Health Communication最新文献_第3页

The Struggle to Be "Fully Human": Women's Communicative Disenfranchisement and Ideological Formations in the U.S. Healthcare System. 奋斗成为“完整的人”：美国医疗保健系统中女性的交流剥夺和意识形态形成。

IF 3 3区医学

Health Communication Pub Date : 2025-06-24 DOI: 10.1080/10410236.2025.2521493

Rebecca de Souza, Isabel Villegas-Glang

{"title":"The Struggle to Be \"Fully Human\": Women's Communicative Disenfranchisement and Ideological Formations in the U.S. Healthcare System.","authors":"Rebecca de Souza, Isabel Villegas-Glang","doi":"10.1080/10410236.2025.2521493","DOIUrl":"https://doi.org/10.1080/10410236.2025.2521493","url":null,"abstract":"Drawing on the theory of communicative disenfranchisement (TCD) and based on qualitative interviews with 27 women living in the U.S. this study illuminates the enduring and persistent role of deep-seated \"ideological formations'' (i.e. essentialized and oversimplified assumptions and worldviews) in medical interactions. Specifically, the analysis uncovers three core ideological formations that shape the communicative disenfranchisement (CD) encountered by women: (a) assumptions around the superiority of biomedicine, (b) assumptions about women's voice, agency, and decision-making capacities, and c) assumptions (and scrutiny) around women's reproductive capacities and physical features. Women experienced CD at the intersection of essentialized worldviews surrounding biomedicine and the \"humanness\" of women. These ideological assumptions meant that women routinely encountered a masculinist and patriarchal biomedical model of medicine, stereotypes about women's bodies, agency, and reproductive facilities, and in some instances, women endured sexist macroaggressions. Theoretically, the study advances TCD by elaborating upon core ideological formations that create and sustain CD in medical settings. In practical terms, the study calls for refocusing the healthcare system using a women-centered approach that recognizes the limitations of biomedicine and women's agentic struggles to be seen as \"fully human.\"","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474958","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}

引用次数: 0

Promoting Teen Pregnancy Prevention: An Analysis of Social Media Content Strategy Over Five Years. 促进青少年预防怀孕：五年来社交媒体内容策略分析。

IF 3 3区医学

Health Communication Pub Date : 2025-06-24 DOI: 10.1080/10410236.2025.2519129

Erin Ash, Emma Cox, Yiwei Xu, Brandon Boatwright

{"title":"Promoting Teen Pregnancy Prevention: An Analysis of Social Media Content Strategy Over Five Years.","authors":"Erin Ash, Emma Cox, Yiwei Xu, Brandon Boatwright","doi":"10.1080/10410236.2025.2519129","DOIUrl":"https://doi.org/10.1080/10410236.2025.2519129","url":null,"abstract":"Although rates in the United States have declined significantly since the 1990s, the U.S. continues to have among the highest teen birth rates in the developed world, and recent policy changes in the U.S. warrant increased attention to pregnancy prevention efforts. This research employed a computational approach to analyze social media messages about a pregnancy prevention campaign with focus on analyzing responsibility attribution and frames that might lead to potential stigmatization. Original posts from the Power to Decide campaign's Twitter account posted from 2017 to 2022 (N = 7,770) were analyzed. Automated topic modeling identified five topics extracted from the data: access, encouraging conversations, pregnancy prevention programs, voter voice, and barriers. A subsequent thematic analysis was conducted to uncover sub-themes that provide insight into each topic. Results revealed an emphasis on social responsibility in the organization's social media messaging, reflecting the multiple stakeholders the organization targets in its social media messaging, which are not limited to the at-risk population (i.e. teens), and to whom structural solutions to teen pregnancy prevention can be promoted.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484085","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}

引用次数: 0

Much More Than Pretty Words: Poetry About the COVID-19 Vaccine Brings Healing and Community. 不仅仅是漂亮的文字：关于COVID-19疫苗的诗歌带来了治愈和社区。

IF 3 3区医学

Health Communication Pub Date : 2025-06-22 DOI: 10.1080/10410236.2025.2521711

Nichole Egbert, David Hassler, Tyler Meier

引用次数: 0

IF 3 3区医学

Health Communication Pub Date : 2025-06-22 DOI: 10.1080/10410236.2025.2519127

Rachel Drbohlav Ollerton, Saar Hommes, Nadine Bol, Gwenn Beets, Frans Folkvord, Emiel J Krahmer

