Health Communication最新文献

{"title":"Presumed Influence of Health Misinformation's Threat to Others and Intentions to Correct it on Social Media: The Mediating Role of Emotions and the Moderating Role of Perceived Closeness.","authors":"Shuangqing Liu, Rui Wang, Shuo Gao, Peiran Lang","doi":"10.1080/10410236.2025.2550064","DOIUrl":"https://doi.org/10.1080/10410236.2025.2550064","url":null,"abstract":"<p><p>Building on the Influence of Presumed Influence model and Social Categorization Theory, we conducted a 2 (severity: high vs. low) × 2 (materials: two per severity condition) × 2 (susceptibility: high vs. low) × 2 (closeness: close vs. distant) between-subjects experiment with 903 Chinese adults to examine the relationship between perceived threats of health misinformation's influence on others and individuals' intentions to correct it. We found that the perceived severity of misinformation's influence on others was positively associated with corrective intentions, while the perceived susceptibility of others to this influence showed no significant association. Moreover, the perceived severity enhanced corrective intentions by eliciting both negative and positive emotions, particularly anticipated guilt and hope. Lastly, the perceived closeness of vulnerable others to oneself moderated the relationship between the perceived susceptibility and corrective intentions. Our study unveils a prospective mechanism for engaging social media users in combating misinformation, emphasizing the importance of strengthening users' perception of misinformation's threat to others and the critical role of specific discrete emotions in motivating correction.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951765","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":"Communication Work When Care is at Stake: One Family's Journey with a Health Insurance Denial.","authors":"Jennifer J Bute, Jack M Bute","doi":"10.1080/10410236.2025.2546524","DOIUrl":"https://doi.org/10.1080/10410236.2025.2546524","url":null,"abstract":"<p><p>Denials of health insurance claims in the U.S. have been increasing rapidly in recent years, taking a toll on patients, families, and the health care system. Yet health communication scholars know little about the storied experiences of those affected by these denials. In this essay, I reflect on my own family's efforts to secure insurance coverage for an orthopedic surgery for my son after our insurer repeatedly refused coverage. In doing so, I draw attention to the ways that coping with a health insurance denial involves a distinct type of communication labor and contributes to advancing research using the Integrative Theory of Communication Work. I contend that health communication scholars are uniquely positioned to contribute to our understanding of health insurance denials and to suggest improvements to this complex bureaucratic process.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":2.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951569","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":"Congruent or Conflicted? The Effects of Prevalence and Valence Cues in Online Comments on Perceived Descriptive Norms Regarding e-Cigarette Use.","authors":"Fangcao Lu","doi":"10.1080/10410236.2025.2549082","DOIUrl":"https://doi.org/10.1080/10410236.2025.2549082","url":null,"abstract":"<p><p>Previous studies have investigated how the valence of comments - whether they support or oppose the reported issue - and the prevalence cue in comments - whether others engage in the reported behavior or not - affect norm perception among those who are exposed to online news with comments. The present study advances this research by testing the combined effects of prevalence and valence cues on readers' perceived descriptive norms through the lens of the theory of evolutionary norm formation and the exemplification theory. The e-cigarette use in Hong Kong was chosen as the context due to its controversy. A 2 (Prevalence cue: high e-cigarette-use norm vs. low e-cigarette-use norm) × 2 (Valence cue: pro-e-cigarette vs. anti-e-cigarette) between-subjects experiment (<i>N</i> = 955) was conducted. Results indicated that comments suggesting a high prevalence of e-cigarette use were perceived as unrepresentative of the public, rendering the pro- or anti-e-cigarette valence of the comments irrelevant for inferring descriptive norms.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951779","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":"\"Enduring in Marginalization\": Deciphering Chinese Care Workers' Health Narratives Through a Culture-Centered Approach.","authors":"Yezi Liu, Zimu Wang, Jianjun Luo","doi":"10.1080/10410236.2025.2551403","DOIUrl":"https://doi.org/10.1080/10410236.2025.2551403","url":null,"abstract":"<p><p>In China, care workers, mostly women, are as a distinct group with unique characteristics. These women experience prolonged marginalization and societal exclusion, ultimately rendering them vulnerable to health risks. This study adopts a culture-centered approach (CCA) to explore the health narratives of Chinese female care workers, examining the dialectical relationship between Chinese cultural customs, structural health determinants, and everyday agency of care workers' health. We demonstrate how structural limitations within the healthcare insurance system, alongside market and social exclusions in labor contexts, collectively constrain care workers' health and access to public health resources. Situated within these marginal structures, they adopt \"enduring\" as a practical response to adversity - bearing physical fatigue, suppressing emotional labor, and avoiding treatment in illness management. The research also parses out how enduring is rationalized, such as narratives of \"improvement,\" \"future orientation,\" and \"maternal duty.