Jingru Huang, Qingzhou Sun, Yuwei Liu, Herizo Jose Andre Rakotondrampanana, Xiang Yu, Xiaofen Yu
{"title":"Healthcare Provider-Healthcare Receiver Risk Communication: A Role-Information Matching Perspective.","authors":"Jingru Huang, Qingzhou Sun, Yuwei Liu, Herizo Jose Andre Rakotondrampanana, Xiang Yu, Xiaofen Yu","doi":"10.1080/10410236.2025.2465804","DOIUrl":"https://doi.org/10.1080/10410236.2025.2465804","url":null,"abstract":"<p><p>Distortions in healthcare provider - healthcare receiver communication often lead to cognitive bias, diagnostic errors, and medical conflicts. The <i>information concretization a</i>nd <i>information abstraction</i> hypotheses present contradictory risk communication models, which makes it difficult to determine clinical references for healthcare provider - healthcare receiver risk communication. We proposed and demonstrated a hypothesis of matching <i>healthcare provider - healthcare receiver</i> roles with <i>concrete - abstract</i> risk information. The processing accuracy of concrete (e.g. frequency) and abstract risk information (e.g. probability) was compared between healthcare providers and healthcare receivers. The results showed that healthcare providers tended to estimate abstract risk information more accurately than concrete risk information, whereas healthcare receivers tended to estimate concrete risk information more accurately than abstract risk information. This tendency was observed for textual (Study 1), graphical (Study 2), and role-playing (Study 3) risk communication. The processing fluency mediated the interaction of role and risk representation in risk estimation accuracy (Study 3). These findings provide new insights into the theoretical disputes regarding healthcare provider - receiver risk communication and effective communication strategies.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491615","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":"COVID-19 health Messaging: How Message Frame and Individual Differences in Collectivism and Perceived Risk Influence Intention for Mask Wearing and Vaccination.","authors":"Yangsun Hong, Mika Hashimoto","doi":"10.1080/10410236.2025.2471639","DOIUrl":"https://doi.org/10.1080/10410236.2025.2471639","url":null,"abstract":"<p><p>This study examines how message frame and individual differences in collectivism and perceived risk influence intention to engage in precautionary measures for COVID-19. We investigate the relationships with two types of preventive measures that differ in features relevant to the message frame hypothesis like uncertainty or perceived risk about outcome of the health behaviors: vaccination and mask-wearing. We conducted two separate online experiments for each preventive behavior, respectively. The results reveal that individuals with a moderate collectivist orientation had a higher intention to wear a face mask than those with a very low collectivist orientation when exposed to the gain-framed message, but there was no difference in the loss-framed message. The results were only significant among people with low perceived risk of COVID-19. No such effects are found for vaccination intention.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491716","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":"What it Means to Call Your Patient Obese: The Impact of Communicating Weight Stigma in Patient-Provider Conversations.","authors":"Makenzie Schroeder, Na Wang","doi":"10.1080/10410236.2025.2470331","DOIUrl":"https://doi.org/10.1080/10410236.2025.2470331","url":null,"abstract":"<p><p>Perceived weight stigma has been shown to have serious consequences in healthcare, including poorer mental health, physical health, and other social injustices for overweight individuals. However, the full impact of stigmatized language use (like \"obese\") in patient-provider interactions remains unclear. Therefore, we conducted an online experiment (<i>N</i> = 501) in the US to examine the effects of stigmatized language use in conversations with healthcare providers, including on patients' perceptions of themselves as well as their healthcare experience. Results show that stigmatized conversation about weight initiated by healthcare providers results in higher weight self-stigma among patients, failing to increase their desire to lose weight (likely a goal of providers via these interactions). Additionally, patients exposed to stigmatized conversation experience decreased patient-centered communication, lower trust in healthcare providers, decreased quality of healthcare, and decreased satisfaction with their healthcare providers. Furthermore, this study found some support for the moderating effect of narrative transportation and perceived body size on some of the outcomes. Hence, in healthcare practice, our results suggest that healthcare providers should reduce their use of stigmatized language when discussing weight with their patients as a way to improve weight self-stigma among patients as well as patient-centered communication and related outcomes.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491631","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}
Priska L Breves, Zeph M C van Berlo, Lauranna Teunissen, Lars König, Alice Binder, Brigitte Naderer
