Nicole Senft Everson, Amanda M Acevedo, Anna Gaysynsky, Wen-Ying Sylvia Chou, Heather D'Angelo, Robin C Vanderpool
{"title":"An Analysis of Grants Focused on Health Disparities Held by the National Cancer Institute's Health Communication and Informatics Research Branch, 2010-2024.","authors":"Nicole Senft Everson, Amanda M Acevedo, Anna Gaysynsky, Wen-Ying Sylvia Chou, Heather D'Angelo, Robin C Vanderpool","doi":"10.1080/10410236.2025.2567513","DOIUrl":"https://doi.org/10.1080/10410236.2025.2567513","url":null,"abstract":"<p><p>Health communication can both reinforce and reduce adverse differences in cancer outcomes between groups. However, characteristics of cancer communication research aiming to reduce these health disparities have not been systematically assessed. Awarded research project grants in the National Cancer Institute's Health Communication and Informatics Research Branch (NCI-HCIRB) portfolio (2010-2024; <i>n</i> = 159) were coded to identify disparities focus and population(s) of interest. Disparities-focused grants were subsequently coded for cancer topic areas (e.g. cancer type) and research approach (i.e. methods, measures, analysis plan). Out of 159 grants, 64 (40%) had a health disparities focus. Of these, 78% developed or tested an intervention and 86% included a sample entirely comprised of populations known to experience health disparities. The most common populations of interest were racial or ethnic minority groups (55%), populations with lower socioeconomic status (20%), and rural residents (19%). Disparities-focused grants spanned varying cancer topics, including cancer prevention (53%) and breast cancer (27%). Nearly three-quarters of grants used both qualitative and quantitative research methods, and over one-third included community or participant engagement strategies. Drivers of health disparities were rarely measured beyond the individual level. Research may further prioritize engagement with affected communities and efforts to understand and address interpersonal and environmental factors influencing adverse differences in cancer outcomes.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Generational Digital Divide of Health Communication: Social Media Use Motivations, Perceived Social Support, and Mental Health in China.","authors":"Yuqiu Chen, Wenhao Yang, Xiaofan Zhang, Yibo Wu","doi":"10.1080/10410236.2025.2567514","DOIUrl":"https://doi.org/10.1080/10410236.2025.2567514","url":null,"abstract":"<p><p>Despite a growing body of research that has examined the correlation between social media usage and mental health, two limitations remain: the lack of generational comparative studies and the oversimplification of social media use measurements in previous research, which often focused on frequency, duration, and active/passive usage. Drawing on two cross-sectional Chinese datasets (Study 1: <i>N</i> = 30,054; Study 2: <i>N</i> = 603), this study investigated the generational differences in \"social media use → perceived social support → mental health\" from a motivation perspective. Study 1 found that older adults reported lower levels of social media use motivations, while younger and middle-aged individuals showed higher engagement. For young adults, each social media use motivation was positively related to perceived social support, which in turn was linked to better mental health. Among middle-aged adults, the same pattern held for four motivations, but seeking self-status did not show a positive association with perceived social support. In contrast, among older adults, all media motivations, except for relaxation, were associated with perceived social support and mental health outcomes negatively, highlighting a generational digital divide. Study 2 replicated some findings of Study 1 and found that emotional social support - rather than informational support - could significantly mediate the relationship between information-seeking motivation and mental health. These findings underscore the need for tailored health communication strategies and interventions that account for generational differences and help bridge the digital divide.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unheard Voices: Communicative (Dis)enfranchisement in Women's Health Experiences in China.","authors":"Yanpei Chen, Jeanine Warisse Turner","doi":"10.1080/10410236.2025.2566974","DOIUrl":"https://doi.org/10.1080/10410236.2025.2566974","url":null,"abstract":"<p><p>In China, despite global awareness of the importance of gender equity as it relates to healthcare, attention to women's health issues especially gynecological conditions lags behind. These challenges stem from deficiencies in health education and the persistence of social norms discounting women's health problems and women's pain. To explore and amplify voices of women and their health experiences, this study employed the theory of communicative (dis)enfranchisement (TCD) as a framework to analyze the communication challenges Chinese females face. Analysis of 27 in-depth interviews revealed two dominant ideologies: the subordination of women to men and the stigmatization of women's gynecological functions as \"dirty.\" These ideologies drive both societal-level ramifications (stereotyping, restrictive rules, healthcare system limitations, and knowledge embargo) and personal-level ramifications, including emotional distress (e.g. anxiety, self-doubt) and behavioral changes (e.g. reluctance to seek medical help). Additionally, participants identified six functions of (Dis)enfranchising Talk (DT), including discrediting, reducing, stereotyping, silencing, dominating, and disregarding, which manifest across interpersonal and organizational discursive spaces. Women's responses to DT ranged from passive compliance to proactive strategies. This study broadens the scope of TCD literature by revealing the communicative mechanisms that perpetuate (dis)enfranchisement within China's unique cultural, historical, and systemic contexts, thereby challenging, enriching, and extending TCD theorizing beyond its traditional Western-centric focus.