Health Communication最新文献

{"title":"Prenatal Genetic Testing on TikTok: Lay Narratives and Expertise.","authors":"Robin Jensen, Emma Murdock, Naomi Riches, Caitlin Quade, Susanna Cohen, Stephanie Arceneaux, Erin Johnson","doi":"10.1080/10410236.2026.2729509","DOIUrl":"https://doi.org/10.1080/10410236.2026.2729509","url":null,"abstract":"<p><p>In recent years, social-media platforms have seen a rise in content related to pregnancy \"gender reveals,\" wherein parents-to-be draw from the results of NIPT (noninvasive prenatal testing) to disclose the \"gender\" of their fetus. Such reveals are grounded in inaccurate understandings of NIPT as a technology and its relationship to fetal sex or gender information, understandings that can perpetuate harms for parents-to-be and infants alike. To explore where these understandings come from and how they are communicated, this study offers a thematic, narrative analysis of 40 recent TikTok videos posted by lay individuals discussing both NIPT and fetal sex chromosomes, sex, and/or gender. Findings reveal that almost all videos upheld both a diagnostic myth about NIPT (that the test is diagnostic rather than a probabilistic screening) and a conflation myth (wherein sex and gender are considered equivalent concepts). Videos fell into one of three narrative themes (i.e., personal storytelling; educational framing; co-storytelling), which were made persuasive by specific configurations of lay expertise (i.e., experiential; hybrid; relational, respectively). These results extend predominant theories of lay expertise by identifying and operationalizing distinct forms of lay expertise at work in the context of health communication on social media.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911714","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":"Effective Messaging Against Youth E-Cigarette Use: Does Humor Make a Difference?","authors":"Caitlin Weiger, Stefanie Gratale, Olivia Wackowski, Michelle Jeong","doi":"10.1080/10410236.2026.2726483","DOIUrl":"https://doi.org/10.1080/10410236.2026.2726483","url":null,"abstract":"<p><p>Anti-vaping campaigns have the potential to reduce youth e-cigarette use in the United States. It is unclear how humor, a common feature in youth anti-tobacco communication, affects intended and unintended message outcomes and interacts with message themes and youth rebelliousness. We conducted a mixed between- and within-subjects experiment using an online convenience sample of 13-17-year-old non-current e-cigarette users (<i>N</i> = 1,366). Participants were randomized to view anti-vaping public service announcement (PSA) ads with humorous text and humorous imagery (HH), humorous text and non-humorous imagery (HN), or non-humorous text and non-humorous imagery (NN). Within each condition, participants viewed five images. The five images represented five themes identified in previous literature as highly effective (i.e., health effects and chemicals) and less effective (i.e., flavors, industry manipulation, mental health). Linear mixed effects models explored main effects of message condition on intended effects (i.e., perceived message effectiveness, message liking, amusement, and worry) and unintended effects (i.e., reactance, anger, perceived message credibility, and susceptibility to e-cigarettes), and additionally tested interactions with theme and youth rebelliousness. Eighty-six percent of the sample were susceptible to e-cigarette use at baseline. Main effects indicated lower perceived message effectiveness (PME) and ad liking for the HN compared to the NN condition (<i>p</i> < .05). Ads in the HH condition elicited higher amusement compared to the NN condition (<i>p</i> < .05). Significant interactions were observed between theme and condition for PME and messaging liking. Interactions between condition and youth rebelliousness were not significant. PSAs with both humorous text and imagery performed similarly to non-humorous messages and did not result in unintended consequences, a finding that can support the use of humor as a variation in message strategy in anti-vaping campaigns. Humor, however, may decrease perceived effectiveness and liking relative to non-humorous messages when paired with lower effectiveness themes. Pilot testing of humorous anti-vaping PSAs may be needed prior to dissemination.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148906169","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 Use of Social Media in Health Interventions for People Living with Cancer: A Systematic Review.","authors":"Lu Yang, Caroline de Moel-Mandel, Kai Wallens, Chris Lynch","doi":"10.1080/10410236.2026.2730346","DOIUrl":"https://doi.org/10.1080/10410236.2026.2730346","url":null,"abstract":"<p><p>Social media offers scalable opportunities for social connection and health communication; however, its role in cancer interventions remains unclear. This systematic review examines the use of social media in cancer-related health interventions and their targeted outcomes. The review was registered with PROSPERO and conducted according to the PRISMA guidelines. Seven databases were searched for English-language randomized controlled trials (RCTs) (2000-2024) evaluating cancer interventions with a social media component. Eligible studies involved adults (≥18 years) with a cancer diagnosis and reported outcomes related to physical, psychological, or social well-being. Intervention characteristics were categorized by social media role, intended effects, and platform affordances. Seventeen RCTs were included. Quality of life was the most assessed outcome, with frequent improvements in psychosocial measures (e.g., anxiety, depression, and social support) and some physical benefits (e.g., fatigue, pulmonary function, and daily step count). WeChat was the dominant social media platform, followed by Facebook. Most interventions delivered education, social support, and disease management, although few studies measured actual platform usage. The reported effects were shaped by common platform affordances, flexibility, structure, adaptation, narration, and identity, which enabled private communication, real-time clinician support, narrative sharing, and tailored guidance. Findings suggest that social media platforms can enhance well-being, self-management, and social support for people living with cancer when these features are intentionally aligned with communication and behavior-change mechanisms. This review underscores the importance of theory-informed, context-specific design, rather than assuming benefit from social media use alone.