A model of perceived risk for colorectal cancer among Japanese Americans.
BACKGROUND
Despite the higher rate of colorectal cancer (CRC) among Japanese Americans, little is known about their risk perceptions. The objective of this study was to test an exploratory model explaining psychosocial pathways to perceived risk of CRC.


METHODS
The postulated model was tested using path analysis with data from a random sample of 306 Japanese Americans aged 30 and older.


RESULTS
The model fit the data very well: chi(2)(10) = 10.22, P = .42; goodness-of-fit index = .993; comparative fit index = .999; and root mean square are of approximation = .008. Cancer fear exerted the strongest effect on perceived risk followed by family history.


CONCLUSIONS
Risk communication for Japanese Americans should be tailored to individual emotional patterns associated with cancer to alleviate fear that may impede accurate risk self-assessment.
Honda
Keiko
K
Department of Epidemiology, Columbia University, New York, NY 10032, USA. kh2086@columbia.edu
D000069:Acculturation; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D015179:Colorectal Neoplasms / Q000453:epidemiology* / Q000235:genetics / Q000523:psychology*; D003627:Data Interpretation, Statistical; D004493:Education; D005260:Female; D006801:Humans; D007417:Intestinal Polyps; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D018570:Risk Assessment; D012307:Risk Factors; D012494:Sampling Studies; D012737:Sex Factors; D014481:United States / Q000453:epidemiology