Health Communication最新文献

{"title":"Communicative Fractures in Chronic Pain: A Conceptual Model for Health Communication.","authors":"Enrique Barrós-Beracaza, Estrella Martínez-Rodrigo, Francisco García-García","doi":"10.1080/10410236.2026.2741907","DOIUrl":"https://doi.org/10.1080/10410236.2026.2741907","url":null,"abstract":"<p><p>Chronic pain is inherently subjective and must become communicable before it can be interpreted, socially recognized, and incorporated into clinical reasoning. Existing scholarship has examined pain expression, interpersonal responses, validation and invalidation, patient-clinician communication, family communication, and communicative disenfranchisement, but these phenomena have often been addressed within partly distinct research traditions. This conceptual article develops and delimits the pain communication fracture model (PCFM) through an integrative synthesis of pain science, health communication, illness narratives, interpersonal validation, communicative disenfranchisement, nocebo research, and pain education. The model distinguishes four analytical communicative registers-bodily experience, communicable expression, interpersonal interpretation, and clinical formulation-and three communicative fractures located in the transformations between them: CF1, expressibility; CF2, interpersonal legitimation; and CF3, clinical translation. The fractures are proposed as analytically distinguishable but potentially overlapping and dynamically interrelated processes, rather than as fixed stages, diagnostic categories, or established causal mechanisms. The PCFM links each fracture to preliminary indicators, plausible consequences, and potential mitigation strategies while accounting for patient agency, legitimate doubt, clinical judgment, and structural constraints. Its proposed contribution is integrative, architectural, and operational, rather than a claim to novelty for previously documented phenomena. The model remains unvalidated, and its value will depend on whether future research demonstrates that the three fractures are observable, sufficiently distinguishable, and useful for understanding chronic pain communication.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":2.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181715","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 Birth Goes Public: Childbirth Vlogs on Bilibili and Gendered Responses.","authors":"Yixuan Liu, Wenxue Zou","doi":"10.1080/10410236.2026.2747166","DOIUrl":"https://doi.org/10.1080/10410236.2026.2747166","url":null,"abstract":"<p><p>Inadequate reproductive health-related information remains a key driver of tokophobia. Video-based social media platforms and nonprofessional content creators are crucial in disseminating embodied and narrative reproductive knowledge in China. Yet, less is known about how viewers, especially men, respond to representations of the laboring body. Drawing on gender schema theory, this study employs structural topic modeling to analyze 36,486 public comments on childbirth vlogs from Bilibili, identifying four overarching themes across 16 topics: (1) General Blessings, (2) Community Support, (3) Childbirth Insights, and (4) Praise of Motherhood. An examination of gendered patterns in emergent topics revealed that female viewers were more likely to share blessings and provide community support that challenged cultural silence surrounding childbirth, whereas male viewers more frequently engaged with discussions on risk perception and decision-making. Further qualitative textual analysis indicated that while informational engagement predominated across genders, gendered divergences in risk perception, decision-making frameworks, and modes of engagement revealed a bifurcated interpretive architecture in which embodied knowing and provider-oriented reasoning constituted distinct orientations toward reproductive content. By investigating a domain long governed by cultural silence and medical authority, this study reveals how lay narratives act as counter-hegemonic interventions, destabilizing established gender norms and illuminating the sociocultural structures underpinning childbirth knowledge.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180722","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":"Utilizing Artificial Intelligence in Personal Health Contexts: Investigating Information Seeking Motivations, Information Processing Behaviors, and Behavioral Responses During and After Interaction with GenAI.","authors":"Rebecca Sihui Chen, Jingyi Li, Cindy Sing Bik Ngai, Tien Ee Dominic Yeo","doi":"10.1080/10410236.2026.2748947","DOIUrl":"https://doi.org/10.1080/10410236.2026.2748947","url":null,"abstract":"<p><p>Following the advent of generative artificial intelligence (GenAI), seeking health information on GenAI has become a more common and flexible approach. However, laypeople's health information seeking and processing (HISP) motivations and behavior on GenAI platforms remain underexplored, particularly given the current shift from search-based