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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
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
Expanding the Health Narrative Frame. 扩展健康叙述框架。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-01-29 DOI: 10.1080/10410236.2024.2309813
James Pepper Kelly

How might we expand the frame of health narratives so as to avoid genre calcification and more effectively harness these stories' transformative potential? This essay builds on the continued success of the "Defining Moments" forum while responding to Harter et al.'s 2020 call for "new stories shaped and shared in novel ways." Drawing on interdisciplinary research and theorizing, I suggest three narrative strategies for storytelling based on, respectively, the extended duration of a health context, the agentic power of nonhuman kinds, and the implicit collectivity of polyphonic narratives. Brief examples precede my discussion of each strategy. I invite others to join me in shaping innovative narratives that further challenge tacit assumptions of embodied health.

我们如何才能扩大健康叙事的框架,从而避免类型钙化,并更有效地利用这些故事的变革潜力?本文以 "决定性时刻 "论坛的持续成功为基础,同时响应哈特等人在2020年提出的 "以新颖的方式塑造和分享新故事 "的号召。在跨学科研究和理论的基础上,我提出了三种讲故事的叙事策略,分别基于健康环境的持续时间、非人类的代理力量以及复调叙事的隐性集体性。在讨论每种策略之前,我都会列举一些简单的例子。我邀请其他人与我一起打造创新的叙事方式,进一步挑战关于具身健康的默认假设。
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引用次数: 0
Support-Seeking Strategies, Family Communication Patterns, and Received Support Among Chinese Women with Postpartum Depression: A Content Analysis of Zhihu Posts. 中国产后抑郁妇女寻求支持的策略、家庭沟通模式和获得的支持:知乎帖子内容分析
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-03-07 DOI: 10.1080/10410236.2024.2323837
Wenxue Zou, Liyao Huang, Nan Zhang

The incidence of postpartum depression (PPD) among Chinese women surpasses the global average, and this disparity is closely associated with the level of social support they receive. Using Sensitive Interaction Systems Theory and Family Communication Patterns Theory as guiding frameworks, we conducted a content analysis of 705 posts gathered from the hashtag #PPD (chanhou yiyu) on Zhihu, a popular Chinese social media platform. Our findings reveal that postpartum women primarily seek social support from their husbands and mothers-in-law through indirect nonverbal and direct verbal communication strategies. They tend to receive more problem-focused support than emotion-focused solace. Moreover, the use of direct verbal communication strategies promotes potential support providers' problem-solving behaviors, while the use of indirect nonverbal strategies elicits their avoidance behaviors. In addition, the conversation-oriented family communication pattern strengthens the positive association between direct verbal communication and support-providing behaviors, whereas the conformity-oriented family communication pattern weakens this relationship. This study contributes to the applicability of the abovementioned theories in the Chinese context and provides insights for future interventions aimed at addressing PPD among women.

中国女性产后抑郁症(PPD)的发病率高于全球平均水平,而这种差距与她们获得的社会支持水平密切相关。我们以敏感互动系统理论和家庭沟通模式理论为指导框架,对中国流行的社交媒体平台知乎上以#产后抑郁#(chanhou yiyu)为标签的 705 篇帖子进行了内容分析。我们的研究结果表明,产后妇女主要通过间接的非语言和直接的语言交流策略从丈夫和婆婆那里寻求社会支持。与情感慰藉相比,她们更倾向于获得以问题为中心的支持。此外,直接语言沟通策略的使用会促进潜在支持提供者的问题解决行为,而间接非语言策略的使用则会引起他们的回避行为。此外,以谈话为导向的家庭沟通模式加强了直接语言沟通与提供支持行为之间的正相关,而以服从为导向的家庭沟通模式则削弱了这种关系。本研究有助于上述理论在中国背景下的适用性,并为未来针对妇女PPD的干预措施提供了启示。
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引用次数: 0
Testing Psychological Inoculation to Reduce Reactance to Vaccine-Related Communication. 测试心理接种以减少对疫苗相关传播的反应。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-03-07 DOI: 10.1080/10410236.2024.2325185
Linda C Karlsson, Karl O Mäki, Dawn Holford, Angelo Fasce, Philipp Schmid, Stephan Lewandowsky, Anna Soveri

