Health CommunicationPub Date : 2025-01-01Epub Date: 2024-03-25DOI: 10.1080/10410236.2024.2333112
Dinah A Tetteh, Zehui Dai
{"title":"Making Sense of Gynecologic Cancer: A Relational Dialectics Approach.","authors":"Dinah A Tetteh, Zehui Dai","doi":"10.1080/10410236.2024.2333112","DOIUrl":"10.1080/10410236.2024.2333112","url":null,"abstract":"<p><p>This study used the relational dialectics theory (RDT) as a theoretical lens to examine how the interplay of competing discourses shaped meaning making about gynecologic cancer. A reflexive thematic analysis of the narratives of 12 survivors of cervical cancer, ovarian cancer, and uterine cancer in Arkansas showed two discursive struggles at play, including continuity of care versus change, and voicing versus repressing of feelings. The findings showed that long history of care with physicians contributed to how participants privileged the discourse of continuity of care when faced with a decision to travel for care or receive care locally. We also found that cultural discourses about concealing women's cancer-afflicted bodies, lack of supportive spaces for women to discuss side effects of cancer treatments, and appropriate communication behavior between patients and physicians shaped the interplay of the discursive struggle of voicing versus repressing. The findings extend the RDT by showing that geographic location, disease characteristics, history of care between patients and physicians, and prevailing cultural discourses can contribute to the interplay of discursive struggles in the gynecologic cancer context. Further, the findings suggest to healthcare professionals to address harmful discourses about gynecologic cancer to help create support avenues for survivors.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"90-102"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140287376","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 : 2025-01-01Epub Date: 2024-03-17DOI: 10.1080/10410236.2024.2328919
Andrew Carter, Garrett Broad, Vanessa Reeves
{"title":"Recapturing Communicative Erasure: Black Women Farmers' Lived Experience, Political Voice and Cultural Knowledge as Critical Health Communication Praxis.","authors":"Andrew Carter, Garrett Broad, Vanessa Reeves","doi":"10.1080/10410236.2024.2328919","DOIUrl":"10.1080/10410236.2024.2328919","url":null,"abstract":"<p><p>In this paper, we conduct a case study analysis of the National Women in Agriculture Association (NWIAA), an international, Black women-led farm assistance organization founded in 2008 and based in Oklahoma City, Oklahoma. Drawing on the Culture-Centered Approach (CCA) and grounded in interviews and observational fieldwork, we center the perspectives of NWIAA chapter leaders (<i>n</i> = 16) to examine how they describe motivations for farming, challenge power inequities, engage with intersectional barriers, and develop locally situated solutions across agricultural and community health contexts. The analysis argues that Black women farmer's historical lived experiences, political voice, and shared deep-rooted agricultural knowledge provide an innovative and emancipatory praxis for rethinking health communication intervention approaches that address food system-generated disparities. This study contributes important takeaways for health communication practitioners, policymakers, and advocates addressing food inequities. It extends the CCA as a first step in developing community-driven, context-specific food insecurity health communication interventions within marginalized communities across the United States and beyond.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"3-14"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143067","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 : 2025-01-01Epub Date: 2024-03-21DOI: 10.1080/10410236.2024.2331998
Jie Xu, Xiao Wang
{"title":"Temporal Distance, Message Framing, and Consideration of Future Consequences: Parents' Willingness to Vaccinate Children Aged 5-11 Against COVID-19.","authors":"Jie Xu, Xiao Wang","doi":"10.1080/10410236.2024.2331998","DOIUrl":"10.1080/10410236.2024.2331998","url":null,"abstract":"<p><p>Based on the construal level theory (CLT), this experiment employed a 2 (message framing: gain vs. loss) × 2 (temporal framing: proximal vs. distal) × 2 (consideration of future consequences: low vs. high) between-subjects factorial design. Parents (<i>N</i> = 409) of 5- to 11-year-old children in the United States from a pool of candidates pre-screened by Qualtrics participated in this study. Results indicated that parents with high CFC-Future were more receptive to messages advocating getting their children vaccinated against COVID-19. Parents with high CFC-Future reported higher risk perception in response to the proximal messages compared to the distal messages. For parents focusing on more distant outcomes, proximal messages generated more positive attitude and greater intention compared to distal messages in the loss-framed condition. The difference was not significant in the gain-framed condition. Theoretical and practical implications were discussed. Limitations and directions for future research were outlined.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"59-70"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184197","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 : 2025-01-01Epub Date: 2024-03-25DOI: 10.1080/10410236.2024.2334088
