{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:47:00Z","timestamp":1791812820756,"version":"4.3.4"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research in Nursing &amp; Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Cancer\u2010related stigma significantly affects breast cancer survivors' quality of life and treatment outcomes. In Indonesia, survivors often face stigmatization, yet evidence on the influence of personal and psychosocial factors remains limited. This study aimed to identify factors associated with stigma among breast cancer survivors. A cross\u2010sectional design was used to recruit 280 female survivors from a tertiary cancer center in Padang, West Sumatra. Data were collected using validated instruments: the Breast Cancer Stigma Assessment Scale (BCSAS), the Body Image Scale (BIS), and the Multidimensional Scale of Perceived Social Support (MSPSS). Guided by a conceptual framework, sociodemographic, clinical, and psychosocial variables were simultaneously entered into a multiple linear regression model. Backward elimination was applied. The analysis revealed that body image (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u2009\u22120.593, 95% CI [\u22121.726, \u22121.280]), social support (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u2009\u22120.258, 95% CI [\u22120.504, \u22120.248]), and age (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u2009\u22120.161, 95% CI [\u22120.401, \u22120.149]) were significantly associated with stigma, together explaining 62% of the variance (Adjusted R\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.620,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u20090.001). These findings highlight the crucial role of psychosocial factors in shaping stigma experiences. Healthcare providers should incorporate body image enhancement, social support strengthening, and age\u2010sensitive approaches into comprehensive care plans to reduce stigma and improve survivor outcomes.\n                  <\/jats:p>","DOI":"10.1002\/nur.70131","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:07:22Z","timestamp":1791810442000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Living With Cancer\u2010Related Stigma Among Female Breast Cancer Survivors in Indonesia: A Cross\u2010Sectional Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2467-7257","authenticated-orcid":false,"given":"Leni","family":"Merdawati","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Nursing, Faculty of Nursing Universitas Andalas Padang West Sumatra Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8194-9784","authenticated-orcid":false,"given":"Made Satya Nugraha","family":"Gautama","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Medicine Universitas Pendidikan Ganesha Singaraja Bali Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0211-8772","authenticated-orcid":false,"given":"Fillia","family":"Putri","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Universitas Andalas Padang West Sumatra Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4044-2554","authenticated-orcid":false,"given":"dr. Daan","family":"Khambri","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Dr. M. Djamil General Hospital Padang West Sumatra Indonesia"},{"name":"Faculty of Medicine Universitas Andalas Padang West Sumatra Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4353-9201","authenticated-orcid":false,"given":"Ns. Esthika Ariany","family":"Maisa","sequence":"additional","affiliation":[{"name":"Department of Basic Nursing, Faculty of Nursing Universitas Andalas Padang West Sumatra Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1582-4034","authenticated-orcid":false,"given":"Najwa","family":"Hanifah","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Universitas Andalas Padang West Sumatra Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4000-6736","authenticated-orcid":false,"given":"Gaviota","family":"Khalish","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Medicine Universitas Sriwijaya Palembang Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9243-2924","authenticated-orcid":false,"given":"Winnie Kwok Wei","family":"So","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2023.100214"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10040629"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951519000737"},{"key":"e_1_2_10_6_1","doi-asserted-by":"crossref","unstructured":"Bu L. 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