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How Do Health Information Scanning and Seeking Influence Excessive Alcohol Drinking Among Chinese Hypertensive Drinkers? A Moderated Mediation Analysis. 健康信息扫描和寻求如何影响中国高血压饮酒者的过度饮酒?调节中介分析
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-15 DOI: 10.1080/10410236.2024.2413988
Luxi Zhang, Muhan Liu, Fei You, Xinshu Zhao

China has a longstanding tradition of alcohol consumption, yet excessive drinking poses significant health risks, particularly for individuals with cardiovascular conditions such as hypertension. While existing literature indicates that both health information scanning and seeking behaviors can impact health beliefs and actions, their effects on alcohol prevention remain understudied. Utilizing data from a national survey in China, this study investigates the influence of health information scanning and seeking on alcohol risk knowledge and the frequency of excessive drinking among hypertensive drinkers. Results demonstrate that both health information scanning (b = -.018, p < .05) and seeking (b = -.030, p < .001) are negatively associated with excessive alcohol consumption indirectly through heightened awareness of alcohol as a risk factor for cancer. However, health information scanning is positively linked to excessive drinking directly (b = .203, p < .01). Additionally, cancer information overload positively moderates the relationship between awareness of alcohol as a cancer risk factor and excessive drinking (b = .148, p < .001). Hypertensive drinkers who experience lower levels of cancer information overload are more inclined to reduce excessive alcohol consumption. These findings underscore the different roles of health information scanning and seeking on alcohol control. It is important to implement interventions aimed at encouraging active information seeking and mitigating information overload. Educational programs should be promoted to help high-risk groups accurately understand the risk of excessive drinking.

中国有着悠久的饮酒传统,但过量饮酒会给健康带来巨大风险,尤其是对患有高血压等心血管疾病的人而言。现有文献表明,健康信息扫描和寻求行为都会影响健康信念和行动,但它们对预防饮酒的影响仍未得到充分研究。本研究利用中国的一项全国性调查数据,探讨了健康信息扫描和寻求对高血压饮酒者的酒精风险知识和过度饮酒频率的影响。结果表明,健康信息扫描(b = -.018, p b = -.030, p b = .203, p b = .148, p
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引用次数: 0
Accessing the Impact of TikTok's Algorithm on Regional Inequality in Health Information. 获取 TikTok 算法对地区卫生信息不平等的影响。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-14 DOI: 10.1080/10410236.2024.2414882
Jinhui Li, Wen Shi

This study aims to audit the potential algorithmic bias in TikTok's health-related video recommendation toward geographically diverse groups in China. We employed 120 cloud phones and conducted two agent-based testing experiments simulating users' geographical locations and online behaviors. The results indicated significant regional inequality in video sources recommended by the TikTok algorithm, t(118) = 3.02, p = .003, with users from developed cities encountering a higher proportion of professional videos than those from underdeveloped cities. However, when users from both regions expressed a similar preference for the same type of information, an equal proportion of professional videos was recommended. Our findings suggest that widely used algorithms may covertly perpetuate social inequities and reinforce preexisting class-based inequalities, particularly affecting vulnerable population from low-income regions. This study also highlights the importance of enhancing eHealth literacy among disadvantaged users to mitigate problematic outcomes in the AI-based communication landscape.

本研究旨在分析 TikTok 向中国不同地域群体推荐健康相关视频时可能存在的算法偏差。我们使用了 120 部云手机,并模拟用户的地理位置和上网行为进行了两次基于代理的测试实验。结果表明,TikTok算法推荐的视频来源存在明显的地域不平等,t(118) = 3.02, p = .003,发达城市用户接触到的专业视频比例高于欠发达城市用户。然而,当两个地区的用户对同类型信息的偏好相似时,推荐的专业视频比例相同。我们的研究结果表明,广泛使用的算法可能会暗中延续社会不公平现象,并强化已有的基于阶级的不平等,尤其会影响低收入地区的弱势群体。这项研究还强调了提高弱势用户的电子健康素养以减少人工智能通信环境中的问题结果的重要性。
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引用次数: 0
Discursive Positioning in Practitioner-Parent-Child Communication in Traditional Chinese Medicine Consultations. 中医问诊中医师与亲子沟通的话语定位。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-13 DOI: 10.1080/10410236.2024.2413764
Jesse W C Yip, Kenneth C C Kong

