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

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Abstract

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.

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Authors and Affiliations

  1. Department of Epidemiology, Columbia University, 722 West 168th Street, 7th Floor, New York, NY, 10032, USA

    Keiko Honda

  2. Teachers College, 525 West 120th Street, Mailbox 239, New York, NY, 10027

    Sherri Sheinfeld Gorin

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  1. Keiko Honda
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  2. Sherri Sheinfeld Gorin
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Correspondence to Keiko Honda.

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Honda, K., Gorin, S.S. Modeling Pathways to Affective Barriers on Colorectal Cancer Screening Among Japanese Americans. J Behav Med 28, 115–124 (2005). https://doi.org/10.1007/s10865-005-3661-6

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  • DOI: https://doi.org/10.1007/s10865-005-3661-6

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