{"title":"Happier and Healthier? Investigating the Longitudinal Impact of Body-Positive and Fitspirational Influencers on Weight Satisfaction, Healthy Eating, and Physical Activity.","authors":"Priska L Breves, Zeph M C van Berlo, Lauranna Teunissen, Lars König, Alice Binder, Brigitte Naderer","doi":"10.1080/10410236.2025.2465795","DOIUrl":"https://doi.org/10.1080/10410236.2025.2465795","url":null,"abstract":"<p><p>Social media influencers frequently share body-related ideals, such as body positivity or fitspiration, with their followers. While their influence is well-recognized, little is known about how their content affects weight satisfaction and health-related behaviors, such as healthy eating and exercise, over time. This study addresses these questions through a 22-day longitudinal experiment, exposing participants to Instagram content from body-positive, fitspirational, or non-body-focused influencers. Experience sampling was employed to deliver the posts, alongside four main questionnaires completed by participants (<i>N</i><sub><i>Day 1</i></sub> = 181, <i>N</i><sub><i>Day 8</i></sub> = 155, <i>N</i><sub><i>Day 15</i></sub> = 142, <i>N</i><sub><i>Day22</i></sub> = 112). Compared to content from a non-body-focused influencer, both body-positive and fitspirational content had a positive impact on weight satisfaction and healthy eating behavior over time. No significant long-term effects on exercise behavior were observed in either group. This study highlights the nuanced impacts of body-focused influencer content on weight satisfaction and health-related behavior.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491500","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":"\"My Body is Betraying Me\": Exploring the Stigma and Coping Strategies for Infertility Among Women Across Ethnic and Racial Groups.","authors":"Wenxue Zou, Lu Tang, Cara Wallis","doi":"10.1080/10410236.2025.2470984","DOIUrl":"https://doi.org/10.1080/10410236.2025.2470984","url":null,"abstract":"<p><p>Female infertility remains a taboo and carries stigma across various ethnic/racial communities. Infertility-related stigma impairs women's mental well-being, strains their family relationships, and deters them from seeking treatment. In this article, we seek to understand the perceived/self-stigma of infertility and stigma management through in-depth interviews with 29 women (White, African American, and Hispanic) who were facing fertility challenges. Taking an intersectional approach, we focused on how these women's experience of infertility and their stigma coping were shaped by certain gendered, racial, and cultural ideologies deeply entrenched in contemporary U.S. society. Our findings uncovered shared stigmas and coping mechanisms as well as distinct variations that are specific to White, African American, and Hispanic women. The firsthand accounts from our participants revealed the distressing reality of marginalization and silencing of minority women's voices within their families, communities, and society at large. Furthermore, our study underscored how social interactions among women can foster competition, entrenching and bolstering hierarchical stigma power dynamics. This study contributes to the health disparity research by highlighting how women are stratified into different categories based on social class, ethnicity/race, and age. Such classifications ultimately result in differential access to health resources, perpetuating existing social inequality and division.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482818","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}
Yi Yin Leong, Yotam Ophir, Katherine Kountz, Dror Walter, Thomas Hugh Feeley
{"title":"Discourse and Misconceptions About Sexually Transmitted Infections in Lesbian Subreddits: A Health Belief Model Analysis.","authors":"Yi Yin Leong, Yotam Ophir, Katherine Kountz, Dror Walter, Thomas Hugh Feeley","doi":"10.1080/10410236.2025.2464810","DOIUrl":"https://doi.org/10.1080/10410236.2025.2464810","url":null,"abstract":"<p><p>Despite the increase in sexually transmitted infections (STIs) among lesbians, sex education and health services are often heterosexual-focused, leading them to be misinformed about their personal risks. Considering the lack of adequate discussions in offline settings, online spaces allow stigmatized groups to connect, support, and share health information. This study examines how lesbians discuss STIs on Reddit through an analysis guided by the theoretical perspective of the health belief model. A total of 394 posts/comments containing STI-related keywords were observed across six subreddits: r/AskLesbians, r/actuallesbians, r/ActuallyLesbian, r/LesbianActually, r/latebloomerlesbians, and r/lesbian. Results show that users express low perceived susceptibility of STIs and suggest that protection is only necessary when penial intercourse is involved. Despite the belief that protection is effective at preventing STIs, dental dams are not often used due to their inconvenience and testing is an adequate replacement. Perceived barriers to engage in safer sexual practices further complicate users' sexual health decisions. We identify cases where the subreddits serve as cues for action as users actively encouraged others to use protection and get tested. Theoretical and practical implications and directions for future research are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448652","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":"Wellbeing for the Blind and Visually Impaired: An Arts-Based Cripistemological Ethnography of Alexandria, Egypt's Taha Hussein Library.","authors":"Amin Makkawy, Shane T Moreman","doi":"10.1080/10410236.2025.2458247","DOIUrl":"https://doi.org/10.1080/10410236.2025.2458247","url":null,"abstract":"<p><p>As an arts-based cripistemological communication study, we consider how the blind and visually impaired (BVI) manifest wellbeing through sensorial acuities that draw from contextual capacity, affective ranges, and polyvalent meanings through multi-modal offerings. We specifically home in on a context developed for the BVI; that is, the Taha Hussein for the Visually Impaired library (THL), a wing of the Bibliotheca Alexandrina (BA) located in Alexandria, Egypt. The BA mission is twofold: to be a center that disseminates knowledge and to be a place of dialogue. Understanding the THL as an institution created through communication practice within a local Islamic culture, we interpret those BVI discursive practices through a cripistemological framework and offer our findings as an arts-based ethnographic communication study. Crip theory rejects comparisons to the able-bodied and seeks to comprehend disability through its agentic possibilities. We present these possibilities via three textual art forms that promote BVI sensorial acuities as exemplars of wellbeing. These exemplars are expressed as passages of opacity. The three passages of opacity include opacities of the contextualized individual, opacities of collective joy, and opacities of polyvalent modalities. These aesthetically cued, evocatively presented opacities demonstrate how BVI positionality and local Islamic context overlap to inspire BVI wellbeing that could arguably be practiced by all.