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Mechanisms of Climate Change Media Effects: Roles of Risk Perception, Negative Emotion, and Efficacy Beliefs. 气候变化媒体效应的机制:风险认知、负面情绪和效能信念的作用。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-03-05 DOI: 10.1080/10410236.2024.2324230
Hye-Jin Paek, Thomas Hove

In the context of climate change communication, this study explores the process through which exposure to media messages about a risk leads to recommended behavioral intentions. We propose a model of this process based on the Extended Parallel Process Model (EPPM) and the Risk Perception Attitude (RPA) framework. Our model analyzes how risk perception, negative emotion, and efficacy beliefs mediate and moderate the effects of media messages on people's intention to engage in pro-environmental behaviors. A national survey among 1,000 adults in South Korea was analyzed, and the fitting of PROCESS Models 4 and 15 yielded four main findings. First, media exposure was directly and positively related to risk perception, negative emotion, and pro-environmental behavioral intention. However, the significant relation between media exposure and behavioral intention was partly conditional upon efficacy beliefs. Second, risk perception and negative emotion were also significantly related to behavioral intention conditional upon efficacy beliefs. Third, efficacy beliefs significantly moderated the relation between risk perception and behavioral intention, but not between negative emotion and behavioral intention. Fourth, efficacy beliefs served as a moderator for the indirect effect of media exposure on behavioral intention via risk perception and negative emotion.

在气候变化传播的背景下,本研究探讨了接触有关风险的媒体信息导致推荐行为意向的过程。我们基于扩展平行过程模型(EPPM)和风险感知态度(RPA)框架,提出了这一过程的模型。我们的模型分析了风险感知、负面情绪和效能信念如何调解和缓和媒体信息对人们参与环保行为意向的影响。我们分析了一项针对韩国 1000 名成年人的全国性调查,并对 PROCESS 模型 4 和 15 进行了拟合,得出了四个主要结论。首先,媒体接触与风险认知、负面情绪和亲环境行为意向直接正相关。然而,媒体接触与行为意向之间的重要关系部分取决于效能信念。其次,在效能信念的条件下,风险认知和负面情绪也与行为意向显著相关。第三,效能信念在很大程度上调节了风险认知与行为意向之间的关系,但没有调节负面情绪与行为意向之间的关系。第四,效能信念是媒体接触通过风险认知和负面情绪对行为意向产生间接影响的调节因素。
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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
LGBTQ+ Peer Advocates' Health Communication Praxis for College Student Health Outreach and Intersectional Needs. LGBTQ+ 朋辈宣传员的健康交流实践,以满足大学生的健康外联和交叉需求。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-12 DOI: 10.1080/10410236.2023.2301203
Elizabeth K Eger, Melinda M Villagran, Marsha Burney

The following essay examines health communication outreach for LGBTQ+ college students through analyzing both the design and exit evaluation of a federally funded United States public health program. SHARE-Pride was a three-year health intervention program that served LGBTQ+ students ages 18-24 at Southern University (SU)-a Hispanic and Minority Serving Institution. Because of structural barriers creating sexual health and drug and alcohol consumption risks, SHARE-Pride (SP) used a peer advocate model for students to develop mentoring relationships with LGBTQ+ peers to increase health knowledge. We first present health literature that informed SP's design and then examine research that shaped our exit study to understand advocates' intersectional identities and experiences as impacting their health communication outreach. We share rich findings from our interviews with 12 students, including communication approaches for LGBTQ+ health, increasing health communication inclusive of the full LGBTQ+ spectrum, and the role of intersectionality in LGBTQ+ health communication. We conclude with health communication praxis for future LGBTQ+ health programs and research.