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900480","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":"\"You Are a Mother, You Have to Suffer\": Communicative Resilience During Post-Cesarean Recovery Among Rural Bangladeshi Women.","authors":"Monira Begum, Patrice Buzzanell","doi":"10.1080/10410236.2026.2730320","DOIUrl":"https://doi.org/10.1080/10410236.2026.2730320","url":null,"abstract":"<p><p>Research on post-cesarean recovery predominantly addresses physical healing, while less attention has been given to how women communicate pain, seek support, and manage family expectations during recovery, particularly in rural Bangladesh. Guided by the communication theory of resilience (CTR), this qualitative study examined how 20 women navigated recovery six to twelve months after cesarean birth. Semi-structured interviews conducted in Bengali were analyzed using applied thematic analysis. Findings were organized into two main themes: enduring fear, suffering, and silence; and enabling and constraining networks during postpartum recovery. Our study extends previous CTR research by showing how Bangladeshi women perform resilience during adverse and prolonged circumstances, in embodied ways that usurp-reinforce the gendered and patriarchal status quo on multiple levels, and by navigating profound social, material, and cultural constraints. Bangladeshi women coped with their circumstances through their mothers' support and online networking. Like others who have experienced trauma, Bangladeshi mothers focused on ongoing productive adaptation to be able to survive. They felt encouraged by their digital networking through which they engaged in anticipatory resilience for more agentic possible futures and relational changes.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.9,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897251","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":"Behind the Spotlight: Understanding Mental Illness Disclosure Patterns and Reasons Among Ghanaian Celebrities.","authors":"Lyzbeth Safoah King, Mary Kiura, Sarah LeBlanc","doi":"10.1080/10410236.2026.2727114","DOIUrl":"https://doi.org/10.1080/10410236.2026.2727114","url":null,"abstract":"<p><p>Mental health, like physical health, is essential to overall well-being. However, the symptoms of mental health disorders, coupled with societal understandings of mental health, often lead individuals to keep their struggles private, hindering help-seeking behaviors. This study, guided by communication privacy management theory (CPM), examined how Ghanaian celebrities navigate the decision to disclose or withhold information about their mental illnesses. Data were collected through individual semi-structured interviews with 20 Ghanaian celebrities and analyzed using the phronetic iterative approach. Participants engaged in masked, sequential, and partial disclosure patterns. The findings reveal that disclosure is not a binary decision, but a continuum shaped by cultural, relational, and professional dynamics. These findings extend CPM by introducing new disclosure patterns unique to mental illness and celebrity contexts. The reasons why participants engage in these disclosure patterns include lack of trust, public image and reaction concerns, and fear of their mental struggles being downplayed. These reasons illustrate how concerns about reputational harm and past confidentiality shape the regulation of privacy boundaries among Ghanaian celebrities. The findings challenge assumptions about collectivist cultures, such as Ghana, by showing that individuals still maintain strong privacy boundaries around stigmatized health topics. It also expands CPM's applicability to celebrity and artistic contexts. Practically, the findings suggest that mental health professionals should develop culturally sensitive, trust-centered approaches that support gradual disclosure.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.9,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890830","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":"Shut Your Eyes in the Dark! Differential Effects of Pre-Bedtime and Pre-Shuteye Media Use on Sleep Delay and Anxiety.","authors":"Xue-Fei Yan, Zhihao Ma, Yaotian Zhang, Yi-Xin Zhou, Cheng-Jun Wang","doi":"10.1080/10410236.2026.2724342","DOIUrl":"10.1080/10410236.2026.2724342","url":null,"abstract":"<p><p>The pervasive use of digital media before sleep is increasingly recognized as a critical factor affecting sleep and psychological well-being. However, the impact of bedtime media at different stages-specifically, before bedtime and before shuteye-remains unclear. Using data from the United Kingdom Time Use Survey collected between 2016 and 2021, this study analyzes 3,044 diary entries from 1,577 adults aged 18-45, aiming to investigate the relationship between bedtime media use, sleep delay, and anxiety. Results indicate that pre-shuteye media use significantly delays sleep and increases anxiety, while pre-bedtime media use does not delay sleep but is directly associated with reduced anxiety. Notably, as a key mechanism through which digital media use impacts anxiety, both bedtime and shuteye time reflect delayed sleep, with shuteye time playing the primary role. This study contributes to our understanding of shuteye time as a mechanism in media effects, shedding light on the source of anxiety among adults.