\"</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951579","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":"Body Politics and Alienation: Exploring Chinese Women's Experiences with Cervical Erosion.","authors":"Zikun Liu, Jia Lu","doi":"10.1080/10410236.2025.2545607","DOIUrl":"https://doi.org/10.1080/10410236.2025.2545607","url":null,"abstract":"<p><p>In the past, cervical erosion has long been perceived as a gynecological disease. However, today's medical diagnostics would rather see it as a normal physiological condition than a pathological one. Despite this shift in medical understanding, the term \"cervical erosion\" continues to hold significant cultural resonance in China, where it is not only a medical issue but also involves various powers using disease as a means to control women's bodies. Drawing on the theory of body politics, this paper examines Chinese women's experiences with cervical erosion to uncover the complex process in which women lose control of their bodies and subject them to a variety of external powers. We analyze illness metaphors in 57,673 posts and 242 illness narratives, which are collected from Sina Weibo, the premier social media platform in China. The analysis identifies four primary metaphors about cervical erosion: \"repulsive rotten apple,\" \"peril of deviant sexual behaviors,\" \"stagnant cradle,\" and \"hidden crisis.\" By examining how these metaphors are intricately woven into illness narratives, we uncover various practices of body politics, including pathologizing, moralizing, instrumentalizing, technopolizing, and commercializing, which jointly contribute to the multifaceted process of alienation that women's bodies endure.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951552","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":"\"I Look into the Mouth, What Do I See?\" A Study on the Co-Constructed Assessment Environment within Emergency Care Simulation-Based Education.","authors":"Jikkie T van Veen, Sven P C Schaepkens, Mario Veen, Mike Huiskes","doi":"10.1080/10410236.2025.2536311","DOIUrl":"10.1080/10410236.2025.2536311","url":null,"abstract":"<p><p>Simulation-based assessment is an effective method for evaluating the competence of individuals in emergency situations. Certain skills are challenging to assess since they cannot be simulated. Consequently, participants need to engage in discursive work to facilitate practice and assessment of unsimulable medical information. This study employs an interactional approach to examine how residents and assessors shape the simulated assessments discursively and what effect this has on the assessment. Simulation-based assessments performed by general practitioners were videotaped. The iterative inductive process of conversation analysis was used to analyze and categorize each verbal initiative to discursively introduce unsimulable medical information. The participants used a range of practices to discursively introduce unsimulable medical information in the scenario. In most cases, residents introduced the medical information with a request for information, thus displaying comprehension of the situation. Residents also asked for confirmation of a specific assessment, thus displaying comprehension of the situation and the expectations. Conversely, assessors can introduce the medical information on behalf of the resident, which restricted residents to display their comprehension. The process of bringing unsimulable medical information discursively into play can be seen as a joint construction. This has implications for understanding assessment and learning in simulation contexts. While assessors gain maximum insight in the residents' competence when residents themselves introduce medical information, assessors only gain partial insight into the resident's competence when assessors volunteer information. Different practices influence the assessment environment and validity. Raising awareness about such discursive effects helps optimize simulation-based learning and assessment.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144872831","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":"Refining the Interaction Between Social Norms and Uncertainty About Risk Perceptions in Health and Environmental Behaviors- A Cross-Cultural Replication and Extension.","authors":"Jie Zhuang, Jingyuan Shi, Jian Rui, Xiaoyu Xia, Jing Zeng","doi":"10.1080/10410236.2025.2544234","DOIUrl":"https://doi.org/10.1080/10410236.2025.2544234","url":null,"abstract":"<p><p>Social norms play a crucial role in shaping risk-mitigating behaviors, prompting extensive research to advance theory, and inform practices. However, until recently, limited attention has been given to how individuals' (meta)cognitive appraisals of risks may interact with social norms to affect risk-mitigating behaviors. Expanding previous work, this study employs a cross-sectional survey (<i>N</i> = 1,249) to (1) further differentiates <i>risk perceptions</i> from <i>uncertainty about risk perceptions</i>, (2) test the interaction between two types of social norms and (uncertainty about) risk perceptions, and (3) replicate the findings across two cultural contexts (i.e. Hong Kong, and US). Findings reveal that uncertainty about perceived risk, rather than risk perceptions, shapes the strength and direction of the effects of social norms on behavioral intention. Specifically, when uncertainty about perceived susceptibility is high, the effect of social norms on behavioral intention is stronger for individuals who are more than less uncertain about the severity of a risk. Although the findings are largely consistent across the two subsamples, notable cultural variations also emerge. Theoretical and practical implications are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.7,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144872832","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":"Safe Sex Practices and Social Support Typologies in Digital Spaces: Assessing Nigerian Gay Men's Sexual Health Information Exchange on Social Media.","authors":"Dennis Ekwemnachukwu Okeke, Mike R Allen, Christiana Ibiwoye, Ousman Mbaye, Anthony Obi Okeke","doi":"10.1080/10410236.2025.2542925","DOIUrl":"https://doi.org/10.1080/10410236.2025.2542925","url":null,"abstract":"<p><p>Digital platforms are reshaping how historically