Health Communication最新文献

Scholars speculate that injunctive norms messages elicit more psycholgical reactance compared to descriptive norms messages. This research argues that the commonly employed linguistic variations of injunctive norms messages account for reactance effects rather than the injunctive norms vs. descriptive norms difference itself. We employed a 5 (norms messaging: descriptive norms vs. injunctive norms approval vs. injunctive norms disapproval vs. injunctive norms should vs. injunctive norms must) × 2 (topic: responsible drinking vs. nutritious diet) between-subjects experiment (N = 424) to test the degree to which specific injunctive norms messages elicit reactance. The findings indicated that the injunctive norms must message produced a significantly stronger perceived freedom threat than both the descriptive norms message and the injunctive norms should message. Moreover, serial mediation suggested that after the exposure to the injunctive norms must message, participants reported stronger perceived freedom threat and psychological reactance, followed by more unfavorable attitudes and weaker behavioral intention to engage in responsible drinking and a healthy diet. No differences occurred between the injunctive norms approval and disapproval messages. The results provide theoretical and empirical clarity for the relationship between social norms messaging and psychological reactance and offer practical guidance for social norm-based public health interventions.

Men's genital hygiene and grooming practices are rarely discussed despite their importance for men's overall health. The purpose of this reflective thematic analysis is to understand the messages Black men received about genital hygiene using the theory of socialization. In 2022, n = 8 heterosexual Black men ages 24-43 participated in semi-structured interviews as a part of the Generation Genital (Gen2) Messages Study. Grounded in the culture-centered approach's epistemological commitment to centering marginalized voices, this study integrates sexual socialization theory as an analytical framework to examine how sociohistorical and sociocultural constructs of masculinity shape heterosexual Black men's grooming and hygiene practices. Results of the thematic analysis revealed eight themes related to Please provide missing details for Barkley, 2023 reference list entry.Black men's grooming and hygiene messages, which were then classified using sexual socialization theory (i.e. familial socialization, peer socialization, cultural socialization, and self-exploration). Our study's findings highlighted how differing levels of socialization enable and constrain messaging related to grooming and hygiene. Further, the results emphasize men's desire for more health communication regarding grooming and hygiene to maintain their health and protect their partners from illnesses. However, Black men in our study may have experienced hesitations about engaging in grooming, as it may compromise their already precarious standing within the culture of hegemonic masculinity. Finally, this study offered recommendations for parents, community organizers, and practitioners to help Black men and families engage in conversations about male hygiene and grooming practices.

As health communication grapples with urgent challenges, including the politicization of health issues, global public health crises, and accelerating technological change, there is a growing need to understand how the field has evolved and where it is heading. Existing studies have laid important groundwork in analyzing Health Communication's content and influence. Building on that work, this study offers a longitudinal perspective that captures broader thematic and authorship trends across more than three decades. This study explores thematic shifts and research trends in 2,648 original articles published in Health Communication between 1989 and 2023. Using a topic model, we identified five dominant themes: health campaigns, patient care and support, public health and risk communication, digital media in health, and behavior change interventions. Cohort analyses showed strong author retention and increasing diversity among contributors. Visualization techniques, including 3- and 5-year moving averages and heatmaps, revealed consistent growth in publication output and a broadening of research topics over time. Among several unexpected findings included the limited exploration of global health communication issues. These core findings demonstrate the journal's critical role in advancing health communication scholarship and provide insights into evolving research priorities and their implications for public health.

Given the limited research on the content attributes of anti-vaccination discourse regarding COVID-19 vaccines, our study investigated how conspiracy communities on Reddit, which may serve as potential anti-vaccination groups, have framed their discussions about the vaccines. Using topic modeling, we identified six topics including conspiracy theories and vaccine hesitancy, scientific (mis)information, vaccine policies and politics, vaccine efficacy, impact on special groups, and adverse effects. Furthermore, drawing on social identity theory and the concept of echo chambers, we explored the online dynamics of these communities by examining how negative sentiments and user engagement varied across topics. Negative sentiments were strongest in discussions about vaccine efficacy and adverse effects, with vaccine efficacy generating the most fear and sadness, while adverse effects elicited the most anger and disgust. Engagement also varied across topics, with vaccine efficacy and conspiracy theories generating the highest number of comments, and vaccine efficacy receiving the most upvotes. Our study provides valuable insights into the discourse surrounding COVID-19 vaccines within conspiracy communities. The variations across topics offer a more nuanced understanding of this discourse and could inform developing tailored strategies to counter misinformation.

Community engagement has been used in a variety of settings to work with communities to support maternal and newborn health (MNH) care-seeking. Communication is an important component of CE, influencing how information is shared or behavior change is promoted. However, there is limited evidence explaining "how, why and for whom" communication works in these approaches. This study presents middle-range theories (MRTs) explaining how communication in community engagement works to improve MNH care-seeking. Building off of a multi-site realist evaluation conducted in Zambia, this study further synthesizes seven programme theories with the substantive literature to present four MRTs. The MRTs, aligning with elements of the communication transmission model, describe the considerations that make communication in community engagement work by addressing the message, channel/feedback loops, sender, and receiver. These theories can contribute to explaining how communication in community engagement works and inform future programming by presenting practical recommendations.

