{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T12:55:39Z","timestamp":1782824139329,"version":"3.54.5"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01-CA270483"],"award-info":[{"award-number":["R01-CA270483"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to assess for indications of stigma and attitudes toward cannabis among cancer survivors (CS) who use or consider the use of cannabis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study employed a convergent, parallel mixed methods design utilizing focus group and questionnaire data to assess the presence of stigma among a sample of CS (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) who use (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910) and do not use (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913) cannabis to manage symptoms. CS were recruited from a multi-site observational study in the Northeast U.S. region that assesses cannabis use among oncology patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 23 CS participated in this study. In general, this sample appeared to have positive attitudes towards cannabis, as indicated by quantitative results, and most CS felt accepting or neutral about other CS using cannabis, irrespective of whether they used or not. Most CS did not indicate experiences of stigma for cannabis use, did not feel judged by their medical providers, and indicated a feeling of empowerment to do whatever was needed to feel better. However, several CS reported intentional nondisclosure to their providers. Many CS discussed the presence of opioid-related stigma, both perceived from society and internalized, which appeared to play an important role in their symptom-management decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings from this study suggest that while cannabis stigma may not be commonplace for CS, some do experience it. Further, opioid stigma appears to be perceived and intertwined in the decision-making processes for CS in this sample.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10523-2","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T02:29:12Z","timestamp":1773368952000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cannabis stigma and symptom management considerations in cancer survivors: a mixed-methods exploration of patient perspectives"],"prefix":"10.1007","volume":"34","author":[{"given":"Sera","family":"Levy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salimah","family":"Meghani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Worster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Kilanowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy A.","family":"Case","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Ashare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"issue":"5","key":"10523_CR1","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1177\/0194599818783964","volume":"159","author":"JD Cramer","year":"2018","unstructured":"Cramer JD, Johnson JT, Nilsen ML (2018) Pain in head and neck cancer survivors: prevalence, predictors, and quality-of-life impact. Otolaryngol Head Neck Surg 159(5):853\u2013858. https:\/\/doi.org\/10.1177\/0194599818783964","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"17","key":"10523_CR2","doi-asserted-by":"publisher","first-page":"3239","DOI":"10.1002\/cncr.33532","volume":"127","author":"DR Azizoddin","year":"2021","unstructured":"Azizoddin DR, Knoerl R, Adam R et al (2021) Cancer pain self-management in the context of a national opioid epidemic: experiences of patients with advanced cancer using opioids. Cancer 127(17):3239\u20133245. https:\/\/doi.org\/10.1002\/cncr.33532","journal-title":"Cancer"},{"issue":"6","key":"10523_CR3","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1093\/annonc\/mdw097","volume":"27","author":"O Corli","year":"2016","unstructured":"Corli O, Floriani I, Roberto A et al (2016) Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV \u2018real life\u2019 trial on the variability of response to opioids. Ann Oncol 27(6):1107\u20131115. https:\/\/doi.org\/10.1093\/annonc\/mdw097","journal-title":"Ann Oncol"},{"key":"10523_CR4","volume-title":"Chronic pain","author":"MF Stretanski","year":"2025","unstructured":"Stretanski MF, Kopitnik NL, Matha A, Conermann T (2025) Chronic pain. StatPearls Publishing, In StatPearls"},{"issue":"12","key":"10523_CR5","doi-asserted-by":"publisher","first-page":"1282","DOI":"10.1001\/jama.2015.8556","volume":"314","author":"M Schmidt-Hansen","year":"2015","unstructured":"Schmidt-Hansen