以下文章通过分析一项由联邦政府资助的美国公共卫生项目的设计和退出评估,探讨了针对 LGBTQ+ 大学生的健康传播推广活动。SHARE-Pride是一项为期三年的健康干预计划,服务对象是南方大学(SU)的18-24岁LGBTQ+学生,南方大学是一所西班牙裔和少数民族服务机构。由于结构性障碍造成了性健康及毒品和酒精消费风险,SHARE-Pride(SP)采用了同伴倡导模式,让学生与 LGBTQ+ 同龄人建立辅导关系,以增加健康知识。我们首先介绍了为 SP 的设计提供依据的健康文献,然后审查了影响我们退出研究的研究,以了解倡导者的交叉身份和经历对其健康传播推广活动的影响。我们将与 12 名学生分享访谈中的丰富发现,包括 LGBTQ+ 健康传播方法、提高 LGBTQ+ 健康传播的包容性以及交叉性在 LGBTQ+ 健康传播中的作用。最后,我们为未来的 LGBTQ+ 健康计划和研究提供了健康传播实践。
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引用次数: 0
Emotional Shifts in Health Messages as a Strategy for Generating Talk and Behavior Change. 将健康信息中的情感转变作为引发谈话和行为改变的策略。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-25 DOI: 10.1080/10410236.2024.2305552
Susana Peinado, Robin L Nabi

Although talk generated by health messages can spread message content and promote positive behavior change, little is known about what message features may be more likely to prompt conversation. Given theoretical and research support for sequential emotional experiences to increase the intensity of emotion and the extent of engagement with the emotional content - both of which are expected to positively influence talk and persuasion - we examined whether shifts in emotion within a health message influenced these outcomes. In a longitudinal experiment, we compared the effects of two texting while driving prevention messages containing a shift in emotional valence (negative to positive and positive to negative) with two single-valence emotional messages (negative-only and positive-only) on talk and persuasion (N = 333). Results indicated that emotional shift messages generated more talk than single-valence messages because they elicited greater emotional intensity and deeper message processing. These variables also mediated the effect of emotional shift messages on persuasion both immediately following message exposure and one week later, though intentions to avoid texting while driving immediately after message exposure had a greater influence on beliefs and behavior at the one-week follow-up than talk. These findings suggest that talk may play a more important role in spreading message content and reinforcing message-generated change rather than creating change itself.

尽管健康信息引发的谈话可以传播信息内容并促进积极的行为改变,但人们对哪些信息特征更有可能引发谈话却知之甚少。鉴于理论和研究都支持连续的情感体验会增加情感强度和对情感内容的参与程度--这两者都有望对谈话和说服产生积极影响--我们研究了健康信息中的情感变化是否会影响这些结果。在一项纵向实验中,我们比较了两条包含情感转换(从负面到正面和从正面到负面)的预防开车发短信信息和两条单一情感转换信息(仅有负面和仅有正面)对谈话和说服的影响(N = 333)。结果表明,情感转换信息比单一价位信息产生更多的谈话,因为它们引起了更大的情感强度和更深的信息加工。这些变量也对情感转移信息在信息暴露后立即和一周后对说服的影响起到了中介作用,尽管在信息暴露后立即避免开车时发短信的意愿比谈话对一周后的信念和行为的影响更大。这些研究结果表明,谈话在传播信息内容和强化信息所产生的变化方面可能发挥着更重要的作用,而不是产生变化本身。
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引用次数: 0
Effects of Health Responsibility Frames on Attributions, Emotions, and Social Support Intentions in the Context of Dementias. 痴呆症背景下健康责任框架对归因、情感和社会支持意愿的影响。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-28 DOI: 10.1080/10410236.2024.2307204
Mara Berlekamp, Doreen Reifegerste, Linn Julia Temmann

When news stories cover health and diseases, they often address issues of responsibility. These responsibility frames can affect recipients' responsibility beliefs (i.e., attributions) and thereby affect emotions and motivations to support people affected by health problems. To date, it is not fully understood how responsibility frames affect these attributions, emotions, and social support intentions in the context of dementia. In an online experiment with N = 1,059 German participants, we tested the effects of different responsibility frames (individual vs. contextual) on social support intentions through responsibility attributions and emotional reactions in the context of dementia. Results show that responsibility frames affect responsibility attributions and social support intentions. Mediation analysis shows that the effect of contextual responsibility frames on social support intention is partially mediated by responsibility attribution and emotions (sympathy and anger). We discuss these findings considering framing effects research and media coverage.

