{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:14:26Z","timestamp":1791346466080,"version":"4.3.1"},"reference-count":56,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Wiser Healthcare Early Career Researcher Seed and Support Fund","award":["2023\/24"],"award-info":[{"award-number":["2023\/24"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Lung cancer stigma is widespread, with consequences for patients psychologically and clinically. It can also be a barrier to lung cancer screening (LCS), though current evidence is limited. With LCS programs in development globally, this qualitative study explored the views, expectations, and potential impacts of stigma with people eligible for LCS before commencement of the Australian National LCS Program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants met eligibility criteria for the Australian National LCS Program (asymptomatic of lung cancer; aged 50-70\u00a0years; currently smoking tobacco cigarettes or quit within 10\u00a0years; \u226530 pack-year smoking history). Abductive thematic analysis was used. Interview questions and theory-based codes were guided by the Health Stigma and Discrimination Framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-four participants were interviewed; 50% (n\u2009=\u200912) were currently smoking and 25% (n\u2009=\u20096) were from culturally or linguistically diverse backgrounds. Most participants had high levels of education, high self-reported health literacy and lived in major cities. Four themes were identified: (1) Harmful narratives of personal responsibility and self-infliction; (2) Smoking stigma is a \u201cnecessary evil\u201d and is inevitable in LCS; (3) Identity as part of the LCS cohort; and (4) Previous perceptions of stigma in healthcare shape expectations for LCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stigma in LCS\u2014to some degree\u2014is unavoidable given smoking-based eligibility criteria but may be reduced through: (1) messaging that dismantles industry-driven narratives around responsibility, blame, and choice in tobacco use (eg, by referencing external determinants of smoking behavior); (2) privacy and confidentiality of LCS participation; and (3) communication training for LCS staff. Further work in priority communities considering intersectional stigmas is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>This study is the first qualitative investigation exploring stigma in LCS. Findings highlight that stigma\u2014rooted in societal, interpersonal, and self-perceptions of smoking as an individual\u2019s responsibility\u2014is a significant barrier to screening. Past experiences or perceptions of stigma in healthcare shaped expectations for LCS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntag141","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:01:45Z","timestamp":1782842505000},"source":"Crossref","is-referenced-by-count":1,"title":["\u201cAs for stigma? \u2026 I don't think I'd be going to my next-door neighbor saying \u2018I'm going for lung cancer screening\u2019\u201d: a qualitative study of the potential impacts of stigma during lung cancer screening in Australia"],"prefix":"10.1093","author":[{"given":"Kathleen","family":"McFadden","sequence":"first","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW , Sydney, 2006 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1011-8745","authenticated-orcid":false,"given":"Nathan J","family":"Harrison","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University , Adelaide, 5042 ,","place":["Australia"]},{"name":"NHMRC Centre of Research Excellence on Achieving the Tobacco Endgame, School of Public Health, The University of Queensland , Brisbane, 4006 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiho","family":"Rose","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW , Sydney, 2006 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle","family":"Hollinshead","sequence":"additional","affiliation":[{"name":"Consumer Advocate\/Advisor , Sydney, 2000 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Public Health, Faculty of Medicine and Health, The University of Sydney , Sydney, 2006 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3641-952X","authenticated-orcid":false,"given":"Nehmat","family":"Houssami","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW , Sydney, 2006 ,","place":["Australia"]},{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney , Sydney, 2006 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael H","family":"Dodd","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW , Sydney, 2006 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