This study examines practitioner-parent-child communication in Traditional Chinese Medicine (TCM) consultations. Employing the theoretical framework of positioning theory, this discourse study investigates the interactions among Chinese medicine practitioners, parents, and child patients. The data, recordings of 21 pediatric consultation sessions, were gathered from the Department of Chinese Medicine at a hospital in China. The findings reveal that parents position themselves as representatives of their child patients, who, conversely, play a passive role with limited participation in consultations. This phenomenon is consistent with previous studies on doctor-parent-patient communication in Western medicine settings. As caretakers, parents also position themselves as experts in their child's health, articulating the child's health conditions and demonstrating some familiarity with TCM. Emphasizing the importance of lifestyle changes for the child's health and recovery, practitioners strategically position themselves as both medical professionals and parenting advisors and give direct advice to parents. This study argues that the positioning of parents may diminish child patients' participation. The study enhances our understanding of doctor-parent-child communication in the context of TCM by elucidating the positioning of the participants. It concludes by discussing the significance of child patients' engagement and the implementation of a patient-centered approach in TCM consultations.

本研究探讨了中医问诊过程中医生、家长和儿童之间的交流。本研究采用定位理论的理论框架,探讨中医师、家长和儿童患者之间的互动。研究数据来自中国一家医院的中医科,是 21 次儿科会诊的录音。研究结果表明,家长将自己定位为儿童患者的代表,而儿童患者则扮演着被动的角色,很少参与会诊。这一现象与以往西医环境下医生-家长-患者沟通的研究结果一致。作为孩子的照顾者,家长也将自己定位为孩子的健康专家,阐述孩子的健康状况,并表现出对中医有一定的了解。在强调改变生活方式对孩子健康和康复的重要性时,医生将自己战略性地定位为医学专家和育儿顾问,并直接向家长提供建议。本研究认为,对家长的定位可能会降低儿童患者的参与度。本研究通过阐明参与者的定位,加深了我们对中医背景下医生-家长-儿童沟通的理解。最后,本研究讨论了儿童患者参与的意义以及在中医问诊中实施以患者为中心的方法。
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引用次数: 0
Pandemic Palliatives and COVID-19 Coping: Toward the Development of a "Coping with Crisis Communications" (COCCO) Scale. 大流行病姑息治疗与 COVID-19 应对:开发 "危机公关应对"(COCCO)量表。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-13 DOI: 10.1080/10410236.2024.2413762
Annegret F Hannawa, Brian H Spitzberg, Aneel Bhusal, Abbie Harriman, Todd Little

The COVID-19 pandemic underscored the critical role of coping strategies during global crises and demonstrated how official communications shape public responses. This study evaluates the psychometric validity of a novel pentadic "Coping with Crisis Communication" (COCCO) Scale, which categorizes coping behaviors into five behavioral responses: moving-with, moving-against, moving-outward, moving-away, and moving-inward. A national representative survey of 742 Swiss residents, conducted in February 2022, measured these coping responses to official COVID-19 communications from the Swiss Federal Office of Public Health (FOPH) and traditional Swiss news media (TNM). Items were developed to assess how participants engaged with, opposed, reached outward for support, distanced from, or internalized the messages. Confirmatory factor analyses tested multiple models (5-, 6-, 7-, and 8-factor structures) based on both the initial pentadic theory and data-driven refinements. While the original 5-factor model showed insufficient fit, a 7-factor model (moving-with, moving-toward, moving-against, moving-outward, moving-away, negative-moving-inward, positive-moving-inward) provided a satisfactory factor solution. This model exhibited measurement invariance across the three language versions of the scale (French, Italian, German) and across the two communication contexts (FOPH, TNM). The COCCO scale offers an effective, movement-based assessment of coping strategies in response to crisis communications, serving as a valuable tool for understanding public behavior during global crises.

COVID-19 大流行凸显了应对策略在全球危机中的关键作用,并展示了官方沟通如何影响公众反应。本研究评估了新颖的五元 "应对危机传播"(COCCO)量表的心理测量有效性,该量表将应对行为分为五种行为反应:"随动"、"反对"、"向外"、"远离 "和 "向内"。2022 年 2 月,对 742 名瑞士居民进行了一项全国代表性调查,测量了他们对瑞士联邦公共卫生局 (FOPH) 和瑞士传统新闻媒体 (TNM) 发布的 COVID-19 官方信息的应对反应。我们开发了一些项目来评估参与者如何参与、反对、向外寻求支持、疏远或内化这些信息。基于最初的五因素理论和数据驱动的改进,确认因素分析测试了多个模型(5、6、7 和 8 因子结构)。虽然最初的 5 因子模型显示拟合度不够,但 7 因子模型(随动、向动、反动、向外、远离、负向内动、正向内动)提供了令人满意的因子解决方案。该模型在三种语言版本的量表(法语、意大利语、德语)和两种交流环境(FOPH、TNM)中都表现出测量不变性。COCCO 量表提供了一种有效的、基于运动的危机传播应对策略评估方法,是了解全球危机期间公众行为的重要工具。
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引用次数: 0
Understanding Fitness Trends in the Virtual Age: A Content Analysis of TikTok Workout Videos. 了解虚拟时代的健身趋势:对 TikTok 健身视频的内容分析。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-09 DOI: 10.1080/10410236.2024.2411098
Whitney N Nuhn, Madeline R Wick, Maci P Brown, Taylor J Green, Jennifer A Harriger

