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Correction. 更正。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-03 DOI: 10.1080/10410236.2023.2301180
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引用次数: 0
Health Information Repertoires of Implant Patients: Toward a Deeper Understanding of Multiple Source Use and the Role of Health-Related Motives. 植入患者的健康信息汇辑:深入了解多源使用和健康相关动机的作用。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-09-21 DOI: 10.1080/10410236.2023.2258597
Tanja Fisse, Elena Link, Charlotte Schrimpff, Eva Baumann, Christoph Klimmt

Health information-seeking behavior can be understood as an active and purposeful acquisition of information from selected information sources. It supports patients to cope with medical and health-related uncertainties and enables them to engage in informed decision-making. To obtain health information, patients can turn to a variety of sources, such as going to a physician, exchanging information with their family, or using different Internet sources. Research showed that patients typically use multiple sources to meet their health-related information needs. To attain a holistic and differentiated picture of patients' actual health information behavior, the current study draws on the repertoire approach. We conducted an online survey with 1,105 implant patients and performed a cluster analysis to explore their health information repertoires. To gain a deeper understanding of the practical meaning behind the repertoires, we also considered health-related information motives and socio-structural factors, as well as the implant type (dental, orthopedic, cochlear), to characterize the repertoires. The study revealed seven different health information repertoires of implant patients, varying in their combination of multiple sources used. In addition, group comparisons showed that the repertoires differ significantly regarding socio-structural factors, such as gender, age, and education, as well as implant type. Furthermore, information motives contribute significantly to the differentiation of the repertoires. The results are of high theoretical potential for communication science as well as practical use for strategic health communication.

健康信息寻求行为可以被理解为从选定的信息源中主动和有目的地获取信息。它支持患者应对医疗和健康相关的不确定性,并使他们能够参与知情决策。为了获得健康信息,患者可以求助于各种来源,例如去看医生、与家人交换信息或使用不同的互联网来源。研究表明,患者通常使用多种来源来满足他们与健康相关的信息需求。为了对患者的实际健康信息行为进行全面和有区别的描述,目前的研究采用了曲目法。我们对1105名植入患者进行了在线调查,并进行了聚类分析,以探索他们的健康信息库。为了更深入地理解曲目背后的实际意义,我们还考虑了与健康相关的信息动机和社会结构因素,以及植入物类型(牙科、骨科、耳蜗),以表征曲目。该研究揭示了植入物患者的七种不同健康信息库,其使用的多种来源的组合各不相同。此外,小组比较显示,剧目在社会结构因素方面存在显著差异,如性别、年龄、教育程度以及植入类型。此外,信息动机在很大程度上促进了剧目的差异化。研究结果对传播科学具有很高的理论潜力,对战略健康传播具有实际应用价值。
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引用次数: 0
The Social Contagion Potential of Pro-Vaccine Messages on Black Twitter. 黑人推特上支持疫苗信息的社会传染潜力
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-23 DOI: 10.1080/10410236.2023.2281075
Maria Elizabeth Grabe, Danielle K Brown, Jimmy Ochieng, John Bryden, Ranada D Robinson, Yong-Yeol Ahn, Alana Moss, Wei Wang

Black Americans in the US not only suffered from disproportionately high hospitalization and death rates throughout the pandemic but also from the consequences of low COVID-19 vaccination rates. This pattern of disparity is linked to distrust of public health systems that originates from a history of medical atrocities committed against Black people. For that reason, mitigation of race-based inequity in COVID-19 impacts might find more success in grassroots information contagion than official public health campaigns. While Black Twitter is well-positioned as a conduit for such information contagion, little is known about message characteristics that would afford it. Here, we tested the impact of four different message frames (personalization, interactive, fear appeal, neutral) on the social contagion potential of bi-modal social media messages promoting COVID-19 vaccinations and finding personalized messages to be the most shareable. Wary of recommending personalization as the blueprint for setting a social contagion health campaign in motion, we probed further to understand the influence of individual-level variables on the communicability of personalized messages. Subsequently, regression models and focus group data were consulted, revealing that thinking styles, vaccine confidence levels, and attitudes toward social media were significant factors of influence on the contagion potential of personalized messages. We discussed the implications of these results for health campaigns.

