Health Communication最新文献

Numerous universities nationwide announced urgent implementation of closed campus management due to the epidemics of COVID-19 in Chinese universities since March 2022, and a large number of students were under quarantine. This study aims to explore how embodied experiences (i.e., centralized quarantine and self-quarantine) and mediated experiences (i.e., exposure to media sources, pandemic information overload, and online help seeking) influence the acquisition of learned helplessness during the campus epidemics among the Chinese university students, besides, how do these two types of experiences interact with each other to elicit learned helplessness is another interested research question. The data was collected nationwide via an online survey platform from March 22nd to April 16 2022 immediately after the outbreak of campus epidemics. A total of 1267 valid student samples were retained. Hierarchical regression analysis showed that embodied experience of centralized quarantine is positively related to learned helplessness. Mediated experience of information access from friends on social media and government official media as well as online help seeking are negatively related to learned helplessness. Information access from overseas media and pandemic information overload are positively related to learned helplessness. Besides, the interaction between self-quarantine and pandemic information overload is positively related to learned helplessness. Theoretical contributions and intervention strategies aimed at enhancing authoritative communication and managing information overload during public health crisis were discussed.

In this article, we argue that using puppetry as a tool for arts-based research can enhance existing health and disability communication scholarship. We position interdisciplinary puppetry research alongside concepts and theories of interest to communication scholars, including entertainment education, embodiment and performance, communicated narrative sense-making, and dialogue. Then, we share an illustrative case study from our research with the nonprofit organization, MicheLee Puppets. Drawing from interviews with five puppeteers, we describe how the Live Puppet Chat program created unexpected opportunities to connect with neurodiverse spectators during the COVID-19 pandemic. Our "crystalized" narrative and thematic analysis demonstrates how puppeteers used puppet-objects to facilitate dialogue with chat participants. This involved (a) suspending disbelief, (b) suspending judgment, (c) communicating through the lens of (neurodiverse) empowerment, and (c) improvising for empowerment.

In response to the COVID-19 pandemic, scientific authorities were routinely consulted by mainstream media outlets through interviews, statements and/or supporting images. In this framework, our goal in this study was to analyze the media representation of scientists in Brazil during the first year of this global public health crisis. To this end, we applied a research protocol and, using statistical techniques, quantitatively analyzed newscasts on the country's main TV news program, Jornal Nacional. On this program, scientists were interviewed about "vaccination," a topic of broad interest given that the vaccine had been described from the onset of the COVID-19 pandemic as a response to cope with the public health crisis. We discuss information about gender, age, and race, the speaking time and screen time of these social actors, the format in which scientists are inserted into news reports, and the presence/absence of science icons. The data reveal that the predominant image of the scientist transmitted to the audience - a mature white man - reinforces stereotypes that persist in the media and in the public understanding of science.

Following the recent exhortations of health communication scholars to continue the study of pornography and its potential impact on health-related behaviors, the present study investigated associations between the frequency of pornography use and six indicators of impersonal sex among a national probability sample of US adults. Impersonal sex has been linked to a variety of important public health outcomes, including STD risk and sexual aggression perpetration. In this study, pornography use was positively correlated with the likelihood of engaging in group sex, having sex with a casual partner, having sex without emotional intimacy, experiencing heightened sexual pleasure during non-relational sex, relational infidelity, and perceiving the receipt of sexual pleasure from others as the best thing about sex. No evidence emerged that these associations were spuriously due to high sex drive individuals being both more likely to consume pornography and engage in impersonal sex. But several were conditional on age. Most importantly, countering the conventional wisdom that sexual media are most likely to affect the sexual behavior of young audiences, the strength of the positive association between pornography use and the likelihood of engaging in group sex and casual dyadic sex was larger among older adults and weaker among younger adults.

