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Background: Cancer-related stigma impacts patients' emotional health, care engagement, and cancer outcomes, but few measures of cancer stigma exist. We culturally adapted and assessed psychometric properties of the Cataldo Cancer Stigma Scale (CCSS) in Tanzania.

Methods: We administered the CCSS short version (21 items), plus 12 locally-derived items, to 146 adult cancer patients. We conducted exploratory factor analysis, examined internal consistency/reliability, and assessed convergent validity with relevant measures.

Results: We identified a 17-item cancer stigma scale with strong psychometric properties and four subscales: enacted stigma, shame and blame, internalized stigma, and disclosure concerns. Stigma was rare except for disclosure concerns. Stigma was positively associated with depression and anxiety and negatively associated with social support, quality of life, and illness acceptance.

Conclusions: The scale provides valid, culturally-informed measurement of cancer stigma in Tanzania. Future studies should assess associations with care engagement, which will inform interventions to reduce stigma and improve outcomes.

Titel:	Culturally-informed adaptation and psychometric properties of the Cataldo Cancer Stigma Scale in Northern Tanzania.
Autor/in / Beteiligte Person:	Knettel, B ; Minja, L ; Msoka, E ; Tarimo, C ; Katiti, V ; Pan, W ; Mwobobia, J ; Juhlin, E ; Knippler, E ; Watt, M ; Suneja, G ; Kimani, S ; Abouelella, D ; Mmbaga, B ; Osazuwa-Peters, N
Zeitschrift:	Journal of psychosocial oncology, Jg. 42 (2024), Heft 2, S. 286-298
Veröffentlichung:	Philadelphia : Routledge ; <i>Original Publication</i>: [New York, NY] : Haworth Press, [c1983-, 2024
Medientyp:	academicJournal
ISSN:	1540-7586 (electronic)
DOI:	10.1080/07347332.2023.2241458
Schlagwort:	Adult Humans Psychometrics Reproducibility of Results Tanzania Surveys and Questionnaires Social Stigma Quality of Life Neoplasms therapy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Psychosoc Oncol] 2024; Vol. 42 (2), pp. 286-298. <i>Date of Electronic Publication: </i>2023 Aug 03. MeSH Terms: Quality of Life* ; Neoplasms* / therapy ; Adult ; Humans ; Psychometrics ; Reproducibility of Results ; Tanzania ; Surveys and Questionnaires ; Social Stigma References: Front Psychol. 2022 Jun 10;13:841280. (PMID: 35756211) ; Oncol Nurs Forum. 2011 Jan;38(1):E46-54. (PMID: 21186151) ; Psychooncology. 2013 Oct;22(10):2372-8. (PMID: 23784964) ; Crit Rev Oncol Hematol. 2010 Aug;75(2):122-37. (PMID: 19604706) ; AIDS Behav. 2013 Jun;17(5):1785-95. (PMID: 23456594) ; Ecancermedicalscience. 2021 Oct 25;15:1308. (PMID: 34824631) ; JCO Glob Oncol. 2021 Sep;7:1500-1508. (PMID: 34665667) ; Cultur Divers Ethnic Minor Psychol. 2006 Apr;12(2):367-75. (PMID: 16719583) ; J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941) ; BMC Cancer. 2014 Apr 23;14:285. (PMID: 24758482) ; Psychooncology. 2016 Jun;25(6):626-32. (PMID: 26425927) ; Psychooncology. 2016 Oct;25(10):1206-1211. (PMID: 27421234) ; Eur J Oncol Nurs. 2012 Jul;16(3):264-9. (PMID: 21803653) ; AAS Open Res. 2021 Oct 7;4:48. (PMID: 34934902) ; PLoS One. 2022 Oct 6;17(10):e0275639. (PMID: 36201503) ; J Int AIDS Soc. 2019 Dec;22(12):e25421. (PMID: 31840400) ; Multivariate Behav Res. 2009 Mar-Apr;44(2):147-81. (PMID: 26754265) ; Qual Life Res. 2004 Mar;13(2):299-310. (PMID: 15085902) ; J Psychosom Obstet Gynaecol. 2012 Sep;33(3):135-42. (PMID: 22901295) ; Oncologist. 2019 Jan;24(1):69-75. (PMID: 29934410) ; BMC Cancer. 2019 Jun 11;19(1):566. (PMID: 31185949) ; Stigma Health. 2018 Aug;3(3):195-203. (PMID: 30393760) ; J Consult Clin Psychol. 2001 Dec;69(6):1026-36. (PMID: 11777106) ; Soc Sci Med. 1993 May;36(9):1161-7. (PMID: 8511645) ; Eur J Cancer Care (Engl). 2015;24(1):60-70. (PMID: 25053458) ; Pan Afr Med J. 2018 Jan 24;29:73. (PMID: 29875954) ; Head Neck. 2013 Feb;35(2):172-83. (PMID: 22368160) ; J Adv Nurs. 2000 Jul;32(1):243-8. (PMID: 10886457) ; Cancer Rep (Hoboken). 2019 Oct;2(5):e1201. (PMID: 32721137) ; PLoS One. 2022 Feb 11;17(2):e0261557. (PMID: 35148315) ; J Psychosoc Oncol. 2014;32(6):665-77. (PMID: 25157591) ; Support Care Cancer. 2021 Mar;29(3):1195-1203. (PMID: 32951087) ; Lancet Oncol. 2022 Jun;23(6):705-706. (PMID: 35550271) ; Glob Public Health. 2018 Oct;13(10):1409-1421. (PMID: 28776485) ; Asia Pac J Oncol Nurs. 2017 Apr-Jun;4(2):155-161. (PMID: 28503649) ; Front Psychol. 2022 Feb 14;13:657992. (PMID: 35237203) ; J Psychosoc Oncol. 2014;32(1):59-73. (PMID: 24428251) ; Psychol Rev. 2004 Oct;111(4):1061-71. (PMID: 15482073) ; Epidemiol Psychiatr Sci. 2020 Jan 09;29:e86. (PMID: 31915100) ; BMC Med Res Methodol. 2011 Dec 02;11:162. (PMID: 22136357) Grant Information: K08 MH124459 United States MH NIMH NIH HHS; R01 DE032216 United States DE NIDCR NIH HHS; R21 DE032531 United States DE NIDCR NIH HHS; K01 DE030916 United States DE NIDCR NIH HHS; P30 AI064518 United States AI NIAID NIH HHS Contributed Indexing: Keywords: Tanzania; cancer; mental health; psychometrics; quality of life; social support; stigma Entry Date(s): Date Created: 20230803 Date Completed: 20240321 Latest Revision: 20240321 Update Code: 20240321 PubMed Central ID: PMC10837313

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Culturally-informed adaptation and psychometric properties of the Cataldo Cancer Stigma Scale in Northern Tanzania.