Public attitudes toward cancer and cancer patients: a national survey in Korea

Psychooncology. 2013 Mar;22(3):605-13. doi: 10.1002/pon.3041. Epub 2012 Feb 16.

Abstract

Background: Regardless of improved survival rate, negative images and myths about cancer still abound. Cancer stigma may reduce patients' life opportunities resulting in social isolation, decreased level of emotional well-being, and poor health outcomes. This study was aimed to evaluate public attitudes toward cancer and cancer patients and people's willingness to disclose cancer diagnosis in South Korea.

Methods: A cross-sectional survey was conducted in August and September 2009. A nationally representative sample of 1011 men and women with no history of cancer was recruited. A set of 12 questions grouped into three domains (impossibility of recovery, cancer stereotypes, and discrimination) was used to assess public attitudes toward cancer.

Results: It was found 58.5% of study participants agreed that it is impossible to treat cancer regardless of highly developed medical science, 71.8% agreed that cancer patients would not be able to make contributions to society, and 23.5% agreed that they would avoid working with persons who have cancer. The proportions of people who said that that they would not disclose a cancer diagnosis to family, friends or neighbors, or coworkers were 30.2%, 47.0%, and 50.7%, respectively. Negative attitudes toward cancer were strongly associated with lower willingness to disclose a cancer diagnosis.

Conclusions: Negative attitudes, stereotypes, and discriminating attitudes toward cancer and people affected by the disease were very common in spite of clinical progress and improved survivorship.

Impact: Our findings emphasize the need for health policy and social changes to provide a more supportive environment for cancer survivors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Attitude to Health*
  • Cross-Sectional Studies
  • Educational Status
  • Female
  • Humans
  • Male
  • Marital Status
  • Middle Aged
  • Neoplasms / psychology*
  • Prejudice
  • Republic of Korea
  • Self Disclosure
  • Social Stigma*
  • Social Support