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. 2018 Aug 14;16(1):165.
doi: 10.1186/s12955-018-0984-x.

Development and validation of the cancer self-perceived discrimination scale for Chinese cancer patients

Lin-Sen Feng  1 , Xin-Yue Li  2 , Hong-Rong Wang  3 , Jing-Jing Zhan  2 , Dong Chen  2 , Yu-Feng Wang  4
Affiliations

Development and validation of the cancer self-perceived discrimination scale for Chinese cancer patients

Lin-Sen Feng et al. Health Qual Life Outcomes. .

Abstract

Background: To develop a Cancer Self-Perceived Discrimination Scale (CSPDS) for Chinese cancer patients and to assess its reliability and validity.

Method: A total of 178 patients were recruited and the classical test theory was used to develop the CSPDS. Item analysis was adapted to improve the preliminary version of the CSPDS, then the reliability, the validity and the acceptability of the final version of CSPDS were assessed.

Results: This CSPDS contained 14 items classified into 3 subscales: social withdrawal with 7 items, stigma with 4 and self-deprecation with 3. Good validity (χ2/df = 1.216, GFI = 0.935, AGFI = 0.903, I-CVIs> 0.80) and good reliability (Cronbach's alpha = 0.829, Spearman-Brown coefficient = 0.827, test-retest reliability coefficient = 0.944) were found. The completion time was 6.06 ± 1.80 min. Participants who were female and reported poor self-rated health tended to have higher CSPDS scores (P < 0.05).

Conclusions: The results indicated that this CSPDS could be used to assess the level of self-perceived discrimination and to preliminarily screen perceived discrimination among Chinese cancer patients, especially in Southwest China. It may provide a basis for scientific assessment of targeted patient education, psychological counseling, social interventions, and psychotherapy in the future.

Keywords: Cancer self-perceived discrimination scale; Psychological problems; Self-perceived discrimination.

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Conflict of interest statement

Ethics approval and consent to participate

This study was approved by the Ethical Committee of the Third Affiliated Hospital of Kunming Medical University. Its procedure followed the Declaration of Helsinki. All participants provided a written informed consent form prior to the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The structural equation modeling of CSPDS
See this image and copyright information in PMC

References

    1. Krieger N. A glossary for social epidemiology. J Epidemiol Community Health. 2001;55:693–700. doi: 10.1136/jech.55.10.693. - DOI - PMC - PubMed
    1. Hartung FM, Renner B. Perceived and actual social discrimination: the case of overweight and social inclusion. Front Psychol. 2013;4:147. doi: 10.3389/fpsyg.2013.00147. - DOI - PMC - PubMed
    1. Gil-González D, Vives-Cases C, Borrell C, et al. Social determinants of self-perceived discrimination in Spain. Public Health. 2013;127:223–230. doi: 10.1016/j.puhe.2012.11.009. - DOI - PubMed
    1. Feng D, Xu L. The relationship between perceived discrimination and psychological distress among Chinese pulmonary tuberculosis patients: the moderating role of self-esteem. Psychol Health Med. 2015;20:177–185. doi: 10.1080/13548506.2014.958505. - DOI - PubMed
    1. Xiaoyou S, Lau JTF, Mak WWS, et al. Perceived discrimination, social support, and perceived stress among people living with HIV/AIDS in China. AIDS Care. 2013;25:239–248. doi: 10.1080/09540121.2012.701713. - DOI - PubMed

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