Health Communication最新文献

{"title":"Safe Sex Practices and Social Support Typologies in Digital Spaces: Assessing Nigerian Gay Men's Sexual Health Information Exchange on Social Media.","authors":"Dennis Ekwemnachukwu Okeke, Mike R Allen, Christiana Ibiwoye, Ousman Mbaye, Anthony Obi Okeke","doi":"10.1080/10410236.2025.2542925","DOIUrl":"https://doi.org/10.1080/10410236.2025.2542925","url":null,"abstract":"<p><p>Digital platforms are reshaping how historically marginalized populations, especially LGBTQIA+ people, access and share health information. In Nigeria, where LGBTQIA+ people face lynching, legal persecution and systemic discrimination, men who have sex with men (MSM) remain underserved in both sexual and mental healthcare. We examine how Nigerian gay men use Facebook to share sexual health information and social support in the face of homo/queerphobic violence. Drawing on social support theory and a thematic analysis of comments on a public post by a prominent Nigerian pro-LGBTQIA+ influencer, we explore the types of social support Nigerian gay men offer: informational, emotional, esteem-based, and resilience-focused. Our findings reveal the multifaceted nature of support expressed in these online interactions. These exchanges also reflect acts of resilience and resistance in the face of criminalization and stigma, empowering Nigerian gay men to reclaim agency over their sexual health, identity, and everyday existence in Nigeria. Through our focus on the concerns of Nigerian MSM, we address a critical gap in the literature on digital health communication and marginalized sexual minorities in the Global South. We appeal to digital health communication scholars to engage more critically with these populations, where digital platforms both mitigate exclusion and reflect the complexities of marginalization. Understanding these dynamics is essential to designing inclusive, affirming health interventions for LGBTQIA+ people.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816470","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":"Examining the Relationship Between Perceived Ambiguity and Predictors of Health Behavior Across Three Contexts: The COVID-19 Pandemic, Antibiotic Regimens, and e-Cigarette Use.","authors":"Nicolle Simonovic, Jennifer M Taber","doi":"10.1080/10410236.2025.2540061","DOIUrl":"https://doi.org/10.1080/10410236.2025.2540061","url":null,"abstract":"<p><p>Ambiguity can elicit ambiguity aversion, or avoidance behavior, which is theoretically expected to occur because of a pessimistic interpretation of information (e.g. about risk) and from low perceived personal competence. Emotion may also play a role in how people respond to ambiguity, although little research has examined the role of emotion. The purpose of this research is to examine support for theoretical frameworks of ambiguity aversion and the role of emotion in responses to ambiguity. To do so, we tested (1) whether risk perceptions, perceived competence, and self-efficacy mediated the relationship between ambiguity and behavioral avoidance, and (2) whether fear and anger mediated the relationship between ambiguity and risk perceptions. Three online experiments were conducted across three health contexts - COVID-19, antibiotic regimens, and e-cigarettes. Across experiments, participants were randomly assigned to read an ambiguous or unambiguous health message relevant to the health context. Next, participants completed a survey of measures relevant to study aims. Based on the results of mediation analyses, one significant pattern of results emerged across two of three experiments: ambiguity led to lower behavioral intentions, consistent with behavioral avoidance. However, there was no consistent pattern of results across all three experiments to support the competence hypothesis or pessimistic appraisal as an explanation for this behavioral avoidance. In Experiment 2 only, there was some support for the competence hypothesis, but there was no support across any of the three experiments for pessimistic appraisal. As for the role of emotion in responses to ambiguity, anger (in Experiments 2 and 3) and fear (in Experiment 3) mediated the relationship between ambiguity and risk perception (i.e. perceived susceptibility and worry), but the direction of these effects was inconsistent with hypotheses. Overall, the results of the present research demonstrate that ambiguity can lead to behavioral avoidance, although the mechanisms remain unclear. Motivated reasoning may provide one explanation for the pattern of results. Findings have implications for health behavior interventions when ambiguity is experienced.