ArticleAsia-Pacific journal of oncology nursing2025
Exploring the mediating roles of stigma and perceived social support between health literacy and health care decision-making barriers among patients with cervical cancer.
Article in Asia-Pacific journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Time perspective status and associated factors among young and middle-aged women with gynecologic malignancies who have parenting responsibilities.Asia-Pacific journal of oncology nursing · 2026Article
- Determining the cognitive-psychological predictors of pregnancy-related anxiety among pregnant women.BMC pregnancy and childbirth · 2026Article
- Latent profiles of HPV vaccine-related health beliefs and their associations with vaccination intention among college students: a global health perspective.Frontiers in public health · 2026Article
- Why do children with cancer withdraw from social interactions? A qualitative study using the COM-B model.Journal of cancer survivorship : research and practice · 2025Article
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Authors and funding
5 authors.
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Abstract
Objective: This study aims to investigate the association between health literacy, stigma, and health care decision-making barriers in patients with cervical cancer and identifies the mediating roles of stigma and perceived social support in this relationship. Methods: A cross-sectional study was conducted using convenience sampling, recruiting 322 hospitalized patients with cervical cancer from three tertiary hospitals in Beijing. The participants completed self-reported questionnaires on health literacy, stigma, perceived social support, and health care decision-making barriers. Chained mediation effects were analyzed using Amos 26.0 software. Results: 37.3% of patients with cervical cancer reported delays in seeking medical care. Health literacy was found to have significant negative associations with stigma ( Conclusions: The health literacy levels among patients with cervical cancer in China are moderate. Stigma and perceived social support serve as partial mediators in the relationship between health literacy and health care decision-making barriers. Health care providers can reduce decision-making barriers by improving health literacy and indirectly lessen them by addressing stigma and enhancing social support.
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