Modeling pathways to affective barriers on colorectal cancer screening among Japanese Americans
Modeling pathways to affective barriers on colorectal cancer screening among Japanese Americans
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DOI:
10.1007/s10865-005-3661-6
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发表时间:
2005-04-01
影响因子:
3.1
通讯作者:
Gorin, SS
中科院分区:
文献类型:
--
作者:
Honda, K;Gorin, SS
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.