Research has found that vaccine-promoting messages can elicit state reactance (i.e., negative emotions in response to a perceived threat to behavioral freedom), especially among individuals with high trait reactance (i.e., proneness to experiencing reactance). This can result in a lower willingness to accept vaccines. We investigated whether inoculation against reactance - that is, forewarning individuals about potentially experiencing reactance - can reduce the effects of trait reactance on vaccination willingness. Participants (N = 710) recruited through Facebook were randomly allocated to be either inoculated or not. They were then shown a message promoting a fictitious vaccine, which included either a low, medium, or high threat to freedom. Contrary to research on other health topics, inoculation was ineffective at reducing state reactance toward the vaccination message. Inoculation also did not mitigate the effects of trait reactance on vaccination willingness, and was even counterproductive in some cases. High-reactant individuals were less willing to get vaccinated than low-reactant ones, especially at high freedom threat. Conversely, high freedom threat resulted in increased vaccination willingness among low-reactant individuals. Further research is needed to understand why inoculation against reactance produces different results with vaccination, and to develop communication strategies that mitigate reactance to vaccination campaigns without compromising the positive effects of vaccine recommendations for low-reactant individuals.

研究发现,疫苗宣传信息会引起状态反应(即对行为自由的感知威胁所产生的负面情绪),尤其是在高特质反应(即容易产生反应)的个体中。这可能会导致接受疫苗的意愿降低。我们研究了针对反应的接种--即警告个体可能会出现反应--是否能减少特质反应对疫苗接种意愿的影响。通过 Facebook 招募的参与者(N = 710)被随机分配接种或不接种。然后向他们展示一条虚构疫苗的宣传信息,其中包括对自由的低、中或高威胁。与其他健康主题的研究相反,接种疫苗并不能有效降低人们对疫苗接种信息的状态反应。接种也不能减轻特质反应对疫苗接种意愿的影响,在某些情况下甚至会适得其反。高反应性个体比低反应性个体更不愿意接种疫苗,尤其是在高自由度威胁的情况下。相反,高自由度威胁会增加低反应个体的疫苗接种意愿。我们需要进一步研究,以了解为什么针对反应接种疫苗会产生不同的结果,并制定沟通策略,以减轻对疫苗接种活动的反应,同时又不影响向低反应者推荐疫苗的积极效果。
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引用次数: 0
What Drives Health Information Exchange on Social Media? Social Media Affordances and Social Support Perspectives. 是什么推动了社交媒体上的健康信息交流?社交媒体适应性和社会支持视角。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-03-13 DOI: 10.1080/10410236.2024.2321408
Manli Wu, Tailai Wu, Yiming Pei

Despite the prevalence of health communication on social media, the mechanisms by which social media affect health information exchange have received less than adequate investigation. By integrating the lenses of affordance and social support, this study examines the effect of social media affordances on health information exchange, with a particular focus on the mediation effect of social support and the boundary condition of health consciousness. Results of an online survey indicated that the affordances of information accessibility and metavoicing are positively related to both general and experiential informational support. Moreover, the affordance of association is positively related to experiential informational support and emotional support. Additionally, three types of social support have positive effects on health information exchange, and health consciousness positively moderates the effect of experiential informational support on health information exchange. This study enriches existing literature by revealing the underlying mechanisms and boundary conditions of the relationship between social media affordances and health information exchange. Furthermore, it provides new insights for practitioners to promote health information exchange on social media.