M, Bennett MI, Hilgart J (2015) Oxycodone for cancer pain in adult patients. JAMA 314(12):1282\u20131283. https:\/\/doi.org\/10.1001\/jama.2015.8556","journal-title":"JAMA"},{"issue":"4","key":"10523_CR6","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1016\/j.jpainsymman.2019.01.013","volume":"57","author":"HW Bulls","year":"2019","unstructured":"Bulls HW, Hoogland AI, Craig D et al (2019) Cancer and opioids: patient experiences with stigma (COPES)-a pilot study. J Pain Symptom Manage 57(4):816\u2013819. https:\/\/doi.org\/10.1016\/j.jpainsymman.2019.01.013","journal-title":"J Pain Symptom Manage"},{"issue":"3","key":"10523_CR7","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1016\/j.jpainsymman.2019.10.029","volume":"59","author":"SH Meghani","year":"2020","unstructured":"Meghani SH, Wool J, Davis J et al (2020) When patients take charge of opioids: self-management concerns and practices among cancer outpatients in the context of opioid crisis. J Pain Symptom Manage 59(3):618\u2013625. https:\/\/doi.org\/10.1016\/j.jpainsymman.2019.10.029","journal-title":"J Pain Symptom Manage"},{"issue":"11","key":"10523_CR8","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1200\/op.22.00080","volume":"18","author":"B Worster","year":"2022","unstructured":"Worster B, Hajjar ER, Handley N (2022) Cannabis use in patients with cancer: a clinical review. JCO Oncol Pract 18(11):743\u2013749. https:\/\/doi.org\/10.1200\/op.22.00080","journal-title":"JCO Oncol Pract"},{"issue":"1","key":"10523_CR9","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/s13187-020-01791-5","volume":"37","author":"JM Potts","year":"2022","unstructured":"Potts JM, Getachew B, Vu M et al (2022) Use and perceptions of opioids versus marijuana among cancer survivors. J Cancer Educ 37(1):91\u2013101. https:\/\/doi.org\/10.1007\/s13187-020-01791-5","journal-title":"J Cancer Educ"},{"key":"10523_CR10","unstructured":"NCSL. State Medical Cannabis Laws. National Conference of State Legislatures.  https:\/\/www.ncsl.org\/health\/state-medical-cannabis-laws. Accessed 4\/26 2025"},{"issue":"3","key":"10523_CR11","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.pmn.2018.09.006","volume":"20","author":"S Shin","year":"2019","unstructured":"Shin S, Mitchell C, Mannion K, Smolyn J, Meghani SH (2019) An integrated review of cannabis and cannabinoids in adult oncologic pain management. Pain Manag Nurs 20(3):185\u2013191. https:\/\/doi.org\/10.1016\/j.pmn.2018.09.006","journal-title":"Pain Manag Nurs"},{"issue":"13","key":"10523_CR12","doi-asserted-by":"publisher","first-page":"2242","DOI":"10.1002\/cncr.32059","volume":"125","author":"KR Tringale","year":"2019","unstructured":"Tringale KR, Huynh-Le MP, Salans M et al (2019) The role of cancer in marijuana and prescription opioid use in the United States: a population-based analysis from 2005 to 2014. Cancer 125(13):2242\u20132251. https:\/\/doi.org\/10.1002\/cncr.32059","journal-title":"Cancer"},{"issue":"66","key":"10523_CR13","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1093\/jncimonographs\/lgae029","volume":"2024","author":"GL Ellison","year":"2024","unstructured":"Ellison GL, Helzlsouer KJ, Rosenfield SM et al (2024) Perceptions, prevalence, and patterns of cannabis use among cancer patients treated at 12 NCI-Designated Cancer Centers. J Natl Cancer Inst Monogr. 2024(66):202\u2013217. https:\/\/doi.org\/10.1093\/jncimonographs\/lgae029","journal-title":"J Natl Cancer Inst Monogr."},{"key":"10523_CR14","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2022.107552","volume":"138","author":"J Mennis","year":"2023","unstructured":"Mennis J, McKeon TP, Stahler GJ (2023) Recreational cannabis legalization alters associations among cannabis use, perception of risk, and cannabis use disorder treatment for adolescents and young adults. Addict Behav 138:107552. https:\/\/doi.org\/10.1016\/j.addbeh.2022.107552","journal-title":"Addict Behav"},{"issue":"4","key":"10523_CR15","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1111\/ablj.12171","volume":"57","author":"S Geiger-Oneto","year":"2020","unstructured":"Geiger-Oneto S, Sprague R (2020) Cannabis regulatory confusion and its impact on consumer adoption. Am Bus Law J 57(4):735\u2013772. https:\/\/doi.org\/10.1111\/ablj.12171","journal-title":"Am Bus Law J"},{"key":"10523_CR16","doi-asserted-by":"publisher","first-page":"100085","DOI":"10.1016\/j.pecinn.2022.100085","volume":"1","author":"TA Clobes","year":"2022","unstructured":"Clobes TA, Gagnon