Health CommunicationPub Date : 2025-10-01Epub Date: 2025-02-03DOI: 10.1080/10410236.2025.2457188
Yidi Wang, Yimeng Xu, Shiwen Wu
{"title":"\"Sharing Is Caring Even When It's Wrong\": The Factors Influencing Health Misinformation Sharing and Relational Correction Among Chinese Older Adults from a Cultural Perspective.","authors":"Yidi Wang, Yimeng Xu, Shiwen Wu","doi":"10.1080/10410236.2025.2457188","DOIUrl":"10.1080/10410236.2025.2457188","url":null,"abstract":"<p><p>It is known that older adults are more susceptible to misinformation, and older adults sharing health misinformation is a growing concern. This study explores the factors influencing health misinformation sharing and relational correction among Chinese older adults from a cultural perspective. Guided by the PEN-3 cultural model, we conducted focus groups and in-depth interviews with 79 participants in China to understand the cultural and contextual factors of misinformation sharing. We found that (a) older adults actively shared health misinformation influenced by negative factors such as values of familial ties, need for respect, reciprocity, and initiation of conversation; (b) existential factors such as fact-checking tendency; (c) positive factors such as fatal information avoidance, political identify, awareness of marketing targeting, and social responsibility. Additionally, we found that older adults tend to switch to a silent mode of relational correction for factors such as harmony and face. This research extends the model's applicability and provides localized insights for developing culturally sensitive health communication strategies to mitigate the spread of health misinformation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2389-2403"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079480","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}
Song Hee Park, Chan Woong Kim, Myeong Namgung, Young Gyu Kwon, Mi Kyung Kim
{"title":"Delivering Bad News in Clinical Performance Examinations: Medical Students' Delivery of an Advanced Cancer Diagnosis and Standardized Patients' Responses.","authors":"Song Hee Park, Chan Woong Kim, Myeong Namgung, Young Gyu Kwon, Mi Kyung Kim","doi":"10.1080/10410236.2025.2560033","DOIUrl":"https://doi.org/10.1080/10410236.2025.2560033","url":null,"abstract":"<p><p>This paper examines how medical students deliver diagnostic information in the context of bad news and how standardized patients (individuals trained to portray patient roles based on case scenarios) respond. Using conversation analysis, we analyze 82 video-recorded consultations from a clinical performance examination at a university in Korea. We identify two distinct ways in which medical students deliver a stage IV colon cancer diagnosis. First, students may name the diagnosis without explicating the underlying evidence, simply referring to prior tests as the basis for the diagnosis. Second, students may explicate the evidence before naming the diagnosis, delivering the information in a stepwise manner. Standardized patients often problematize the first delivery method, treating the absence of evidence explication as \"missing\" - even though their scenario does not require them to do so. In contrast, they do not criticize the second method. This variation in standardized patients' responses can help identify aspects of students' delivery practices that warrant further reflection. The findings offer insights for improving communication training in bad news delivery and extend conversation analytic research on simulated interactions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185441","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":"\"Modern-Day Instruments of Torture for Women\": The Competing Discursive Practices and Meaning Reconstruction of Duckbill Pliers on Chinese Social Media Platforms.","authors":"Menghan Yin","doi":"10.1080/10410236.2025.2566281","DOIUrl":"https://doi.org/10.1080/10410236.2025.2566281","url":null,"abstract":"<p><p>Although medical technology in China continues to advance, the vaginal speculum, commonly referred to as the \"duckbill pliers,\" has sparked intense outrage among women netizens. This study revisits the complex relationships between gender, power, and healthcare through the lens of a recent online debate about the duckbill clamp, using the framework of Relational Dialectics 2.0. The study reveals the key significance of this core issue. Two pairs of competing discourses were identified: the \"Blaming the Patient\" and \"Blaming the System\" discourses, which focus on the examination process; and the \"Pragmatic Doctors\" and \"Empathy-Seeking Patients\" discourses, which highlight contrasting doctor - patient perspectives. The first pair centers on the attribution and legitimacy of women's pain during gynecological exams, while the second addresses the relationship and interpretive divide between doctors and patients. Within the dialogic transformation, a newly emergent discourse from women's voices has appeared: the \"The Predicament of Women.\" This discourse transcends the issues of gynecological instruments and the doctor-patient relationship, reflecting on how structural gender issues permeate healthcare within a broader cultural significance system.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190961","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}
Gayle Prybutok, Xiaotong Liu, Anh Ta, Victor R Prybutok