美国黑人不仅在大流行期间遭受了不成比例的高住院率和死亡率,而且还遭受了COVID-19疫苗接种率低的后果。这种差距模式与对公共卫生系统的不信任有关,这种不信任源于对黑人的医疗暴行历史。因此,与官方的公共卫生运动相比,缓解基于种族的不平等可能会在基层信息传播中取得更大的成功。虽然“黑推特”很适合作为这种信息传播的渠道,但人们对信息的特征知之甚少。在这里,我们测试了四种不同的消息框架(个性化、互动、恐惧呼吁、中立)对促进COVID-19疫苗接种的双峰社交媒体消息的社会传染潜力的影响,并发现个性化消息最具可分享性。为了避免将个性化作为制定社会传染健康运动的蓝图,我们进一步探讨了个人层面变量对个性化信息可沟通性的影响。随后,参考回归模型和焦点小组数据,发现思维方式、疫苗置信度和对社交媒体的态度是影响个性化信息传染潜力的重要因素。我们讨论了这些结果对卫生运动的影响。
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引用次数: 0
Situating Health Experiences: A Culture-Centered Interrogation. 健康体验情景化:以文化为中心的审讯。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-12-22 DOI: 10.1080/10410236.2023.2296772
Phoebe Elers, Mohan J Dutta

Culture-centered studies of health communication de-center the theorization of health as an individual behavior and reveal the structural conditions that shape inequalities in health outcomes. The present study examines the ways in which space and housing shape experiences of health in a low-income site in Auckland undergoing radical redevelopment. We draw from a culture-centered project undertaken in 2018-2021 predominantly among Māori and Pasifika peoples involving 60 initial in-depth interviews, seven focus groups, a series of filmed interviews, and 32 additional in-depth interviews conducted during the COVID-19 pandemic. The residents' narratives foregrounded the detrimental health impact of inadequate housing, financial constraints, transience, and displacement that severs ties to place and community. These findings reveal the relationship between housing challenges, economic marginalization, and neoliberal capitalism, highlighting the need for policy interventions to address housing as a fundamental determinant of health disparities among marginalized communities.

以文化为中心的健康传播研究将健康作为个人行为的理论去中心化,揭示了形成健康结果不平等的结构性条件。本研究探讨了在奥克兰一个正在进行大刀阔斧重建的低收入地区,空间和住房如何影响人们的健康体验。我们借鉴了 2018-2021 年开展的一个以文化为中心的项目,该项目主要针对毛利人和帕西菲卡人,涉及 60 个初步深度访谈、7 个焦点小组、一系列拍摄访谈,以及在 COVID-19 大流行期间进行的 32 个额外深度访谈。居民们的叙述强调了住房不足、经济拮据、迁移和流离失所对健康的不利影响,这些因素切断了与地方和社区的联系。这些发现揭示了住房挑战、经济边缘化和新自由主义资本主义之间的关系,强调了政策干预的必要性,以解决住房问题,将其作为边缘化社区健康差异的基本决定因素。
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引用次数: 0
Overcoming Health Information Inequities: Valley fever Information Repertoires Among Vulnerable Communities in California. 克服健康信息不平等:加利福尼亚州弱势社区的谷热病信息报告。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-04 DOI: 10.1080/10410236.2023.2288380
Camille J Saucier, Zexin Ma, Jorge A Montoya, Aaron Plant, Sapna Suresh, Chris L Robbins, Renee Fraser

Although Valley fever represents a growing public health challenge for Central and Southern Californian residents, awareness remains severely limited. The California Department of Public Health (CDPH) ran a cross-platform campaign to mitigate this awareness gap and impact prevention behavior. This study evaluates exposure to the CDPH campaign, followed by an examination of the information consumption patterns associated with key health outcomes. Results suggest that the CDPH campaign successfully improved knowledge accuracy, reduced misperceptions, and increased the likelihood of prevention behavior. Using an information repertoire lens revealed a more nuanced account. Most information repertoires positively influenced accurate knowledge retention and prevention behavior compared to those who were not exposed. The most diverse information repertoire, including interpersonal and media channels, was associated with increased knowledge accuracy, affective risk concerns, personal susceptibility, and prevention behavior. However, exposure to this repertoire was also associated with greater misperceptions. In addition, medical professional and radio-based repertoires positively influenced personal susceptibility perceptions. Overall, this research illustrates the importance of examining not only the general outcomes of health campaigns but also the patterns of information acquisition - particularly when working with underserved communities whose health information consumption preferences may not be comprehensively reflected in the literature.