The purpose of this study was to examine the content of workout videos on TikTok. A sample of 297 TikTok workout videos was coded for demographic factors and body shape of content creators, as well as the presence of body positivity messaging, appearance-related messaging, and other relevant themes. The results suggest that TikTok workout content is often presented in a time-lapse format with little verbal instruction, which may make it difficult for viewers to perform the exercises. The majority of the videos depicted young women with athletic bodies and other characteristics associated with culturally based beauty ideals, and approximately half of the videos included non-White content creators. Approximately a quarter of the videos in the sample included objectification and a smaller proportion of the sample included messages about inner positivity. Overall, the TikTok platform may provide underrepresented individuals opportunities to seek out workout content from a more diverse group of instructors; however, the fact that many of these videos including objectifying depictions of the content creators is concerning. Further experimental work is needed in order to more fully elucidate the effects of TikTok workout videos on viewers.

本研究旨在考察 TikTok 上健身视频的内容。研究人员对 297 个 TikTok 健身视频样本进行了编码,以了解内容创作者的人口统计学因素和体型,以及是否存在身体积极信息、与外貌相关的信息和其他相关主题。结果表明,TikTok 上的健身内容通常以延时的形式呈现,很少有口头指导,这可能会使观众难以进行锻炼。大多数视频都描绘了年轻女性的健美身材以及与基于文化的美丽理想相关的其他特征,大约一半的视频包含非白人内容创作者。样本中约有四分之一的视频包含了物化的内容,较小比例的样本包含了关于内在积极性的信息。总体而言,TikTok 平台可能会为代表性不足的个人提供机会,让他们从更多样化的指导者群体中寻找锻炼内容;然而,其中许多视频包括对内容创作者的物化描绘,这一事实令人担忧。要更全面地阐明 TikTok 健身视频对观众的影响,还需要进一步的实验工作。
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引用次数: 0
Investigating the Relationship Between Patient-Centered Communication and Quality of E-Consult in China: A Cross-Sectional Standardized Patient Study. 中国以患者为中心的沟通与电子会诊质量之间关系的调查:一项横断面标准化患者研究。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-09 DOI: 10.1080/10410236.2024.2413268
Faying Song, Xue Gong, Rui Guo

Patient-centered communication is widely acknowledged as an essential element of high-quality healthcare. Our study attempted to explore the weaknesses in the actual doctor-patient communication process and the most critical elements in patient-centered communication to improve the service quality of e-consult. We recruited ten standardized patients presenting fixed cases (urticaria and childhood diarrhea) for 321 valid interactions to measure patient-centered communication and e-consult service quality. The scores of patient-centered communication included exploring the patient's disease experience, understanding the patient's social situation, and reaching a consensus between doctors and patients. We measured the quality of e-consult services by the total words of doctor's responses, accurate diagnosis, appropriate prescription, lifestyle modification advice, patient satisfaction, continuance intention, and cost. Ordinary least-squares and logistic regression were performed to investigate the association between patient-centered communication and e-consult service quality. The total mean score of patient-centered communication was 17.67. The mean words of responses and cost were 178.55 words and 39.46 yuan, respectively. 82.87% of doctors diagnosed accurately, with 21.81% prescribing appropriate prescriptions and 81.93% providing lifestyle modification advice. 254 interactions obtained high satisfaction, and 218 had continuance intention after the interactions. Doctors with higher patient-centered communication levels would provide more words of responses. They were more likely to provide accurate diagnoses, appropriate prescriptions, and lifestyle modification advice, resulting in better patient satisfaction, continuance intention, and higher costs. Therefore, it is necessary to standardize and improve the doctor-patient communication process of e-consult and develop training for different doctors.