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873855","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":"From Policy to Personal Wellness: Identifying Health Journalism Beats by Specialty Topic and Journalist Characteristics.","authors":"Rachel Young, Amanda Hinnant, María E Len-Ríos, Bingbing Zhang","doi":"10.1080/10410236.2026.2723334","DOIUrl":"https://doi.org/10.1080/10410236.2026.2723334","url":null,"abstract":"<p><p>Health journalists provide essential, verified information on a range of topics including wellness, medical research, health policy, and health business. We conducted a national online survey of US health journalists (<i>N</i> = 629) to investigate how occupational practices and perceptions vary for health journalists who specialize in different health topics. Latent class analysis identified four distinct health beats: <i>personal health and wellness</i>, <i>health sciences and research</i>, <i>health business</i>, and <i>health systems</i>. The four beats are associated with variations in how journalists frame stories, the reach of the outlets they work for, whether they are staff or freelancers, how much of their reporting work is about health, as well as their job satisfaction and autonomy to choose topics and frame stories. Comparing health beats highlights distinctions in how health journalists consider health beyond the individual level, including public health, social determinants of health, and health policy, and how local journalists differ from national health journalists in their emphasis on health systems, health policy, and other issues of immediate relevance for communities.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873915","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":"\"Intimacy at a Distance\" in Later Life: Parasocial Relationship and Its Associations with Loneliness and Well-Being Among Older Adults.","authors":"Yujin Kim, Roselyn J Lee-Won","doi":"10.1080/10410236.2026.2721480","DOIUrl":"https://doi.org/10.1080/10410236.2026.2721480","url":null,"abstract":"<p><p>Loneliness among older adults is a growing public health concern, given its close association with their overall well-being. Drawing on the social surrogacy hypothesis, which suggests that parasocial relationship (PSR) can provide a sense of belonging and social connection, this study examined whether PSR is indirectly associated with subjective well-being through different dimensions of loneliness among older adults. Specifically, we adopted a multidimensional perspective on loneliness by distinguishing among family, romantic, and social loneliness. We also investigated whether these indirect associations would be moderated by gender. Using cross-sectional survey data from 934 adults aged 60 and over in South Korea, we found that PSR was indirectly associated with positive affect and life satisfaction through romantic and social loneliness. Notably, the indirect effects of PSR on positive affect and life satisfaction through social loneliness varied by gender, such that these effects were significant for older men but not for older women. These findings extend the social surrogacy hypothesis to understanding PSR's role in older adults' loneliness and well-being.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873860","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":"Correcting COVID-19 Vaccine Misinformation: How Vaccine Information, Norm Beliefs, and Relational Closeness Influence Correction Intention.","authors":"Ilwoo Ju, Eylül Yel, Hwanseok Song","doi":"10.1080/10410236.2025.2587160","DOIUrl":"10.1080/10410236.2025.2587160","url":null,"abstract":"<p><p>Drawing on the integrative model of behavioral prediction (IMBP) and the social norms approach, this study examines how exposure to COVID-19 vaccine information influences intentions to correct vaccine misinformation, with attention to the moderating role of relational closeness. An experiment with 1,064 U.S. adults conducted in early 2021 shows that exposure to vaccine information increases correction intentions through perceived social norms. Relational closeness moderated this process in a counterintuitive way: although overall correction intentions were highest for friends, the effect of information exposure on norms was steeper for strangers, suggesting ceiling effects among close ties. By situating misinformation correction as a socially embedded and normatively governed decision, this study extends the IMBP to the context of vaccine misinformation and highlights how background factors, social norms, and relational dynamics jointly shape corrective behavior.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1696-1707"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145523402","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":"Disparities in Healthcare Services Efficiency and Patient-Provider Communication Quality Among Deaf and Hard-of-Hearing Patients in the U.S.: A Multi-Year Cross-Sectional Analysis (2017-2020).","authors":"Jizhou Francis Ye, Piper Liping Liu, Haonan Guo","doi":"10.1080/10410236.2025.2589346","DOIUrl":"10.1080/10410236.2025.2589346","url":null,"abstract":"<p><p>The marginalization of the Deaf and Hard of Hearing (D/HH) group arises from barriers at multiple levels of the socio-ecological matrix. This is primarily reflected in challenges related to effective healthcare services delivery and high-quality patient-provider communication. Utilizing national data from the Health Information National Trends Survey (HINTS) from 2017 to 2020, we examined the difference between D/HH adults and hearing-abled adults in terms of healthcare services efficiency, patient-provider communication quality, health self-efficacy, and psychological health. The findings revealed that D/HH adults consistently exhibited lower levels than hearing adults in healthcare services efficiency, health self-efficacy, and psychological health, and these differences remained evident from 2017 to 2020. However, the difference in patient-provider communication quality between the two groups was not significant. The study further investigates health self-efficacy as a potential mediator influencing the efficiency of healthcare services and quality of patient-provider communication in their relationship with psychological health. Our findings highlight the imperative to devise specialized communication strategies and enhance healthcare services for the D/HH group.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1749-1761"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145556732","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}