{"title":"Fear in Media Headlines Increases Public Risk Perceptions but Decreases Preventive Behaviors: A Multi-Country Study During the COVID-19 Pandemic.","authors":"Sijia Qian, Kaiping Chen, Jingbo Meng, Cuihua Shen, Anfan Chen, Jingwen Zhang","doi":"10.1080/10810730.2024.2439468","DOIUrl":"https://doi.org/10.1080/10810730.2024.2439468","url":null,"abstract":"<p><p>The perception of reality could matter more than reality itself when it comes to disease outbreaks. News media are important sources of information during global disease outbreaks, such as the COVID-19 pandemic. Drawing on theories of fear appeals and the social ecological model, we conducted multilevel modeling analyses to examine how media-level and community-level factors influenced the public's risk perceptions of COVID-19 and frequencies of preventive behaviors in the United States, United Kingdom, Canada, Australia, and India. We combined a large-scale multi-wave cross-country survey (<i>N</i> = 161,374) with a COVID-19 media coverage archive (<i>N</i> = 10,015,187) to test these relationships. We found that fear in media headlines was positively correlated with people's perceptions of risk but negatively correlated with frequencies of preventive behaviors, controlling for individual-, community-, and cultural-level factors. Similar patterns were consistently identified within each individual country. We also show that community factors interacted with the media environment to influence public risk perceptions and behaviors. Our findings highlight a strong mass media influence during the pandemic, and we discuss the implications of our findings for health communication during crisis times.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Traci Hong, Zilu Tang, Jiaxi Wu, Eleanor J Murray, Derry Wijaya, Christopher E Beaudoin
{"title":"Posted in Error: Did the CDC's Retraction of Aerosol Guidance Undercut Its Public Reputation?","authors":"Traci Hong, Zilu Tang, Jiaxi Wu, Eleanor J Murray, Derry Wijaya, Christopher E Beaudoin","doi":"10.1080/10810730.2024.2427943","DOIUrl":"https://doi.org/10.1080/10810730.2024.2427943","url":null,"abstract":"<p><p>While there is ample research on the influence of retracted scientific publications on author reputation, less is known about how a health organization's retraction of scientific guidance can impact public perceptions of the organization. This study centers on the aerosol guidance retraction of the Centers for Disease Control and Prevention (CDC) in 2020. X/Twitter social media data were collected via ForSight from September 15 to October 8, 2020, with a machine learning algorithm specifically developed and used to detect sentiment toward the CDC. Regression analyses of the non-bot sample (<i>N</i> = 265,326) tested for differences in CDC sentiment across four stages: 1) baseline; 2) CDC guidance change; 3) CDC retraction of the prior guidance change; and 4) CDC reversion to a tempered form of the initial guidance change. The results show that sentiment toward the CDC increased from Time 1 to Time 2, then decreased for Time 3 with the \"posted in error\" retraction, but then increased for Time 4 back to a level similar to Time 2. That public perceptions of the CDC could improve after these changes in scientific guidance may be attributed to its self-report of the retraction and reporting that the retraction was a result of unintentional error. This study connects theories of reputation management and trust repair with the growing empirical research on retractions of published scientific research to provide a theoretical explanation for how a major public health organization can mitigate damage to its reputation in the short term.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revisiting the U.S. Department of Health and Human Services COVID-19 Public Education Media Campaign: Successes and New Lessons Learned.","authors":"Mark A Weber, Thomas E Backer","doi":"10.1080/10810730.2024.2436427","DOIUrl":"https://doi.org/10.1080/10810730.2024.2436427","url":null,"abstract":"<p><p>Communication professionals in Federal agencies must have a seat at their agency's budget formulation table - to inform the budget process from the beginning and to advise on funding for the communications required to achieve program goals. This is one of nine lessons learned from US Department of Health and Human Services (USDHHS) systems change efforts that were applied to help create the \"We Can Do This\" COVID-19 Public Education Media Campaign (Campaign), and these lessons were presented in a 2022 <i>Journal of Health Communication</i> article. Now that substantial evaluation data are available in eight recent research articles to verify the Campaign's success, this lesson can be revisited to identify more specific ways in which it can be applied, along with two additional lessons identified from the Campaign implementation. In light of the Campaign's success, these learnings all can contribute to creating a new framework for guiding quality USDHHS health communication activities in the future - inspired also by four previously-published communication frameworks. The new framework can then be used to build an enhanced structure within USDHHS to handle future public education media campaigns and other communication activities, a matter of particular urgency given the likelihood of a future public health and humanitarian crisis requiring rapid and effective communication responses.