marginalized populations, especially LGBTQIA+ people, access and share health information. In Nigeria, where LGBTQIA+ people face lynching, legal persecution and systemic discrimination, men who have sex with men (MSM) remain underserved in both sexual and mental healthcare. We examine how Nigerian gay men use Facebook to share sexual health information and social support in the face of homo/queerphobic violence. Drawing on social support theory and a thematic analysis of comments on a public post by a prominent Nigerian pro-LGBTQIA+ influencer, we explore the types of social support Nigerian gay men offer: informational, emotional, esteem-based, and resilience-focused. Our findings reveal the multifaceted nature of support expressed in these online interactions. These exchanges also reflect acts of resilience and resistance in the face of criminalization and stigma, empowering Nigerian gay men to reclaim agency over their sexual health, identity, and everyday existence in Nigeria. Through our focus on the concerns of Nigerian MSM, we address a critical gap in the literature on digital health communication and marginalized sexual minorities in the Global South. We appeal to digital health communication scholars to engage more critically with these populations, where digital platforms both mitigate exclusion and reflect the complexities of marginalization. Understanding these dynamics is essential to designing inclusive, affirming health interventions for LGBTQIA+ people.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816470","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":"Examining the Relationship Between Perceived Ambiguity and Predictors of Health Behavior Across Three Contexts: The COVID-19 Pandemic, Antibiotic Regimens, and e-Cigarette Use.","authors":"Nicolle Simonovic, Jennifer M Taber","doi":"10.1080/10410236.2025.2540061","DOIUrl":"https://doi.org/10.1080/10410236.2025.2540061","url":null,"abstract":"<p><p>Ambiguity can elicit ambiguity aversion, or avoidance behavior, which is theoretically expected to occur because of a pessimistic interpretation of information (e.g. about risk) and from low perceived personal competence. Emotion may also play a role in how people respond to ambiguity, although little research has examined the role of emotion. The purpose of this research is to examine support for theoretical frameworks of ambiguity aversion and the role of emotion in responses to ambiguity. To do so, we tested (1) whether risk perceptions, perceived competence, and self-efficacy mediated the relationship between ambiguity and behavioral avoidance, and (2) whether fear and anger mediated the relationship between ambiguity and risk perceptions. Three online experiments were conducted across three health contexts - COVID-19, antibiotic regimens, and e-cigarettes. Across experiments, participants were randomly assigned to read an ambiguous or unambiguous health message relevant to the health context. Next, participants completed a survey of measures relevant to study aims. Based on the results of mediation analyses, one significant pattern of results emerged across two of three experiments: ambiguity led to lower behavioral intentions, consistent with behavioral avoidance. However, there was no consistent pattern of results across all three experiments to support the competence hypothesis or pessimistic appraisal as an explanation for this behavioral avoidance. In Experiment 2 only, there was some support for the competence hypothesis, but there was no support across any of the three experiments for pessimistic appraisal. As for the role of emotion in responses to ambiguity, anger (in Experiments 2 and 3) and fear (in Experiment 3) mediated the relationship between ambiguity and risk perception (i.e. perceived susceptibility and worry), but the direction of these effects was inconsistent with hypotheses. Overall, the results of the present research demonstrate that ambiguity can lead to behavioral avoidance, although the mechanisms remain unclear. Motivated reasoning may provide one explanation for the pattern of results. Findings have implications for health behavior interventions when ambiguity is experienced.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-18"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816468","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 Do People Process Weight Loss Information? Different Information Management Behaviors After Risk Information Seeking and Processing.","authors":"Baoyu Liu, Chenxu Liu","doi":"10.1080/10410236.2025.2544075","DOIUrl":"https://doi.org/10.1080/10410236.2025.2544075","url":null,"abstract":"<p><p>Obesity has become a major global health concern, threatening individuals' health and well-being. Therefore, exploring information behaviors related to weight loss is of great significance. To cope with obesity, individuals often engage in a novel communicative behavior called <i>information hoarding</i>, which is defined as the tendency to acquire and accumulate information from the Internet. The risk information seeking and processing (RISP) model provides a useful theoretical framework for understanding information management behaviors. In this study, we conducted a survey (<i>n</i> = 538) in China to extend the RISP model by incorporating information hoarding. The results suggested that informational subjective norms and information insufficiency were positively associated with information seeking, systematic processing, and information hoarding, while negatively associated with heuristic processing. Additionally, when individuals processed weight loss information systematically, they were more inclined to seek related information. In contrast, when processing information heuristically, they were less likely to both seek and hoard additional information. Furthermore, both information seeking and information hoarding showed a positive relationship with health behavior intentions. Theoretical and practical implications are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821187","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}