Health CommunicationPub Date : 2025-07-01Epub Date: 2024-09-08DOI: 10.1080/10410236.2024.2400815
Nan Jia, Yijin Wu
{"title":"Discourse Analysis in End-of-Life Communication: A Systematic Review.","authors":"Nan Jia, Yijin Wu","doi":"10.1080/10410236.2024.2400815","DOIUrl":"10.1080/10410236.2024.2400815","url":null,"abstract":"<p><p>Discourse analysis (DA) has emerged as a valuable method for examining communication between participants in end-of-life (EOL) care. However, there remains a gap in synthesizing the findings of discourse analytic studies focused on communication within EOL care settings. The aim of this study was to synthesize DA studies in EOL care. A systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analyses (Prisma) guidelines. An electronic database of Web of Science (WOS), MEDLINE, PubMed, and Embase was performed. 14 peer-reviewed studies published in English before January 10 2024, were included. Thematic analysis identified three overarching themes: (1) caregivers' discursive stances on EOL care, (2) discursive practices of participants in shared decision-making conversations, and (3) discursive resources in talking illness trajectories. Findings suggest that DA has the potential to provide insights into understanding communication practices in EOL care and examining an individual's stance on issues about EOL care, thus informing clinical practice and improving patient-centered care.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1387-1402"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153732","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 : 2025-07-01Epub Date: 2024-09-26DOI: 10.1080/10410236.2024.2408507
Sunyoung Park
{"title":"Assessing Theoretical Mediators of Campaign-Induced Communication in the Context of Social Norms Campaign.","authors":"Sunyoung Park","doi":"10.1080/10410236.2024.2408507","DOIUrl":"10.1080/10410236.2024.2408507","url":null,"abstract":"<p><p>The present paper examines the role of campaign-induced communication on the effects of a social norms campaign by focusing on cognitive elaboration, perceived injunctive norms, and message recall as mediating variables. Participants (<i>n</i> = 252; <math><mrow><msub><mi>m</mi><mrow><mi>age</mi></mrow></msub></mrow></math> = 20.26) read an injunctive norms campaign message about choosing not to drink at parties or when socializing and were randomly assigned to one of three conditions (<i>control</i>: received no prompts, <i>prompt only</i>; received prompts to engage in interpersonal communication about the campaign message with close others during the following week; <i>prompt & plan</i>: received prompts to engage in interpersonal communication with close others during the following week and to write a plan for the communication). The results revealed that the prompt (either alone or with the plan) significantly motivated participants to engage in positive conversations about the campaign message during the next week. Similar to past findings, higher frequency of positive conversations about the campaign message indirectly predicted better behavioral outcomes via higher cognitive elaboration. The findings suggest that social norms campaign developers should be encouraged to design social norms messages with a brief prompt to motivate the target audience to engage in interpersonal communication and need to account for such interpersonal communication and its indirect effects in evaluating campaign messages.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1535-1545"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345235","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 : 2025-07-01Epub Date: 2024-10-09DOI: 10.1080/10410236.2024.2413268
Faying Song, Xue Gong, Rui Guo
{"title":"Investigating the Relationship Between Patient-Centered Communication and Quality of E-Consult in China: A Cross-Sectional Standardized Patient Study.","authors":"Faying Song, Xue Gong, Rui Guo","doi":"10.1080/10410236.2024.2413268","DOIUrl":"10.1080/10410236.2024.2413268","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1570-1581"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389880","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 : 2025-07-01Epub Date: 2024-09-26DOI: 10.1080/10410236.2024.2403663
Yujun Lin, Shuaishuai Li
{"title":"Searching for Love and Babies: A Qualitative Study on Online Social Support Among Women with Infertility.","authors":"Yujun Lin, Shuaishuai Li","doi":"10.1080/10410236.2024.2403663","DOIUrl":"10.1080/10410236.2024.2403663","url":null,"abstract":"<p><p>With the popularity of computer-mediated communication, accessing online social support has become more accessible for women confronting infertility, yet the role of such support for Chinese women remains understudied. This study investigates the online social support experiences of Chinese women navigating infertility within the framework of Cutrona and Suhr's social support. Employing netnography and semi-structured interviews alongside thematic analysis, the findings highlight challenges in informational support due to limitations in online information dissemination, with some degree of overlap observed between informational support and network support. Emotional support proves crucial and esteem support aids in mitigating self-blame among online forum members. Tangible assistance primarily involves expressed willingness to help. This research advances social support theory by exploring new areas, clarifying online support mechanisms using Daena Goldsmith's normative approach, highlighting sociocultural influences, and enhancing understanding of esteem support in the context of stigmatization.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1454-1464"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345241","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 : 2025-07-01Epub Date: 2024-09-30DOI: 10.1080/10410236.2024.2407209
