Modeling pathways to affective barriers on colorectal cancer screening among Japanese Americans

Keiko Honda*, Sherri Sheinfeld Gorin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)115-124
Number of pages10
JournalJournal of Behavioral Medicine
Issue number2
Publication statusPublished - 2005 Apr
Externally publishedYes


  • Affective barriers to cancer screening
  • Colorectal cancer
  • Japanese Americans
  • Prevention

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health


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