制成为一项具有挑战性的任务。本研究旨在评估印度钦奈市不同社会经济地位和背景的人群对癌症的当前认知水平和看法。
样本人群(N = 2981;年龄在18至88岁之间)被分为四组:患者(n = 510)、在癌症研究所(印度妇女协会)咨询的护理人员(n = 494)、大学生(n = 978)和普通公众(n = 999)。确定了14条与癌症污名或误解相关的陈述,并按认知(10项)或看法(4项)进行分类。使用李克特量表(是、否、不知道)记录对这些陈述的回答。使用SPSS 13版(SPSS,伊利诺伊州芝加哥)通过频率分析和χ检验对数据进行描述。
超过70%的研究参与者知道癌症是可治愈的,癌症不会传染,癌症不是诅咒或死刑判决。然而,只有大约一半的人认为手术或活检不会导致癌症扩散到其他器官,或者放射治疗不是接受电击。高等教育、年轻、男性、有癌症个人经历(作为患者或护理人员)以及高社会经济地位是对癌症认知度较高的人群类别。
在制定信息、教育和宣传活动时需要考虑这些因素。为这些活动分配资源是对癌症控制的一项投资。