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-6"},"PeriodicalIF":3.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Message-Evoked Emotions Undermine Persuasion: The Mediating Role of Fear and Anger in Health Message Effects Among Older Adults.","authors":"Xiaodong Yang, Lai Wei","doi":"10.1080/10810730.2024.2438274","DOIUrl":"https://doi.org/10.1080/10810730.2024.2438274","url":null,"abstract":"<p><p>Guided by literature on framing, this study explored how the presence of age labels in different message frames influenced message-evoked fear and anger responses, particularly for older adults with different levels of need for autonomy (NFA), which ultimately affected their physical activity intentions. The results of a three-factor between-subjects experiment, with message frame (gain versus loss) and age label (present versus absent) as manipulated variables and NFA (low versus medium versus high) as quasi-experiment variable (<i>N</i> = 237) revealed that loss-framed message evoked higher levels of fear and anger as compared to gain-framed message. Furthermore, the anger elicited by loss-framing was more pronounced when age labels were present, especially among older adults with low NFA. The moderated mediation analysis revealed that, among older adults with low NFA, loss-framed messages decreased physical activity intentions through message-evoked anger. Notably, this mediating effect was more pronounced when age labels were present.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.1,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tracy M Scull, Christina V Dodson, Janis B Kupersmidt, Reina Evans-Paulson, Kathryn N Stump, Liz C Reeder
{"title":"A Media Literacy Education Approach to Sexual Health Promotion: Immediate Effects of <i>Media Aware</i> on the Sexual Health Cognitions of Young Adult Community College Students.","authors":"Tracy M Scull, Christina V Dodson, Janis B Kupersmidt, Reina Evans-Paulson, Kathryn N Stump, Liz C Reeder","doi":"10.1080/10810730.2024.2433527","DOIUrl":"https://doi.org/10.1080/10810730.2024.2433527","url":null,"abstract":"<p><p>This study evaluates the efficacy of <i>Media Aware</i>, a comprehensive sex education program with a media literacy education approach, for improving sexual health cognitions among 1139 U.S. community college students (ages 18-19) from 23 campuses. Students were randomized to condition (intervention or delayed-intervention control) and completed pretest and posttest questionnaires. Several main effects of the intervention were found at posttest, including reduced perceived realism of media messages, positive attitudes about risky sex, and descriptive normative beliefs about unprotected and risky sexual activity, and increased self-efficacy to use dental dams. Gender and pretest levels moderated some intervention effects. Women in the intervention group reported less identification with media messages compared to women in the control group. Students in the intervention group who reported lower pretest levels of self-efficacy to use dental dams and to refuse unprotected sex had higher posttest levels on those outcomes as compared with the control group. Students in the intervention group who reported higher pretest levels of normative beliefs about risky sexual activity had lower posttest levels on those outcomes as compared with the control group. Results suggest that <i>Media Aware</i> is a promising method to improve the sexual health of young adults attending community college.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"29 11-12","pages":"716-725"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction.","authors":"","doi":"10.1080/10810730.2024.2424591","DOIUrl":"10.1080/10810730.2024.2424591","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"726"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Opinion Leadership and Sharing Positive and Negative Information About Vaccines on Social Media: A Mixed-Methods Approach.","authors":"Xiaohui Wang, Zhihuai Lin, Jingyuan Shi, Ye Sun","doi":"10.1080/10810730.2024.2426810","DOIUrl":"10.1080/10810730.2024.2426810","url":null,"abstract":"<p><p>In our research, we examined how three dimensions of opinion leadership-connectivity, maven, and persuasiveness-are associated with sharing positive and negative information about vaccines among parents in Hong Kong through a mixed-methods approach. In two studies, we assessed opinion leadership following a sociometric approach that involved using data from social media (Study 1) and a self-assessment using survey data (Study 2), which yielded largely consistent results. In particular, whereas connectivity and maven were significantly associated with sharing positive information about vaccines, all three dimensions were significantly associated with sharing negative information about vaccines. Those findings suggest that different dimensions of opinion leadership play different roles in information sharing depending on the information's valence. Moreover, the similar pattern of findings from both studies suggested that the sociometric approach and self-assessment may capture the multidimensional nature of opinion leadership equally well. In sum, the findings advance theoretical discussions on the role of opinion leadership in information sharing and offer practical insights into promoting vaccination for children among parents.