{"title":"Health-Related Lifestyle Communication in Oncology: Exploring the Experiences and Preferences of Cancer Survivors.","authors":"Rachel Drbohlav Ollerton, Saar Hommes, Nadine Bol, Gwenn Beets, Frans Folkvord, Emiel J Krahmer","doi":"10.1080/10410236.2025.2519127","DOIUrl":"10.1080/10410236.2025.2519127","url":null,"abstract":"A healthy lifestyle, particularly having a balanced diet, regular physical activity, and abstaining from alcohol and smoking, is important for the recovery process of cancer survivors. The extent and form in which lifestyle information is provided by healthcare providers varies substantially, which could leave many patients with unmet information needs. To better understand current practices and areas for improvement in communicating about these health behaviors, we explored survivors' experiences and preferences regarding communication. Using deductive and inductive content analysis, we analyzed questionnaire responses from survivors with various types of cancers. The results revealed the experiences with information provision, and barriers and facilitators to adhere to treatments. Respondents reported having to search for information themselves, which could lead to negative feelings and neglecting vulnerable groups of patients. Most respondents preferred a multimodal distribution of information and receival of recommendations at the beginning of treatment. Additionally, respondents preferred personalized and non-coercive messages about their lifestyle. The results of this study provide insights into current shortcomings and points for improvement of healthy lifestyle communication practices in oncology. Understanding patients' communication preferences and ways in which they can be implemented could lead to adherence to health behaviors, potentially improving long-term survivorship outcomes. Future research could explore whether tailoring recommendations to individual needs and delivering information at critical stages can enhance patient satisfaction and engagement.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368808","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}

引用次数: 0

Exploring the Role of User Participation in Emotional Contagion and Coping in Cancer Vlog Communities on YouTube. 探索YouTube上癌症视频博客社区中用户参与情绪感染和应对的作用。

IF 3 3区医学

Health Communication Pub Date : 2025-06-19 DOI: 10.1080/10410236.2025.2520512

Hyang-Sook Kim, Mun-Young Chung, Youjeong Kim

{"title":"Exploring the Role of User Participation in Emotional Contagion and Coping in Cancer Vlog Communities on YouTube.","authors":"Hyang-Sook Kim, Mun-Young Chung, Youjeong Kim","doi":"10.1080/10410236.2025.2520512","DOIUrl":"10.1080/10410236.2025.2520512","url":null,"abstract":"Despite the increasing popularity of video blogging (vlogging) among patients with chronic illnesses, little is known about emotional exchange as a fundamental source of social support on YouTube for patients coping with cancer. We investigated the phenomenon known as emotional contagion on eight cancer vlog channels and the potential mediating role of two types of user participation (i.e. commenting and liking) in emotional contagion. Path analysis of sentiment scores and the number of video likes and comments obtained from transcripts of 529 cancer vlog videos and 194,104 associated comments revealed (a) direct emotional contagion from vloggers to viewers for negative emotions only and (b) indirect emotional contagion for positive emotions via commenting among viewers. Commenting appeared to facilitate positive emotions while suppressing negative emotions among viewers, whereas liking was more likely to generate negative emotions among viewers. Our findings suggest that user contribution enhanced emotional support by facilitating emotional contagion in cancer vlog communities. At the same time, commenting and liking operated differently in this emotional contagion process due to differing amounts of cognitive investment required for each action on YouTube.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333010","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}

引用次数: 0

Cycles of (Dis)engagement: A Qualitative Meta-Synthesis of the (Health)Care-Seeking Experiences of Patients with Chronic Symptoms Following Lyme Disease. （疾病）参与的循环：莱姆病后慢性症状患者（健康）求医经历的定性综合