Cody M Clemens
{"title":"\"Don't Walk in There\": The Challenges Birthing Persons Face at the Clinic.","authors":"Cody M Clemens","doi":"10.1080/10410236.2024.2334088","DOIUrl":"10.1080/10410236.2024.2334088","url":null,"abstract":"<p><p>During the summer of 2021, the author spent a week at an abortion clinic in the southern United States with two of his undergraduate students. In this piece, he engages in autoethnography and writing as a therapeutic process to show how his experience with his students changed his outlook on what abortion clinic workers, volunteers, and birthing persons go through every day. What has been happening outside abortion clinics across the country for decades needs to stop, and as someone who was not well-informed or involved before his trip to the abortion clinic, the author encourages others like him to take action to support abortion clinics with their important mission to protect the healthcare rights of birthing persons.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"114-118"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140206667","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":"\"Feeling the Pain of Others\": Examining the Framing Effects of Cancer Metaphors on Media Vicarious Traumatization.","authors":"Wenqiang Teng, Hui Zhi, Rui Wang, Min Zhou","doi":"10.1080/10410236.2024.2444351","DOIUrl":"https://doi.org/10.1080/10410236.2024.2444351","url":null,"abstract":"<p><p>When exposed to traumatic events through media coverage, how do we emotionally appraise the situation? Although many factors contribute to our reasoning about media vicarious traumatization, in this article we focus on the role of metaphorical frames. This study uses an online survey experiment (<i>N</i> = 280 CHN adults) to investigate how irrational beliefs influence the effects of metaphorical frames on media vicarious traumatization, with a focus on the mediating role of transportation. The findings revealed that journey metaphors increased media vicarious traumatization more than war metaphors in conditions of low irrational beliefs, while no significant difference was observed in conditions of high irrational beliefs. The interaction between metaphorical frames and irrational beliefs indirectly affected media vicarious traumatization through transportation. These results improve our understanding of the framing effects of cancer metaphors and suggest practical strategies for media health coverage.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876861","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}
Charee M Thompson, Emily Gerlikovski, Sara Babu, Maeve McGuire, Isabella Robieson, Annalisa Ranallo
{"title":"A Longitudinal Interview Study of People with Long COVID: Uncertainties, Liminality, and Processes of Becoming.","authors":"Charee M Thompson, Emily Gerlikovski, Sara Babu, Maeve McGuire, Isabella Robieson, Annalisa Ranallo","doi":"10.1080/10410236.2024.2442684","DOIUrl":"https://doi.org/10.1080/10410236.2024.2442684","url":null,"abstract":"<p><p>Current estimates indicate around 6% of US adults have experienced long COVID symptoms. Given the novelty of both COVID and long COVID, those who continue to be ill after an initial SARS-CoV-2 infection have little precedence on which to rely when navigating the medical (e.g. diagnoses, treatment options), social (e.g. others' reactions, isolation), and personal (e.g. roles, identities) sources of uncertainty that accompany the illness. In this study, we explore uncertainty as a process of <i>liminality</i>, a heuristically useful lens for demonstrating how uncertainties intertwine, compound, contradict, and change across time, and how people are continually in a process of \"becoming.\" We interviewed 19 people with long COVID five times during the middle stages of the pandemic (Summer 2021 to Summer 2022; 89 total interviews). Findings illustrate how liminality is a body-self dialectic characterized by physical changes that bear upon valued identities and how this dialectic is shaped by a sociocultural and historical context comprising medical, social, political, and mediated spheres of life. We discuss the contributions of this research for theorizing about uncertainty, conducting longitudinal qualitative research, and living with chronic illness.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876866","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 Cognitive, Affective, and Conative Factors of Bystander Intervention to Improve Protective Measures During Health Emergencies.","authors":"Ilwoo Ju, Eylül Yel, Hwanseok Song","doi":"10.1080/10410236.2024.2442560","DOIUrl":"https://doi.org/10.1080/10410236.2024.2442560","url":null,"abstract":"<p><p>This study examines the factors shaping individuals' reactions to health-protective norm violations through the lens of cognitive accessibility, the risk-as-feelings hypothesis, and the tripartite decision-making framework. By surveying 1,426 U.S. college students, we found that frequent exposure to health information in the media is associated with an increased tendency to adopt health-protective measures and support bystander intervention (upstanding) intentions. From a theoretical perspective, the results underscore the significant impact of the conative (behavioral) dimension on bystander intervention intention, alongside contributions from the affective and cognitive dimensions. Health communication practitioners should plan frequency-enhancing media strategies to effectively reach their target audience. Well-targeted and repeated exposure to vaccine information may help address health norm violations by correcting deviant behaviors.