A healthy lifestyle, particularly having a balanced diet, regular physical activity, and abstaining from alcohol and smoking, is important for the recovery process of cancer survivors. The extent and form in which lifestyle information is provided by healthcare providers varies substantially, which could leave many patients with unmet information needs. To better understand current practices and areas for improvement in communicating about these health behaviors, we explored survivors' experiences and preferences regarding communication. Using deductive and inductive content analysis, we analyzed questionnaire responses from survivors with various types of cancers. The results revealed the experiences with information provision, and barriers and facilitators to adhere to treatments. Respondents reported having to search for information themselves, which could lead to negative feelings and neglecting vulnerable groups of patients. Most respondents preferred a multimodal distribution of information and receival of recommendations at the beginning of treatment. Additionally, respondents preferred personalized and non-coercive messages about their lifestyle. The results of this study provide insights into current shortcomings and points for improvement of healthy lifestyle communication practices in oncology. Understanding patients' communication preferences and ways in which they can be implemented could lead to adherence to health behaviors, potentially improving long-term survivorship outcomes. Future research could explore whether tailoring recommendations to individual needs and delivering information at critical stages can enhance patient satisfaction and engagement.

Generative artificial intelligence (AI) tools, such as ChatGPT, have become a convenient source of information. This study proposes and tests a model predicting intentions to use ChatGPT for health information and examines whether significant predictors differ by condition severity. The model included the original predictors of the unified theory of acceptance and use of technology (UTAUT). Guided by channel complementarity theory, which highlights source characteristics in a multisource information-seeking environment, dissatisfaction with human healthcare services and perceived credibility of ChatGPT were added to the model. Performance expectancy, social influence, and perceived credibility predicted attitudes toward using ChatGPT, which in turn predicted usage intentions, while effort expectancy was not significant. Condition severity moderated the effect of dissatisfaction with healthcare services, predicting greater intentions to use ChatGPT for mild conditions but not severe ones. This study extends UTAUT to health information seeking and discusses theoretical and practical implications for generative AI use in healthcare.

Increasingly, parents are turning to digital and social media for infant health information. Studies have called for more research investigating how parental characteristics influence digital media information seeking because these same characteristics impact approaches to infant caregiving and decision-making. Drawing on the selective exposure self- and affect- management model, the current study investigated how two common characteristics of infant parenting approaches (i.e. routine and nurturance) influenced digital and social media information-seeking behaviors in a cross-sectional survey (N = 124) with mothers of infants 12 months or younger. Key findings revealed that routine orientation positively predicted searching for topics related to naps, sleep training, developmental milestones, and nurturance negatively predicted seeking topics of sleep training, crying, and infant bonding. Further, nuanced differences in how routine orientation and nurturance influence social media behaviors may exist. Being routine-oriented predicted asking questions in chats, posts, and forums on social media. Being high in nurturance predicted reading about other parents' personal experiences and using social media to exchange opinions and experiences with other parents. Theoretical and practical implications are discussed.

The increasing popularity of electronic vaping products (EVPs) or Electronic Nicotine Delivery Systems (ENDS) among youth and young adults has increased health risk concerns, with long-term implications. This qualitative analysis presents a comparison of messaging and motivators depicted in anti-tobacco advertising originating in the 1960s, with modern cessation advertising attempting to reduce the use of EVPs. Content analysis on 100 YouTube videos indicated only 6% of the EVP content framed the social consequences of nicotine usage, while 26% of the tobacco content depicted social consequences as a detrimental outcome. EVP content did not promote financial aspects or the health of others as motivators. Those motivators were depicted as low, but not completely absent, within the tobacco content. Sentiment analysis specified the most significant difference between EVP and tobacco advertisements were in the negative adjective component, in which the pre-EVP transcript represented 0.27, and the post-EVP at 1.13. WordStat content analysis demonstrated that pre-EVP tobacco messaging held more direct reference to the nicotine user, such as "natural born smoker" and "grow up fast." Common sentiment for post-EVP campaigns were more affective, framing EVP as "depression sticks" associated with depression and anxiety. A low level of content diversity leads to a three-dimensional recommendation: User health outcomes should be retained while messaging specific to the potential health risk of non-users ingesting vape residue should be promoted. Finally, additional messaging should verify that vaping is a financially demanding habit.

Although rates in the United States have declined significantly since the 1990s, the U.S. continues to have among the highest teen birth rates in the developed world, and recent policy changes in the U.S. warrant increased attention to pregnancy prevention efforts. This research employed a computational approach to analyze social media messages about a pregnancy prevention campaign with focus on analyzing responsibility attribution and frames that might lead to potential stigmatization. Original posts from the Power to Decide campaign's Twitter account posted from 2017 to 2022 (N = 7,770) were analyzed. Automated topic modeling identified five topics extracted from the data: access, encouraging conversations, pregnancy prevention programs, voter voice, and barriers. A subsequent thematic analysis was conducted to uncover sub-themes that provide insight into each topic. Results revealed an emphasis on social responsibility in the organization's social media messaging, reflecting the multiple stakeholders the organization targets in its social media messaging, which are not limited to the at-risk population (i.e. teens), and to whom structural solutions to teen pregnancy prevention can be promoted.