{"title":"Hero-Making in Chinese and U.S. News During COVID-19: The Warrior and Leader Images of Zhong Nanshan and Anthony Fauci.","authors":"Jing Jiang, Zhuo Ban, Weiwei Jiang","doi":"10.1080/10410236.2024.2419703","DOIUrl":"10.1080/10410236.2024.2419703","url":null,"abstract":"<p><p>The COVID-19 pandemic posed significant challenges to global health and raised important questions about social coordination. Amidst the crisis, discursive constructions of national heroes proliferated in Chinese and U.S. mainstream news media and played a crucial role in exercising social control and influence. From a comparative perspective, this article examines the structure and functions of heroic discourses and explores the similarities and differences of heroism across national borders. Specifically, we interrogate news reports on Zhong Nanshan and Anthony Fauci, two medical experts who emerged as prominent heroes in China and the U.S. respectively. Adopting a qualitative approach, we identify two central images in the construction of Zhong and Fauci as national heroes. One is \"the warrior,\" which illuminates the heroic qualities of determination, bravery, altruism, and perseverance. The other is \"the leader,\" which shows Zhong and Fauci's pioneering roles and abilities in attracting followers. Intermingled with these two images are themes of moral excellence and exceptionalism. The most salient difference in the hero-making is that Zhong assumes a \"supported hero\" while Fauci assumes a \"contested hero.\" Overall, despite nuances shaped by socio-political contexts, Chinese and U.S. media share quite similar narrative structures in making national heroes during the pandemic.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603695","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}
Lourens E Kraft van Ermel, Jana H M Declercq, Mike Huiskes
{"title":"\"Do You Yourself Have Any Idea What is Going On?\": Invitations for Lay Diagnosis in Dutch Primary Care Physiotherapy.","authors":"Lourens E Kraft van Ermel, Jana H M Declercq, Mike Huiskes","doi":"10.1080/10410236.2024.2423115","DOIUrl":"https://doi.org/10.1080/10410236.2024.2423115","url":null,"abstract":"<p><p>Lay perspectives are important in the recovery of patients with nonspecific pain as they influence levels of pain and patients' pain experiences. Although previous interactional research has focused on patients' unsolicited attempts to share their perspectives, health professions also employ specific techniques to solicit them. Physiotherapists are recommended to assess lay perspectives and include them in treatment. One way to do so is through invitations for lay diagnosis (this paper). However, little is known about how lay perspectives are constructed through these invitations and how physiotherapists follow up on them. In this study, physiotherapy intakes were analyzed using conversation analysis. We found that invitations for lay diagnosis are frequently embedded in previous health care visits or patients' knowledge gathering activities. Patients often express low epistemic status when they construct their lay perspectives and engage in lay diagnostic activity in response to these invitations. Additionally, physiotherapists' responses in the third position, such as follow-up questions, may influence the further development of patients' lay perspectives. These invitations provide patients an opportunity to share their views on their health issues, but also create an interactional challenge due to the reversal of usual epistemic dynamics. The study highlights the complexity of doing lay diagnosis, which can include diagnoses or explanations of varying specificity. The specificity and elaboration of these perspectives are influenced by the physiotherapists' subsequent responses. We provide recommendations for healthcare professionals to facilitate lay diagnosis, and our findings contribute to the discussion around patient empowerment, shared decision making, and patient centered care.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603677","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":"Promoting Resilience and Well-Being of Young Adults with Diabetes Through Digital Storytelling in Arts-Based Research.","authors":"Yuhang Yuan, Shuhua Zhou, Jinghong Xu, Xiaojun Li","doi":"10.1080/10410236.2024.2424408","DOIUrl":"https://doi.org/10.1080/10410236.2024.2424408","url":null,"abstract":"<p><p>This arts-based research explores the role and impact of digital storytelling in supporting young adults with diabetes in China to face diabetes-related stigma and promote resilience and well-being. Twenty participants with diabetes recounted their experiences across three workshops and shared their perspectives on digital storytelling through semi-structured interviews. The results indicate that digital storytelling, as a health intervention, facilitates a comfortable environment for participants to articulate the traumatic impact of diabetes stigma. It encourages collective support and fosters a reinterpretation of the diabetes experience, enhancing participants' capacity for future health management. The results also highlight the limitations of digital storytelling, particularly concerning its accessibility and transparency. Participants' experiences underscore the need for careful consideration of these challenges to maximize the therapeutic potential of digital storytelling in the context of chronic illness management.