M (2022) Demographic factors that impact attitudes toward medical cannabis. PEC Innovation 1:100085. https:\/\/doi.org\/10.1016\/j.pecinn.2022.100085","journal-title":"PEC Innovation"},{"key":"10523_CR17","unstructured":"Goffman E (1963) Stigma; notes on the management of spoiled identity. Prentice-Hall"},{"issue":"5","key":"10523_CR18","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1111\/jep.13684","volume":"28","author":"MM Andersen","year":"2022","unstructured":"Andersen MM, Varga S, Folker AP (2022) On the definition of stigma. J Eval Clin Pract 28(5):847\u2013853. https:\/\/doi.org\/10.1111\/jep.13684","journal-title":"J Eval Clin Pract"},{"issue":"7","key":"10523_CR19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011453","volume":"6","author":"S Rueda","year":"2016","unstructured":"Rueda S, Mitra S, Chen S et al (2016) Examining the associations between HIV-related stigma and health outcomes in people living with HIV\/AIDS: a series of meta-analyses. BMJ Open 6(7):e011453. https:\/\/doi.org\/10.1136\/bmjopen-2016-011453","journal-title":"BMJ Open"},{"issue":"6","key":"10523_CR20","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1192\/bjp.bp.107.045732","volume":"194","author":"AJ Mitchell","year":"2009","unstructured":"Mitchell AJ, Malone D, Doebbeling CC (2009) Quality of medical care for people with and without comorbid mental illness and substance misuse: systematic review of comparative studies. Br J Psychiatry 194(6):491\u2013499. https:\/\/doi.org\/10.1192\/bjp.bp.107.045732","journal-title":"Br J Psychiatry"},{"issue":"1","key":"10523_CR21","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1089\/apc.2019.0200","volume":"34","author":"C Zhang","year":"2020","unstructured":"Zhang C, McMahon J, Leblanc N et al (2020) Association of medical mistrust and poor communication with HIV-related health outcomes and psychosocial wellbeing among heterosexual men living with HIV. AIDS Patient Care STDS 34(1):27\u201337. https:\/\/doi.org\/10.1089\/apc.2019.0200","journal-title":"AIDS Patient Care STDS"},{"issue":"4","key":"10523_CR22","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1007\/s11764-022-01297-7","volume":"17","author":"MM Nayak","year":"2023","unstructured":"Nayak MM, Revette A, Chai PR et al (2023) Medical cannabis-related stigma: cancer survivors\u2019 perspectives. J Cancer Surviv 17(4):951\u2013956. https:\/\/doi.org\/10.1007\/s11764-022-01297-7","journal-title":"J Cancer Surviv"},{"key":"10523_CR23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2019.102204","volume":"47","author":"D Victorson","year":"2019","unstructured":"Victorson D, McMahon M, Horowitz B et al (2019) Exploring cancer survivors\u2019 attitudes, perceptions, and concerns about using medical cannabis for symptom and side effect management: a qualitative focus group study. Complement Ther Med 47:102204. https:\/\/doi.org\/10.1016\/j.ctim.2019.102204","journal-title":"Complement Ther Med"},{"issue":"7-8","key":"10523_CR24","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1111\/jocn.16340","volume":"32","author":"A Hulaihel","year":"2023","unstructured":"Hulaihel A, Gliksberg O, Feingold D et al (2023) Medical cannabis and stigma: a qualitative study with patients living with chronic pain. J Clin Nurs 32(7\u20138):1103\u20131114. https:\/\/doi.org\/10.1111\/jocn.16340","journal-title":"J Clin Nurs"},{"issue":"1","key":"10523_CR25","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/02791072.2014.991858","volume":"47","author":"TD Satterlund","year":"2015","unstructured":"Satterlund TD, Lee JP, Moore RS (2015) Stigma among California\u2019s medical marijuana patients. J Psychoactive Drugs 47(1):10\u201317. https:\/\/doi.org\/10.1080\/02791072.2014.991858","journal-title":"J Psychoactive Drugs"},{"issue":"1","key":"10523_CR26","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-024-00929-8","volume":"21","author":"DD King","year":"2024","unstructured":"King DD, Gill CJ, Cadieux CS, Singh N (2024) The role of stigma in cannabis use disclosure: an exploratory study. Harm Reduct J 21(1):21. https:\/\/doi.org\/10.1186\/s12954-024-00929-8","journal-title":"Harm Reduct J"},{"issue":"4","key":"10523_CR27","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1097\/01.cco.0000167738.49325.2c","volume":"17","author":"WF Baile","year":"2005","unstructured":"Baile WF, Aaron J (2005) Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol 17(4):331\u2013335. https:\/\/doi.org\/10.1097\/01.cco.0000167738.49325.2c","journal-title":"Curr Opin