Preliminary evaluation of the seven-item Explicit Stigmatizing Attitudes Toward People With Cancer Scale
Abstract
Abstract Cancer-related stigma can affect social participation and help-seeking, yet no peer-reviewed Polish-language measure has been identified for overt public stigmatizing attitudes toward people with cancer. We evaluated an archival 10-item pool for the Explicit Stigmatizing Attitudes Toward People With Cancer Scale (ESATC) in 326 adults recruited purposively in Kraków (78.8% women; mean age 26.63 years). Item analysis, internal-consistency estimation, principal-axis factoring, Pearson- and polychoric-correlation parallel analyses, and exploratory construct-relevant comparisons were conducted. Two non-stigmatizing items showed negative corrected item-total correlations despite common-direction scoring, and one insurance-related item showed weak coherence after their removal. The resulting ESATC-7 score had alpha = 0.796 and omega total = 0.799. Both parallel analyses retained one factor, although 12.3% of participants obtained the minimum score and 29.1% scored within two points of it. Scores were lower among 13 participants with personal cancer experience and positively associated with responsibility-related cancer beliefs. ESATC-7 should be regarded as a derivation-sample candidate index of overt exclusionary, restrictive, and concealment-oriented endorsement. Independent validation, formal content-validity assessment, test-retest evaluation, and direct comparison with established cancer-stigma measures are required before broader use.
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