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When AI Joins the Social Media Conversation: Exploring the Impact of Simulated AI-Assisted Comments on Health Risk Perceptions and Behaviors.","authors":"Xizhu Xiao, Chen Luo, Qinyan Song, Wenyuan Yang","doi":"10.1080/10410236.2025.2564367","DOIUrl":"https://doi.org/10.1080/10410236.2025.2564367","url":null,"abstract":"<p><p>Misinformation on social media has long been a pressing concern, and its spread is often exacerbated by social endorsement metrics such as likes and shares. While prior research has explored artificial intelligence (AI)-based strategies to combat misinformation, little attention has been given to how AI-powered functions (e.g. automated comments) shape user perceptions and behaviors in the context of social media misinformation. This study employs a 2 (misinformation social endorsement: high vs. low) × 3 (AI-suggested comments: approve misinformation vs. disapprove misinformation vs. no AI comments) between-subject experimental design, focusing on a health issue heavily affected by misinformation - HPV vaccination. The findings reveal that misinformation posts perceived as highly endorsed, either through social endorsement or AI-generated supportive comments, are viewed as most credible. Additionally, AI comments endorsing misinformation evoke greater fear under conditions of high social endorsement compared to the absence of AI comments. Conversely, AI comments challenging misinformation reduce the credibility of misinformation and mitigate fear surrounding HPV vaccination, but only under conditions of low social endorsement, relative to no AI comments. Credibility and fear emerge as critical mediators, influencing subsequent perceived risk of HPV vaccination and vaccination intentions. Theoretical and practical implications of these findings are discussed, shedding light on the nuanced interplay between AI interventions and social endorsement in addressing misinformation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Constructing Anticipatory Resilience Through Relational Resources: Examining the Role of Disclosure and Social Support in Resilience Enactment Among Young Adults with Hypertension.","authors":"Hai Wei, Kai Kuang","doi":"10.1080/10410236.2025.2565846","DOIUrl":"https://doi.org/10.1080/10410236.2025.2565846","url":null,"abstract":"<p><p>Despite the prevalence of hypertension among young adults and its disruptive impact on daily life, limited research has examined how individuals draw on anticipatory resilience - discursive resources developed over time - to communicatively address hypertension-related challenges. Guided by the communication theory of resilience (CTR), this study investigated disclosure and social support as relational sources of anticipatory resilience. Data from 438 Chinese adults aged 18-44 years old with hypertension indicated that disclosure was positively associated with communicative resilience enactment via self-efficacy for managing chronic illness, which, in turn, predicted adherenence to medical recommendations and mental health. Social support was also significantly linked to participants' engagement in resilience processes. The findings offer theoretical insights into the mechanisms through which different sources of anticipatory resilience influence resilience enactment, as well as practical implications for designing communicative strategies that foster resilience and promote adherence to medication and lifestyle recommendations among young adults with hypertension.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-10-01Epub Date: 2025-01-19DOI: 10.1080/10410236.2025.2449713
Jae-Eun C Kim, Heather Dahlen, Daphney Dupervil, Timothy O Ihongbe, Kenneth W Moffett, Blake Hoffman, Benjamin Denison, Elissa C Kranzler, Kathleen Yu, Katherine A Margolis, Leah Hoffman
{"title":"Evaluating the Impact of the <i>\"We Can Do This\"</i> Campaign's Heavy-Up Advertising on Initial COVID-19 Vaccine Uptake.","authors":"Jae-Eun C Kim, Heather Dahlen, Daphney Dupervil, Timothy O Ihongbe, Kenneth W Moffett, Blake Hoffman, Benjamin Denison, Elissa C Kranzler, Kathleen Yu, Katherine A Margolis, Leah Hoffman","doi":"10.1080/10410236.2025.2449713","DOIUrl":"10.1080/10410236.2025.2449713","url":null,"abstract":"<p><p>To address vaccine hesitancy, the U.S. Department of Health and Human Services (HHS) launched the \"<i>We Can Do This</i>\" COVID-19 public education campaign (the Campaign) in 2021 to promote vaccine confidence and increase vaccine uptake. The Campaign introduced a heavy-up media strategy to enhance its reach and engagement with its vaccine hesitant audience. This approach complemented the Campaign's national media strategy while delivering an additional advertising dose to select priority designated market areas (DMAs) - that is, media markets - each month. We examine the relationship between the Campaign's heavy-up strategy and initial COVID-19 vaccine uptake from August to December 2021. A stacked difference-in-differences (DID) analysis compared initial COVID-19 vaccine uptake between DMAs that received heavy-up (treatment) and DMAs that did not (control). The Campaign's short-term heavy-up advertising strategy was associated with increased initial vaccine uptake in treatment DMAs. These results provide valuable insights for public health campaign strategy and evaluation, highlighting the effectiveness of increasing campaign dose in select markets to address vaccine hesitancy and improve public health outcomes.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2300-2309"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-10-01Epub Date: 2025-01-14DOI: 10.1080/10410236.2025.2450853