Oncol"},{"key":"10523_CR28","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523","volume":"292","author":"M Hennink","year":"2022","unstructured":"Hennink M, Kaiser BN (2022) Sample sizes for saturation in qualitative research: a systematic review of empirical tests. Soc Sci Med 292:114523. https:\/\/doi.org\/10.1016\/j.socscimed.2021.114523","journal-title":"Soc Sci Med"},{"issue":"2","key":"10523_CR29","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","volume":"42","author":"PA Harris","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R et al (2009) Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377\u2013381. https:\/\/doi.org\/10.1016\/j.jbi.2008.08.010","journal-title":"J Biomed Inform"},{"issue":"4","key":"10523_CR30","doi-asserted-by":"publisher","first-page":"e232","DOI":"10.1093\/geront\/gnz054","volume":"60","author":"K Arora","year":"2020","unstructured":"Arora K, Qualls SH, Bobitt J et al (2020) Measuring attitudes toward medical and recreational cannabis among older adults in Colorado. Gerontologist 60(4):e232\u2013e241. https:\/\/doi.org\/10.1093\/geront\/gnz054","journal-title":"Gerontologist"},{"issue":"1","key":"10523_CR31","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1176\/appi.focus.20240036","volume":"23","author":"GE Kreiner","year":"2025","unstructured":"Kreiner GE (2025) Stopping mental illness stigma: changing attitudes, language, and policies. Focus (Am Psychiatr Publ) 23(1):2\u20138. https:\/\/doi.org\/10.1176\/appi.focus.20240036","journal-title":"Focus (Am Psychiatr Publ)"},{"issue":"8","key":"10523_CR32","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.1177\/0011000015611963","volume":"43","author":"JR Andretta","year":"2015","unstructured":"Andretta JR, Worrell FC, Ramirez AM et al (2015) The effects of stigma priming on forensic screening in African American youth \u03c8. Couns Psychol 43(8):1162\u20131189. https:\/\/doi.org\/10.1177\/0011000015611963","journal-title":"Couns Psychol"},{"issue":"9","key":"10523_CR33","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","volume":"15","author":"HF Hsieh","year":"2005","unstructured":"Hsieh HF, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15(9):1277\u20131288. https:\/\/doi.org\/10.1177\/1049732305276687","journal-title":"Qual Health Res"},{"issue":"6","key":"10523_CR34","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.1007\/s11469-018-9930-8","volume":"17","author":"VA Earnshaw","year":"2019","unstructured":"Earnshaw VA, Bogart LM, Menino DD et al (2019) Disclosure, stigma, and social support among young people receiving treatment for substance use disorders and their caregivers: a qualitative analysis. Int J Ment Health Addict 17(6):1535\u20131549. https:\/\/doi.org\/10.1007\/s11469-018-9930-8","journal-title":"Int J Ment Health Addict"},{"key":"10523_CR35","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103381","volume":"99","author":"B Fischer","year":"2022","unstructured":"Fischer B, Robinson T, Bullen C et al (2022) Lower-risk cannabis use guidelines (LRCUG) for reducing health harms from non-medical cannabis use: a comprehensive evidence and recommendations update. Int J Drug Policy 99:103381. https:\/\/doi.org\/10.1016\/j.drugpo.2021.103381","journal-title":"Int J Drug Policy"},{"issue":"11","key":"10523_CR36","doi-asserted-by":"publisher","first-page":"1475","DOI":"10.1634\/theoncologist.2012-0223","volume":"17","author":"EL Davis","year":"2012","unstructured":"Davis EL, Oh B, Butow PN, Mullan BA, Clarke S (2012) Cancer patient disclosure and patient-doctor communication of complementary and alternative medicine use: a systematic review. Oncologist 17(11):1475\u20131481. https:\/\/doi.org\/10.1634\/theoncologist.2012-0223","journal-title":"Oncologist"},{"issue":"13","key":"10523_CR37","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.1200\/jco.23.02596","volume":"42","author":"IM Braun","year":"2024","unstructured":"Braun IM, Bohlke K, Abrams DI et al (2024) Cannabis and cannabinoids in adults with cancer: ASCO guideline. J Clin Oncol 42(13):1575\u20131593. https:\/\/doi.org\/10.1200\/jco.23.02596","journal-title":"J Clin Oncol"},{"issue":"1","key":"10523_CR38","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1001\/jamaoncol.2014.112","volume":"1","author":"KL Kehl","year":"2015","unstructured":"Kehl KL, Landrum MB, Arora NK et al (2015) Association of actual and preferred decision roles with patient-reported quality of care: shared decision making in cancer care. JAMA Oncol 