Health Communication最新文献

{"title":"<i>Biye</i> And <i>Getage</i>: Community Health Resilience During COVID-19 in Indonesia's Geographically Isolated Ulu Ogan Community.","authors":"Akhmad Rosihan, Billy K Sarwono, Camelia Catharina Pasandaran","doi":"10.1080/10410236.2026.2743159","DOIUrl":"https://doi.org/10.1080/10410236.2026.2743159","url":null,"abstract":"<p><p>Geographically isolated rural communities face compounding structural barriers to formal healthcare, yet their capacity to organize health governance through culturally embedded frameworks remains undertheorized in health communication scholarship. Using the culture-centered approach (CCA) as theoretical framework and analytical lens, this qualitative study examined how the Ogan Malay community of Ulu Ogan, South Sumatra, Indonesia, mobilized cultural practices to sustain health resilience during COVID-19 amid structural marginalization. Through in-depth interviews with 17 informants, we analyzed the dynamic interplay between cultural agency, structural constraints, and geographical isolation. Findings document two indigenous governance frameworks-<i>biye</i> (institutionalized mutual aid) and <i>getage</i> (collective crisis preparedness)-through which the community organized health action without adequate state support. Rather than passively receiving official directives, communities demonstrated sophisticated hybrid governance: selectively adapting formal health protocols through local moral logics, mobilizing ecological health literacy rooted in agrarian embodied knowledge, and developing culturally grounded pandemic responses that formal health systems failed to provide. Critically, traditional and religious leaders were formally listed in governance structures but systematically excluded from substantive authority-constituting what this study theorizes as performative inclusion, a distinct modality of epistemic violence that manufactures the appearance of participatory governance while preserving centralized biomedical control. These findings advance CCA scholarship by reframing subaltern agency as organizational capacity, theorizing hybrid governance as dialectical co-production, and introducing performative inclusion as a new analytic concept for health communication. Implications call for health governance models that move beyond nominal community participation toward genuine redistribution of epistemic authority and decision-making power.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-22"},"PeriodicalIF":2.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127317","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":"Health Information Seeking by People Navigating Masculinizing Transition Pathways in Switzerland: Communication Inequalities and Adaptive Approaches.","authors":"Alexander Ort, Sabrina Stefanelli, David Weisstanner","doi":"10.1080/10410236.2026.2743838","DOIUrl":"https://doi.org/10.1080/10410236.2026.2743838","url":null,"abstract":"<p><p>Gender-diverse people considering transition pathways often navigate health information environments shaped by fragmented healthcare structures, uneven provider competence, and cisnormative health communication. This qualitative study explores how trans men and non-binary/agender people pursuing masculinizing transition pathways in Switzerland identify, evaluate, and use health information while navigating communication inequalities, institutional fragmentation, and cisnormative healthcare structures. Sixteen semi-structured interviews were analyzed using reflexive thematic analysis informed by health information-seeking behavior (HISB) research and the structural influence model (SIM) of health communication. Participants described information gaps extending beyond gender-affirming care, reflecting a broader need for trans-inclusive knowledge about whole-person health, including mental health, sexual health, contraception, prevention, and everyday care. Trust in health information was conditional and relational: institutional sources were valued for medical authority, but participants questioned their trans-specific competence, inclusivity, and practical relevance. Peer networks, community platforms, and digital environments provided recognition, experiential knowledge, and practical guidance, while also requiring careful credibility assessment. Information seeking was further shaped by fragmented Swiss healthcare infrastructures, regional variation, inconsistent institutional responsiveness, and binary healthcare expectations, creating emotional and cognitive labor. The findings conceptualize HISB during masculinizing transition as adaptive navigation within structurally unequal communication environments-involving cross-checking sources, calibrating trust, anticipating misrecognition, and compensating for formal healthcare gaps. The study highlights the importance of trans-inclusive health communication, coordinated information infrastructures, provider training, and collaboration with community organizations. Situating masculinizing transition-related HISB within the Swiss context contributes to a more nuanced understanding of how structural conditions shape health information practices among trans men and non-binary/agender people.