当新闻报道涉及健康和疾病时,往往会涉及责任问题。这些责任框架会影响受众的责任信念(即归因),从而影响他们的情绪和支持受健康问题影响者的动机。迄今为止,人们还不完全了解在痴呆症的背景下,责任框架是如何影响这些归因、情绪和社会支持意向的。在一项有 1,059 名德国参与者参加的在线实验中,我们测试了不同责任框架(个人与情境)在痴呆症情境下通过责任归因和情绪反应对社会支持意愿的影响。结果表明,责任框架会影响责任归因和社会支持意愿。中介分析表明,情境责任框架对社会支持意向的影响部分受到责任归因和情绪(同情和愤怒)的中介。考虑到框架效应研究和媒体报道,我们对这些发现进行了讨论。
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引用次数: 0
Political Party Collective Norms, Perceived Norms, and Mask Wearing Behavior: A Test of the Theory of Normative Social Behavior. 政党集体规范、感知规范与戴面具行为:规范性社会行为理论的检验》。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-28 DOI: 10.1080/10410236.2024.2309003
Manusheela Pokharel, Helen M Lillie, Jakob D Jensen, Andy J King, Chelsea L Ratcliff, Joshua B Barbour

The theory of normative social behavior (TNSB) postulates that people are influenced by others' behaviors, which they observe from messages and experience. In addition to focusing on perceived (i.e., descriptive and injunctive) norms, the TNSB was expanded to include collective norms, which represent what people actually do. Testing this expanded theoretical model, the current study examined whether two types of collective norms - collective political norms and collective regional norms - interacted with descriptive norms to influence pandemic mask wearing behavior expectations among U.S. adults (N = 444). The interaction was statistically significant for collective political norms (β = -.74, p = .009) but not collective regional norms (β = -.16, p = .85). Specifically, descriptive norms were related to increased mask wearing expectation for all values of political party collective norms, but the effects were stronger when political party collective norms were low (i.e., low mask wearing behavior was normative). The findings support the inclusion of collective norms in the TNSB, clarify the relationships among different types of norms, and provide insights for norms-based interventions.

社会行为规范理论(TNSB)认为,人们会受到他人行为的影响,而这些行为是他们从信息和经验中观察到的。除了关注感知规范(即描述性规范和命令性规范)外,TNSB 还扩展到了集体规范,即人们的实际行为。本研究检验了这一扩展的理论模型,考察了两种集体规范--集体政治规范和集体地区规范--是否与描述性规范相互作用,影响美国成年人(N = 444)佩戴大流行性口罩的行为预期。集体政治规范(β = -.74,p = .009)与集体地区规范(β = -.16,p = .85)之间的相互作用具有统计学意义。具体而言,在所有政党集体规范值中,描述性规范都与戴口罩期望的增加有关,但当政党集体规范较低时(即低戴口罩行为是规范性的),其影响更强。研究结果支持将集体规范纳入 TNSB,阐明了不同类型规范之间的关系,并为基于规范的干预措施提供了启示。
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引用次数: 0
The Landscape of Direct-To-Consumer Genetic Testing in Reproductive Health Contexts: An Analytical Framework of Stakeholders and Their Competing Motivations. 生殖健康背景下直接面向消费者的基因检测格局:利益相关者及其竞争动机分析框架》。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-02-06 DOI: 10.1080/10410236.2024.2312607
Elaine Hsieh, Brittney S Morrissey, Isabella A Chiareli