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-18"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816468","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":"How Do People Process Weight Loss Information? Different Information Management Behaviors After Risk Information Seeking and Processing.","authors":"Baoyu Liu, Chenxu Liu","doi":"10.1080/10410236.2025.2544075","DOIUrl":"https://doi.org/10.1080/10410236.2025.2544075","url":null,"abstract":"<p><p>Obesity has become a major global health concern, threatening individuals' health and well-being. Therefore, exploring information behaviors related to weight loss is of great significance. To cope with obesity, individuals often engage in a novel communicative behavior called <i>information hoarding</i>, which is defined as the tendency to acquire and accumulate information from the Internet. The risk information seeking and processing (RISP) model provides a useful theoretical framework for understanding information management behaviors. In this study, we conducted a survey (<i>n</i> = 538) in China to extend the RISP model by incorporating information hoarding. The results suggested that informational subjective norms and information insufficiency were positively associated with information seeking, systematic processing, and information hoarding, while negatively associated with heuristic processing. Additionally, when individuals processed weight loss information systematically, they were more inclined to seek related information. In contrast, when processing information heuristically, they were less likely to both seek and hoard additional information. Furthermore, both information seeking and information hoarding showed a positive relationship with health behavior intentions. Theoretical and practical implications are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821187","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":"Nutrition Education Interventions for the d/Deaf and Hard-of-Hearing: A Systematic Scoping Review.","authors":"Meghan Cote, Basil H Aboul-Enein, Stephen Gambescia, Elizabeth Dodge, Patricia J Kelly","doi":"10.1080/10410236.2025.2544239","DOIUrl":"https://doi.org/10.1080/10410236.2025.2544239","url":null,"abstract":"<p><p>The d/Deaf and hard-of-hearing (DHH) population, of all ages, is at increased risk for poor dietary habits that may lead to health complications, given the lack of accessible and inclusive nutrition education from a range of providers. Given these challenges and the urgent need for inclusive health education, this systematic scoping review critically assessed the nature, scope, effectiveness, and best practices of nutrition-focused interventions tailored for the general DHH population. Using the PICOS search method of 16 bibliographic databases for articles between 2000 and 2024 focusing on nutrition-related interventions tailored to the DHH population, eight studies were identified. Studies employed various intervention approaches, focus areas of nutrition, location, and participants. One study used a theoretical framework. Most interventions addressed multiple aspects of dietary behavior, while others focused on specific concerns such as healthy food choices and exercise. Interventions were delivered through in-person educational sessions by public health professionals and nutritionists. Only one of the eight studies reviewed did not report statistically significant improvements in dietary behavior or health outcomes following the intervention. Future research should integrate established behavior change theories to strengthen the design, implementation, and longer-term follow-up and evaluation of nutrition interventions for DHH populations. There is a surprising lack of research in this area, exacerbated by additional challenges in reaching the DHH population. Improving nutrition education for DHH individuals requires interventions that address communication barriers, cultural inclusivity, and accessibility by all types of providers, and reaching such groups in a range of places.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816469","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":"Understanding Intention Triggers in Early Autism Screening Promotion: The Role of Narrative and Framing.","authors":"Lingfei Wang, Will Grant, Xinyi Jin, Guoyan Wang","doi":"10.1080/10410236.2025.2543580","DOIUrl":"https://doi.org/10.1080/10410236.2025.2543580","url":null,"abstract":"<p><p>The global prevalence of autism spectrum disorder (autism) is rising rapidly. Given the importance of early screening and intervention, we conducted a randomized experiment to examine the persuasive effects of message type (narrative vs. statistical) and framing (gain vs. loss) on intentions for early autism screening and information-seeking, using a 2 × 2 factorial design with a no-message control group. Results showed that statistical messages triggered higher behavioral intentions for early autism screening than narrative messages, while narrative messages generated higher information-seeking intention. However, there were no significant differences between narrative and statistical messages for long-term effects. Significant interactions between type and framing were observed for hope, sympathy, and sadness. Furthermore, there is a significant interaction between type and parenthood on perceived susceptibility. Regarding the mechanisms, the effect of message type was mediated by transportation and counterarguing in a serial model. Additionally, only sympathy was a predictor of intention. This study extends the literature on narrative persuasion by examining its application across different topics, discrete emotions, and psychological distance.