{"title":"Exploring Gender-Specific Nuances in Social Media Health Information Sharing: An Application of the SOR Framework in eHealth Research.","authors":"Gayle Prybutok, Xiaotong Liu, Anh Ta, Victor R Prybutok","doi":"10.1080/10410236.2025.2564933","DOIUrl":"https://doi.org/10.1080/10410236.2025.2564933","url":null,"abstract":"<p><p>This study uniquely integrates both personal and environmental factors within the stimulus-organism-response (SOR) framework to investigate the factors influencing attitudes toward social media health behavior (SMHB) and health information sharing on social media. Analyzing 1652 survey responses via structural equation modeling, our results confirm all hypotheses at a significance level of 0.001. The coefficients of determination (R-squared) for attitude toward social media health behavior (ATSMHB) and social media health information sharing intention (SMHISI) are 55.6% and 44.4%, respectively, highlighting the model's reliability. External stimuli (e.g., reliability) and internal factors (e.g., social media health literacy) significantly impact ATSMHB. Mediation analysis underscores ATSMHB's role in linking perceived health reliability, information credibility, social media health literacy, eudaimonic motivation, and SMHISI. Post hoc analysis reveals gender differences, with females exhibiting higher R-square values (62.4% for ATSMHB, 48.7% for SMHISI) and social media health literacy playing a more influential role for females than males. These results offer valuable theoretical insights for academics and practical implications for health practitioners, emphasizing the necessity of tailored strategies based on gender-specific preferences. Overall, this research contributes to the understanding of health promotion through social media, providing a comprehensive analysis of the psychological processes that drive health information-sharing behavior in the digital age.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-17"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137236","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}
Heather J Carmack, Rebecca K Ivic, Janaé Montgomery, Gulmira Amangalieva
{"title":"The Role of Perceived Clinician Trust, Communication Apprehension with Providers, and Patients' Sociodemographic Factors in Patients' Willingness to Communicate with Primary Care Clinicians.","authors":"Heather J Carmack, Rebecca K Ivic, Janaé Montgomery, Gulmira Amangalieva","doi":"10.1080/10410236.2025.2562621","DOIUrl":"https://doi.org/10.1080/10410236.2025.2562621","url":null,"abstract":"<p><p>Patients' trust in their providers is a key indicator in determining their satisfaction with care and communication with their providers. Guided by the relationship-centered care framework, the purpose of this study is to examine the impact of patients' perceptions of clinician trust, patient sociodemographic factors, and communication apprehension with providers on patients' willingness to communicate with their primary care clinicians. Participants (<i>N</i> = 251) completed a survey assessing nine dimensions of trust, communication apprehension with providers, and their willingness to communicate with providers. The results suggest that issues such as access, location, and identity are important factors in how patients assess their clinicians' trust. Trans patients, LGBTQAIT+ patients, and patients from rural communities reported the lowest levels of trust with their providers. Annual visitation with primary care clinicians was also an important factor in developing trust with providers. Trust also significantly correlated with communication apprehension with providers' and patients' willingness to communicate with their providers. A regression identified four factors in patients' willingness to communicate with their primary care providers: communication apprehension, clinicians' ability to evaluate a problem thoroughly and order the correct diagnostic tests, annual visits, and patients' biological sex. These results suggest that a multidimensional approach to trust is crucial and could help to reduce health disparities among underserved or marginalized groups.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130673","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":"#Drink or #Drunk? An Experimental Study Investigating the Impact of Positive and Negative Alcohol Depictions in Ephemeral Social Media on Alcohol Cognitions.","authors":"Sofie Vranken, Kathleen Beullens, Femke Geusens","doi":"10.1080/10410236.2025.2559100","DOIUrl":"10.1080/10410236.2025.2559100","url":null,"abstract":"<p><p>Exposure to alcohol on social media has been linked to offline alcohol use. With the rise of ephemeral messages (e.g. Snapchat), social media users are exposed to a wider variety of alcohol depictions, ranging from negative to more positive ones. However, it remains unclear how exposure to differential alcohol depictions influences offline alcohol cognitions and who is most susceptible to them. We conducted an online between-subjects experiment manipulating the type of alcohol-related social media depictions (negative vs. positive vs. control) to investigate the impact on alcohol outcome expectations and attitudes. We also assessed whether alcohol status moderates these effects. A total of 361 emerging adults participated in the study (<i>M</i><sub><i>age</i></sub> = 23.32; <i>SD</i> = 2.50; 77.3% females; 66.5% students). Our results showed that exposure to positive depictions did not exert an impact on positive outcome expectations (<i>b</i> = -.14, <i>confidence interval [CI]</i> = -.44/.11), nor on negative outcome expectations (<i>b</i> = -.18, <i>[CI]</i> = -.46/.11), or attitudes (<i>b</i> = -.04, <i>[CI]</i> = -.25/.18). For negative depictions, we found an impact on attitudes (<i>b</i> = -.34, <i>[CI]</i> = -.56/-.13), but not on positive outcome expectations (<i>b</i> = -.04, <i>[CI]</i> = -.34/.27) or negative outcome expectations (<i>b</i> = .07; <i>[CI]</i> = -.22/.35). This implied that emerging adults exposed to negative alcohol depictions had more negative attitudes toward alcohol use. This effect remained robust even when taking the individuals' frequency of alcohol use into account. These findings suggest that positive and negative depictions on social media may operate differently, thereby informing future research and health interventions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086031","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}
Ellen Droog, Christian Burgers, Dian van Huijstee, Ivar Vermeulen
