Health Communication最新文献

Despite rising demand for organ donation, global rates remain low. This systematic review and meta-analysis identified the key factors influencing organ donation intentions and behaviors. We established a theoretical framework outlining the key determinants of organ donation intent and behavior. The analysis included 85 studies (N = 310,476), our results identified 48 antecedents and compared their differences based on (1) demographics, (2) rational behavior theory and planned behavior theory and their extensions, (3) emotional expectations, (4) prosocial motivation, and (5) donation experience. Additionally, we conducted an exploratory analysis to determine the moderating effects of publication year, sample population, methodology (sample collection method), and cultural background (national development level) on the relationship between antecedents and organ donation behavior. Publication bias and literature quality were also evaluated to determine the robustness and scalability of the results. We present the first meta-analysis research evidence on organ donation intention and behavior, summarizing ample empirical knowledge about organ donation in the literature and following contemporary meta-analysis guidelines and best practices to produce transparent and replicable scientific discoveries. Our findings also contribute to health interventions, health emergency and provide policy and practical implications for future health research.

In this study, we explore communication between doctors and patients in health consultations from the doctor's perspective. Traditionally, health communication research has focused on patient perspectives and interpersonal issues in the health context. We argue that, although patient perspectives are important and there are interpersonal aspects, intergroup issues are more salient, and we need to also consider the doctor's views on the health consult. Ten doctors from Australia were interviewed and asked to describe their ideal health consultation, their communication behaviors during consultations, and the challenges they often experience during consultations. For reference and comparison, we asked 20 patients the same questions. Leximancer, a text-mining tool, mapped the key concepts for doctors and patients. Communication accommodation theory (CAT) was used to identify the communication strategies of each group. Analyses revealed that unlike patients, doctors report using several communication strategies in their consultations. More notably, accommodating to patients is not an easy task and doctors tend to employ a blended strategies approach when dealing with challenging patients. We discuss the implications of our findings for improving doctor-patient communication and for the advancement of CAT in the health context.

Despite the increasing popularity of video blogging (vlogging) among patients with chronic illnesses, little is known about emotional exchange as a fundamental source of social support on YouTube for patients coping with cancer. We investigated the phenomenon known as emotional contagion on eight cancer vlog channels and the potential mediating role of two types of user participation (i.e. commenting and liking) in emotional contagion. Path analysis of sentiment scores and the number of video likes and comments obtained from transcripts of 529 cancer vlog videos and 194,104 associated comments revealed (a) direct emotional contagion from vloggers to viewers for negative emotions only and (b) indirect emotional contagion for positive emotions via commenting among viewers. Commenting appeared to facilitate positive emotions while suppressing negative emotions among viewers, whereas liking was more likely to generate negative emotions among viewers. Our findings suggest that user contribution enhanced emotional support by facilitating emotional contagion in cancer vlog communities. At the same time, commenting and liking operated differently in this emotional contagion process due to differing amounts of cognitive investment required for each action on YouTube.

This study sought to identify the primary sources of HIV and health information among Spanish-speaking Latino gay, bisexual, and other sexual minority men (SMM) in the United States (U.S.) and assess the strengths and limitations of their storytelling networks. We explored how storytellers, or those who relay information to individuals and communities, act as facilitators or barriers to HIV prevention and care services. We conducted individual semi-structured in-depth interviews with 40 Spanish-speaking Latino SMM recruited via a national survey. Qualitative data were analyzed in Spanish in Dedoose using a deductive approach and detailed codebook. Findings revealed four main themes associated with key storytellers and the strength of the communication infrastructure: 1) Having access to Spanish language resources and Spanish-speaking individuals is key to feeling comfortable and confident in seeking care; 2) Feeling connected to the Latino community often correlated with residence in areas where services were culturally tailored; 3) While social support networks are critical for accessing health information and promoting well-being, participants often excluded family members from discussions about HIV and sexual health due to stigma, instead seeking out friends, partners, and health care providers who were perceived as more open and knowledgeable; 4) Social media and the internet provide accessible sources of HIV prevention and care information, but perceived reputability of the source was important. The communication infrastructure and storytellers have implications for the development of future HIV-related interventions for Spanish-speaking Latino SMM in the U.S.

Applying the dual-process model of coping with bereavement, we examined how dementia family caregivers and parents of medically complex children (MCC) experience and cope with loss on a daily basis. Integrating caregiving experiences at both ends of the lifespan revealed largely similar experiences of loss in caregiving as well as nuanced differences in grieving and coping. Using interview data from 26 dementia family caregivers and 26 MCC caregivers, the analysis revealed that both types of caregivers experience loss-orientation, restoration-orientation, and communication-based triggers that move them between the two. For dementia and MCC caregivers, loss-orientation centered on the loss of their expectations for their lives and relationships. Restoration-orientation involved reframing, perspective taking, self-growth, and finding a "new normal." Loss triggers included lack of understanding from others, worsening of the medical conditions, and social comparison. Restoration triggers included social support and improvements in the patient's condition or demeanor.

