The mediating role of loneliness and social support between stigma and social avoidance in rural breast cancer survivors

JIANG Mengfan; WANG Wanxia; GAO Jin; YANG Liu; QIAN Jing; LI Jinzhi

doi:10.16766/j.cnki.issn.1674-4152.003276

Volume 21 Issue 12

Dec. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(12): 2000-2004

JIANG Mengfan, WANG Wanxia, GAO Jin, YANG Liu, QIAN Jing, LI Jinzhi. The mediating role of loneliness and social support between stigma and social avoidance in rural breast cancer survivors[J]. Chinese Journal of General Practice, 2023, 21(12): 2000-2004. doi: 10.16766/j.cnki.issn.1674-4152.003276

Citation:

JIANG Mengfan, WANG Wanxia, GAO Jin, YANG Liu, QIAN Jing, LI Jinzhi. The mediating role of loneliness and social support between stigma and social avoidance in rural breast cancer survivors[J]. Chinese Journal of General Practice, 2023, 21(12): 2000-2004. doi: 10.16766/j.cnki.issn.1674-4152.003276

Citation:

JIANG Mengfan, WANG Wanxia, GAO Jin, YANG Liu, QIAN Jing, LI Jinzhi. The mediating role of loneliness and social support between stigma and social avoidance in rural breast cancer survivors[J]. Chinese Journal of General Practice, 2023, 21(12): 2000-2004. doi: 10.16766/j.cnki.issn.1674-4152.003276

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The mediating role of loneliness and social support between stigma and social avoidance in rural breast cancer survivors

doi: 10.16766/j.cnki.issn.1674-4152.003276

JIANG Mengfan^{1, 2}
, WANG Wanxia²
, GAO Jin¹
, YANG Liu¹
, QIAN Jing¹
, LI Jinzhi^{1
,
,}

1.
School of Nursing, Bengbu Medical College, Bengbu, Anhui 233030, China

Funds:

KJ2019A0347

2021byzd273sk

Received Date: 2023-05-11
Available Online: 2024-01-29

Abstract

Abstract

Objective To explore the relationship between stigma and social avoidance in rural breast cancer survivors, and to analyze the moderating effect of social support in order to provide a theoretical basis for promoting social integration. Methods A total of 260 rural breast cancer survivors were selected by convenience sampling from 2 grade A hospitals in Bengbu City from November 2021 to June 2022. They were administered questionnaires using social impact scale (SIS), loneliness scale (UCLA-8), perceived social support scale (PSSS), and social avoidance scale. Pearson correlation analysis and SPSS Process program were used to mediate the test. Results (1) The scores of stigma, loneliness, social avoidance and social support of rural breast cancer survivors were (63.06±7.33) points, (18.54±4.31) points, (7.48±3.54) points and (58.86±8.78) points.; stigma was positively correlated with loneliness and social avoidance (r=0.563, 0.543, all P < 0.001), and loneliness was positively correlated with social avoidance (r=0.536, P < 0.001). (2) Loneliness partially mediated the relationship between stigma and social avoidance, accounting for 35%. (3) Social support had a moderating effect on the relationship between stigma and loneliness (t=2.533, P=0.012), and the influence of stigma on loneliness gradually decreased as social support increased. Conclusion Stigma increases patients ' negative social experiences and affects them indirectly through loneliness; among rural patients, social support was relatively limited, which was important in alleviating loneliness but could not improve social behavior. From the perspective of reducing stigma and loneliness, medical staff develop effective interventions to promote patients ' social integration by combining emotional, cognitive, environmental and other factors.
- Breast cancer survivors,
- Stigma,
- Loneliness,
- Social avoidance,
- Perceived social support

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References(25)

References

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The mediating role of loneliness and social support between stigma and social avoidance in rural breast cancer survivors

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