尽管谷热对加利福尼亚中部和南部居民的公共卫生构成了日益严重的挑战,但人们对谷热的认识仍然非常有限。加利福尼亚州公共卫生部 (CDPH) 开展了一项跨平台活动,以缩小这一认识差距并影响预防行为。本研究评估了对 CDPH 运动的接触情况,随后研究了与主要健康结果相关的信息消费模式。结果表明,CDPH 运动成功地提高了知识的准确性,减少了错误认识,并增加了预防行为的可能性。从信息再现的角度来看,结果更加细致入微。与没有接触过的人相比,大多数信息剧目都对准确知识的保持和预防行为产生了积极影响。包括人际交往和媒体渠道在内的最多样化的信息汇集与知识准确性、情感风险担忧、个人易感性和预防行为的增加有关。然而,接触这些信息也与更多的错误认知有关。此外,医疗专业人员和广播节目对个人易感性认知也有积极影响。总之,这项研究表明,不仅要研究健康运动的一般结果,还要研究信息获取的模式--尤其是在与服务不足的社区合作时,因为这些社区的健康信息消费偏好可能没有在文献中得到全面反映。
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引用次数: 0
Application of Problematic Integration Theory in Health Communication: A Scoping Review. 问题整合理论在健康传播中的应用:范围综述。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-19 DOI: 10.1080/10410236.2023.2281078
Razieh Mehdizadeh-Maraghi, Leila Nemati-Anaraki

Problematic integration theory is a theory in communication that deals with the processing of messages by humans. It is helpful to study challenges and their solutions in the health communication context to develop effective relationships, treat patients, and, ultimately, ensure the well-being of society. A scoping review was conducted. Three databases were searched following the PRISMA-ScR statement without a time frame. Independent screening of titles, abstracts, and full texts was performed, and the studies selected based on the inclusion and exclusion criteria were assessed. The required information was then extracted from the studies and entered into Excel software. A total of 43 studies related to PI theory were identified in the databases. The results indicated that PI theory is used to interpret feelings, beliefs, challenges, concerns, and problematic dilemmas in five thematic categories: elderly care, cancer care, infertility, pregnancy, and childbirth care, illness care, and sexual care. Each of the papers also offers distinctive and valuable considerations for interventions such as communication strategies, coping mechanisms, uncertainty and certainty management, information management, education, training, support groups, and campaigns to improve decision-making and meet the challenges of health communication.

问题整合理论是传播学中研究人类对信息处理的一种理论。在健康沟通的背景下,研究挑战及其解决方案有助于发展有效的关系,治疗患者,并最终确保社会的福祉。进行了范围审查。在没有时间框架的PRISMA-ScR语句之后搜索了三个数据库。对标题、摘要和全文进行独立筛选,并对根据纳入和排除标准选择的研究进行评估。然后从研究中提取所需的信息并输入Excel软件。在数据库中共发现了43项与PI理论相关的研究。结果表明,PI理论可用于解释老年人护理、癌症护理、不孕不育、孕产期护理、疾病护理和性护理五个主题类别的感受、信念、挑战、关注和问题困境。每篇论文还提供了独特而有价值的干预措施,如沟通策略、应对机制、不确定性和确定性管理、信息管理、教育、培训、支持团体和运动,以改善决策和应对健康沟通的挑战。
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引用次数: 0
COVID-19 Vaccination Hesitancies: A Spanish-Language Focus Group Analysis in Texas. COVID-19 疫苗接种犹豫不决:德克萨斯州西班牙语焦点小组分析。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-09-15 DOI: 10.1080/10410236.2023.2258310
Karishma Chatterjee, Charla Markham Shaw, Grace Ellen Brannon, Chyng-Yang Jang, Thomas Bryan Christie, Juliann Rodriguez, Vinicio Sinta

COVID-19 related health disparities are prevalent among higher risk populations like the Hispanic community. Vaccination is one readily available public health tool, yet vaccine uptake is lower among minority populations and hesitations and concerns are high. In the present study, interpersonal and media sources of information about COVID-19 were discussed in a series of six focus groups with Spanish-language dominant and bilingual English-Spanish respondents in a large metropolitan area in Texas. Participants reported using legacy media as a main source of information about COVID-19 vaccines and encountered conspiracy theories and misinformation on social media. Using the Health Belief Model as the theoretical lens, we found individuals' and family members' perceived susceptibility to COVID-19 played a part in participants wanting to find and get the vaccine. Provider recommendations may have served as cues to action. Ease of receiving the vaccines at church and pharmacies may have served to boost participants self-efficacy. Perceived barriers include vaccine specific reasons such as the fast pace of initial authorization, side effects, and long-term effects along with conspiracy theories. Prevailing information gaps regarding the COVID-19 vaccines and the resulting uncertainty are discussed. Understanding information sources and the trust Hispanic communities place in these sources is important in designing effective health messages.