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582422","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":"Narrative Force: How Science and Storytelling Impact Parental Concussion Beliefs and Intentions Through Transportation and Trust.","authors":"Jesse Abdenour, Autumn Shafer","doi":"10.1080/10410236.2024.2424054","DOIUrl":"https://doi.org/10.1080/10410236.2024.2424054","url":null,"abstract":"<p><p>Although news and entertainment coverage of sports concussions has increased in recent years, many parents of adolescent athletes remain indifferent to or unaware of practices that would mitigate concussion harm. This experiment with U.S. parents of 10- to 17-year-olds (<i>N</i> = 502) explores how narratives and expository concussion science could be used together to increase concussion risk assessments, mitigation intentions, and support for sports concussion policy. Direct and indirect relationships through narrative transportation and trust are explored.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582418","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":"Following Medical Advice of an AI or a Human Doctor? Experimental Evidence Based on Clinician-Patient Communication Pathway Model.","authors":"Shuoshuo Li, Meng Chen, Piper Liping Liu, Jian Xu","doi":"10.1080/10410236.2024.2423114","DOIUrl":"https://doi.org/10.1080/10410236.2024.2423114","url":null,"abstract":"<p><p>Medical large language models are being introduced to the public in collaboration with governments, medical institutions, and artificial intelligence (AI) researchers. However, a crucial question remains: Will patients follow the medical advice provided by AI doctors? The lack of user research makes it difficult to provide definitive answers. Based on the clinician-patient communication pathway model, this study conducted a factorial experiment with a 2 (medical provider, AI vs. human) × 2 (information support, low vs. high) × 2 (response latency, slow vs. fast) between-subjects design (<i>n</i> = 535). The results showed that participants exhibited significantly lower adherence to AI doctors' advice than to human doctors. In addition, the interaction effect suggested that, under the slow-response latency condition, subjects perceived greater health benefits and patient-centeredness from human doctors, while the opposite was observed for AI doctors.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2024-11-01Epub Date: 2023-12-19DOI: 10.1080/10410236.2023.2291267
Monica L Gallegos, Chris Segrin
{"title":"Exploring the Role of Marianismo and Loneliness in Latinas' Physical and Mental Well-Being.","authors":"Monica L Gallegos, Chris Segrin","doi":"10.1080/10410236.2023.2291267","DOIUrl":"10.1080/10410236.2023.2291267","url":null,"abstract":"<p><p>The goal of this study is to better understand the role of social relationships and traditional gender norms in Latina health. Utilizing Hawkley and Cacioppo's theoretical model of loneliness and health as a framework, loneliness is proposed as a key component in the relationship between the Latina gender norm of marianismo and health. Participants were 178 female adults who identified as Latina (<i>N =</i> 97) or non-Latina White (<i>N</i> = 81), ranging in age from 19-88, who completed measures of loneliness, marianismo, depression, overall health, and health practices. Results indicate that being Latina was associated with <i>family pillar</i> marianismo, which includes characteristics centered on women's roles as the core of the family, that was associated with lower loneliness, and lower loneliness was subsequently associated with better overall health, lower depression, and beneficial health practices. However, being Latina had no association with <i>silencing self to maintain harmony</i> marianismo, that in turn had no association with loneliness, or health outcomes. These results suggest that elements of marianismo can play a protective role in Latina health and well-being, particularly when Latinas endorse the positive aspects of the gender norm that place women at the center of their families. Results also help explain the Latino health paradox by providing more specificity in the links between Latina ethnicity and positive health outcomes.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2884-2895"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2024-11-01Epub Date: 2024-01-12DOI: 10.1080/10410236.2024.2304494
Jacqueline N Gunning, Lili R Romann, Elizabeth A Hintz
{"title":"Framing Chronic Pain in U.S. News Coverage of the Opioid Epidemic (2012-2022).","authors":"Jacqueline N Gunning, Lili R Romann, Elizabeth A Hintz","doi":"10.1080/10410236.2024.2304494","DOIUrl":"10.1080/10410236.2024.2304494","url":null,"abstract":"<p><p>Chronic pain, pain persisting longer than six months, afflicts 20% of the U.S. population and is the leading cause of disability. To manage pain, many chronic pain patients (CPPs) and healthcare providers turn to opioids, prescription medications that block pain signals and offer relief. However, in light of the U.S.' ongoing opioid epidemic, CPPs without a history of opioid use disorder (OUD) are facing increased stigma when seeking opioid medication. Further, many have been forced to taper their therapeutic dose due to updated Centers for Disease Control and Prevention prescribing guidelines in 2016 and 2022, with a range of (adverse) outcomes. Though research has explored experiences of chronic pain and OUD independently, few studies have explored how media coverage of the opioid epidemic has shaped representations, and resulting stereotypes, of CPPs. Guided by framing theory, this content analysis examines sources' characterization of CPPs amidst a decade of U.S. news coverage of the opioid epidemic (<i>N</i> = 492). Findings identify four dominant news frames, including two novel frames termed <i>culpability</i> and <i>strategy</i>, and elements (i.e., characters, significant events) that comprise these frames. When discussed, CPPs were ascribed the identity of a drug-seeking addict 82% of the time. Collectively, this study provides insight as to how news media coverage of the opioid epidemic influence(d) public perceptions of chronic pain (patients). Findings offer theoretical and practical implications for media outlets, policymakers, CPPs and healthcare providers, as well as highlighting how use of opioids for pain management does not equate to abuse of opioids.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"3122-3133"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139424630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2024-11-01Epub Date: 2024-02-11DOI: 10.1080/10410236.2024.2314343