Rachael Hernandez, Rebecca J Meisenbach
{"title":"Exploring Stigma Communication About Urinary Tract Infections in the United States.","authors":"Rachael Hernandez, Rebecca J Meisenbach","doi":"10.1080/10410236.2024.2407209","DOIUrl":"10.1080/10410236.2024.2407209","url":null,"abstract":"<p><p>Urinary tract infections (UTIs) have steadily increased in prevalence and severity among women in the United States and can lead to serious complications if left untreated. Yet, women are often reluctant to discuss such infections due to potential stigmatization. Indeed, UTI treatment and prevention often involves communication with intimate partners and physicians, and this communication can require stigma management. Further, stigma communication can influence women's experiences with UTI symptoms and treatment. The theory of stigma management communication is well-suited to explore how stigma-related communication unfolds about the experience, diagnosis, and treatment of UTIs. The current study uses in-depth interviews conducted in 2022 to learn about experiences with stigma communication surrounding UTIs. Findings reveal that participants perceived UTIs as stigmatized due to associations between UTIs and female gender, sexual behavior, genital health, and hygiene. Participants described using stigma management strategies to accept, ignore, avoid, reduce responsibility for, and challenge stigmas related to UTIs. This analysis has implications for theorizing choice in stigma management research and for provider-patient interactions surrounding UTIs.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1515-1523"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345236","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}
Fatema Z Ahmed, Olivia K Golan, Rachel Totaram, Sarah Akil, Nafees Fatima-Hashani, Daniel J Whitaker, Therese Pigott, Barbara Andraka-Christou
{"title":"Analyzing the Discursive Framing of Medications for Opioid Use Disorder (MOUDs) in U.S. News Media: A Comparative Study of Benefits, Persuasion Methods, and Temporal Trends.","authors":"Fatema Z Ahmed, Olivia K Golan, Rachel Totaram, Sarah Akil, Nafees Fatima-Hashani, Daniel J Whitaker, Therese Pigott, Barbara Andraka-Christou","doi":"10.1080/10410236.2025.2521716","DOIUrl":"https://doi.org/10.1080/10410236.2025.2521716","url":null,"abstract":"<p><p>Medications for opioid use disorder (MOUDs) offer substantial benefits but are underutilized. Media representations of MOUD benefits potentially shape public and policymaker attitudes toward these treatments. This study examines how MOUD benefits are portrayed in the news media, exploring variations by medication type, publication period, news source, and persuasion approach. We analyzed 81 articles from the New York Times, USA Today, and Fox News spanning 2014-2016 and 2019-2021. Using iterative categorization, we identified recurring themes in MOUD benefits and methods of persuasive communication. Only 49% of articles mentioned one or more MOUD benefits (<i>n</i> = 39). Ten categories of MOUD benefits were identified, with most articles highlighting reduced cravings and withdrawal symptoms (<i>n</i> = 30) and decreased overdose risk (<i>n</i> = 28). Other benefits like improved mother-baby outcomes (<i>n</i> = 4) and reduced HIV risk (<i>n</i> = 3) were rarely discussed. Buprenorphine benefits were most frequently detailed (<i>n</i> = 35), followed by methadone (<i>n</i> = 24) and naltrexone (<i>n</i> = 13). More articles emphasized MOUD benefits in 2019-2021 (<i>n</i> = 24/32) compared to 2014-2016 (<i>n</i> = 15/49), and Fox News articles (<i>n</i> = 8/27) reported MOUD benefits less frequently than New York Times (<i>n</i> = 21/37) and USA Today (<i>n</i> = 10/17) articles. MOUD benefits were typically presented through central persuasion (logical arguments), and less often through peripheral persuasion (emotional anecdotes, expert testimonies). Communication about MOUDs in the media warrants improvement, with implications for public and policymaker understanding and support. Future research should focus on identifying effective media strategies to enhance public awareness and acceptance of MOUD benefits.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527675","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":"Sexual Identity-Related Shame as a Barrier to Mpox Prevention Among Gay and Bisexual Men.","authors":"Shelby Lake, Xinyan Zhao, Rong Ma","doi":"10.1080/10410236.2025.2524434","DOIUrl":"https://doi.org/10.1080/10410236.2025.2524434","url":null,"abstract":"<p><p>This study explores emotional mechanisms that help explain the relationships between gay and bisexual men's sexual identity, perceptions of mpox risk, and their intentions to take protective action against mpox. An online survey of cisgender gay and bisexual men (<i>N</i> = 393; 44.8% gay) showed that identity salience was positively associated with fear and perceptions of mpox risk, but risk perceptions were not significantly associated with behavioral intentions. Additionally, identity salience was positively associated with shame, which in turn was associated with reduced intentions to take protective action. Our findings underscore the complexity of the relationships between identity salience, fear, shame, and behavior in the context of a stigmatized health condition and among a stigmatized group. They also extend theory on the role of shame in identity-based health and risk communication by showing that while identity-based messaging may heighten risk perceptions, it can also elicit shame, unintentionally hindering preventive behaviors. Future research should examine the causal pathways linking shame to health-related cognition and behavior and identify message features and characteristics that are most likely to elicit shame.