Affective components of perceived risk mediate the relation between cognitively-based perceived risk and colonoscopy screening

Lynne B. Klasko-Foster, Marc T. Kiviniemi, Lina H. Jandorf, Deborah O. Erwin

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Perceived risk is a common component of health decision making theory. When affective components of risk are assessed as predictors of a behavior, they are usually examined separately from cognitive components. Less frequently examined are more complex interplays between affect and cognition. We hypothesized that cognitive and affective risk components would both have direct effects on colonoscopy behavior/intentions and that affective components would mediate the relationship of cognitively-based perceived risk to colonoscopy screening. In two secondary analyses, participants reported their cognitive and affective perceived risk for colorectal cancer, past colonoscopy behavior, and future screening intentions. In both studies, cognitive and affective risk components were associated with increased screening behavior/intentions and cognitive risk components were mediated through affective risk. Given the impact of early detection on colorectal cancer prevention, educational strategies highlighting both components of risk may be important to increase screening rates.

Original languageEnglish
Pages (from-to)121-130
Number of pages10
JournalJournal of Behavioral Medicine
Issue number1
StatePublished - Feb 1 2020

Bibliographical note

Funding Information:
The authors kindly acknowledge the extensive support of the community members of New York and the First Ladies of Western New York (FLOW) for their contributions to the science and data collection for this study. An earlier version of this data was presented at the 38th Annual Meeting of the Society for Behavioral Medicine San Diego, CA, April 2017.

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.


  • Behavioral intentions
  • Cancer prevention
  • Colonoscopy
  • Decision making
  • Perceived risk

ASJC Scopus subject areas

  • Psychology (all)
  • Psychiatry and Mental health


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