{"title":"Laughing Through the Myths: Using Satirical Humor to Counter Misinformation About Contraceptives on Social Media.","authors":"Ellen Droog, Christian Burgers, Dian van Huijstee, Ivar Vermeulen","doi":"10.1080/10410236.2025.2560034","DOIUrl":"https://doi.org/10.1080/10410236.2025.2560034","url":null,"abstract":"<p><p>The rise of health-related misinformation on social media has caused many young women to shift from hormonal methods to natural contraceptive options. This study examines the effectiveness of satirical corrections in countering misinformation about contraceptives on TikTok. A total of 678 Dutch-speaking women aged 18-35, either watched TikTok videos containing misinformation about contraception followed by (1) no correction, (2) a non-humorous correction, or (3) a satirical correction, or (4) were in a control group that saw no misinformation or correction. Misinformation exposure (vs. control) did not significantly affect beliefs or attitudes toward contraception. However, both non-humorous and satirical corrections (vs. control and no correction) successfully reduced misperceptions and favorable attitudes toward natural contraception. Nonetheless, neither correction method consistently improved acceptance of true claims or attitudes toward hormonal contraception. This suggests that, while corrections can effectively challenge misinformed health beliefs, they may not necessarily foster trust in accurate health information.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086010","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 Roles of Interpersonal Conversations and Received Social Support in the Persuasiveness of Messages Informed by the Extended Parallel Process Model.","authors":"Tianen Chen, Minhao Dai, Jeff Niederdeppe","doi":"10.1080/10410236.2025.2562353","DOIUrl":"https://doi.org/10.1080/10410236.2025.2562353","url":null,"abstract":"<p><p>Message design and message effects theories have been criticized for ignoring the influences of interpersonal, social, and contextual factors. To address this gap, the current study explores how interpersonal conversations and received social support may influence the persuasiveness of messages informed by the extended parallel process model (EPPM). In a longitudinal experiment, participants (<i>n</i> = 750) were randomly assigned to watch an EPPM-informed video that promotes healthy sleep behaviors or a control video. We then encouraged half of the participants to initiate conversations and seek social support in their lives and followed up with a survey after seven days. The EPPM-informed video increased intentions and behaviors among participants who had conversations in favor of healthy sleep, those who received support from friends, and those who received informational, emotional, and instrumental support. We discuss theoretical implications for strategic message design, practical applications, and study limitations.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086005","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}
Holley A Wilkin, Karen Nielsen, Mathew Gayman, Joshua Hollibush
{"title":"Exploring Associations Between the Social and Built Environment and Physical Activity Through Communication Infrastructure Theory.","authors":"Holley A Wilkin, Karen Nielsen, Mathew Gayman, Joshua Hollibush","doi":"10.1080/10410236.2025.2560597","DOIUrl":"https://doi.org/10.1080/10410236.2025.2560597","url":null,"abstract":"<p><p>The built environment (e.g. presence/quality of sidewalks and green spaces versus large factories and freeways) contributes to health and social outcomes. Communication infrastructure theory offers a framework to explore the role of the built environment as part of the communication action context, which may be associated with individuals' ability to connect to the neighborhood storytelling network and physical activity. This study examines the relationships between perceived built environment features (a part of the communication action context), individual's connections to neighborhood storytellers, and physical activity. A survey of 398 randomly selected households in historically African American, lower income neighborhoods was conducted. Findings show the importance of funding and promoting local health and wellness programs; awareness of this built environment feature was associated with greater connections to the neighborhood storytelling network and higher levels of physical activity. The relative impacts of other built environment features on connections to the storytelling network and physical activity are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069447","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":"\"Why Turn Me into a City Dweller?\" Unveiling Public and Hidden Transcripts in Hygiene Promotion within an Impoverished Migrant Community.","authors":"Wenxue Zou, Xinyun Wu, Yan Yan","doi":"10.1080/10410236.2025.2560029","DOIUrl":"https://doi.org/10.1080/10410236.2025.2560029","url":null,"abstract":"<p><p>Inadequate hygiene is a key driver of adverse health outcomes among impoverished populations. In many underdeveloped countries, hygiene-focused health promotion programs are often integrated into broader poverty alleviation initiatives. Drawing on a critical health communication approach and Scott's framework of public and hidden transcripts, this study investigates hygiene promotion campaigns targeting rural migrants in China, led by poverty alleviation officials. Semi-structured interviews with 42 participants, including both officials and migrants, reveal divergent narratives surrounding these efforts. In the public transcript co-constructed by officials and the public, hygiene promotion is portrayed as a governmental endeavor aimed at benefiting the populace, garnering gratitude and support from impoverished migrants. This contrasts sharply with the hidden transcripts of both parties. Officials perceive hygiene promotion as a potent instrument capable of revolutionizing the perceived ignorant, backward, and disorderly agricultural lifestyle of migrants, thereby catalyzing a profound societal metamorphosis toward modernization. Nevertheless, migrants emphasize the autonomous and thoughtful nature of their hygienic choices. These findings uncover the modernization agenda underlying hygiene-based poverty alleviation, shedding light on the intricate dynamics of domination and resistance while critiquing how the imposed Western-centric framework marginalizes impoverished populations by undermining their cultural and social identities.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064706","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}