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864049","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":"Disseminating Premenstrual Dysphoric Disorder Information on TikTok: A Content Analysis.","authors":"Lili R Romann, Emily J Pfender","doi":"10.1080/10410236.2024.2442685","DOIUrl":"https://doi.org/10.1080/10410236.2024.2442685","url":null,"abstract":"<p><p>Premenstrual dysphoric disorder (PMDD) is characterized as an extreme form of premenstrual syndrome (PMS) in which a combination of severe mood, somatic, and cognitive symptoms present one to two weeks prior to the onset of menstruation. As people increasingly turn to social media, specifically TikTok, to gain information about health-related topics and information, discourse about this taboo chronic condition has increased. Sensitized by concepts from the theory of communicative disenfranchisement (TCD), our two-pronged methodological approach includes a content analysis of TikTok videos (<i>N =</i> 97) that discuss PMDD symptomology, treatment, and a thematic analysis of disenfranchising talk associated with PMDD. We identify TikTok as a meaningful communicative mechanism for health information-exchange, particularly for communication about contested illness. Practical and theoretical implications for applying TCD in mediated contexts, as well as engaging with social media as a means for health communication are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835411","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":"Binge Drinking Status as a Moderator in Narrative Versus Non-Narrative Pictorial Warning Labels: Roles of Cognitive Elaboration and Retrospective Reflection.","authors":"Zexin Ma, Joshua Haworth, Carla Rash, Jun Hu","doi":"10.1080/10410236.2024.2439360","DOIUrl":"https://doi.org/10.1080/10410236.2024.2439360","url":null,"abstract":"<p><p>This study examined the potential role of binge drinking status in moderating the persuasive effects of narrative versus non-narrative pictorial warning labels (PWLs). In an online longitudinal experiment involving moderate and heavy drinkers, we found that the interaction between binge drinking status and PWL type was significant for intentions to reduce and stop drinking upon immediate PWL exposure (<i>N</i> = 649) and at two-week follow-up (<i>N</i> = 598). Among non-binge drinkers, narrative (vs. non-narrative) PWLs led to higher intentions to reduce drinking upon immediate exposure and higher intentions to stop drinking at two-week follow-up. Among binge drinkers, non-narrative (vs. narrative) PWLs resulted in higher intentions to stop drinking upon immediate exposure and at two-week follow-up. In addition, our results revealed that narrative PWLs increased behavioral intentions through heightening cognitive elaboration and retrospective reflection among non-binge drinkers, while non-narrative PWLs improved intentions only through enhancing retrospective reflection among binge drinkers. These results indicate that the effectiveness of narrative versus non-narrative PWLs depends on individuals' drinking habits.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835372","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":"Does Character-Audience Matching Increase the Persuasive Impact of Anti-Sugar-Sweetened-Beverage (SSB) Consumption Messages?","authors":"Yingke Li, James Dillard, Lijiang Shen","doi":"10.1080/10410236.2024.2440534","DOIUrl":"https://doi.org/10.1080/10410236.2024.2440534","url":null,"abstract":"<p><p>It is widely believed that persuasion is enhanced by including characters in a message whose features correspond with those of the audience. Matching on gender, age, and ethnicity may be especially appealing because these features are immediately perceivable. We examined the persuasive impact of matching on these variables using a large sample of real-world messages (<i>k</i> = 91) drawn from a single topic/context (messages that advocate for reduced consumption of sugar-sweetened beverages). Contrary to prediction, the data (<i>N</i> = 692) showed no significant main effects. Gender-matching, however, was moderated by prior SSB consumption such that it produced higher levels of perceived message effectiveness among heavier drinkers. Neither age- nor ethnicity-matching yielded a similar interaction. A composite similarity (gender + age + ethnicity) effect was observed though it was likely the product of gender-matching alone. The results suggested that the matching principle is intuitively attractive, but empirically suspect. There may be principled reasons to include demographically diverse characters in health campaigns, but anti-SSB message designers should keep their expectations low regarding advantages from demographic matching.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828255","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}