activities to more interactive and conversational processes. This study addressed this gap by exploring laypeople's HISP motivations, behaviors, and behavioral responses during and after interaction with GenAI. Using the risk information seeking and processing model as the theoretical framework, the HISP process was explored from a risk reduction perspective to understand how laypeople interact with GenAI to address their health concerns. Think-aloud protocol and retrospective interviews were employed to capture participants' real-time and reflective HISP interactions. Participants were mainly young individuals in Hong Kong. Through systematic thematic analysis using both inductive and deductive coding, we found that participants' GenAI-based health information seeking was shaped by multifaceted factors, including relevant health experiences, perceived health characteristics, affective responses toward health risks, and personal factors such as relevant channel beliefs. Trust played a critical role in shaping how participants processed the provided information and was associated with indicative heuristic and systematic processing patterns, given the information characteristic (medical vs non-medical) and perceived acceptance risks. Emotion sufficiency, information overload, and information affordance were identified as emerging variables and discussed in the GenAI-mediated HISP context. Finally, participants may choose to follow, reject, or integrate the GenAI-provided health advice into future health consultations, considering information characteristics and implementation difficulty.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181652","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":"Humor-Based Interventions for Colorectal Cancer Screening: Reappraisal Pathways and the Moderating Roles of Health Anxiety and Cancer Information Overload.","authors":"Wei Peng, Aurora Occa","doi":"10.1080/10410236.2026.2748521","DOIUrl":"https://doi.org/10.1080/10410236.2026.2748521","url":null,"abstract":"<p><p>Colorectal cancer (CRC) screening remains underused, in part because screening-related stressors can elicit fear, embarrassment, and other emotional barriers. Guided by the process model of emotion regulation, this study examined whether humor-based interventions engage cognitive reappraisal of CRC screening stressors and whether these reappraisal processes support screening intention. In a randomized experiment with 180 U.S. adults aged 45-75, participants received pre-crafted humor messages (PHM), completed self-generated humor tasks (SHT), or viewed an emotionally neutral control. Humorous and serious reappraisal were tested as parallel mediators, with health anxiety (HA) and cancer information overload (CIO) examined as moderators. Both PHM and SHT increased humorous reappraisal relative to control, and humorous reappraisal linked each intervention to stronger screening intention. Serious reappraisal did not mediate either intervention overall. Moderated mediation analyses showed that HA strengthened SHT's indirect effect through humorous reappraisal, whereas CIO strengthened SHT's indirect effect through serious reappraisal. The corresponding moderated pathways were not significant for PHM. These findings identify reappraisal as a pathway linking humor interventions with screening intention and suggest that self-generated humor may engage different reappraisal processes under heightened health-focused attention and information overload.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181668","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":"Visual Biopolitics in Crisis: Multimodal Analysis of Tuberculosis in the Early Republican Period and COVID-19 Health Communication in Turkey.","authors":"Ceren Gülser İlikan Rasimoğlu, Balca Arda","doi":"10.1080/10410236.2026.2743158","DOIUrl":"https://doi.org/10.1080/10410236.2026.2743158","url":null,"abstract":"<p><p>This study investigates how visual materials used during tuberculosis (1930s-1940s) and COVID-19 in Turkey, supported and reflected evolving forms of biopolitical governance. Drawing on data from the state-funded project \"Analysis of Public Health Visual Communication Methods\" (TÜBİTAK Project No. 123K980), we apply critical multimodal discourse analysis to explore how visual campaigns shaped public perceptions of health, risk, responsibility, and citizenship. Our source materials include archival visuals from <i>Yaşamak Yolu</i>, a journal published by the Istanbul Anti-Tuberculosis Society, illustrations from contemporary newspapers such as <i>Cumhuriyet</i>, and digital COVID-19 media, including the Ministry of Health's Twitter posts, the <i>HES</i> (Life Fits Home) mobile app, <i>TRT Çocuk</i> (Turkish Radio Television Child) content, and materials by <i>Yeşilay</i> (Green Cross). We identify seven key thematic domains (\"citizen - population-state,\" \"patient-healthy,\" \"microbe,\" \"hope,\" \"expertise-knowledge,\" \"education-school,\" \"family/child.