title: Modeling pathways to affective barriers on colorectal cancer screening among Japanese Americans.
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.
authors.affiliation: Department of Epidemiology, Columbia University, 722 West 168th Street, 7th Floor, New York, NY 10032, USA. kh2086@columbia.edu
authors.forename: Keiko
authors.initials: K
authors.lastname: Honda
authors.forename: Sherri Sheinfeld
authors.initials: SS
authors.lastname: Gorin
mesh_terms: D000069:Acculturation; D000328:Adult; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000208:ethnology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D007802:Language; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D012944:Social Support; D011795:Surveys and Questionnaires