1(1):50\u201358. https:\/\/doi.org\/10.1001\/jamaoncol.2014.112","journal-title":"JAMA Oncol"},{"issue":"10","key":"10523_CR39","doi-asserted-by":"publisher","first-page":"2565","DOI":"10.1016\/j.socscimed.2005.10.034","volume":"62","author":"J Ussher","year":"2006","unstructured":"Ussher J, Kirsten L, Butow P, Sandoval M (2006) What do cancer support groups provide which other supportive relationships do not? The experience of peer support groups for people with cancer. Soc Sci Med 62(10):2565\u20132576. https:\/\/doi.org\/10.1016\/j.socscimed.2005.10.034","journal-title":"Soc Sci Med"},{"issue":"2","key":"10523_CR40","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1037\/prj0000281","volume":"41","author":"EBH Treichler","year":"2018","unstructured":"Treichler EBH, Lucksted AA (2018) The role of sense of belonging in self-stigma among people with serious mental illnesses. Psychiatr Rehabil J 41(2):149\u2013152. https:\/\/doi.org\/10.1037\/prj0000281","journal-title":"Psychiatr Rehabil J"},{"issue":"6","key":"10523_CR41","doi-asserted-by":"publisher","first-page":"5835","DOI":"10.3390\/curroncol30060437","volume":"30","author":"H Harsanyi","year":"2023","unstructured":"Harsanyi H, Cuthbert C, Schulte F (2023) The stigma surrounding opioid use as a barrier to cancer-pain management: an overview of experiences with fear, shame, and poorly controlled pain in the context of advanced cancer. Curr Oncol 30(6):5835\u20135848","journal-title":"Curr Oncol"},{"issue":"6","key":"10523_CR42","doi-asserted-by":"publisher","first-page":"1076","DOI":"10.1016\/j.jpainsymman.2022.04.032","volume":"63","author":"H Bulls","year":"2022","unstructured":"Bulls H, Merlin J, Schenker Y (2022) Manifestations of opioid stigma in patients with advanced cancer (RP316). J Pain Symptom Manage 63(6):1076. https:\/\/doi.org\/10.1016\/j.jpainsymman.2022.04.032","journal-title":"J Pain Symptom Manage"},{"issue":"2","key":"10523_CR43","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.jpainsymman.2018.04.013","volume":"56","author":"LT Ingersoll","year":"2018","unstructured":"Ingersoll LT, Saeed F, Ladwig S et al (2018) Feeling heard and understood in the hospital environment: benchmarking communication quality among patients with advanced cancer before and after palliative care consultation. J Pain Symptom Manage 56(2):239\u2013244. https:\/\/doi.org\/10.1016\/j.jpainsymman.2018.04.013","journal-title":"J Pain Symptom Manage"},{"issue":"4","key":"10523_CR44","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1007\/s00520-024-08439-w","volume":"32","author":"JN Morris","year":"2024","unstructured":"Morris JN, Loyer J, Blunt J (2024) Stigma, risks, and benefits of medicinal cannabis use among Australians with cancer. Support Care Cancer 32(4):252. https:\/\/doi.org\/10.1007\/s00520-024-08439-w","journal-title":"Support Care Cancer"},{"issue":"3","key":"10523_CR45","doi-asserted-by":"publisher","first-page":"1195","DOI":"10.1007\/s00520-020-05780-8","volume":"29","author":"Z Huang","year":"2021","unstructured":"Huang Z, Yu T, Wu S, Hu A (2021) Correlates of stigma for patients with cancer: a systematic review and meta-analysis. Support Care Cancer 29(3):1195\u20131203. https:\/\/doi.org\/10.1007\/s00520-020-05780-8","journal-title":"Support Care Cancer"},{"key":"10523_CR46","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.ypmed.2017.07.008","volume":"104","author":"H Carliner","year":"2017","unstructured":"Carliner H, Brown QL, Sarvet AL, Hasin DS (2017) Cannabis use, attitudes, and legal status in the U.S.: a review. Prev Med 104:13\u201323. https:\/\/doi.org\/10.1016\/j.ypmed.2017.07.008","journal-title":"Prev Med"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10523-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10523-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10523-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T06:42:08Z","timestamp":1776235328000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10523-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":46,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10523"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10523-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-7244150\/v1","asserted-by":"object"}]},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"assertion":[{"value":"29 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This research was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants provided written consent prior to enrolling in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"313"}}