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Cultural influences on stigma and coping in Oral cancer patients: a cross-cultural perspective.

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Title: Cultural influences on stigma and coping in Oral cancer patients: a cross-cultural perspective.
Authors: Kamble, Abhijeet (AUTHOR), Ram, Rangila (AUTHOR), Sahore, Manish (AUTHOR), Ghezta, And Narotam (AUTHOR)
Source: Psychology, Health & Medicine. Aug2026, Vol. 31 Issue 7, p1713-1722. 10p.
Subjects: Competency assessment (Law), Squamous cell carcinoma, Cross-sectional method, Statistical correlation, Cultural awareness, Psycho-oncology, Public hospitals, Scale analysis (Psychology), Self-evaluation, Health services accessibility, Risk assessment, Mouth tumors, Academic medical centers, Psychological distress, Data analysis, Culture, Head & neck cancer, Questionnaires, Smoking, Psychological adaptation, Help-seeking behavior, Population geography, Anxiety, Disease prevalence, Tertiary care, Descriptive statistics, Mann Whitney U Test, Longitudinal method, Rural conditions, Metropolitan areas, Psychological stress, Quality of life, Research, Community life, Friedman test (Statistics), Analysis of variance, Statistics, Guilt (Psychology), Shame, Cancer patient psychology, Comparative studies, Psychological tests, Treatment delay (Medicine), Social support, Counseling, Data analysis software, Discrimination (Sociology), Social stigma, Mental depression
Geographic Terms: India
Abstract: Background: Cultural beliefs shape how oral cancer patients perceive their illness, seek support, and manage psychological distress, particularly amid tobacco-related stigma. This study examines the role of cultural context in stigma, help-seeking behaviors, and mental health outcomes in oral squamous cell carcinoma (OSCC) patients, comparing rural and urban subcultures in India and referencing global literature. Materials and methods: We conducted a prospective study at H.P. Government Dental College and Hospital, Shimla, enrolling 56 OSCC patients from rural and urban backgrounds. We assessed psychological burden and quality of life using the Depression, Anxiety, and Stress Scale (DASS-21) and EORTC QLQ-H&N43 at diagnosis, two weeks, one month, and six months post-treatment. We analyzed data to identify correlations between stigma, subcultural context, mental health, and help-seeking behavior. Results: Rural patients reported significantly higher stigma and delayed help-seeking, associated with increased depression and stress over time. Urban patients exhibited proactive coping and better quality of life, despite similar tobacco-related stigma. Cross-cultural comparisons indicate that shame and stigma in tobacco-prevalent societies delay care and worsen psychological morbidity. Conclusion: Stigma rooted in cultural beliefs hinders timely diagnosis and psychological resilience in OSCC patients, especially in rural settings. Culturally sensitive psycho-oncology frameworks are needed to address stigma, promote mental health, and enhance help-seeking to improve oncologic and psychosocial outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Cultural influences on stigma and coping in Oral cancer patients: a cross-cultural perspective.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Kamble%2C+Abhijeet%22">Kamble, Abhijeet</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ram%2C+Rangila%22">Ram, Rangila</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sahore%2C+Manish%22">Sahore, Manish</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ghezta%2C+And+Narotam%22">Ghezta, And Narotam</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychology%2C+Health+%26+Medicine%22">Psychology, Health & Medicine</searchLink>. Aug2026, Vol. 31 Issue 7, p1713-1722. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Competency+assessment+%28Law%29%22">Competency assessment (Law)</searchLink><br /><searchLink fieldCode="DE" term="%22Squamous+cell+carcinoma%22">Squamous cell carcinoma</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Cultural+awareness%22">Cultural awareness</searchLink><br /><searchLink fieldCode="DE" term="%22Psycho-oncology%22">Psycho-oncology</searchLink><br /><searchLink fieldCode="DE" term="%22Public+hospitals%22">Public hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Scale+analysis+%28Psychology%29%22">Scale analysis (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Mouth+tumors%22">Mouth tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Culture%22">Culture</searchLink><br /><searchLink fieldCode="DE" term="%22Head+%26+neck+cancer%22">Head & neck cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Population+geography%22">Population geography</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Tertiary+care%22">Tertiary care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+conditions%22">Rural conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Metropolitan+areas%22">Metropolitan areas</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Community+life%22">Community life</searchLink><br /><searchLink fieldCode="DE" term="%22Friedman+test+%28Statistics%29%22">Friedman test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Guilt+%28Psychology%29%22">Guilt (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Shame%22">Shame</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+psychology%22">Cancer patient psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+delay+%28Medicine%29%22">Treatment delay (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Discrimination+%28Sociology%29%22">Discrimination (Sociology)</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22India%22">India</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Cultural beliefs shape how oral cancer patients perceive their illness, seek support, and manage psychological distress, particularly amid tobacco-related stigma. This study examines the role of cultural context in stigma, help-seeking behaviors, and mental health outcomes in oral squamous cell carcinoma (OSCC) patients, comparing rural and urban subcultures in India and referencing global literature. Materials and methods: We conducted a prospective study at H.P. Government Dental College and Hospital, Shimla, enrolling 56 OSCC patients from rural and urban backgrounds. We assessed psychological burden and quality of life using the Depression, Anxiety, and Stress Scale (DASS-21) and EORTC QLQ-H&N43 at diagnosis, two weeks, one month, and six months post-treatment. We analyzed data to identify correlations between stigma, subcultural context, mental health, and help-seeking behavior. Results: Rural patients reported significantly higher stigma and delayed help-seeking, associated with increased depression and stress over time. Urban patients exhibited proactive coping and better quality of life, despite similar tobacco-related stigma. Cross-cultural comparisons indicate that shame and stigma in tobacco-prevalent societies delay care and worsen psychological morbidity. Conclusion: Stigma rooted in cultural beliefs hinders timely diagnosis and psychological resilience in OSCC patients, especially in rural settings. Culturally sensitive psycho-oncology frameworks are needed to address stigma, promote mental health, and enhance help-seeking to improve oncologic and psychosocial outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=195620862
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13548506.2025.2575407
    Languages:
      – Code: eng
        Text: English
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        PageCount: 10
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    Subjects:
      – SubjectFull: Competency assessment (Law)
        Type: general
      – SubjectFull: Squamous cell carcinoma
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Statistical correlation
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      – SubjectFull: Cultural awareness
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      – SubjectFull: Psycho-oncology
        Type: general
      – SubjectFull: Public hospitals
        Type: general
      – SubjectFull: Scale analysis (Psychology)
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Mouth tumors
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      – SubjectFull: Psychological distress
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Culture
        Type: general
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      – SubjectFull: Help-seeking behavior
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      – SubjectFull: Population geography
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      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Disease prevalence
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      – SubjectFull: Tertiary care
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
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      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Community life
        Type: general
      – SubjectFull: Friedman test (Statistics)
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Guilt (Psychology)
        Type: general
      – SubjectFull: Shame
        Type: general
      – SubjectFull: Cancer patient psychology
        Type: general
      – SubjectFull: Comparative studies
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      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Treatment delay (Medicine)
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Discrimination (Sociology)
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      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: India
        Type: general
    Titles:
      – TitleFull: Cultural influences on stigma and coping in Oral cancer patients: a cross-cultural perspective.
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              Text: Aug2026
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