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Stigma in patients with rectal cancer: a community study.

Abstract：

:A self-rating measure of stigma and several supplementary questions were devised in order to assess perceived stigma in a community survey of the quality of life in 420 rectal cancer patients, of whom 265 had a permanent colostomy. Half the patients felt stigmatised, higher proportions being observed among younger patients and among those with a colostomy. Feelings of stigma were associated with poor health, particularly emotional disorders, with the presence of other medical problems, and with disablement. Patients who perceived stigma made more use of medical services but were less satisfied with them, particularly with regard to communication with health professionals. Socio-economic factors, such as employment status, higher income, and higher social and housing class, did not protect patients against feeling stigmatised by cancer or by colostomy. Most patients, with or without stigma, enjoyed close relationships with intimates, but the stigmatised were more likely to have withdrawn from participation in social activities. Assessing stigma by self-rating gives information which adds to that obtained by the usual methods of assessing quality of life.

journal_name

J Epidemiol Community Health

journal_title

Journal of epidemiology and community health

authors

MacDonald LD,Anderson HR

doi

10.1136/jech.38.4.284

subject

Has Abstract

pub_date

1984-12-01 00:00:00

pages

284-90

issue

4

eissn

0143-005X

issn

1470-2738

journal_volume

38

pub_type

杂志文章

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