Hye Kyung Kim, Hui Min Lee, Edson C Tandoc
{"title":"Social Responsibility Appeal and Cross-Lagged Effects of Perceived Norms on Mask-Wearing Behavior During the COVID-19 Pandemic.","authors":"Hye Kyung Kim, Hui Min Lee, Edson C Tandoc","doi":"10.1080/10410236.2025.2450853","DOIUrl":"10.1080/10410236.2025.2450853","url":null,"abstract":"<p><p>This study extends the Theory of Normative Social Behavior by examining the cross-lagged effects of perceived norms on mask-wearing intention and behavior during an evolving COVID-19 pandemic. We also investigate the normative mechanisms of how social responsibility appeals improve compliance with mask-wearing behavior. A two-wave panel survey (<i>N</i> = 767) was conducted in Singapore in March and April 2020. Findings show that injunctive norms increase subsequent intention, whereas descriptive norms reduce subsequent behavior. Individuals may find it unnecessary to wear masks when they perceive many others are engaging in the action. Our result shows that this counterproductive effect could be mitigated by a greater sense of social pressure to comply, which can be reinforced by using social responsibility appeals. Our findings offer insights for theory extension and norms-based intervention strategies in pandemic contexts.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2327-2339"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-10-01Epub Date: 2025-02-11DOI: 10.1080/10410236.2025.2458647
Andrew Prestwich, Chloe Flanagan, Sania Khan
{"title":"Impact of UK National Clinical Communication Guidelines on Adults' Perceptions of Doctors and Treatment Commitment.","authors":"Andrew Prestwich, Chloe Flanagan, Sania Khan","doi":"10.1080/10410236.2025.2458647","DOIUrl":"10.1080/10410236.2025.2458647","url":null,"abstract":"<p><p>UK national guidelines recommend how healthcare professionals should communicate with patients. However, the impact of following, or violating, these guidelines on how much the healthcare professional is respected, liked, or trusted, and the mechanisms underpinning, and consequences of, these perceptions have not been tested. To address these gaps, two UK-based, pre-registered studies using within-subjects designs required participants to rate how much they respect, like and trust general practitioners (GPs), as well as how competent, assertive, moral, and warm they are, and their commitment to adhere to their advice. After these baseline assessments, participants were presented with a series of vignettes where hypothetical GPs violated (Study 1, <i>N</i> = 329, and Study 2, <i>N</i> = 329) and followed (Study 2 only) recommended communication guidelines. Violations reduced respect for GPs more than liking and liking more than trust. Following communication guidelines increased liking for GPs the most followed by trust and respect the least. Violations of, and following, communication guidelines impacted (reduced/increased, respectively) patients' commitment to treatment adherence via trust, primarily, as well as respect. Summarizing information and checking patients have understood the most important information impacted how GPs were evaluated more than the other tested communication recommendations, suggesting this specific recommendation could be prioritized over the other tested recommendations. Furthermore, by impacting how much patients trust and, to a lesser extent, respect their GP, how committed patients are to following treatment advice could be affected by how GPs communicate with their patients.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2417-2428"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-10-01Epub Date: 2025-01-08DOI: 10.1080/10410236.2024.2447548
Charlotte Schrimpff, Elena Link, Tanja Fisse, Eva Baumann, Christoph Klimmt
{"title":"Mental Models of Smart Implant Technology: A Topic Modeling Approach to the Role of Initial Information and Labeling.","authors":"Charlotte Schrimpff, Elena Link, Tanja Fisse, Eva Baumann, Christoph Klimmt","doi":"10.1080/10410236.2024.2447548","DOIUrl":"10.1080/10410236.2024.2447548","url":null,"abstract":"<p><p>Public understanding of medical innovations such as smart technology is decisive for its acceptance and implementation. Thus, it is important to understand what visions people develop of a technology based on initial information such as the label. We chose smart implants as an example and conducted qualitative interviews with 47 former implant patients to record their mental models after exposing them to the idea of smart implants through a vignette. Their answers were analyzed using LDA topic modeling. We derived five topics describing people's mental models considering the technology's functionalities, (dis)advantages as well as potential benefits and risks. The topics revealed that our respondents have often associated the idea of smart implants with artificial intelligence, which is a misconception regarding the introduced conceptualization. Thus, special attention has to be paid to the technology's labeling in communication efforts to ensure adequate understanding.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2254-2266"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}