Despite the increasing prevalence of online health information seeking (OHIS) among older adults, its impact on patient-centered communication (PCC) outcomes remains unclear. Drawing from Street's ecological framework of communication in medical encounters, the present study examined the mediation role of patient activation in the relationship between OHIS across three media channels - social media, search engines, and mobile health applications (mHealth apps) - and PCC. Furthermore, it examines the moderation effect of patient-provider discussions of online health information. A national survey of 916 older Chinese adults aged 60-78 was conducted. The findings indicate that OHIS across the three channels can indirectly enhance PCC through patient activation. Moreover, OHIS via mHealth apps is positively associated with PCC, while the relationship between OHIS via social media/search engines and PCC is not significant. The interaction between patients and healthcare providers regarding online health information positively moderated all indirect paths. Notably, a great proportion of older adults (77.7%) engaged in discussions about online health information with healthcare providers. These findings emphasize the importance of considering various media channels and highlight the pivotal role of patient activation in bridging the gap between OHIS and satisfactory healthcare interactions, especially in the Chinese context.

Across multiple and diverse populations, exigent inquiries, and in and out of the classroom, an ethic for listening as a way of being has been central to the methodological and pedagogical practices that undergird narrative mapping. Additionally, the author suggests that in situating the practice of listening as crucial to both communication and healing, we are equally bound to an ethic of creating space. As listeners for the other, we commit to holding space for those silences where participants meet themselves in stillness, a place where they might listen deeply to the self, first. Where narrative mapping creates space for respite in contemplation, participants speak of gaining greater clarity and keener insights about health, healing, and being. The process of listening promotes healing across diverse entities, underscoring the multifaceted nature of narrative mapping, which serves as a research practice, pedagogy, and intervention.

Despite the significance of patient expressions of concern in medical interaction, existing research has found that doctors often fail to respond to them or even overlook them. Based on a dataset of video-recorded naturally occurring medical conversations in Chinese pediatric primary care, this study aims to systematically investigate the expressions of concern initiated by the family caregivers of pediatric patients and the responses of doctors. The results show that family caregivers actively initiate expressions of concern, covering a wide range of topics. Doctors respond to these concerns in 68.8% of the cases, while the rest are interrupted, ignored, or minimally acknowledged. In addition, as commonly found in other clinical and cultural contexts, family caregivers rarely express their emotional distress explicitly but rather indicate their underlying emotions implicitly. These findings suggest that a better understanding of the full range of family caregiver's self-initiated expressions of concern and their complexities provide important opportunities for doctors to identify and respond to them empathically.

Non-governmental organizations (NGOs) have endured as an important response to HIV/AIDS. As nations of eastern and southern Africa currently have the highest adult HIV/AIDS prevalence rates, this study focused on NGOs headquartered in Tanzania. Although communication research on HIV/AIDS NGOs has spanned a variety of cultural contexts, theoretical traditions, and samples, research in nations of Africa has yet to situate these NGOs in a relevant global context. This study integrated discourse analysis and constant comparisons to examine how the discourses of 36 NGO leaders on their local HIV/AIDS initiatives are taking up neoliberalism, a global ideological discourse that valorizes free markets, individualism, and profits. Based on linkages forged between HIV/AIDS and poverty at multiple scales (the nation, rural areas, target groups, families), participants positioned entrepreneurship as a solution for poor clients, namely, a 4-step process of assisting clients with entrepreneurship, several entrepreneurship industries, and positive consequences for clients. The article concludes with a discussion and implications.

Globally, many people don't eat a healthy diet despite policies and public health frameworks deployed to improve dietary status. Healthy diets can prevent, manage, and even reverse chronic disease, highlighting the importance of health professionals addressing healthy diets in clinical consultations. Conversation analysis (CA) is a method that can be used to understand dietary talk in these clinical consultations; however, it is unclear to what extent CA has been used for this purpose. Using PRISMA guidelines, a scoping review was conducted with the aim of identifying and summarizing research where CA was used to examine the dietary health conversations between health professionals and adults. A systematic search resulted in 4161 articles retrieved, with 13 studies meeting inclusion criteria. Included studies used CA to examine a variety of phases of dietary health encounters, including dietary assessment, advice-giving and resistance to this dietary advice, and dietary (lifestyle) behavior change negotiations, with n = 6 using audio or video recording, respectively. Studies were conducted in seven countries and across primary, secondary, and tertiary settings. We highlighted that dietary talk, irrespective of purpose (e.g., evaluation, assessment, or persuasion [e.g., behavior change]), is under-researched within the CA field. This is a need for further research using CA on dietary talk across a range of settings, conditions, populations, and talk purposes to understand how health professionals impact patient dietary behaviors. Such understanding has the potential to contribute to the improvement of dietary health communication approaches and patient outcomes.