尽管社交媒体上的健康交流非常普遍,但社交媒体影响健康信息交流的机制却没有得到充分的研究。本研究通过整合负担能力和社会支持的视角,研究了社交媒体负担能力对健康信息交流的影响,尤其关注社会支持和健康意识边界条件的中介效应。在线调查结果表明,信息可及性和 "元忽视"(metavoicing)与一般信息支持和经验信息支持均呈正相关。此外,联想能力与经验信息支持和情感支持呈正相关。此外,三种类型的社会支持对健康信息交流有积极影响,而健康意识对经验信息支持对健康信息交流的影响有积极的调节作用。本研究揭示了社交媒体可负担性与健康信息交流之间关系的内在机制和边界条件,丰富了现有文献。此外,它还为从业人员促进社交媒体上的健康信息交流提供了新的见解。
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引用次数: 0
Disease Awareness and Prescription Drug Communications on Television: Evidence for Conflation and Misleading Product Impressions. 疾病认知与电视上的处方药传播:混淆和误导性产品印象的证据。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-03-13 DOI: 10.1080/10410236.2024.2323839
Kevin R Betts, Kathryn J Aikin, Stephanie Miles, Miriam H Eisenberg Colman

We conducted two experiments that tested for conflation of fictitious disease awareness and prescription drug promotional communications in a television advertising context and whether similarity, proximity, and number of exposures to the disease awareness communication contributed to this conflation. Study 1 involved a 1-h television segment, and Study 2 used a longitudinal design with participants exposed to communications over time. The promoted product was indicated to treat asthma. Participants (Study 1, n = 2190; Study 2, n = 1621) were adults who had experienced asthma or asthma symptoms. In Study 1, mere exposure to disease awareness communication prompted benefit and risk conflation, but the degree of similarity or proximity did not have an effect. In Study 2, similar ads prompted greater conflation of benefits than distinct ads, and greater conflation of risks occurred with greater proximity to disease awareness and promotional communications. In addition, asthma knowledge, health literacy, and perceived ad effectiveness increased conflation of benefits in both studies but tended not to modify the impact of similarity or proximity. The findings demonstrate the potential for disease awareness communications to confuse consumers regarding the benefits and risks of a drug.

我们进行了两项实验,测试在电视广告中虚构的疾病认知和处方药促销传播是否会混淆,以及疾病认知传播的相似性、接近性和接触次数是否会导致这种混淆。研究 1 涉及一个 1 小时的电视片段,而研究 2 则采用纵向设计,让受试者在一段时间内接触广告。推广的产品用于治疗哮喘。参与者(研究 1,n = 2190;研究 2,n = 1621)均为有过哮喘或哮喘症状的成年人。在研究 1 中,仅仅接触疾病认知传播就会促使人们将受益和风险混为一谈,但相似度或接近度并没有影响。在研究 2 中,相似的广告比不同的广告更容易引起益处和风险的混淆,而更接近疾病认知和促销传播的广告则会引起更多的风险混淆。此外,在这两项研究中,哮喘知识、健康素养和感知到的广告效果会增加益处的混淆,但往往不会改变相似性或接近性的影响。研究结果表明,疾病认知传播有可能使消费者对药物的益处和风险产生混淆。
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引用次数: 0
An Examination of Visually Impaired Individuals' Uncertainty Management. 视障人士不确定性管理研究。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2024-02-02 DOI: 10.1080/10410236.2024.2312622
Lynsey Romo, Shana Makos, Marisa Hooper, Melissa Taussig, Montana Hamlet