Weixi Wang, Kate G Blackburn, Rachel M Thompson, Karishma Bajaj, Rhea Pedler, Kelsie Fucci
{"title":"Trauma Isn't One Size Fits All: How Online Support Communities Point to Different Diagnostic Criteria for C-PTSD and PTSD.","authors":"Weixi Wang, Kate G Blackburn, Rachel M Thompson, Karishma Bajaj, Rhea Pedler, Kelsie Fucci","doi":"10.1080/10410236.2024.2314343","DOIUrl":"10.1080/10410236.2024.2314343","url":null,"abstract":"<p><p>Reddit has provided rich data on mental health discourse. The present study uses 40,335 online posts from Reddit communities to investigate how language can contribute to the understanding of PTSD and C-PTSD. The results showed distinct language patterns in the use of first-person pronouns, cognitive processing, and emotion words, suggesting that they are separate disorders with different effects on survivors. Further, while some social media studies have differentiated submissions and comments, few have investigated the language changes between these contexts. Post-hoc results showed a clear distinction between two contexts across several linguistic markers. Discussion and future directions are explored.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"3272-3283"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139717518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2024-11-01Epub Date: 2024-03-05DOI: 10.1080/10410236.2024.2324230
Hye-Jin Paek, Thomas Hove
{"title":"Mechanisms of Climate Change Media Effects: Roles of Risk Perception, Negative Emotion, and Efficacy Beliefs.","authors":"Hye-Jin Paek, Thomas Hove","doi":"10.1080/10410236.2024.2324230","DOIUrl":"10.1080/10410236.2024.2324230","url":null,"abstract":"<p><p>In the context of climate change communication, this study explores the process through which exposure to media messages about a risk leads to recommended behavioral intentions. We propose a model of this process based on the Extended Parallel Process Model (EPPM) and the Risk Perception Attitude (RPA) framework. Our model analyzes how risk perception, negative emotion, and efficacy beliefs mediate and moderate the effects of media messages on people's intention to engage in pro-environmental behaviors. A national survey among 1,000 adults in South Korea was analyzed, and the fitting of PROCESS Models 4 and 15 yielded four main findings. First, media exposure was directly and positively related to risk perception, negative emotion, and pro-environmental behavioral intention. However, the significant relation between media exposure and behavioral intention was partly conditional upon efficacy beliefs. Second, risk perception and negative emotion were also significantly related to behavioral intention conditional upon efficacy beliefs. Third, efficacy beliefs significantly moderated the relation between risk perception and behavioral intention, but not between negative emotion and behavioral intention. Fourth, efficacy beliefs served as a moderator for the indirect effect of media exposure on behavioral intention via risk perception and negative emotion.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"3426-3435"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2024-11-01Epub Date: 2023-11-22DOI: 10.1080/10410236.2023.2286405
Zhi Lin, Xiaohui Wang
{"title":"The Underlying Mechanisms of Active and Passive Cancer Information Behaviors: A Comparative Study Between Hong Kong and the United States.","authors":"Zhi Lin, Xiaohui Wang","doi":"10.1080/10410236.2023.2286405","DOIUrl":"10.1080/10410236.2023.2286405","url":null,"abstract":"<p><p>Although increasingly popular, theoretical frameworks describing complex and multidimensional cancer information behaviors remain limited. In response, this study developed a context-specific model by integrating cancer worry into the situational theory of problem solving (STOPS) to explain individuals' active and passive information behaviors. An online survey conducted in Hong Kong (<i>N</i> = 593) and the United States (<i>N</i> = 625) revealed that STOPS factors play different roles in explaining active and passive information behaviors, with the referent criterion and situation motivation being the dominant factors of active and passive information behaviors, respectively. Cancer worry partly mediated the relationship between such behaviors and situational motivation. While the effect of STOPS factors can be generally replicated across Hong Kong and U.S. contexts, the effects of cancer worry cannot. Altogether, our study has answered the call for research on the boundary conditions of STOPS and a more systematic understanding of cancer information behaviors.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2718-2729"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138295078","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}