umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Qualitative cross-country comparison of whether, when and how people diagnosed with lung cancer talk about cigarette smoking in narrative interviews
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 11, article id e023934Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To compare and examine whether, when and how patients with lung cancer in three countries, with different survival rates, talk about cigarette smoking and its relationship with help-seeking.

DESIGN: A qualitative cross-country comparison with analysis of narrative interviews.

SETTING: Participants in Sweden, Denmark and England were interviewed during 2015-2016. Interviews, using a narrative approach, were conducted in participants' home by trained and experienced qualitative researchers.

PARTICIPANTS: Seventy-two men and women diagnosed with lung cancer were interviewed within 6 months of their diagnosis.

RESULTS: The English participants, regardless of their own smoking status, typically raised the topic of smoking early in their interviews. Smoking was mentioned in relation to symptom appraisal and interactions with others, including health professionals. Participants in all three countries interpreted their symptoms in relation to their smoking status, but in Sweden (unlike England) there was no suggestion that this deterred them from seeking care. English participants, but not Swedish or Danish, recounted reluctance to consult healthcare professionals with their symptoms while they were still smoking, some gave up shortly before consulting. Some English patients described defensive strategies to challenge stigma or pre-empt other people's assumptions about their culpability for the disease. A quarter of the Danish and 40% of the Swedish participants did not raise the topic of smoking at any point in their interview.

CONCLUSION: The causal relationship between smoking and lung cancer is well known in all three countries, yet this comparative analysis suggests that the links between a sense of responsibility, stigma and reluctance to consult are not inevitable. These findings help illuminate why English patients with lung cancer tend to be diagnosed at a later stage than their Swedish counterparts.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018. Vol. 8, no 11, article id e023934
Keywords [en]
lung cancer, organisation of health services, patients' experiences, qualitative comparative study, smoking
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-153430DOI: 10.1136/bmjopen-2018-023934ISI: 000454740400123PubMedID: 30420351OAI: oai:DiVA.org:umu-153430DiVA, id: diva2:1264716
Available from: 2018-11-21 Created: 2018-11-21 Last updated: 2019-01-25Bibliographically approved

Open Access in DiVA

fulltext(306 kB)55 downloads
File information
File name FULLTEXT01.pdfFile size 306 kBChecksum SHA-512
adc740401a788d691ad3ca7e7add8df304bd49548160b96f763d3892d01c51a3e1ed35907af4b1821941be047e1f40e805c16b8a17733d9311c73c16f29bfdf7
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Hajdarevic, Senada

Search in DiVA

By author/editor
Hajdarevic, Senada
By organisation
Department of Nursing
In the same journal
BMJ Open
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 55 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 126 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf