Disgusted, Embarrassed, Annoyed: Affective Associations Relate to Uptake of Colonoscopy Screening

Marc T. Kiviniemi, Lina Jandorf, Deborah O. Erwin

Research output: Contribution to journalArticlepeer-review

45 Scopus citations


Results: Higher positive and lower negative affective associations with screening were both significant predictors of colonoscopy uptake. Affective associations fully mediated the relation of perceived benefits and barriers to screening uptake. Affective associations were associated with intentions for future screening.

Background: Uptake of colorectal cancer screening is lower than desired. Screening decision making research has traditionally focused on benefits and barriers to screening. This study examines the relation of affective associations with screening (feelings and emotions associated with screening) to colonoscopy screening uptake.

Methods: Participants were 103 African American community adults. Participants completed a structured interview assessing perceived benefits of and barriers to colonoscopy screening, affective associations with colonoscopy, colonoscopy screening behavior, and intentions for future screening.

Conclusions: Incorporation of affective associations into models of screening decision making and intervention approaches to address screening compliance has utility for advancing our understanding of screening adherence as well as increasing screening rates.

Original languageEnglish
Pages (from-to)112-119
Number of pages8
JournalAnnals of Behavioral Medicine
Issue number1
StatePublished - Aug 1 2014

Bibliographical note

Publisher Copyright:
© 2013, The Society of Behavioral Medicine.


  • Affective associations
  • Colonoscopy
  • Health decision making

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health


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