Development and Validation of the Cancer Symptoms Discrimination Scale: a Cross-sectional Survey of Students in Yunnan, China

Overview

Journal BMC Palliat Care

Publisher Biomed Central

Specialty Critical Care

Date 2020 Oct 13

PMID 33046031

Citations 4

Authors

Lin-Sen Feng

Zheng-Jiao Dong

Ruo-Yu Yan

Chang-Ling Tu

Lan-Yu Zhang

Jiang-Yun Shen

Shi-Yu Zhang

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to devise a Cancer symptoms Discrimination Scale (CSDS) suitable for China based on a cross-sectional survey.

Methods: The CSDS was developed using the classical measurement theory. A total of 3610 students from Yunnan province, China, participated in the cross-sectional survey. The test version of the scale was modified by the item analysis method, and after the official version of CSDS was developed, its reliability and validity were verified. A univariate analysis of variance and a multiple linear regression model were used to analyze the influencing factors of cancer symptoms discrimination among the university/college students.

Results: There were 21 items in total for the CSDS, including 3 subscales --- common clinical manifestations (11 items), physical appearance defects (6 items), and drainage tube(s) wearing (4 items). This CSDS had good validity (GFI = 0.930, AGFI = 0.905, RMR = 0.013, I-CVIs> 0.80, and the Pearson correlation coefficient was satisfactory.) and reliability (Cronbach's alpha = 0.862, spearman-brown coefficient = 0.875). The multiple linear regression showed that certain factors may affect the students' discrimination level against cancer symptoms (P < 0.05), including gender, major, current education degree, guardian's highest record of formal schooling, self-rated health status, history of care for cancer patients, family relationship, ways of cancer knowledge acquisition, good/poor understanding of cancer-related information, degree of cancer fear, and their perception of cancer infectiousness.

Conclusion: This CSDS, with good reliability and validity, can be used for the evaluation of the discrimination risk and levels against cancer symptoms among healthy students.

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References

Hendriks J, Crijns H, Tieleman R, Vrijhoef H . The atrial fibrillation knowledge scale: development, validation and results. Int J Cardiol. 2013; 168(2):1422-8. DOI: 10.1016/j.ijcard.2012.12.047. View

Saquib N, Pierce J, Saquib J, Flatt S, Natarajan L, Bardwell W . Poor physical health predicts time to additional breast cancer events and mortality in breast cancer survivors. Psychooncology. 2010; 20(3):252-9. PMC: 3297415. DOI: 10.1002/pon.1742. View

Ettridge K, Bowden J, Chambers S, Smith D, Murphy M, Evans S . "Prostate cancer is far more hidden…": Perceptions of stigma, social isolation and help-seeking among men with prostate cancer. Eur J Cancer Care (Engl). 2017; 27(2):e12790. DOI: 10.1111/ecc.12790. View

Feng L, Li X, Wang H, Zhan J, Chen D, Wang Y . Development and validation of the cancer self-perceived discrimination scale for Chinese cancer patients. Health Qual Life Outcomes. 2018; 16(1):165. PMC: 6092871. DOI: 10.1186/s12955-018-0984-x. View

Ernst J, Mehnert A, Dietz A, Hornemann B, Esser P . Perceived stigmatization and its impact on quality of life - results from a large register-based study including breast, colon, prostate and lung cancer patients. BMC Cancer. 2017; 17(1):741. PMC: 5680772. DOI: 10.1186/s12885-017-3742-2. View

Chen W, Zheng R, Baade P, Zhang S, Zeng H, Bray F . Cancer statistics in China, 2015. CA Cancer J Clin. 2016; 66(2):115-32. DOI: 10.3322/caac.21338. View

Fitzmaurice C, Allen C, Barber R, Barregard L, Bhutta Z, Brenner H . Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2016; 3(4):524-548. PMC: 6103527. DOI: 10.1001/jamaoncol.2016.5688. View

Cataldo J, Brodsky J . Lung cancer stigma, anxiety, depression and symptom severity. Oncology. 2013; 85(1):33-40. DOI: 10.1159/000350834. View

Iannarino N, Scott A, Shaunfield S . Normative Social Support in Young Adult Cancer Survivors. Qual Health Res. 2016; 27(2):271-284. DOI: 10.1177/1049732315627645. View

10.

Yi J, Kim M, Tian T . Perceived long-term and physical health problems after cancer: adolescent and young adult survivors of childhood cancer in Korea. Eur J Oncol Nurs. 2013; 18(2):145-50. DOI: 10.1016/j.ejon.2013.11.006. View

11.

Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J . Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer. 2009; 101 Suppl 2:S18-23. PMC: 2790705. DOI: 10.1038/sj.bjc.6605386. View

12.

Li J, Huang Y, Ran M, Fan Y, Chen W, Evans-Lacko S . Community-based comprehensive intervention for people with schizophrenia in Guangzhou, China: Effects on clinical symptoms, social functioning, internalized stigma and discrimination. Asian J Psychiatr. 2018; 34:21-30. DOI: 10.1016/j.ajp.2018.04.017. View

13.

Song P, Tang W . Emphasizing humanities in medical education: Promoting the integration of medical scientific spirit and medical humanistic spirit. Biosci Trends. 2017; 11(2):128-133. DOI: 10.5582/bst.2017.01092. View

14.

Kasvis P, Vigano M, Vigano A . Health-related quality of life across cancer cachexia stages. Ann Palliat Med. 2018; 8(1):33-42. DOI: 10.21037/apm.2018.08.04. View

15.

Kuzgunbay B, Yaycioglu O, Soyupak B, Kayis A, Ayan S, Yavascaoglu I . Public awareness of testicular cancer and self-examination in Turkey: a multicenter study of Turkish Urooncology Society. Urol Oncol. 2011; 31(3):386-91. DOI: 10.1016/j.urolonc.2011.01.020. View

16.

Vermeulen R, Downward G, Zhang J, Hu W, Portengen L, Bassig B . Constituents of Household Air Pollution and Risk of Lung Cancer among Never-Smoking Women in Xuanwei and Fuyuan, China. Environ Health Perspect. 2019; 127(9):97001. PMC: 6792381. DOI: 10.1289/EHP4913. View

17.

Ye X, Liu H, Lu S, Zhai Q, Yu B . Translation and validation of the Chinese version of the Cancer Stigma Scale. J Oncol Pharm Pract. 2018; 25(7):1622-1630. DOI: 10.1177/1078155218802627. View

18.

Loveday M, Hlangu S, Furin J . Healthcare Provider Discrimination toward Pregnant Women with Rifampin-Resistant Tuberculosis. Emerg Infect Dis. 2019; 25(3):609-610. PMC: 6390748. DOI: 10.3201/eid2503.181571. View

19.

Kissane D, Patel S, Baser R, Bell R, Farberov M, Ostroff J . Preliminary evaluation of the reliability and validity of the Shame and Stigma Scale in head and neck cancer. Head Neck. 2012; 35(2):172-83. DOI: 10.1002/hed.22943. View

20.

Su X, Lau J, Mak W, Chen L, Choi K, Song J . Perceived discrimination, social support, and perceived stress among people living with HIV/AIDS in China. AIDS Care. 2012; 25(2):239-48. DOI: 10.1080/09540121.2012.701713. View