在西班牙裔等高风险人群中,与 COVID-19 相关的健康差异非常普遍。疫苗接种是一种现成的公共卫生工具,但在少数族裔人群中,疫苗接种率较低,而且犹豫不决和顾虑重重。在本研究中,德克萨斯州一个大都市地区的六组焦点小组与以西班牙语为主和英语-西班牙语双语的受访者讨论了有关 COVID-19 的人际和媒体信息来源。受访者表示,传统媒体是 COVID-19 疫苗的主要信息来源,并在社交媒体上遇到过阴谋论和错误信息。以健康信念模型为理论视角,我们发现个人和家庭成员对 COVID-19 的感知易感性对参与者寻找和接种疫苗起到了一定的作用。医疗服务提供者的推荐可能是行动的线索。在教堂和药房接种疫苗的便利性可能会增强参与者的自我效能感。认为存在的障碍包括疫苗的具体原因,如初始授权速度过快、副作用、长期影响以及阴谋论。我们还讨论了有关 COVID-19 疫苗的普遍信息缺口以及由此产生的不确定性。了解信息来源以及西班牙裔社区对这些来源的信任度对于设计有效的健康信息非常重要。
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引用次数: 0
From Watching to Calling: Linking Variations in an Entertainment-Education Storyline with Calls to a Health Hotline. 从观看到呼叫:将娱乐教育故事线中的变化与健康热线的呼叫联系起来。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-10-30 DOI: 10.1080/10410236.2023.2275923
Sapna Suresh, Stefanie Z Demetriades, Nathan Walter, Jorge A Montoya, Aaron Plant, Kriss Barker, Cecilia Orvañanos, Jessica Carranza

Substantial gaps exist in the theoretical conceptualization and practical development of entertainment-education, as studies often fail to account for the ways in which intrinsic message characteristics influence subsequent behavior. These gaps served as the impetus for an international collaborative project that evaluated Vencer el Miedo ("Overcome the Fear"), a Spanish-language program that aired in Mexico from January to March 2020. The telenovela was produced with the aim of improving sexual and reproductive health knowledge and behaviors by modeling effective ways to discuss and negotiate safer sex practices. The show was accompanied by a telephone hotline called OrientaSEX operated by professional counselors from MEXFAM, Planned Parenthood's Mexican affiliate. Utilizing an interrupted time series analysis of calls made to OrientaSEX (N = 11,878) and focusing on changes in the volume of calls and the identity of callers following key moments in the storyline, the findings support the central role played by transitional characters and their similarity to audience members. Implications of these results for the theory and practice of entertainment-education are discussed.

在娱乐教育的理论概念化和实践发展方面存在着巨大的差距,因为研究往往无法解释内在信息特征影响后续行为的方式。这些差距推动了一个国际合作项目,该项目评估了2020年1月至3月在墨西哥播出的西班牙语节目《克服恐惧》。制作这部电视中篇小说的目的是通过模拟讨论和协商更安全性行为的有效方式,提高性健康和生殖健康知识和行为。该节目还配有一条名为OrientaSEX的电话热线,由计划生育组织墨西哥分支机构MEXFAM的专业顾问运营。利用对拨打OrientaSEX(N = 11878),并关注故事情节中关键时刻后通话量和来电者身份的变化,研究结果支持了过渡角色所扮演的核心角色及其与观众的相似性。讨论了这些结果对娱乐教育理论和实践的启示。
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引用次数: 0
Effects of Online Friendships on Safer Sex Communication and Behavior among Black Sexual Minority Men: A Study of Network Exposure. 网络友谊对黑人少数性取向男性安全性交流和行为的影响:网络接触研究》。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-09-15 DOI: 10.1080/10410236.2023.2258309
Lindsay E Young