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816471","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":"Do Parental Communication and Monitoring Counteract Substance Use in Adolescents? A Scoping Review of Dyadic Studies.","authors":"Anna Joy Russ, Anna Bullo, Peter J Schulz","doi":"10.1080/10410236.2025.2536312","DOIUrl":"https://doi.org/10.1080/10410236.2025.2536312","url":null,"abstract":"<p><p>In interpersonal research, it is often essential to consider multiple perspectives to fully capture the complexity of social relationships. For this reason, studies on the parent-child relationship frequently collect data from both parties. However, it remains unclear how such dyadic data are analyzed, and no systematic summary of findings currently exists. This scoping review examined studies that used dyadic data to explore the impact of parent-adolescent communication and parental monitoring on adolescent substance use, while also tracking the evolution of dyadic methodologies. A literature search across five databases yielded 2,849 articles, plus 18 manually added, narrowing to 31 studies from 1985 to 2022. Inclusion criteria were: (i) quantitative study, (ii) dyadic measures of communication and monitoring obtained by surveying both the adolescent and their caregiver, (iii) an adolescent population aged 10 to 17 years, and (iv) healthy, non-clinical participants. Findings on communication were mixed: one study linked it to reduced substance use, one to increased use, seven reported mixed results, and four found no significant association. Parental monitoring was never associated with increased use; most findings either supported a protective effect or showed no significant relationship. Notably, none of the studies employed an appropriate dyadic data analysis framework. In conclusion, this review highlights the importance of integrating dyadic perspectives and calls for standardized methodological approaches to better understand the interpersonal factors influencing adolescent substance use.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-50"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821185","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":"Exploring the Roots of Stigma: A Qualitative Investigation of the American Public's Attitudes Toward Individuals with Opioid Use Disorder.","authors":"Alex Kresovich, Elizabeth Flanagan Balawajder, Tabitha Pyatt, Phoebe A Lamuda, Bruce G Taylor, Suzan M Walters, Harold A Pollack, John A Schneider","doi":"10.1080/10410236.2025.2540953","DOIUrl":"https://doi.org/10.1080/10410236.2025.2540953","url":null,"abstract":"<p><p>The ongoing opioid crisis underscores the urgent need to understand and address stigma toward individuals with opioid use disorder (OUD). Applying message framing theory, this study examines how different segments of the public conceptualize OUD. Through in-depth interviews with 26 U.S. adults, segmented by their OUD experiences (personal, family/friend, or none) and stigma scores (high or low), we explored the underlying reasons for stigmatizing attitudes toward individuals with OUD. Our analysis revealed three key themes that differentiate perspectives between participants with higher and lower stigma scores: varying views on personal responsibility versus societal causes, the impact of non-addictive personal opioid use experiences on perceptions of addiction, and the role of perceived proximity to the epidemic in shaping attitudes. Participants with higher stigma scores predominantly viewed OUD as a matter of personal choice, while those with lower stigma scores emphasized systemic factors and medical models. Personal experiences with non-addictive opioid use tended to reinforce rather than challenge existing frames, with participants with higher stigma scores interpreting such experiences through a personal responsibility lens. Our findings suggest that effective anti-stigma messaging will likely need to start within audience members' preferred frames before gradually introducing alternative perspectives, particularly for audiences with higher OUD stigma scores who strongly resist medical or societal responsibility frames. This study advances message framing theory by detailing how different audience segments frame and interpret OUD, offering insights for developing more effective communication strategies that can bridge opposing viewpoints while maintaining scientific accuracy.