以患者为中心的沟通被广泛认为是高质量医疗服务的基本要素。我们的研究试图探索实际医患沟通过程中的不足之处,以及以患者为中心的沟通中最关键的要素,以提高电子会诊的服务质量。我们招募了 10 名固定病例(荨麻疹和小儿腹泻)的标准化患者,进行了 321 次有效互动,以衡量以患者为中心的沟通和电子会诊服务质量。以患者为中心的沟通评分包括探索患者的疾病经历、了解患者的社会处境以及医患之间达成共识。我们通过医生回复总字数、准确诊断、适当处方、生活方式调整建议、患者满意度、继续就诊意愿和费用来衡量电子会诊服务的质量。我们采用普通最小二乘法和逻辑回归法来研究以患者为中心的沟通与电子会诊服务质量之间的关系。以患者为中心的沟通总平均分为 17.67 分。回复字数和费用的平均值分别为 178.55 字和 39.46 元。82.87%的医生诊断准确,21.81%的医生开出了合适的处方,81.93%的医生提供了生活方式调整建议。254 次互动获得了较高的满意度,218 人在互动后有继续互动的意向。以患者为中心的沟通水平较高的医生会提供更多的回复。他们更有可能提供准确的诊断、适当的处方和生活方式调整建议,从而提高患者的满意度和继续就医的意愿,并增加费用。因此,有必要规范和改进电子会诊的医患沟通流程,并针对不同医生开展培训。
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引用次数: 0
Stories for Us, or for Others: Digital Storytelling with a Harm Reduction Organization as Culture-Centered Health Communication. 我们的故事,还是别人的故事:作为以文化为中心的健康交流,与减低伤害组织一起讲数字故事。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-03 DOI: 10.1080/10410236.2024.2405767
Rachel Young, Dominic Dongilli, Abigail Souder, Corinne Peek-Asa

Digital storytelling is a participatory media creation process. To illustrate how digital storytelling may be used as a method within the culture-centered approach to health communication, this paper presents a case study analysis of two 2-day digital storytelling workshops in collaboration with a local harm reduction organization that supports people who use drugs. Storytellers used the communicative space of digital storytelling to confront stigmatizing cultural and institutional narratives related to substance use. Storytellers also demonstrated how harm reduction work engendered a sense of purpose and an alternative to punitive drug policies. However, storytellers felt that stories produced for the harm reduction community could be misunderstood by outsiders, limiting the potential of the stories for advocacy communication. Overall, we find that digital storytelling as a method within the culture-centered approach has potential to elevate the experiences, understanding, expertise, and goals of communities that have been excluded from health communication. The digital storytelling method will have the most value as a critical narrative intervention if the principles and reflexivity of the culture-centered approach are foundational to the process.

数字讲故事是一种参与式媒体创作过程。为了说明如何在以文化为中心的健康传播方法中使用数字讲故事这一方法,本文对与当地一个支持吸毒者的减低伤害组织合作开展的两次为期两天的数字讲故事研讨会进行了案例研究分析。讲故事的人利用数字故事的传播空间来对抗与药物使用有关的污名化文化和机构叙事。讲故事的人还展示了减低危害工作如何产生目的感,以及如何替代惩罚性的毒品政策。然而,讲故事的人认为,为减低危害社区制作的故事可能会被外人误解,从而限制了故事在宣传沟通方面的潜力。总之,我们发现数字讲故事作为一种以文化为中心的方法,有可能提升那些被排除在健康传播之外的群体的经验、理解、专业知识和目标。如果以文化为中心的方法的原则和反思性是这一过程的基础,那么数字叙事方法作为一种关键的叙事干预手段将具有最大的价值。
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引用次数: 0
Correction. 更正。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-03 DOI: 10.1080/10410236.2024.2411766
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引用次数: 0
The Development and Testing of a Point-of-Sale E-Cigarette Health Communication Campaign. 销售点电子烟健康宣传活动的开发和测试。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-01 Epub Date: 2023-11-08 DOI: 10.1080/10410236.2023.2265648
Erin L Sutfin, Allison J Lazard, Kimberly G Wagoner, Jessica L King, Jennifer Cornacchione Ross, Kimberly D Wiseman, Elizabeth N Orlan, Cynthia K Suerken, David M Reboussin, Mark Wolfson, Seth M Noar, Beth A Reboussin

