Evidence map›Paper›PMID 36795989›Full record

ArticleJCO global oncology2023

Cancer-Related Stigma in Malawi: Narratives of Cancer Survivors.

Melissa H Watt, Gita Suneja, Chifundo Zimba, Katherine D Westmoreland, Agatha Bula, Lux Cutler, Abhilasha Khatri, Matthew S Painschab, Stephen Kimani

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
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  10. Quality of life among non-metastatic breast cancer survivors in Botswana.Journal of cancer survivorship : research and practice · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Cancer stigma: the need for policy and programmatic action.Journal of the National Cancer Institute. Monographs · 2024
    Article
  16. Global cancer stigma research: a U.S. National Cancer Institute workshop report.Journal of the National Cancer Institute. Monographs · 2024
    Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Melissa H WattDepartment of Population Health Sciences, University of Utah, Salt Lake City, UT.ORCID 0000-0003-1317-3536
Gita SunejaDepartment of Radiation Oncology, University of Utah, Salt Lake City, UT.ORCID 0000-0002-5933-211X
Chifundo ZimbaUNC Project Malawi, Lilongwe, Malawi.ORCID 0000-0003-4518-589X
Katherine D WestmorelandDepartment of Pediatric Hematology-Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Agatha BulaUNC Project Malawi, Lilongwe, Malawi.ORCID 0000-0001-8440-7059
Lux CutlerHonors College, University of Utah, Salt Lake City, UT.
Abhilasha KhatriSchool of Biological Sciences and Honors College, University of Utah, Salt Lake City, UT.ORCID 0000-0002-7236-4351
Matthew S PainschabDepartment of Hematology, University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0001-9175-7436
Stephen KimaniDepartment of Medicine, Division of Medical Oncology, University of Utah, Salt Lake City, UT.ORCID 0000-0003-0403-1296
University of Utah · USUniversity of North Carolina at Chapel Hill · US

Funding

Consortium for Advancing Management and Prevention of Cancer in People with HIVUM1CA121947 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Joseph A. Sparano · 2015 to 2026
$253.7M
UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
The road to recovery: An assessment of patient-reported quality of life among cancer survivors in Malawi.U54CA254564 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DITTMER, DIRK P · 2020 to 2024
$6.1M
Project 3U54CA190152 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAMANIA, BLOSSOM A, GOPAL, SATISH · 2014 to 2019
$4.2M
Understanding Methotrexate Dosing, Pharmacokinetics, and Toxicities for Burkitt Lymphoma in MalawiK01TW011191 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WESTMORELAND, KATHERINE DOUGLAS · 2019 to 2023
$768k
Safety, efficacy, and cost-effectiveness of rituximab for multicentric Castleman disease in MalawiK01TW011470 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PAINSCHAB, MATTHEW SCOTT · 2019 to 2023
$720k
FIC NIH HHS D43 TW009340FIC NIH HHS K01 TW011191FIC NIH HHS K01 TW011470FIC NIH HHS L30 TW011802NCI NIH HHS L30 CA233709NCI NIH HHS U54 CA190152NCI NIH HHS U54 CA254564NCI NIH HHS UM1 CA121947
6 · The paper itself

Abstract

purposeStigma is an impediment across the cancer care continuum, leading to delayed presentation to care, elevated morbidity and mortality, and reduced quality of life. The goal of this study was to qualitatively examine the drivers, manifestations, and impacts of cancer-related stigma among individuals who received cancer treatment in Malawi, and to identify opportunities to address stigma.

methodsIndividuals who had completed treatment for lymphoma (n = 20) or breast cancer (n = 9) were recruited from observational cancer cohorts in Lilongwe, Malawi. Interviews explored the individual's cancer journey, from first symptoms through diagnosis, treatment, and recovery. Interviews were audio-recorded and translated from Chichewa to English. Data were coded for content related to stigma, and thematically analyzed to describe the drivers, manifestations, and impacts of stigma along the cancer journey.

resultsDrivers of cancer stigma included beliefs of cancer origin (cancer as infectious; cancer as a marker of HIV; cancer due to bewitchment), perceived changes in the individual with cancer (loss of social/economic role; physical changes), and expectations about the individual's future (cancer as death sentence). Cancer stigma manifested through gossip, isolation, and courtesy stigma toward family members. The impacts of cancer stigma included mental health distress, impediments to care engagement, lack of cancer disclosure, and self-isolation. Participants suggested the following programmatic needs: community education about cancer; counseling in health facilities; and peer support from cancer survivors.

conclusionThe results highlight multifactorial drivers, manifestations, and impacts of cancer-related stigma in Malawi, which may affect success of cancer screening and treatment programs. There is a clear need for multilevel interventions to improve community attitudes toward people with cancer, and to support individuals along the continuum of cancer care.

Indexed as

Cancer SurvivorsHIV InfectionsNeoplasmsHumansMalawiQuality of LifeSocial Stigma

Identifiers

PMID36795989
PMCPMC10166375
OpenAlexW4321017673

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.