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"693-701"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intersectionality in Health Communication: How Health Communication Influences the Association Between Intersectional Discrimination and Health Information Seeking.","authors":"Yangsun Hong, Courtney A FitzGerald","doi":"10.1080/10810730.2024.2426805","DOIUrl":"10.1080/10810730.2024.2426805","url":null,"abstract":"<p><p>With an intersectional orientation, we examine associations between discrimination, health communication, and information-seeking intention about HIV prevention in the context of pre-exposure prophylaxis (PrEP) among cisgender women through an online survey (<i>N</i> = 341). We elaborate on the idea that intersectional discrimination is a social determinant of health by considering the context with differing power relations-day-to-day life and the healthcare field-based on Bourdieu's field theory, and explore moderating roles of health communication in this relationship according to the structural influence model of communication (SIM). The relationships between intersectional discrimination and intention show different patterns by the <i>context</i> in which intersectional experiences are considered, and the relationships are moderated differently by the <i>mode</i> of health communication. We discuss how to conduct intersectionality-informed health communication research without sacrificing intersectionality's foundational foci.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"683-692"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany Ming Chu Chan, Barbara C Schouten, Mark Boukes, Alessandra C Mansueto, Julia C M Van Weert
{"title":"Online Media Consumption, Fear, Mental Wellbeing, and Behavioral Compliance During the COVID-19 Pandemic: A Longitudinal Study.","authors":"Brittany Ming Chu Chan, Barbara C Schouten, Mark Boukes, Alessandra C Mansueto, Julia C M Van Weert","doi":"10.1080/10810730.2024.2428973","DOIUrl":"10.1080/10810730.2024.2428973","url":null,"abstract":"<p><p>This study explored how online media consumption, fear, mental wellbeing, and behavioral compliance with COVID-19 measures were related to one another during the COVID-19 pandemic. Employing a four-wave longitudinal survey research design (<i>n</i> = 1,092), this study found positive relationships between online media consumption and fear of COVID-19, between fear of COVID-19 and behavioral compliance, and between behavioral compliance and mental wellbeing in the general Dutch population. Results showed a negative relationship between fear of COVID-19 and mental wellbeing. Repeated measures ANOVAs indicated that participants' online media consumption, fear of COVID-19, and behavioral compliance with COVID-19 measures all gradually decreased as the pandemic progressed, while mental wellbeing gradually recovered as the pandemic progressed. Recognizing the negative relationship between fear of COVID-19 and mental wellbeing, policymakers may be encouraged to focus on implementing interventions and communication strategies to support mental health during pandemics. Using other types of appeals (e.g. hope appeals) in addition to the commonly used fear appeals when developing online public health messages could ensure behavioral compliance during pandemics without triggering high levels of fear. This can contribute to maintaining people's mental wellbeing when they have to cope with life-threatening public health crises while still promoting behavioral compliance with necessary public health measures.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"702-715"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew A Bayor, Fidelis A Da-Uri, Alloysius T Gumah, George N Gyader
{"title":"Optimizing Public Health Crisis Communication: Insights from Technology-Mediated COVID-19 Messaging in Rural Ghana.","authors":"Andrew A Bayor, Fidelis A Da-Uri, Alloysius T Gumah, George N Gyader","doi":"10.1080/10810730.2024.2431310","DOIUrl":"https://doi.org/10.1080/10810730.2024.2431310","url":null,"abstract":"<p><p>This paper examines the efficacy of different messaging formats in the context of public health crises and emergencies in rural context. By analyzing usage statistics and user feedback, we assessed the effectiveness of various technology-mediated COVID-19 audio message formats (songs, expert interviews, endorsements, and dramas) delivered using the Amplio Talking Book device to rural communities in Ghana during the COVID-19 pandemic. Our findings indicate that different messaging formats resulted in varying levels of user engagement and interest. Shorter audio messages (1-5 minutes), and endorsements from credible and familiar community stakeholder significantly fostered trust and adoption. Establishing a consistent user feedback loop was essential for providing clarifications, addressing queries, and diffusing disinformation and misinformation, especially considering the unprecedented nature of the COVID-19 outbreak. Reflecting on these insights, we discuss effective strategies for creating engaging technology-mediated public health and behavior change messages during public health crises.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}