This study draws on social normative and social learning theories to examine the masspersonal safer sex communication (i.e., Facebook posts about safer sex) and safer sex behavior (i.e., condom use) in a cohort of Black sexual minority men (BSMM) (N = 340), with an eye toward understanding their relationship with the safer sex communication and behaviors of their BSMM Facebook friends. Using linear network autocorrelation regression models, results showed that BSMM's safer sex communication and condom use behavior were each associated with the communication and behavior of their online peers. Specifically, BSMM's condom use was positively associated with their friends' condom use and friends' safer sex communication, and BSMMs' safer sex communication was positively associated with friends' safer sex communication. Moreover, contrary to prior research, BSSM's safer sex communication and condom use were not related to one another, suggesting that talking about safer sex on social media should not be interpreted to be an indication of engageDment in safer sex behavior. These findings underscore an opportunity to leverage peer influence in social media networks, particularly in the form of masspersonal communication, to encourage cascades of safer sex messaging among peers and adoption of safer sex behavior.

本研究借鉴了社会规范和社会学习理论,研究了黑人性少数群体男性(BSMM)(N = 340)的大众个人安全性行为交流(即 Facebook 上关于安全性行为的帖子)和安全性行为(即安全套的使用),旨在了解他们与 BSMM Facebook 好友的安全性行为交流和行为之间的关系。通过使用线性网络自相关回归模型,结果表明黑人性少数群体的安全性行为交流和安全套使用行为均与其网络同伴的交流和行为相关。具体来说,BSMM 的安全套使用与其朋友的安全套使用和朋友的安全性行为交流呈正相关,而 BSMM 的安全性行为交流与朋友的安全性行为交流呈正相关。此外,与之前的研究相反,BSSM 的安全性行为交流与安全套使用并不相关,这表明在社交媒体上谈论安全性行为不应被解释为参与安全性行为的表现。这些发现强调了一个机会,即利用社交媒体网络中的同伴影响力,尤其是以大众传播的形式,来鼓励同伴间的安全性行为信息传播和安全性行为的采用。
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引用次数: 0
Is There a Relationship Between Online Health Information Seeking and Health Anxiety? A Systematic Review and Meta-Analysis. 网络健康信息寻求与健康焦虑之间存在关系吗?系统综述和荟萃分析。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI: 10.1080/10410236.2023.2275921
Zhenyu Wang, Yi Hu, Bohan Huang, Guixian Zheng, Bei Li, Zhihan Liu

The internet has revolutionized how we live, providing unprecedented convenience and up-to-date information. Consequently, an increasing number of individuals are turning to the internet for health-related information, despite research suggesting a correlation between this behavior and health anxiety. Therefore, drawing on cognitive - behavioral theory, we explore the link between online health information seeking and health anxiety via a systematic review and meta-analysis of cross-sectional studies. Following the Preferred Reporting Items for Systematic Reviews and Meta-analysis, we ran searches in multiple databases, including PubMed, Web of Science, Embase, Elsevier/Science Direct, Cochrane Database, China National Knowledge Infrastructure, VIP Chinese Database, and Wanfang Data. Our searches identified 16 studies eligible for review, involving 4,920 participants across seven countries. The random-effects meta-analysis revealed a significant positive correlation between online health information seeking and health anxiety (r = 0.28, 95% confidence interval [0.16, 0.41], p < .0001), despite considerable heterogeneity. Furthermore, meta-regression analysis demonstrated that the identity characteristics of the sample, female percentage, sample size, and country all contributed to the heterogeneity across studies. Overall, this meta-analysis provides support for the association between online health information seeking and health anxiety, and helps to elucidate the cognitive - behavioral theory underpinning this phenomenon.

互联网已经彻底改变了我们的生活方式,提供了前所未有的便利和最新的信息。因此,越来越多的人转向互联网获取与健康相关的信息,尽管研究表明这种行为与健康焦虑之间存在相关性。因此,我们借鉴认知行为理论,通过对横断面研究的系统回顾和荟萃分析,探讨了在线健康信息寻求与健康焦虑之间的联系。根据系统评价和荟萃分析的首选报告项目,我们在多个数据库中进行了搜索,包括PubMed、Web of Science、Embase、Elsevier/Science Direct、Cochrane数据库、中国国家知识基础设施、VIP中文数据库和万方数据。我们的搜索确定了16项符合审查条件的研究,涉及7个国家的4920名参与者。随机效应荟萃分析显示,在线健康信息寻求与健康焦虑呈正相关(r = 0.28,95%置信区间[0.16,0.41],p
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引用次数: 0
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Health Communication
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