Being visually impaired or legally blind (having vision that is uncorrectable or cannot be corrected to a legally acceptable level) is inherently uncertain. Although uncertainty can result in positive, negative, or neutral consequences, little is known about how uncertainty is experienced and negotiated in this understudied population. Thus, through in-depth, semi-structured interviews of 24 individuals with a visual impairment, we apply uncertainty management theory (UMT) to examine the communication strategies visually impaired individuals used to manage the personal, vision-related, and social uncertainty they experienced. Many participants appraised the uncertainty negatively and consequently aimed to reduce it by seeking social support and information, using instrumental strategies, and proactively disclosing their visual impairment. Interviewees who preferred to remain uncertain maintained it by avoiding thinking about their visual impairment or worsening vision and/or by concealing their low vision and passing as sighted. Last, some participants, particularly those who were born with low vision or had been visually impaired longer, learned to adapt to the uncertainty through reframing and accepting, self-care, and by turning to God. The study also uncovered that some participants' uncertainty management was limited by ableist constraints, such as inadequate support systems, systemic barriers, and stigma. The study also underscores the universal and fluid nature of uncertainty and uncovers tangible ways individuals with visual impairment can navigate uncertainty within a pervasive cultural biomedical model of disability.

视力受损或法定失明(视力无法矫正或无法矫正到法律上可接受的水平)本身就具有不确定性。虽然不确定性可能导致积极、消极或中性的后果,但对于这一研究不足的人群是如何体验和协商不确定性的,我们却知之甚少。因此,通过对 24 名视障者进行深入的半结构式访谈,我们运用不确定性管理理论(UMT)研究了视障者用来管理他们所经历的个人、视力相关和社会不确定性的沟通策略。许多参与者对不确定性的评价是负面的,因此他们通过寻求社会支持和信息、使用工具性策略以及主动披露自己的视力障碍来减少不确定性。倾向于保持不确定性的受访者则通过避免去想自己的视力障碍或视力恶化的问题,以及/或者通过隐瞒自己的低视力和装作视力正常来保持这种不确定性。最后,一些参与者,特别是那些天生低视力或视力受损时间较长的人,学会了通过重塑、接受、自我照顾和求助上帝来适应这种不确定性。研究还发现,一些参与者的不确定性管理受到了能力主义的限制,如支持系统不足、系统性障碍和污名化。这项研究还强调了不确定性的普遍性和多变性,并揭示了视障人士在普遍存在的残疾文化生物医学模式中驾驭不确定性的具体方法。
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引用次数: 0
Introducing "A Question That Might, Perhaps, Scare you": How Geriatric Physicians Approach the Discussion About Cardiopulmonary Resuscitation with Hospitalized Patients. 介绍“一个可能会吓到你的问题”:老年医生如何处理住院患者心肺复苏的讨论。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-10 DOI: 10.1080/10410236.2023.2276587
Anca-Cristina Sterie, Orest Weber, Ralf J Jox, Eve Rubli Truchard

Decisions about the relevance of life-sustaining treatment, such as cardiopulmonary resuscitation (CPR), are commonly made when a patient is admitted to the hospital. This article aims to refine our understanding of how discussions about CPR are introduced, to identify and classify the components frequently occurring in these introductions, and discuss their implications within the overarching activity (discussing CPR). We recorded 43 discussions about CPR between physicians and patients, taking place during the admission interview. We applied an inductive qualitative content analysis and thematic analysis to all the encounter content from the launch of the conversation on CPR to the point at which the physician formulated a question or the patient an answer. We identified this part of the encounter as the "introduction." This systematic method allowed us to code the material, develop and assign themes and subthemes, and quantify it. We identified four major themes in the introductions: (i) agenda setting; (ii) circumstances leading to CPR (subthemes: types of circumstances, personal prognostics of cardiac arrest); (iii) the activity of addressing CPR with the patient (subthemes: routine, constrain, precedence, sensitivity); and (iv) mentioning advance directives. Our findings reveal the elaborate effort that physicians deploy by appealing to combinations of these themes to account for the need to launch conversations about CPR, and highlight how CPR emerges as a sensitive topic.