The "illness blogs" of cancer patients constitute a crucial medium for understanding the lived experience of illness, while the narratives constructed by their family caregivers during the caregiving process hold distinct and significant value in their own right. Grounded in illness narrative theory, this study proposes the concept of "surrogate illness narratives" to investigate how relatives construct illness experiences through vicarious writing and generate alternative forms of health-related public expression within digital public health discourses. Drawing on data from a Chinese online community "Cancer Diary-2017," this study employs a mixed-methods approach, including computer-assisted content analysis, to systematically examine the thematic concerns, narrative strategies, and interactive dynamics of caregivers' posts. Findings indicate that, in terms of what is narrated, caregivers' posts primarily address four themes: medical and caregiving journeys of parents with cancer, illness progression and emotional expression, sharing on cancer-related knowledge and treatments, and cancer experiences of grandparents within intergenerational care contexts-all reflecting distinct familial attributes. As to how narratives are structured, caregivers predominantly adopt nodal narratives, detailed medical descriptions, self-documentation, and monologic expression. Regarding how the narratives are received, different storytelling features lead to divergent engagement outcomes: posts with a positive orientation and detailed accounts tend to evoke stronger empathy and response, whereas linear and lengthy accounts of illness progression tend to attract less interaction. By shifting the focus from patient-centered narration, this study illuminates how surrogate storytelling reconstitutes illness experiences and family relations in Chinese digital contexts, and further contributes to the formation of affective publics.

LGBTQ+ people are frequently exposed to stressors in healthcare settings, including homophobic policies, refusal of care, misgendering, and other forms of mistreatment. Many of these stressors disproportionately affect LGBTQ+ patients in ways not typically experienced by their heterosexual or cisgender counterparts, contributing to inequities in care. These encounters have meaningful consequences for the health and well-being of LGBTQ+ patients. To better understand the stressors LGBTQ+ patients face and how they respond to them, the current study interviewed 23 LGBTQ+ people. Findings indicate that LGBTQ+ patients experienced stress in healthcare settings through overt discrimination (e.g. refusal of care, slurs), implicit bias linking identity and health status, and provider knowledge gaps reflected in misgendering and non-inclusive documents. Participants also described diverse responses to these stressors, ranging from nondisclosure and avoidance tactics to proactive self-advocacy. They also offered recommendations for improving care, emphasizing mandatory education and training for providers, tools to identify LGBTQ+ affirming providers, and visible signals of inclusion in healthcare spaces. Together, these findings illustrate how discriminatory communication functions as a form of communicative disenfranchisement and how such encounters contribute to minority stress, producing tangible health consequences for LGBTQ+ populations.

The proliferation of digital health technologies has transformed healthcare delivery globally. Within this context, online patient-provider communication (OPPC) has emerged as a significant tool for facilitating patient-provider interactions. Using data from Brazil (N = 1,099, M_age = 37.83) and Portugal (N = 1,011, M_age = 40.79), this comparative study explored discrepancies in OPPC utilization and related outcomes by examining the relationship between OPPC and healthcare satisfaction. Additionally, this study tested a serial mediation model of perceived efficacy in patient-provider interaction and patient-centeredness that links OPPC to healthcare satisfaction. Results indicated that the direct effects of OPPC on healthcare satisfaction were not significant in both Brazil and Portugal, but the mediation effects were significant in Brazil. Moreover, patients in Brazil were more involved in OPPC, had more confidence in patient-provider interaction, and rated higher levels of healthcare satisfaction. As the community of Portuguese language countries consolidates efforts in eHealth to promote universal healthcare access and improve overall healthcare satisfaction, this study offers important theoretical and practical implications.

While psychological distance serves as an important lens in persuasive health communication, existing studies have primarily concentrated on single-dimensional distances, often overlooking the potential differential effects of distances under scenarios when multiple dimensions coexist. The current study examined the effect of multidimensional distances in the context of antibiotic risk. A 2 × 2 × 2 online experiment (N = 371) was conducted to explore the interaction of hypothetical, temporal, and spatial distance on antibiotic risk perception and preventive behavior intention. We found that when presenting multiple dimensions of distance cues within antibiotic-related health messages, hypothetical distance exhibited a statistically significant impact on antibiotic risk perception, whereas temporal and spatial distance did not show significant effects under our experimental conditions. Theoretical and practical implications are discussed.

This meta-analysis reviews the literature on parasocial relationships (PSRs) and their association with health from 1979 to 2024. While previous work has established PSRs as influential in persuasive contexts, their specific role in health outcomes remains unclear. In a review of 58 studies, this meta-analysis finds that PSRs are positively associated with both beneficial and harmful health attitudes as well as with health information seeking and sharing. Supporting existing theoretical accounts, PSRs are positively correlated with variables that facilitate health outcomes, including perceived source credibility, risk perceptions, and self-efficacy, yet negatively correlated with resistance to persuasion. Moderation analyses reveal that the type of health condition, media personality, and use of experimental stimuli have a significant influence on the relationship between PSRs and health outcomes. These results extend our theoretical understanding of parasocial relationships in health contexts and offer practical implications for health communication practitioners, including the potential for PSRs to be leveraged for health behavior change while being mindful of potential harmful effects.