The dual burden of stigma: a scoping review of its impact on colorectal cancer patients and screening participants

作者：Wenjie Zhao, Mengmeng Chen, Jianyue Dai, Liwen Wang, Li B · 发表于：BMC Public Health · 年份：2025 · DOI：10.1186/s12889-025-24782-x · 被引用次数：6 · 研究领域：Global Cancer Incidence and Screening、Cancer survivorship and care、Colorectal Cancer Screening and Detection

BACKGROUND: The stigma caused by colorectal cancer (CRC) and CRC screening affects CRC prevention and treatment. Based on the Health Stigma and Discrimination Framework (HSDF), this review analyzed the influencing factors and mechanism of stigma in CRC. METHODS: We conducted a scoping review in accordance with the PRISMA-ScR guidelines and searched PubMed, Web of Science, Scopus, and CNKI. The RoBANS tool was used for quantitative studies, and the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research tool was used for qualitative studies. Data were integrated on the basis of the HSDF. RESULTS: Among the 15 included studies, 10 focused on CRC patients, and 5 focused on screening participants. These studies covered driving factors (14 studies), facilitating factors (11 studies), stigma "marking" (13 studies), individual experiences (12 studies), and social practices (13 studies). Additionally, a total of 3150 participants were included in the studies, comprising 2876 patients and 274 screening participants. Studies have shown that the factors influencing CRC-related stigma differ across different groups. CRC patients experience disease-related stigma and survival-related stigma, such as ostomy discrimination and employment discrimination. The screening of participants involves invasive examinations and asymptomatic population screening. The above stigmatization may lead to negative consequences such as deterioration in quality of life, decreased treatmen...