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":2.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127301","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":"Two Health Communication Researchers Watch The Pitt: A Collaborative Dialogue Exploring Paradigmatic Difference.","authors":"Kristen L Cole, Marie C Haverfield","doi":"10.1080/10410236.2026.2743160","DOIUrl":"https://doi.org/10.1080/10410236.2026.2743160","url":null,"abstract":"<p><p>Health communication is a paradigmatically diverse field shaped by post-positivist, interpretive, critical, and cultural studies traditions. While these approaches provide rich scholarly insights on their own, we believe there is something to be gained by engaging in cross-paradigmatic research, specifically through dialogue. This research explores how divergent paradigmatic orientations can intersect productively through a collaborative dialogue analyzing of The Pitt, a medical drama that premiered on HBO Max in January 2025. As two health communication scholars-one post-positivist and one critical-we use collaborative dialogue to reflect on our distinct interpretations of the same media text, surfacing insights into expertise and agency, health communication phenomena (e.g., resource scarcity, emotional labor, and harm reduction), and health communication theories and practices. By holding paradigmatic differences in dialogue rather than seeking hybridization or dissolution, this study highlights new possibilities for reflexive engagement in health communication research, intradisciplinary collaboration, and pedagogy.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108787","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 Four Horsemen of the Apocalypse: Research Amid Poverty, Disease, War, and Death.","authors":"Hussein Bajouk, Carme Ferré-Pavia","doi":"10.1080/10410236.2025.2608902","DOIUrl":"10.1080/10410236.2025.2608902","url":null,"abstract":"<p><p>This essay presents a personal reflection on health communication research conducted in Lebanon amid poverty, disease, war, and the constant shadow of death. Through scenes of displacement, fear, and loss, it shows how crisis carves itself into the body and the work. This is a record of knowledge made under fire, and an invitation to confront what scholarship demands when the ground itself is not stable.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2072-2074"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855493","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":"Dedicated Workspace for Co-Located Healthcare Professionals: Affordances for Interprofessional Communication in Hospitals.","authors":"Kevin Real, Lindsey Fay, Joshua Santiago","doi":"10.1080/10410236.2025.2604294","DOIUrl":"10.1080/10410236.2025.2604294","url":null,"abstract":"<p><p>Although research has highlighted the connection between healthcare design and communication among nurses, it is essential to understand the experiences of additional healthcare professions due to increasing healthcare specialization. Employing multiple methods, this study explores interprofessional communication (IPC) and physical design in two different hospital cardiovascular units (CVUs). The first hospital incorporated a rectangular single-corridor design (RSCD) with patient rooms along the hallways. The second hospital included patient rooms on the perimeter of hallways in a circular design (CD) and dedicated spaces for co-located staff from multiple professions. Seven focus groups of 40 healthcare professionals (HCPs) from 12 healthcare professions were conducted to elicit perspectives on interprofessional communication, design, and patient care. Observations (<i>N</i> = 8,978) of face-to-face communication were conducted across both hospital CVUs. Patient records (<i>N</i> = 1,930) were gathered to understand patient characteristics and outcomes. Thematic qualitative analysis revealed that HCPs perceived design features as both facilitating and constraining IPC. In RSCD units, greater distance hampered interprofessional communication in acute/progressive care while proximity facilitated IPC in ICU care. In CD units, dedicated spaces for co-located staff afforded proximity, IPC, and patient care communication. While inefficient technology constrained communication in RSCD, updated technology in CD afforded IPC, indicating technology's communicative agency in sociotechnical healthcare systems. Observations indicated that HCPs in CD units engaged in more IPC than in RSCD (<i>p</i> < .05). Patients were similar across units for demographics, characteristics and comorbidities. A key takeaway from this study is that dedicated workspaces for embedded, co-located HCPs facilitated higher levels of interprofessional communication and engagement.