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821186","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":"One Size Does Not Fit All: Mediating Effects of Perceived Character Similarity in Tailored Health Messages for Sexual and Gender Minority Young Adults.","authors":"Jiaxi Wu, Elaine Hanby, Qijia Ye, Julia M Applegate, Juno Obedin-Maliver, Mitchell R Lunn, Jennifer Potter, Andy S L Tan","doi":"10.1080/10410236.2025.2530738","DOIUrl":"https://doi.org/10.1080/10410236.2025.2530738","url":null,"abstract":"<p><p>This research examines how gender expressions in health messages influence perceived message effectiveness (PME) for sexual and gender minority (SGM) young adults through perceived character similarity. In an online experiment, 1,113 SGM young adults were randomly assigned to view six anti-smoking messages portraying one of four gender expressions: feminine, masculine, gender expansive, or multiple gender. Findings indicated that messages with multiple gender expressions increased perceived character similarity among SGM young adults compared to messages showing masculine expressions; perceived character similarity mediated the relationship between message exposure and PME. However, messages with multiple gender expressions were associated with lower PME than all other conditions. Furthermore, moderation analysis revealed nuanced differences in responses based on participants' gender identities. Theoretically, this study underscores the mediating role of perceived character similarity in tailored communication, while suggesting that other factors may also contribute to PME. The findings have practical implications for designing health campaigns that resonate with the diverse gender identity groups within the SGM community.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794220","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 Influence of the US FDA Authorized Modified Exposure Claim on Heuristic Processing of Tobacco Risk Information and Marketing Message Among Young Adults.","authors":"Jungmi Jun, Ali Zain, Taylor Wen, Khalid Alharbi, Jim Thrasher","doi":"10.1080/10410236.2025.2543575","DOIUrl":"https://doi.org/10.1080/10410236.2025.2543575","url":null,"abstract":"<p><p>The US FDA has authorized several modified risk tobacco products (MRTPs), permitting marketing claims around modified exposure (i.e. lower exposure to harmful substances compared to cigarettes). We propose that this FDA authorization may serve as a heuristic cue, influencing how people visually attend to the U.S. Surgeon General's warning to discourage tobacco use and perceive MRTPs and their marketing messages among young tobacco users and non-users. We conducted a 3 (claims: FDA-authorized modified exposure claim vs. the claim only vs. no claim) ×2 (tobacco use status: users vs. non-users) between-subjects factorial experiment with 88 young adults. Eye-tracking and survey data were collected during and after showing a one-minute commercial video for an MRTP, which included the claim and the warning. Participants exposed to FDA-authorized modified exposure claims spent significantly less time looking at the warning and reported greater intent to try the product than the other conditions. While visual attention to the warning did not differ significantly between tobacco users and non-users, tobacco users reported higher interest and intent to try the product. Additionally, there was a significant interaction effect between the claim condition and tobacco use; tobacco users rated the risk of a MRTP significantly lower than non-users only when exposed to the FDA-authorized claim. Our findings support scholarly concerns about the negative impact of FDA-authorized marketing claims for newer tobacco products on young people. Modified exposure claims endorsed by the FDA can reduce attention to risk information, making young people more receptive to tobacco marketing.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775301","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":"One HPV Vaccination Message Does Not Fit All: Differences Between Young Adults Deciding to Be Vaccinated and Parents Deciding for Their Children.","authors":"Ruoxiao Su, Keri K Stephens, Matthew S McGlone, Mian Jia","doi":"10.1080/10410236.2024.2417115","DOIUrl":"10.1080/10410236.2024.2417115","url":null,"abstract":"<p><p>Despite decades of research on HPV vaccination, the U.S. has still not achieved optimal vaccination rates. This study investigated two different message strategies (agency assignment and deviance regulation marking) for encouraging HPV vaccination in two different populations: parents considering vaccinating their children and young adults (18-26) considering vaccinating themselves. Using a 2 × 3 × 3 online experiment, this study examined the differences between the two message target groups and the effects of the different message strategies on psychological precursors to HPV vaccination and vaccination intention. The findings indicate that using both agency and deviance regulation marking message strategies provided a significant increase in HPV vaccination intentions. However, there were many differences in terms of the variables influencing HPV vaccination decision making in young adults (18-26) and parents making decisions for their children. Specifically, using human agency and a deviance message increased HPV vaccine confidence in young adults, but did not in parents. Implications of these findings for designing different messages directed to these target groups along with future directions are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1645-1660"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545130","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}