IF 3 3区医学

Health Communication Pub Date : 2025-06-13 DOI: 10.1080/10410236.2025.2512923

Jacqueline N Gunning

{"title":"Cycles of (Dis)engagement: A Qualitative Meta-Synthesis of the (Health)Care-Seeking Experiences of Patients with Chronic Symptoms Following Lyme Disease.","authors":"Jacqueline N Gunning","doi":"10.1080/10410236.2025.2512923","DOIUrl":"https://doi.org/10.1080/10410236.2025.2512923","url":null,"abstract":"(Chronic) Lyme disease/post-treatment Lyme disease syndrome ([C]LD/PTLDS) is a post-infection illness that remains contested, resulting in a divergent epistemological landscape (i.e., biomedicine versus alternative medicine). Consequently, (C)LD/PTLDS patients exhaust their (health)care options in their search for symptom relief, falling into cycles of starting and stopping (health)care-seeking. This meta-synthesis reviewed 13 qualitative interview studies representing the (health)care-seeking experiences of 216 (C)LD/PTLDS patients across five countries (i.e., United States, Canada, Netherlands, Australia, France) to examine how communication catalyzes patients' (health)care-seeking behaviors. This study proposes a model of (health)care (dis)engagement, identifying communication as a motor moving patients through (health)care-seeking both within and outside of biomedical models of care. This model extends our understanding of communicative (dis)enfranchisement processes and understandings of why patients disengage and reengage in healthcare-seeking behaviors. Theoretical and practical implications and future directions are discussed.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283548","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}

引用次数: 0

Joint Effect of Accuracy Nudge and Warning Label Interventions on Intention to Share COVID-19 Misinformation. 准确性助推和警告标签干预对分享COVID-19错误信息意愿的联合影响

IF 3 3区医学

Health Communication Pub Date : 2025-06-13 DOI: 10.1080/10410236.2025.2507676

Kazunori Fujimoto, Yuko Tanaka, Miwa Inuzuka

{"title":"Joint Effect of Accuracy Nudge and Warning Label Interventions on Intention to Share COVID-19 Misinformation.","authors":"Kazunori Fujimoto, Yuko Tanaka, Miwa Inuzuka","doi":"10.1080/10410236.2025.2507676","DOIUrl":"https://doi.org/10.1080/10410236.2025.2507676","url":null,"abstract":"The spread of misinformation is a growing problem, particularly in light of the COVID-19 pandemic. Implementing multiple psychological interventions simultaneously is a potential approach to countering misinformation, but little is known about the effectiveness of combined interventions. Based on accuracy nudge theory, which posits that inattention to accuracy is the primary driver of misinformation sharing, we hypothesized that accuracy nudges and warning labels would complement each other to enhance their effectiveness in reducing the intention to share misinformation. To investigate, we conducted an online survey with a sample of 1,399 U.S. adults. The results showed that the effect of the accuracy nudge alone was significantly enhanced when combined with the warning label; however, the effect of the warning label alone was not significantly enhanced when combined with the accuracy nudge, suggesting that they do not share a mutually complementary relationship. These findings remained consistent regardless of whether the intervention effects were assessed using sharing intentions for fake headlines or the difference in sharing intentions between fake and real headlines. We discuss potential explanations for and practical implications of these findings.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283549","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}

引用次数: 0

Unmasking Tension: How the Third Party Navigates the Increasing Tension in Triadic Medical Encounters. 揭开紧张：第三方如何在三位一体的医疗遭遇中导航日益紧张。

IF 3 3区医学

Health Communication Pub Date : 2025-06-11 DOI: 10.1080/10410236.2025.2499711

Xin Li, Yinong Tian, Bin Li, Lili Liu, Yonggang Su

{"title":"Unmasking Tension: How the Third Party Navigates the Increasing Tension in Triadic Medical Encounters.","authors":"Xin Li, Yinong Tian, Bin Li, Lili Liu, Yonggang Su","doi":"10.1080/10410236.2025.2499711","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499711","url":null,"abstract":"Participation in triadic medical interaction can be more unpredictable and challenging than that in dyadic interactions limited to patients and physicians. Many studies have explored participants' roles or communication strategies in triadic medical interaction but seldom investigated discursive resources and actions of the third party in interactional tension, especially in Chinese healthcare settings. Eighty-two conversations involving 45 patients, 57 companions, and four physicians were audio-recorded at the neurology clinic of a tertiary hospital in northern China, each lasting between 12 and 20 min. Through conversation analysis, the moments and activities that the third party intervenes in the interactional tension are captured and analyzed at a micro-level. Our collected data reveal that the third-party intervention can be classified into double, unilateral, and nonaligned. Along the gradient, initiatives for actions by the third party are diminished. Five distinct behavioral patterns are identified to represent alignment choices, including serving as and beyond a sounding board, downgrading one side to keep the stance back, prioritizing one party, and deflecting with non-verbal cues and fact-based formulation. This study sheds light on the practical implications of alleviating and addressing the emerging tension before it spreads, especially in neurology clinics where companions are frequently involved. When tension-related parties are at an impasse, the third party can step in by seizing the opportune moment and act as a gatekeeper for the spill-over of the tension through the design and organization of sequences in the interaction.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274737","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}