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527677","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":"The Role of Physical and Mental Health Conditions in Explaining Health Information Seeking and Avoidance Behaviors: An Application of the Planned Risk Information Seeking Model.","authors":"Elena Link, Eva Baumann","doi":"10.1080/10410236.2025.2521010","DOIUrl":"https://doi.org/10.1080/10410236.2025.2521010","url":null,"abstract":"<p><p>Information seeking and avoidance are important coping strategies for individuals dealing with mental and physical health conditions. To explore the mechanisms behind these behaviors, this study applies the Planned Risk Information Seeking Model (PRISM). An online survey of 1,327 individuals with mental or physical health conditions found more similarities than differences in the predictors of both seeking and avoidance behaviors across these groups, supporting the cross-contextual validity of PRISM. Specifically, attitudes toward information behaviors and subjective norms were identified as overarching predictors. By focusing on mental health conditions, which have been studied less frequently, this research shows that mental health information seeking is influenced by one's attitudes, fears, and hopes, while avoidance is more distinctively shaped by attitudes and subjective norms related to avoidance.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527678","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":"Under What Conditions Would You Spread Gynecological Diseases Stigma? Integrating Emotional Valence and Emotional Arousal into the Model of Stigma Communication.","authors":"Dan Wu, Hongfa Yi","doi":"10.1080/10410236.2025.2522371","DOIUrl":"https://doi.org/10.1080/10410236.2025.2522371","url":null,"abstract":"<p><p>The stigma of gynecological diseases (GDs) in China threatens women's health rights. Based on the model of stigma communication (MSC), this study introduced two dimensions of emotional valence and emotional arousal to explore factors associated with the stigma spread of GDs. Content analysis, Ordinary Least Squares (OLS) regression, and Hierarchical Linear Modeling (HLM) were used to analyze 1,279 related posts and comments on Sina Weibo. Results showed that mark, label, and responsibility were positively associated with the stigma spread of GDs, while peril and the three negative emotions (disgust, anger, and fear) were not. Unlike previous studies, emotional valence and emotional arousal were both positively associated with the stigma spread of GDs, with emotional arousal associated across various topics, especially in news discussion and gender relationships. Emotional valence and emotional arousal significantly improved the model's explanatory power. These findings emphasize the role of emotion in stigma communication, offering insights for stigma spread.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527679","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}
Jane J Lee, Kathleen Agudelo Paipilla, Patricia Alarcon, Juliann Li Verdugo, Katie Vo, Abraham Hernandez, Marcus Conde, Carmen Gonzalez, E Roberto Orellana, Susan M Graham
{"title":"Key Storytellers of Health Information Among Spanish-Speaking Latino Sexual Minority Men in the U.S.: Identifying Barriers and Facilitators to HIV Prevention and Care.","authors":"Jane J Lee, Kathleen Agudelo Paipilla, Patricia Alarcon, Juliann Li Verdugo, Katie Vo, Abraham Hernandez, Marcus Conde, Carmen Gonzalez, E Roberto Orellana, Susan M Graham","doi":"10.1080/10410236.2025.2520334","DOIUrl":"https://doi.org/10.1080/10410236.2025.2520334","url":null,"abstract":"<p><p>This study sought to identify the primary sources of HIV and health information among Spanish-speaking Latino gay, bisexual, and other sexual minority men (SMM) in the United States (U.S.) and assess the strengths and limitations of their storytelling networks. We explored how storytellers, or those who relay information to individuals and communities, act as facilitators or barriers to HIV prevention and care services. We conducted individual semi-structured in-depth interviews with 40 Spanish-speaking Latino SMM recruited via a national survey. Qualitative data were analyzed in Spanish in Dedoose using a deductive approach and detailed codebook. Findings revealed four main themes associated with key storytellers and the strength of the communication infrastructure: 1) Having access to Spanish language resources and Spanish-speaking individuals is key to feeling comfortable and confident in seeking care; 2) Feeling connected to the Latino community often correlated with residence in areas where services were culturally tailored; 3) While social support networks are critical for accessing health information and promoting well-being, participants often excluded family members from discussions about HIV and sexual health due to stigma, instead seeking out friends, partners, and health care providers who were perceived as more open and knowledgeable; 4) Social media and the internet provide accessible sources of HIV prevention and care information, but perceived reputability of the source was important. The communication infrastructure and storytellers have implications for the development of future HIV-related interventions for Spanish-speaking Latino SMM in the U.S.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527676","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}