Lung Cancer Stigma Keeps People From Care

Experts and patients say judgment about smoking helps keep many people from screening and treatment; only 18 percent of eligible Americans get screened and about 20 percent of lung cancer patients receive no treatment.

Many patients with lung cancer describe feeling judged and ashamed, and researchers and clinicians say that this stigma contributes to delays in seeking care and lower treatment rates. Lung cancer causes more deaths than any other cancer in the United States, and early detection can greatly improve outcomes. Screening and treatment rates for lung cancer lag far behind other common cancers, and some patients report hiding their diagnosis or avoiding help because of shame. Health professionals who study the issue report that stigma can come from family, friends and even some medical providers. Key facts: - Lung cancer is the leading cause of cancer deaths in the United States, and early detection improves chances of cure. - Only about 18 percent of eligible Americans receive recommended lung cancer screening, compared with roughly 70 to 80 percent for mammograms, colonoscopies and Pap tests. - About 20 percent of people diagnosed with lung cancer receive no treatment, versus about 5 percent for breast, colon and cervical cancers. - Patients and clinicians report that blame, secrecy and shame—sometimes reinforced by caregivers or health workers—can delay care and reduce willingness to pursue treatment. Summary: Stigma around lung cancer appears linked to lower screening uptake, delays in diagnosis, and higher rates of untreated disease, which can worsen outcomes. Undetermined at this time.