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1923-1940"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833729","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":"Using Humor to Promote Directives: Public Service Announcements During a Protracted Crisis.","authors":"Babatunde A Balogun, Lin Yang, Nenagh Kemp, Maria Agaliotis, Anne Hogden","doi":"10.1080/10410236.2025.2606010","DOIUrl":"10.1080/10410236.2025.2606010","url":null,"abstract":"<p><p>Humor in public service announcements (PSAs) can reassure the audience, influencing the public's adoption of directives when managing crises of public health significance. However, the relevance of different humor types in public health emergencies, which are marked by uncertainty and change, remains largely uncharted. Through the lens of three humor theories, this study explored how humor was applied to advertise public health crisis directives on social media during the COVID-19 pandemic. A sample of high-engagement humor-containing COVID-19 PSAs from the World Health Organization (WHO) and Australian health departments' Facebook, Twitter (now X), and YouTube accounts was extracted. Through content analysis, we identified seven humor types employed by the organizations to promote 12 crisis directives. WHO's PSAs were based mainly on multiple humor mechanisms (76.5%), while Australian health departments' PSAs were more contingent on single humor mechanisms (60.2%). A high level of media richness accounted for social media user engagement, which persisted after repeated exposure to the same PSA. Prosocial content was more instrumental in generating high user engagement than self-focused posts. Through temporal analysis, we found that the PSAs were more frequent during periods of minimal direct public health impact of the crisis and when multiple humor types were employed. Our study demonstrates that a range of humor types could be applicable in generating public engagement across multiple phases of a public health crisis. The findings offer theoretical and practical insights to health authorities and practitioners seeking to promote crisis directives and influence health behaviors.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1941-1957"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900223","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":"Who Trusts AI for Health Information? A Cross-National Survey on Trust Determinants in Four European Countries.","authors":"Anne Reinhardt, Jörg Matthes, Selma Hodzic, Jaroslava Kaňková, Ljubisa Bojic, Helle T Maindal, Corina Paraschiv, Knud Ryom","doi":"10.1080/10410236.2025.2601265","DOIUrl":"10.1080/10410236.2025.2601265","url":null,"abstract":"<p><p>As generative artificial intelligence (AI) systems such as ChatGPT become increasingly popular sources of health information, understanding what shapes users' trust in AI-generated health information (AI-HI) is essential. Despite growing use, little is known about how human- and source-related factors jointly influence trust across national contexts. Drawing on frameworks from AI trust and online health information research, this study used multi-group structural equation modeling with representative samples from Austria (<i>N</i> = 502), Denmark (<i>N</i> = 507), France (<i>N</i> = 498), and Serbia (<i>N</i> = 483) to predict trust in AI-HI and its effect on intention to use AI-HI. AI literacy and performance expectancy consistently increased trust across countries, while social norms and prior AI-HI experience showed smaller, context-dependent effects. Health literacy, personal innovativeness, effort expectancy, and surveillance risk perceptions were not significant. Informational risk perceptions had only a weak negative effect on trust, indicating that while concerns about inaccuracy can reduce confidence, they play a relatively minor role in shaping it. Trust strongly predicted intention to use AI-HI in all countries, with path-level effects largely stable across contexts. These findings suggest that trust in AI-HI is shaped more by digital capabilities, perceived utility, and social endorsement than by privacy concerns or health literacy. Future research should examine how digital literacy interventions and transparency standards can foster informed trust in these systems.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1873-1885"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809794","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 Latinas' Decisions to Participate in a Unique Breast Cancer Clinical Trial: A Qualitative Constructivist Grounded Theory Study.","authors":"Katherine E Ridley-Merriweather, Katherine Vogel, Oseme Precious Okoruwa","doi":"10.1080/10410236.2025.2609215","DOIUrl":"10.1080/10410236.2025.2609215","url":null,"abstract":"<p><p>Breast cancer is the most common cause of cancer death in Hispanic or Latino (H/L) women in the United States. However, researchers often fail to use recruitment messaging targeted toward increasing Latina participation in medical research. Although the barriers preventing Latinas' participation in research are well-established, there are few studies focused on comprehending the motivations of Latinas who previously volunteered for clinical trial participation. The current study aims to identify constructs for creating a theoretical framework exploring H/L women's motivations to provide healthy breast tissue for a breast cancer clinical trial. Guided by constructivist grounded