关于维持生命治疗(如心肺复苏术)相关性的决定通常在患者入院时做出。本文旨在完善我们对如何引入关于CPR的讨论的理解,识别和分类这些介绍中经常出现的成分,并讨论它们在总体活动中的含义(讨论CPR)。我们记录了43次医生和患者之间关于心肺复苏术的讨论,这些讨论发生在入院面谈期间。我们对从CPR对话开始到医生提出问题或患者回答的所有遭遇内容进行了归纳定性内容分析和主题分析。我们将这次会面的这一部分确定为“引言”。这种系统的方法使我们能够对材料进行编码,开发和分配主题和子主题,并对其进行量化。我们在引言中确定了四个主要主题:(i)议程设置;(ii)导致心肺复苏的情况(分主题:情况类型、心脏骤停的个人预后);(iii)与患者进行心肺复苏的活动(子主题:常规、约束、优先、敏感性);四提及预先指示。我们的研究结果揭示了医生们通过呼吁这些主题的组合来解释启动关于心肺复苏的对话的必要性,并强调了心肺复苏是如何成为一个敏感话题的。
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引用次数: 0
How Resources Combining Expertise and Social Support Help Breastfeeding Women Address Self-Doubt and Increase Breastfeeding Self-Efficacy: A Mixed-Methods Study. 如何结合专业知识和社会支持资源帮助母乳喂养妇女解决自我怀疑和提高母乳喂养自我效能:一项混合方法研究。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-11-01 Epub Date: 2023-11-14 DOI: 10.1080/10410236.2023.2281077
Amy Duchsherer, Carrie Anne Platt, Jackee Haak, Kelsey Earle

Existing research on parental information literacy focuses on parents' ability to evaluate information. This approach does not account for conflicting or unwanted information and obscures the emotional impact of unsought information. We aimed to (1) document the sources women use most frequently for accessing breastfeeding information, (2) explore the reasons women choose some sources over others, (3) test the relationship between source characteristics and breastfeeding self-efficacy, and (4) determine the extent to which four source characteristics - competence, trustworthiness, goodwill, and social support - predict breastfeeding self-efficacy. This study was conducted in two phases. The first phase consisted of interviews and focus groups, which we analyzed inductively using a grounded theory approach. In phase two, we conducted a cross-sectional survey of women who were currently breastfeeding, collecting data on the source credibility and social support associated with the source they use most frequently and the participants' breastfeeding self-efficacy. We used multiple regression to analyze our survey data. The frequency with which our participants encountered conflicting and unsought prompted them to view sources that combine expertise and social support as ideal. However, these sources are often difficult to access, leading to a reliance on online sources. This compromise has implications for breastfeeding tenure, as both competence and social support predicted breastfeeding self-efficacy. This study demonstrates how emotional aspects of information seeking shape women's preferred sources, how accessibility limits the use of preferred sources, and how source competence and social support influence breastfeeding self-efficacy.

现有的关于父母信息素养的研究主要集中在父母评价信息的能力上。这种方法不能解释冲突或不需要的信息,并且模糊了不需要的信息的情感影响。我们的目的是(1)记录女性最常使用的母乳喂养信息来源,(2)探索女性选择某些来源而不是其他来源的原因,(3)测试来源特征与母乳喂养自我效能之间的关系,(4)确定四个来源特征-能力,可信度,善意和社会支持-预测母乳喂养自我效能的程度。本研究分两个阶段进行。第一阶段包括访谈和焦点小组,我们使用扎根理论方法进行归纳分析。在第二阶段,我们对目前正在母乳喂养的妇女进行了横断面调查,收集了与她们最常使用的母乳来源相关的来源可信度和社会支持以及参与者的母乳喂养自我效能感的数据。我们使用多元回归分析我们的调查数据。我们的参与者经常遇到冲突和未寻求的,这促使他们将专业知识和社会支持相结合的资源视为理想的资源。然而,这些资源往往难以获取,导致对在线资源的依赖。这种妥协对母乳喂养的任期有影响,因为能力和社会支持都预测母乳喂养的自我效能。本研究展示了信息寻求的情感方面如何塑造女性的首选信息源,可及性如何限制首选信息源的使用,信息源能力和社会支持如何影响母乳喂养的自我效能感。
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引用次数: 0
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