Cultural Capital, Stigma, Class, and Hospice Care Access Among Low-Income Patients With Cancer

This study found that cultural capital deficits, stigma, and socioeconomic hardship were jointly associated with a self-reinforcing cycle of hospice exclusion. These outcomes suggest that interventions must address these factors simultaneously by improving health literacy, reducing stigma, and expanding financial and systemic support.

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Publication Details

Journal
JAMA Network Open
Published
2026-01-20
DOI
https://doi.org/10.1001/jamanetworkopen.2025.54797
Primary Topic
Palliative Care and End-of-Life Issues
Type
article
Field-Weighted Citation Impact
0.00

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article

Cultural Capital, Stigma, Class, and Hospice Care Access Among Low-Income Patients With Cancer

ji ai, Yan Chao, Ting Jiang, Tingfen Cao
JAMA Network Open
Palliative Care and End-of-Life Issues
article

Cultural Capital, Stigma, Class, and Hospice Care Access Among Low-Income Patients With Cancer

ji ai, Yan Chao, Ting Jiang, Tingfen Cao
article en

Abstract

This study found that cultural capital deficits, stigma, and socioeconomic hardship were jointly associated with a self-reinforcing cycle of hospice exclusion. These outcomes suggest that interventions must address these factors simultaneously by improving health literacy, reducing stigma, and expanding financial and systemic support.

JAMA Network OpenVol. 9(1)
Zunyi Medical University (CN), Kiang Wu Nursing College of Macau (CN), Affiliated Hospital of Guizhou Medical University (CN), First People’s Hospital of Zunyi (CN), Affiliated Hospital of Zunyi Medical College (CN)
Health Commission of Guizhou Province
No poverty
Openalex Percentile: Top 85%
Palliative Care and End-of-Life Issues
DOIOpen Access PDFOpenAlex
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