Health Communication最新文献

{"title":"Message Framing and Causal Attributions Shape Public Reactions to Parkinson's Disease: Evidence from China and the United States.","authors":"Elvin Yao, Harry Yang","doi":"10.1080/10410236.2026.2726477","DOIUrl":"https://doi.org/10.1080/10410236.2026.2726477","url":null,"abstract":"<p><p>Parkinson's disease (PD) is a visible and stigmatized condition that is often misunderstood by the public. Drawing on attribution theory and cross-cultural health communication, we investigated how causal explanations for PD (biological vs. environmental risk factors) and message framing (individual-focused vs. group-focused) shape emotional and behavioral responses across two cultural contexts. In Study 1 (<i>N</i> = 260), Chinese participants read vignettes describing either an individual with PD or a broader population affected by PD and reported their sympathy, anger, willingness to help, and donation intentions. In Study 2 (<i>N</i> = 168), a parallel experiment was conducted with U.S. participants. Across both studies, biological explanations elicited greater sympathy and generally stronger supportive responses than environmental-risk explanations. Consistent with our predictions, individual-focused messages generally produced stronger responses among U.S. participants, whereas group-focused messages tended to produce stronger responses among Chinese participants. These findings highlight the importance of attribution-sensitive and culturally informed communication strategies for reducing stigma and promoting support for people living with PD.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001757","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":"\"They Call Us Cheaters\": Exploring Stigma Management Communication Strategies During GLP-1 Medication Use.","authors":"Braidyn Lazenby, Ashley Guidry, Sarah Price, Md Sazzad Mahmud Shuvo, Tursynay Alikhanova, Chloe Morrison, Nicole Davis, Madison Lenard","doi":"10.1080/10410236.2026.2734167","DOIUrl":"https://doi.org/10.1080/10410236.2026.2734167","url":null,"abstract":"<p><p>As GLP-1 receptor agonist medications become more popular, conversations surrounding the medication's use are becoming increasingly more complicated. Emerging research suggests that individuals taking these medications often feel stigmatized. However, understanding how individuals manage stigma through communication is less explored. Using stigma management communication theory, the current study seeks to better understand how individuals communicatively manage stigma surrounding GLP-1 medication use. A reflexive thematic analysis of interviews with GLP-1 users (<i>n =</i> 34) suggests that individuals evaluate their interpretations of both their own self-stigma and the public's understanding of GLP-1 and engage in various different stigma management communication strategies in response. These strategies, while effective for stigma management, may inadvertently contribute to ongoing stigmatizing discourse surrounding GLP-1 use.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001726","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":"Eliminating Equity: A Culture-Centered Reading of the Attack on Health Equity in Project 2025's Mandate for Leadership.","authors":"Mohan J Dutta","doi":"10.1080/10410236.2026.2734166","DOIUrl":"https://doi.org/10.1080/10410236.2026.2734166","url":null,"abstract":"<p><p>Project 2025's <i>Mandate for Leadership</i> proposes a sweeping reorganization of the United States Department of Health and Human Services (HHS). This article reads the <i>Mandate</i>'s HHS chapter through the culture-centered approach (CCA), joining its account of structure, culture, agency, voice, and communicative inequality to a critical discourse analysis of the chapter's mission statement, its five governing goals, and its data provisions. The chapter does more than oppose equity policies. It reorganizes the conceptual and infrastructural conditions under which health inequity can be named, measured, and redressed. To describe that work the article develops communicative eliminationism: the administrative withdrawal of the categories that make the structural determinants of health visible to evidence, funding, and care. Five operations carry the withdrawal, recoding, un-naming, conditioning, displacing, and enumerating, and they reach three registers of increasing depth, from the recoding of a category through its administrative un-naming to the withdrawal of the infrastructure that sustains it. The chapter recodes equity as ideology, un-names disfavored forms of care, redistributes the power of refusal, installs a sacralized family form as a metric of health, and turns health surveillance from recognition toward monitoring. Read alongside the normative rationales its own authors offer, the chapter suspends each rationale exactly where it would protect the populations it names, and that asymmetry is the strongest evidence for the eliminationist reading. On culture-centered premises, defending health equity means protecting the infrastructures of recognition and organizing for structural transformation, not culturally sensitive communication inside categories that are being erased.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976646","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":"Managing Abstinence in a Culture of Use: A Normative Rhetorical Analysis of Substance-Free College Students.","authors":"Lynsey K Romo, Jenna S Abetz, Xiayi Du, Teaghan McManus","doi":"10.1080/10410236.2026.2734163","DOIUrl":"https://doi.org/10.1080/10410236.2026.2734163","url":null,"abstract":"<p><p>Substance use remains deeply embedded in the normative fabric of U.S. college life, positioning abstinence as socially deviant. Although prior research has examined non-drinking and recovery experiences, it is unknown how students who abstain from all substances, including alcohol, cannabis, and nicotine, navigate everyday college life. Guided by Normative Rhetorical Theory (NRT), this qualitative study explores the communicative dilemmas and strategies of 30 substance-free students. Findings reveal that abstinence is not a passive health choice but an ongoing relational accomplishment. Participants described three recurring dilemmas: balancing inclusion with nonparticipation, avoiding judgment while sometimes judging others, and negotiating authenticity within substance-centered norms. In response, students relied on interrelated communication strategies (e.g., selective disclosure, audience tailoring, minimal explanations), interpretive lenses (e.g., reframing judgment as incompatibility, redefining social norms), and environmental resources (e.g., curating networks, avoiding high-risk spaces, using material cues) to maintain abstinence while preserving relationships. Extending NRT beyond acute health contexts, this study conceptualizes abstinence as a dynamic practice embedded in routine social interactions and as sustained through continual meaning-making and management.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967889","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":"Optimizing Culturally Grounded Mental Illness Recovery Narratives for Anti-Stigma Messaging on Social Media: A Three-Wave Longitudinal Study.","authors":"Najma Akhther","doi":"10.1080/10410236.2026.2734162","DOIUrl":"https://doi.org/10.1080/10410236.2026.2734162","url":null,"abstract":"<p><p>Understanding how the effectiveness of mental health anti-stigma campaigns change over time is essential for designing sustainable and equitable interventions. Yet little is known about how these campaigns produce long-term impacts within interactive social media environments. This study conducted a three-wave longitudinal experiment to examine the effectiveness of social media-based mental illness recovery messages in reducing stigma and promoting professional help-seeking among African American, Hispanic, and Asian American adults (<i>N</i> = 577). Grounded in narrative persuasion, stigma, and social media affordance theories, the study tested the effects of message form (narrative vs. non-narrative), narrative point of view (first-person vs. third-person), and evaluability affordances (present vs. absent: likes, comments, shares) over a three-week period. While narrative messages alone did not significantly reduce stigma or increase behavioral intentions, evaluability affordances shaped stigma trajectories, with visible engagement cues linked to increased self-stigma, an unintended effect reflected in rising self-doubt stigma over time. Findings suggest that narrative persuasion on social media is dynamic and context-dependent, emphasizing the need for culturally sensitive and sustained anti-stigma interventions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":2.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967880","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":"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}