theory, 19 women (<i>n</i> = 19) who self-identified as Hispanic or Latina and had previously donated healthy breast tissue to a biobank were interviewed regarding their medical research participation decision. The findings center on two primary themes: a) participants demonstrate confidence and self-efficacy in deciding to participate; possible negative feedback from family members was not a part of their decision-making process; and b) the importance of H/L women's awareness of low representation in medical research and the presence and influence of the legacy norm as a decision driver. The implications centered on a) understanding that H/L women have a strong sense of self-efficacy and should be viewed as important family healthcare decision-makers when creating clinical trial recruitment materials and b) a need for researchers to communicate to potentially unaware H/L women that they are being sought out because of their historical underrepresentation in research, and c) targeting constructs of the legacy norm and applying H/L cultural values (such as collectivism) as motivators to participate in medical research when creating recruitment messaging for H/L women.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2029-2039"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905674","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":"Value Added: Vicarious-Affirmation Strategies to Enhance Prediabetes Awareness Among High-Risk Hispanics.","authors":"Stefanie Z Demetriades, Nathan Walter, Chris L Robbins, Elizabeth Beale","doi":"10.1080/10410236.2025.2603536","DOIUrl":"10.1080/10410236.2025.2603536","url":null,"abstract":"<p><p>Reducing the progression of type 2 diabetes mellitus hinges on accurate, timely recognition of prediabetes risk and the ability to make corresponding lifestyle changes. However, this critical step is often hindered by resistance to and avoidance of health information among high-risk individuals. Drawing on self- and vicarious-affirmation (VA) theory, this study experimentally tests a brief, culturally targeted, message-based vicarious-affirmation intervention among Hispanic adults at elevated risk (<i>N</i> = 1,039). Relative to standard messaging, the intervention did not improve primary outcomes; however, VA increased knowledge compared to a no-message control, and mechanism-focused analyses indicated modest sequential indirect effects on knowledge, information seeking, and behavioral intent. While the effect of VA did not vary by cultural attachment, the downstream pathways linking mediators to knowledge did: self-appraisal significantly predicted knowledge alongside message derogation at lower levels of cultural attachment, whereas at moderate to high levels, only message derogation remained significant. These findings advance affirmation theory by specifying mechanisms and boundary conditions tied to cultural identity, and by illustrating how low-burden, scalable messages can exert effects even when direct mean differences on primary outcomes are modest. Results also underscore the need for replication and extension to clarify conceptual distinctions among affirmation approaches.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1910-1922"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800421","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":"\"It Makes Me Feel Bad About the World of Medicine, Makes Me Not Want to Go\": Understanding Weight Stigma, Disconfirming Messages and Health Outcomes.","authors":"Whittney H Darnell, Jyothi Chunduru, Jessica L Rosenblum, Andrea Lambert South, Wayne Altman","doi":"10.1080/10410236.2025.2608900","DOIUrl":"10.1080/10410236.2025.2608900","url":null,"abstract":"<p><p>Weight stigma in healthcare is pervasive, and its presence in healthcare interactions contributes to breakdowns in communication between patients and providers. This study sought to better understand and explain the disconfirming experiences of individuals with larger bodies during weight-related discussions with healthcare providers. Ten in-depth interviews and two focus groups, consisting of nine and six additional participants, were collected. Two levels of coding were performed. Qualitative descriptive analysis revealed two themes of disconfirming communication: (a) minimizing effort or struggle, and (b) undermining agency. The second level applied an a priori thematic analysis to categorize the disconfirming message types using Sieburg's previously established typology, which were largely classified as (a) impervious and (b) disqualifying. Additionally, the findings suggest several maladaptive health outcomes associated with disconfirming communication during weight-related conversations, including (a) diminished trust in therapeutic relationships, (b) emotional and psychological distress, and (c) disrupted care. Theoretical and practical insights are discussed to address weight stigma and improve patient care and communication with individuals with larger bodies.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2014-2028"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933058","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}