引用次数: 0

When is Injunctive Norms Messaging Counterproductive? Exploring the Effect of Language Variation in Social Norms Messaging on Psychological Reactance. 禁令规范何时会适得其反？探讨社会规范信息传递中语言变异对心理抗拒的影响。

IF 3 3区医学

Health Communication Pub Date : 2025-06-05 DOI: 10.1080/10410236.2025.2514149

Jie Zhuang, Adam Richards

{"title":"When is Injunctive Norms Messaging Counterproductive? Exploring the Effect of Language Variation in Social Norms Messaging on Psychological Reactance.","authors":"Jie Zhuang, Adam Richards","doi":"10.1080/10410236.2025.2514149","DOIUrl":"https://doi.org/10.1080/10410236.2025.2514149","url":null,"abstract":"Scholars speculate that injunctive norms messages elicit more psycholgical reactance compared to descriptive norms messages. This research argues that the commonly employed linguistic variations of injunctive norms messages account for reactance effects rather than the injunctive norms vs. descriptive norms difference itself. We employed a 5 (norms messaging: descriptive norms vs. injunctive norms approval vs. injunctive norms disapproval vs. injunctive norms should vs. injunctive norms must) × 2 (topic: responsible drinking vs. nutritious diet) between-subjects experiment (N = 424) to test the degree to which specific injunctive norms messages elicit reactance. The findings indicated that the injunctive norms must message produced a significantly stronger perceived freedom threat than both the descriptive norms message and the injunctive norms should message. Moreover, serial mediation suggested that after the exposure to the injunctive norms must message, participants reported stronger perceived freedom threat and psychological reactance, followed by more unfavorable attitudes and weaker behavioral intention to engage in responsible drinking and a healthy diet. No differences occurred between the injunctive norms approval and disapproval messages. The results provide theoretical and empirical clarity for the relationship between social norms messaging and psychological reactance and offer practical guidance for social norm-based public health interventions.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233962","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}

引用次数: 0

The Spillover Effect of Online Medical Consultation Services on Offline Physician-Patient Relationship: Patient Perspective. 线上医疗咨询服务对线下医患关系的溢出效应：患者视角

IF 3 3区医学

Health Communication Pub Date : 2025-06-05 DOI: 10.1080/10410236.2025.2512927

Xi Han, Ke Liao, Li Zhang, Wenting Han, Chunqiu Li

{"title":"The Spillover Effect of Online Medical Consultation Services on Offline Physician-Patient Relationship: Patient Perspective.","authors":"Xi Han, Ke Liao, Li Zhang, Wenting Han, Chunqiu Li","doi":"10.1080/10410236.2025.2512927","DOIUrl":"https://doi.org/10.1080/10410236.2025.2512927","url":null,"abstract":"Online medical consultation services (OMCS) in China always receive high ratings, while offline medical services receive many complaints. The COVID-19 pandemic has strengthened the connection between online and offline medical services in China, but the important question whether the online-offline connection can bring benefits for offline medical services is rarely studied. From a patient perspective, this study explores the impact mechanism of OMCS on the offline physician-patient relationship, attempting to enhance the spillover effect of OMCS on offline medical services and promote communication between physicians and patients. The study adopts trust transfer theory and uses a cross-sectional survey regarding questions about online-to-offline medical service to validate a moderated serial mediation model. The results showed that OMCS usage makes individuals perceive significantly higher levels of offline physician trust and physician-patient relationships. Individuals' satisfaction with OMCS enhances offline physician-patient relationships through the sequential mediating effect of online and offline trust toward physicians. In the online-to-offline physician trust transfer process, online-offline medical service connection and patients' prior satisfaction with offline physician service play significant moderating roles. The trust transfer effect is more effective when the online-offline medical service connection is high and the prior offline service satisfaction is low. This study sheds new light on online-to-offline service and OMCS research, and contributes to trust transfer theory. The study also discusses the practical implications for stakeholders.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233960","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}

引用次数: 0