\") that structure these campaigns. Findings indicate a historical continuity in the use of visual communication to guide health behavior and intensified state-defined norms of well-being. Yet significant ruptures emerge in representational strategies and media technologies. In the tuberculosis era, visuals highlighted medical paternalism, pedagogical authority, and individualized care, whereas COVID-19 visuals underscored emotional labor, collective responsibility, and digital engagement. Key discursive shifts include the transformation of the medical authority figure from a rational, commanding presence to a self-sacrificing, emotionally expressive one and the evolution of the child figure from a symbolic national emblem to an agentive, responsible actor. Depictions of contagion also transformed, shifting from minimalist, scientific imagery to colorful digital infographics. While the mother figure remained central across both periods, her portrayal grew more emotionally complex during the COVID-19 pandemic. Mental health also gained increased visibility as a domain of both individual vulnerability and national concern. By tracing these visual shifts, the study highlights how health communication mediates the intersection of biopolitical control, emotional appeal, and national identity. We argue that visual discourse is constitutive, reshaping the public's sense of care, risk, and belonging during times of crisis.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166247","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":"Filtering Out vs. Looking Away? Proactive and Reactive Online Information Avoidance in the Face of Health Misinformation.","authors":"Ke Liu, Meng Chen, Laramie D Taylor","doi":"10.1080/10410236.2026.2744879","DOIUrl":"10.1080/10410236.2026.2744879","url":null,"abstract":"<p><p>Online information avoidance (OIA) has become a prominent issue, yet scholarship often treats it as a monolithic construct, overlooking the distinction between proactive (e.g., blocking) and reactive (e.g., scrolling past) behaviors. This study examined the causal impact of misinformation exposure on these two distinct avoidance strategies and investigated the moderating role of information-verifying efficacy (IVE). Through an online experiment (<i>N</i> = 310) utilizing a (misinformation exposure: misinformative vs. factual) between-subjects design, we found that IVE served as a critical buffer. Crucially, the interaction between misinformation exposure and IVE was significant only for proactive OIA: high-IVE individuals showed reduced proactive avoidance when exposed to misinformation, whereas this buffering effect was absent for reactive OIA. Moreover, message credibility was identified as a key mediator in this dynamic. These findings suggest the importance of distinguishing avoidance types and highlight that IVE empowers users to curate, rather than disconnect from, their information environments.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166697","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":"Conceptual Foundations and Thematic Frameworks of Individual Empowerment in Health Communication: A Systematic Review.","authors":"Sara Atanasova, Isabell Koinig","doi":"10.1080/10410236.2026.2744887","DOIUrl":"https://doi.org/10.1080/10410236.2026.2744887","url":null,"abstract":"<p><p>The primary aim of this study was to systematically review and analyze conceptualizations of individual empowerment in health communication research published over the past 20 years, with the objective of identifying and comparing thematic frameworks and clarifying how different conceptual approaches are grounded, overlap, and diverge. The conducted systematic review followed the analytical procedure described in the PRISMA-Protocol and was based on a total sample of 66 research papers. A qualitative thematic analysis was conducted to examine conceptualizations of individual empowerment by identifying recurring terminology, cited sources, key dimensions, preconditions, outcomes, and power relations reflected in the definitions of individual empowerment. Such analysis enabled us to group the studies into overarching thematic frameworks and the identification of overlaps, convergences and divergences between them. The analysis revealed seven thematic frameworks that underpin conceptualizations of individual empowerment within health communication: (1) community psychology, (2) the health care empowerment model, (3) health promotion and education, (4) health psychology and psychiatry, (5) health management and workplace empowerment, (6) women's empowerment, and (7) the World Health Organization framework. Individual empowerment is consistently conceptualized as a dynamic, multidimensional, process-oriented construct, but differs in being framed as an individual, relational, or structural phenomenon. Many studies draw on multiple conceptual traditions, indicating interconnected frameworks. The results highlight conceptual diversity while revealing gaps, particularly the limited attention to structural dimensions of power. The findings provide a more structured understanding