Cancer stigma scale: Validity and reliability study of the Turkish version of the Cataldo Lung Cancer Stigma Scale for all cancer subtypes
Received Date : 13 Jun 2019
Accepted Date : 01 Sep 2019
Available Online : 12 Sep 2019
Doi: 10.1016/j.jons.2019.09.001 - Article's Language: EN
J Oncol Sci 5 (2019) 105-108
This is an open access article under the CC BY-NC-ND license
Aim: Many people move away from society after being diagnosed with cancer. Most of the cancer-related studies are focused on lung cancer. The aim of the study is to establish the validity and reliability of the Turkish version of the Cataldo Lung Cancer Stigma Scale (CLCSS) Short Version for all cancer subtypes. Material and method: The patients participating in the study consisted of individuals who were diagnosed with cancer either inpatient or outpatient treatment. In the evaluation of the structural validity, the compliance statistics were used to assess the adequacy of the model obtained in the confirmatory factor analysis. At the end of the validity evaluation, the Cronbach's alpha coefficient was calculated as an estimate of the internal consistency of each sub-dimension. Results: The mean age of the participants was 56,90±11,14 years. According to the confirmatory Factor Analysis and Compliance statistics of the 21 items in the Turkish version of the scale, except for two items, it was determined that it is suitable for three sub-dimensional structures. In the factor analysis of Varimax rotation, the Keizer-Meyer-Olkin ratio of the sample is 0.884 and Barleett's test result is 3792.05 (0.001). The two items (most people are disturbed by someone with cancer, people with cancer lose jobs when they learn about employers) were below 0.40, they were not included in any factor. The Cronbach's alpha value was determined as 0.89 for the tree-factor scale. Conclusion: The Cataldo Lung Cancer Stigma Scale short version is a valid and reliable tool for all cancer patients, not just lung cancer.
  1. Weiss M, Ramakrishna J, Somma D. Health-related stigma: rethinking concepts and interventions. Psychol Health Med. 2006;11:277e287. [Crossref]  [PubMed] 
  2. Scambler G. Health-related stigma. Sociol Health Illn. 2009;31:441e455. [Crossref]  [PubMed] 
  3. Crocker J, Major B, Steele C. Social stigma. In: Gilbert DT, Fiske ST, Lindzey G, eds. The Handbook of Social Psychology. fourth ed. Boston: McGraw Hill; 1998: 504e553.
  4. Lebel S, Devins G. Stigma in cancer patients whose behavior may have contributed to their disease. Future Oncol. 2008;4:717e733. [Crossref]  [PubMed] 
  5. Stutterheim SE, Bos AER, Pryor JB, et al. Psychological and social correlates of HIV status disclosure: the significance of stigma visibility. AIDS Educ Prev. 2011;23:382e392. [Crossref]  [PubMed] 
  6. Van Brakel WH. Measuring health-related stigma-a literature review. Psychol Health Med. 2006;11:307e334. [Crossref]  [PubMed] 
  7. Muzzin LJ, Anderson NJ, Figueredo AT, et al. The experience of cancer. Soc Sci Med. 1994;38:1201e1208. [Crossref] 
  8. Stahly GB. Psychological aspects of the stigma of cancer: an overview. J Psychosoc Oncol. 1989;6:3e27. [Crossref] 
  9. Wilson K, Luker KA. At home in hospital? Interaction and stigma in people affected by cancer. Soc Sci Med. 2006;62:1616e1627. [Crossref]  [PubMed] 
  10. Chapple A, Ziebland S, McPherson A. Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. BMJ. 2014;328:1470. [Crossref]  [PubMed]  [PMC] 
  11. Hamilton JB, Moore CE, Powe BD, et al. Perceptions of support among older African American cancer survivors. Oncol Nurs Forum. 2010;37:484e493. [Crossref]  [PubMed]  [PMC] 
  12. Tod AM, Craven J, Allmark P. Diagnostic delay in lung cancer: a qualitative study. J Adv Nurs. 2008;61:336e343. [Crossref]  [PubMed] 
  13. Cataldo JK, Slaughter R, Jahan TM, et al. Measuring stigma in people with lung cancer: psychometric testing of the Cataldo lung cancer stigma scale. Oncol Nurs Forum. 2011;38:46e54. [Crossref]  [PubMed]  [PMC] 
  14. Carter-Harris L, Hall LA. Development of a short version of the Cataldo lung cancer stigma scale. J Psychosoc Oncol. 2014;32:665e677. 10.1080/07347332.2014.955238. [Crossref]  [PubMed]  [PMC] 
  15. Berger B, Ferrans C, Lashley F. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health. 2001;24:518e529. [Crossref]  [PubMed] 
  16. Cataldo JK, Jahan TN, Pongquan VL. Lung cancer stigma, depression, and quality of life among ever and never smokers. Eur J Oncol Nurs. 2012;16:264e269. [Crossref]  [PubMed]  [PMC] 
  17. Carter-Harris L, Hermann CP, Schreiber J, et al. Lung cancer stigma predicts timing of medical helpeseeking behavior. Oncol Nurs Forum. 2014;41: 203e210. [Crossref]  [PubMed]  [PMC] 
  18. Büyük€oztürk S¸ . Sosyal Bilimler Için Veri Analizi El Kitabı. Ankara: Pegem Yayıncılık; 2010.