Cognitive mediators linking social support networks to colorectal cancer screening adherence.

This paper argues that normative considerations are more important than attitudinal factors in engaging colorectal cancer screening, and tests a model explaining how unique cultural expressions of social networks influence screening adherence. Structural equation modeling was used to understand colo...

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Publicado en:Journal of Behavioral Medicine Vol. 29; no. 5; pp. 449 - 461
Autores principales: Honda K, Kagawa-Singer M
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2006
      vid: 29
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      pub: Springer Nature
      place: New York, New York
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        atl: Cognitive mediators linking social support networks to colorectal cancer screening adherence.
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        au:
          Honda K
          Kagawa-Singer M
        affil: Columbia University, New York, NY, USA.
      sug:
        subj:
          Asians Psychosocial Factors
          Cancer Screening Psychosocial Factors
          Health Behavior
          Patient Compliance
          Social Values
          Support, Psychosocial
          Aged
          Aged, 80 and Over
          Chi Square Test
          Colorectal Neoplasms Diagnosis
          Colorectal Neoplasms Psychosocial Factors
          Communication
          Connecticut
          Convenience Sample
          Cross Sectional Studies
          Descriptive Statistics
          Factor Analysis
          Female
          Focus Groups
          Funding Source
          Health Knowledge
          Locus of Control
          Mail
          Male
          Middle Age
          Models, Psychological
          New Jersey
          New York
          Physician-Patient Relations
          Questionnaires
          Socioeconomic Factors
          Structural Equation Modeling
          Surveys
          Human
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: This paper argues that normative considerations are more important than attitudinal factors in engaging colorectal cancer screening, and tests a model explaining how unique cultural expressions of social networks influence screening adherence. Structural equation modeling was used to understand colorectal cancer screening in a population-based sample of 341 Japanese Americans aged 50 and over. The model accounted for 25% of the variance in screening adherence. Adherence was most strongly associated with family/friend subjective norms about colorectal cancer screening use. Emotional family support, but not the size of the networks, was indirectly related to adherence via increased family/friend subjective norms, while emotional friend support was directly related to adherence. While usual source of care was directly associated with adherence, better provider-patient communication was directly and indirectly associated with adherence via increased perceived benefits. The findings of this study support strengthening informal support networks to enhance adherence among Japanese Americans at risk.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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