Adolescents and young adults continue to use e-cigarettes, and communication campaigns are needed to decrease use among these populations. We developed and tested a point-of-sale communication campaign focused on e-cigarette chemical exposure. We developed messages based on formative research and tested them (versus text-only messages) in a nationally-representative online survey among adolescents and young adults (16-25) (Phase 1). Based on survey findings, we selected a message focused on nicotine and brain development for the point-of-sale trial (Phase 2). We then conducted a cluster-randomized trial at six gas stations with convenience stores, randomly assigned to the intervention (messages displayed) or no message control condition. We conducted intercept surveys with repeated cross-sectional samples of 50 participants (ages 16-25) per store, at baseline and a four-week follow-up. Phase 1 included 1,636 participants in the online study. Intervention messages were rated as more attention grabbing than plain text messages (p < .05), though were rated similarly on other outcomes. Exposure to intervention messages resulted in larger changes from pre- to posttest for beliefs about addiction and relative harms versus cigarettes (p < .05). Phase 2 included 586 participants in the point-of-sale study. Real-world campaign exposure was low (31.8%), and no differences were found between conditions. E-cigarette prevention messages focused on nicotine's impact on brain development show promise. However, garnering attention for communication campaigns in saturated point-of-sale environments, often dominated by tobacco advertising, is challenging. Future efforts should utilize additional communication channels to directly target adolescents and young adults.

青少年和年轻人继续使用电子烟,需要开展宣传活动来减少这些人群的使用。我们开发并测试了一项针对电子烟化学物质暴露的销售点沟通活动。我们根据形成性研究开发了信息,并在一项具有全国代表性的青少年和年轻人(16-25岁)在线调查中对其进行了测试(与纯文本信息相比)(第一阶段)。根据调查结果,我们选择了一条关于尼古丁和大脑发育的信息作为销售点试验(第2阶段)。然后,我们在六个有便利店的加油站进行了一项集群随机试验,随机分配到干预(显示消息)或无消息控制条件下。我们在基线和四周的随访中,对每家商店的50名参与者(16-25岁)进行了拦截调查。第一阶段包括1636名在线研究参与者。干预信息比纯文本信息更吸引眼球(p p
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引用次数: 0
Living with Sjögren's Syndrome: An Analysis of YouTube Vlogs on the Autoimmune Disease. 患有干燥综合征:YouTube上关于自身免疫性疾病的视频日志分析。
IF 3 3区 医学 Q1 COMMUNICATION Pub Date : 2024-10-01 Epub Date: 2023-09-24 DOI: 10.1080/10410236.2023.2261734
Smeeta Mishra

People who experience symptoms of autoimmune diseases often have to struggle for illness recognition. Women experiencing such symptoms face additional challenges as their accounts of pain are frequently treated with skepticism. This study examines experiences of people living with Sjögren's Syndrome, an autoimmune disease which is primarily diagnosed in women, by conducting an analysis of individual vlogs posted on YouTube using the themes of gender, chronic illness and neoliberal governmentality. Sjögren's Syndrome is the second most common rheumatic disease after rheumatoid arthritis and affects nearly 4 million people in the United States alone. An analysis of 70 vlogs posted by people living with the disease revealed the challenges faced by them including diagnostic delays and perceived attitudinal biases amongst medical professionals, especially in the context of the gender of the patients. Apart from highlighting the impact of the disease on their gendered roles, the vloggers urged viewers to conduct their own research on the disease and advocate for themselves during interactions with physicians. The study illuminates how dissatisfaction with healthcare services reinforces neoliberal rationalities such as individual advocacy, resilience and self-labor. The findings of the study delineate the role of neoliberal governmentality in making self-management of chronic illnesses such as Sjögren's Syndrome an internalized ideal for women living with the disease. Additionally, the study provides empirical evidence of the need for addressing the medical and socio-cultural factors that contribute to delays in the diagnosis and management of Sjögren's Syndrome.

经历自身免疫性疾病症状的人往往不得不努力识别疾病。经历这种症状的女性面临着额外的挑战,因为她们对疼痛的描述经常受到怀疑。这项研究通过分析YouTube上发布的以性别、慢性病和新自由主义政府心态为主题的个人视频日志,考察了干燥综合征患者的经历。干燥综合征是一种主要在女性中诊断的自身免疫性疾病。干燥综合征是仅次于类风湿性关节炎的第二常见风湿性疾病,仅在美国就有近400万人患病。对该疾病患者发布的70条视频日志的分析揭示了他们面临的挑战,包括诊断延误和医疗专业人员的态度偏见,尤其是在患者性别方面。除了强调这种疾病对他们性别角色的影响外,视频记录者还敦促观众对这种疾病进行自己的研究,并在与医生的互动中为自己辩护。这项研究阐明了对医疗服务的不满如何强化新自由主义的理性,如个人倡导、韧性和自我劳动。这项研究的结果描绘了新自由主义政府心态在使干燥综合征等慢性疾病的自我管理成为女性患者的内在理想方面的作用。此外,该研究提供了经验证据,证明有必要解决导致干燥综合征诊断和治疗延迟的医学和社会文化因素。
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引用次数: 0
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Health Communication
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