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
Gorin, SS
中科院分区:
心理学3区
文献类型:
--
作者:
Honda, K;Gorin, SS

文献摘要

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该研究旨在确定结直肠癌(CRC)特异性情感障碍的机制,包括对发现CRC的恐惧,尴尬和对筛查不适的担忧,以指导旨在CRC二级预防的干预措施的发展。一个模型解释这些情感障碍的开发和测试之间的随机样本305无症状的日裔美国人使用路径分析。该模型表明,情感障碍可以通过增加CRC相关知识来减少,文化适应,社会支持和医生推荐可以增强这一点。干预措施,重点是增加CRC相关的知识,可以减少情感障碍,CRC筛查时,考虑到提高沟通技巧和人际交往。
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.