of empowerment to inform future research, policy, and context-sensitive interventions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-17"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165810","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":"Evidence of Integrated Care for Critically Ill Children Through a Linguistic Examination of Progress Notes.","authors":"Max Gilliland, Daniel H Grossoehme, Michael Forbes, Sarah Friebert, Christoper Page-Goertz, Gwendolyn Richner, Julie M Aultman","doi":"10.1080/10410236.2026.2747859","DOIUrl":"https://doi.org/10.1080/10410236.2026.2747859","url":null,"abstract":"<p><p>A child's critical care hospitalization is stressful for families, immersing them in a highly technical and unfamiliar environment in which they encounter multiple healthcare providers. Medical decisions regarding the child's care must frequently be made, sometimes on relatively short notice. Providers in the pediatric critical care unit (PICU) have primary responsibility to care for the child and communicate with the family. Palliative care (PC) providers may be consulted for their expertise in the holistic care of the child and family and to elicit the family's goals of care for the child. This study's purpose was to characterize the linguistic properties of PICU and PC providers' progress notes and improve goal-concordant care by conducting a secondary analysis of their daily notes during a child's terminal critical care admission in a 467-bed quaternary pediatric hospital system in the midwestern United States. Notes were partitioned into PICU and PC notes, and their linguistic characteristics were quantified using <i>Linguistic Inquiry and Word Count</i> software, which returns the percentage of words in a text for over 90 parameters. Differences were analyzed using the Wilcoxon signed‑rank test. We present key differences between documented wording by PICU and PC providers, including linguistic convergence in most domains over the course of a child's terminal critical care admission. We also note that such convergence must be reestablished with each admission. We attribute linguistic differences to distinctive roles and expertise.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165501","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":"Intergenerational Narratives of the Intrauterine Device: A Culture-Centered Approach to Female Contraception in Contemporary China.","authors":"Zikun Liu, Ying Meng, Simeng Chen","doi":"10.1080/10410236.2026.2744882","DOIUrl":"https://doi.org/10.1080/10410236.2026.2744882","url":null,"abstract":"<p><p>Intrauterine devices (IUDs) were widely promoted in China during the family planning era and became a central contraceptive technology shaping women's reproductive experiences. Guided by the culture-centered approach, this study examines how contraceptive knowledge and bodily experiences related to the IUD are communicated across generations within families. Based on in-depth interviews with mothers and daughters, the study analyzes how structure, culture, and agency interact in shaping intergenerational health communication about IUDs. The findings show that state family planning policies and institutional medical practices structured the widespread adoption of IUDs among the mothers' generation, while cultural norms of female endurance and sexual modesty produced communicative silence around reproductive suffering within families. As daughters attempt to understand these experiences, intergenerational conversations often unfold through questioning, minimization, and stalled negotiation. Younger women increasingly draw on digital media to reinterpret maternal experiences and to challenge the gendered distribution of contraceptive responsibility. By foregrounding mother daughter dialogue, this study extends the culture-centered approach by showing how reproductive knowledge is transmitted, contested, and renegotiated through everyday family communication.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.9,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165478","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":"(Un)tidying the Account: The Emotional Cost of Hearing Untold Stories.","authors":"Maggie A Unruh","doi":"10.1080/10410236.2026.2745712","DOIUrl":"https://doi.org/10.1080/10410236.2026.2745712","url":null,"abstract":"<p><p>In qualitative research, the researcher can be considered the research instrument, in which our positionality influences our interactions with participants and our interpretations of the data. Yet, the effect of this process on the researcher is less emphasized. In this essay, I describe the experience of writing my master's thesis about sexual assault survivors' privacy management in romantic relationships, asking how we manage these embodied experiences (and our disclosures of such) as scholars.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-5"},"PeriodicalIF":2.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136398","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}