Journal of Behavioral Medicine

, Volume 28, Issue 2, pp 115–124

Modeling Pathways to Affective Barriers on Colorectal Cancer Screening Among Japanese Americans


DOI: 10.1007/s10865-005-3661-6

Cite this article as:
Honda, K. & Gorin, S.S. J Behav Med (2005) 28: 115. doi:10.1007/s10865-005-3661-6


The study aimed to identify the mechanisms through which colorectal cancer (CRC)-specific affective barriers, including fear of finding CRC, embarrassment, and concerns for screening discomfort, can be reduced to guide the development of interventions aimed at the secondary prevention of CRC. A model explaining these affective barriers was developed and tested among a random sample of 305 asymptomatic Japanese Americans using a path analysis. The model suggested that affective barriers could be reduced by increasing CRC-related knowledge, which could be enhanced by acculturation, social support, and physician recommendation. Interventions that focus on increasing CRC-related knowledge could reduce affective barriers to CRC screening for this population when taking the enhancement of communication skills and interpersonal interactions into account.

affective barriers to cancer screening colorectal cancer prevention Japanese Americans 

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Department of EpidemiologyColumbia UniversityNew YorkUSA
  2. 2.Teachers CollegeNew York

Personalised recommendations