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440676","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 Metaphors May Enhance Health Communication: The Case of Dry Eye Syndrome.","authors":"Carina Rasse, Sandra Diehl, Ralf Terlutter","doi":"10.1080/10410236.2025.2464304","DOIUrl":"10.1080/10410236.2025.2464304","url":null,"abstract":"<p><p>Previous studies have investigated the effects of metaphors in health communication. Yet, relatively little attention has been given to variations in metaphor usage when people talk about a particular disease, and what functions these metaphors may have in different communication contexts. The aim of this paper is to study the effects of metaphors in the communication of Dry Eye Syndrome (DES), which has developed into a prevalent eye disease. A systematic metaphor analysis was applied to 15 extensive blog entries and 308 survey responses which reflect people's first-hand experiences on having dry eyes. The results showed that communication about DES is highly metaphorical and that metaphors vary in terms of underlying concepts (i.e., journey, war) and in their level of creativity in different communication contexts. When patients talk about treatments and experiences with doctors and about quality of life, conventional metaphors are overrepresented and patients often use metaphors related to a journey. When they talk about symptoms, creative metaphors are overrepresented and patients often refer to eyes/vision as objects. Paying attention to these variations provides deeper insights into how people experience and deal with DES. In a follow-up study, we asked DES patients (<i>n</i> = 66) which metaphors they consider particularly appropriate to describe their experience with DES. We found that personification and war-related metaphors got the highest appropriateness-ratings. Concluding, we discuss how the attention to metaphors might contribute to a more effective communication of DES in different communication contexts.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440662","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":"\"We Need a Supportive Clinic\": Comparing the Effects of Patient-Centered Communication and Perceived Social Isolation on Subjective Well-Being Between LGBs and Heterosexuals.","authors":"Yang Wu, Yiqian Gao","doi":"10.1080/10410236.2025.2464809","DOIUrl":"https://doi.org/10.1080/10410236.2025.2464809","url":null,"abstract":"<p><p>The current literature lauds patient-centered communication for its potential to improve patient health outcomes, particularly by enhancing social support. However, this study presents a more nuanced and even contrasting narrative. Grounded in Minority Stress Theory and utilizing secondary survey data from the Health Information National Trends Survey (HINTS 6), the study uncovers three key findings. First, gay, lesbian, and bisexual individuals experience greater health disparities than heterosexuals, reporting notably lower levels of patient-centered communication and subjective well-being (both hedonic and eudaimonic) while higher levels of sense of social isolation. Second, patient-centered communication has the potential to either enhance or worsen both hedonic and eudaimonic well-being by alleviating or exacerbating perceived social isolation. Third, this mediation mechanism is not exclusive to gay, lesbian, and bisexual individuals but applies to heterosexuals as well. Given that patient-centered communication can both mitigate and exacerbate patients' feelings of social isolation and that sense of social isolation remains a pervasive concern across populations (minority groups in particular), this study underscores the critical need for developing culturally competent healthcare environments for all (minority groups), extending beyond sexual orientation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440660","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}
Chelsie E Dunn, Calvin J Hall, Alison J Patev, Bianca D Owens, Ashlynn D Bell, Kristina B Hood
{"title":"Silenced & Marginalized: The Role of Gendered Racial Microaggressions on Partner Communication and Condom-Use Intentions Among Black Emerging Adult Women.","authors":"Chelsie E Dunn, Calvin J Hall, Alison J Patev, Bianca D Owens, Ashlynn D Bell, Kristina B Hood","doi":"10.1080/10410236.2025.2464801","DOIUrl":"https://doi.org/10.1080/10410236.2025.2464801","url":null,"abstract":"<p><p>Using gendered racism theory, we explored the relations between partner communication, ethnic identity affirmation, and stress appraisal of silencing and marginalizing gendered racial microaggressions (e.g. expressions intended to ignore, challenge, or make Black women feel invisible) on Black emerging adult women's condom-use intentions. We hypothesized that Black emerging adult women with a lower ethnic identity affirmation who rarely discuss safe sex practices with past sexual partners would report lower intentions to use condoms in the future when stress levels from being silenced and marginalized are higher. Participants, 135 Black emerging adult women who have sex with men and live in the United States, completed the survey online. As expected, findings revealed a significant positive relationship between partner communication and condom-use intention. In addition, the interaction between ethnic identity affirmation and silencing and marginalizing gendered racial microaggressions moderated the relationship mentioned above. Findings and implications for sexual health interventions and future research are presented in the context of Black women's sexual relationships.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440670","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}