We propose a theoretical framework that identifies (a) the different categories of stakeholders and (b) the normative values that drive their attitudes toward direct-to-consumer genetic testing, with an emphasis on the reproductive health contexts. We conducted a literature search using varied combinations of search terms, including direct-to-consumer genetic testing, decision-making, reproductive health, and policy. Using a grounded theory approach to existing literature and in combination with a narrative review, we present a systematic framework of five categories of stakeholders (i.e., genome-driven stakeholders, industry-driven stakeholders, history-driven stakeholders, value-driven stakeholders, and social justice-driven stakeholders) that shape the public's discourse. Moving beyond the dialectical ethics that have governed the public discourse, we also identify the normative values and interests that motivate different stakeholders' attitudes and decision-making through theoretical sampling under the grounded theory. We investigate the competing and conflicting values within the same category of stakeholders. For example, despite being industry-driven stakeholders, medical professionals' attitudes are driven by concerns about standards of care; in contrast, health insurance companies' concerns are centered on profit. We further explore the tensions between these stakeholders that impact their strategic alliances and pose challenges to the practices of direct-to-consumer genetic testing. Finally, we examine how these stakeholders and their corresponding values may shape future development and policies of direct-to-consumer genetic testing in the context of reproductive health.

我们提出了一个理论框架,以确定 (a) 不同类别的利益相关者和 (b) 驱动他们对直接面向消费者的基因检测所持态度的规范性价值观,重点是生殖健康背景。我们使用不同的检索词组合进行了文献检索,包括直接面向消费者的基因检测、决策、生殖健康和政策。我们对现有文献采用了基础理论方法,并结合叙述性综述,提出了一个系统性框架,其中包括五类影响公众话语的利益相关者(即基因组驱动的利益相关者、行业驱动的利益相关者、历史驱动的利益相关者、价值驱动的利益相关者和社会正义驱动的利益相关者)。除了管理公众话语的辩证伦理之外,我们还通过基础理论下的理论取样,确定了激励不同利益相关者态度和决策的规范性价值观和利益。我们研究了同一类利益相关者中相互竞争和冲突的价值观。例如,尽管是行业驱动的利益相关者,但医疗专业人员的态度是由对医疗标准的担忧所驱动的;与此相反,医疗保险公司的担忧则是以利润为中心。我们进一步探讨了这些利益相关者之间的紧张关系,这些紧张关系影响了他们的战略联盟,并对直接面向消费者的基因检测实践提出了挑战。最后,我们将探讨这些利益相关者及其相应的价值观会如何影响直接面向消费者的基因检测在生殖健康领域的未来发展和政策。
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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
Acquiring Social Support in an Online HPV Support Group: Exploring the Roles of Threat and Efficacy. 在在线HPV支持小组中获得社会支持:探索威胁和疗效的作用。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-12-03 DOI: 10.1080/10410236.2023.2287276
Liang Chen, Lunrui Fu, Xiaodong Yang, Linhan Li, Sitong Ding

Social media have become crucial communication channels for human papilloma virus (HPV) patients to seek and receive social support that can benefit their physical and psychological health. To promote supportive communication on online social platforms, we analyzed 96,543 messages, including 7,407 posts and 89,136 comments, concerning social support on Baidu HPV Forum, one of China's largest online HPV support groups. We examined factors (i.e., threat and efficacy) in posts requesting social support associated with the amount of social support received in comments. Results revealed that the majority of social support messages received in comments represented informational support, whereas relatively few comments featured instrumental social support. Beyond that, high-threat, non-efficacy posts requesting social support received a greater amount of informational and emotional support in the comments than other types of posts requesting social support. Theoretical and practical implications of our study are discussed as well.

社交媒体已成为人乳头瘤病毒(HPV)患者寻求和接受有益于其身心健康的社会支持的重要沟通渠道。为了促进在线社交平台上的支持性交流,我们分析了百度HPV论坛(中国最大的在线HPV支持团体之一)上有关社会支持的96543条信息,包括7407条帖子和89136条评论。我们检查了要求社会支持的帖子中与评论中收到的社会支持数量相关的因素(即威胁和效力)。结果显示,评论中收到的大多数社会支持信息是信息支持,而相对较少的评论是工具性社会支持。除此之外,要求社会支持的高威胁、非效能帖子在评论中获得的信息和情感支持比其他类型的要求社会支持的帖子要多。本文还讨论了本研究的理论和实践意义。
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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
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Health Communication
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