{"title":"Examining the Effects of Social Media Warning Labels on Perceived Credibility and Intent to Engage with Health Misinformation: The Moderating Role of Vaccine Hesitancy.","authors":"Bingbing Zhang, Lei Chen, Alexander Moe","doi":"10.1080/10810730.2024.2385638","DOIUrl":"10.1080/10810730.2024.2385638","url":null,"abstract":"<p><p>Despite the robust scientific evidence affirming the safety and efficacy of COVID-19 vaccines, the proliferation of misinformation on social media platforms poses a threat by potentially exacerbating vaccine hesitancy. In response, certain social media platforms have taken measures to flag posts containing such misinformation with warning labels, aiming to dispel false beliefs. This present study employs a survey experiment (<i>N</i> = 304) to examine the effectiveness of two distinct warning labels - disputed and neutral warning labels - in the Twitter (the social media platform now known as X) context, specifically targeting misinformation about COVID-19 vaccines. This study investigates the nuanced effects of vaccine hesitancy on the perceived credibility of debunked misinformation posts following the application of warning flags. The results demonstrated that disputed labels significantly reduced the perceived credibility of misinformation regarding anti-COVID-19 vaccines in comparison to posts without any labeling. Nevertheless, individuals exhibiting higher levels of vaccine hesitancy tended to view the misinformation as more credible than their counterparts with lower levels of hesitancy. These findings present the efficacy of warning labels in combatting misinformation on social media platforms, particularly among those who are least hesitant about vaccination.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"556-565"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901960","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}
Racquel E Kohler, Rachel B Wagner, Jacqueline Vega, Yonaira M Rivera, Leslie Kantor, Kathryn Greene
{"title":"HPV Vaccination Information Access, Needs, and Preferences Among Black and Hispanic Mothers.","authors":"Racquel E Kohler, Rachel B Wagner, Jacqueline Vega, Yonaira M Rivera, Leslie Kantor, Kathryn Greene","doi":"10.1080/10810730.2024.2386594","DOIUrl":"10.1080/10810730.2024.2386594","url":null,"abstract":"<p><p>HPV-associated cancer disparities disproportionately affect Black/African American and Hispanic individuals in the U.S. HPV vaccination, which can prevent many HPV-associated cancers, should be clearly recommended by pediatricians to parents of adolescents aged 9-12, yet uptake and completion remain lower than other adolescent vaccinations. We used the Structural Influence Model of Health Communication to explore communication inequalities from interviews with 19 Black and Hispanic mothers of adolescents. We identified HPV vaccination information seeking behaviors, media use, and preferred channels to address information needs. This study provides insights into how mothers' nativity and ethno-racial identity influenced how they accessed and processed information from various sources. Preferences for digital and community-based strategies to address information gaps and hesitancy concerns are also presented. Findings suggest future prevention strategies must increase access to accurate information that resonates with NH-Black and Hispanic communities' needs and is disseminated via preferred communication channels to maximize the effects of multi-level interventions promoting HPV vaccination among communities experiencing disparities.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"566-579"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Newspaper Representation of Mandatory Vaccination Against COVID-19 for Healthcare Workers in England: A Qualitative Framing Analysis.","authors":"Heather Wilson, Martin McKee","doi":"10.1080/10810730.2024.2394763","DOIUrl":"10.1080/10810730.2024.2394763","url":null,"abstract":"<p><p>In 2021, vaccination against COVID-19 became mandatory for healthcare workers in England. The media coverage of the mandate was extensive and became an issue of public interest. This study aimed to understand the United Kingdom (UK) debate on mandatory COVID-19 vaccination through a framing analysis of UK media coverage. Articles written between November 2021 and April 2022 were identified from UK national newspapers: The Daily (and Sunday) Telegraph, the Times (and Sunday Times), the Guardian (and the Observer), the Independent, the Daily Mail (and Mail on Sunday), the Daily Mirror, the Daily Express, and the Sun. Articles were selected using eligibility criteria before framing analysis was undertaken. The sample included 204 articles. Safe Staffing, Treatment of Staff, Change in Covid Context, and Protect Patient Safety were identified as frames used to stimulate debate on the mandatory vaccination policy. Such frames established three broader concepts in the media: civil liberty theory, duty-based ethics, and social-vulnerability theory. This study analyzed how mandatory COVID-19 vaccination for healthcare workers in England was framed in the UK national media. The broader concepts built in the media heightened debate on the policy, creating a voluminous amount of coverage and criticism that may have played a role in the mandate's reversal.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"580-589"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080568","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}
Brooke H Wolfe, Jacqueline N Gunning, Sarah N Boateng, Elizabeth A Hintz, Megan E Cardwell
{"title":"Disenfranchising Talk Mediates the Relationship Between Social Determinants of Health and Wellbeing Outcomes for Women of Color Patients with Autoimmune Disease.","authors":"Brooke H Wolfe, Jacqueline N Gunning, Sarah N Boateng, Elizabeth A Hintz, Megan E Cardwell","doi":"10.1080/10810730.2024.2384888","DOIUrl":"10.1080/10810730.2024.2384888","url":null,"abstract":"<p><p>Autoimmune disease disproportionately afflicts women of color (i.e., Black/African American, Hispanic/Latina, Multiethnic-racial) of childbearing age. Social determinants of health (SDOH) and dismissive healthcare provider (HCP) interactions exacerbate these disparities in health outcomes for women of color with autoimmune disease. Guided by the theory of communicative (dis)enfranchisement, this study assesses whether disenfranchising talk (DT) mediates the relationship between SDOH (i.e., race/ethnicity, insurance status, income, employment, education, and sexual orientation) and health outcomes including patient satisfaction, overall well-being, and tangible social support for women of color with autoimmune disease. Findings affirmed the mediating role of DT, such that Multiethnic-racial patients and those with less insurance coverage and lower household income reported less tangible social support, poorer overall well-being, and lower patient satisfaction when they experienced HCP DT. We offer theoretical and practical implications.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"548-555"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971250","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":"Healthcare Providers' Resilience Communication: A New Type of Patient-Centered Communication.","authors":"Helen M Lillie","doi":"10.1080/10810730.2024.2376610","DOIUrl":"10.1080/10810730.2024.2376610","url":null,"abstract":"<p><p>Patient-centered communication (PCC) is considered a key component of quality healthcare, with reported levels of PCC rising over the last decade. However, engagement with patient emotions and uncertainty have been slower to rise, and healthcare providers at times use PCC behaviors to manipulate patients. Healthcare providers' use of the communication theory of resilience's (CTR) processes could benefit patients. A cross-sectional survey in the United States (<i>N</i> = 486) tested associations between CTR processes and patient satisfaction and perceived physical and mental health. All five core CTR processes were positively correlated with patient outcomes. When controlling for traditional PCC behaviors: (a) crafting normalcy, identity anchors, and alternative logics were positively related to patient satisfaction, (b) no processes were related to perceived mental health, and (c) communication networks, alternative logics, and productive action were positively related to perceived physical health. Condition severity moderated three associations. At moderate-high severity, crafting normalcy and communication networks were positively related to perceived mental health, and crafting normalcy was positively related to perceived physical health. Findings extend CTR into the patient-provider relationship and demonstrate the practical potential of CTR processes for improving patient outcomes. The study also forwards a measure of healthcare provider resilience communication (HPRC).</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"514-523"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11328888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141563509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Le Yao, Cindy Sing Bik Ngai, Rita Gill Singh, Fangfang Chen
{"title":"Social Media Users' Engagement with Fear Appeal Elements in Government's Health Crisis Communication via State-Owned Media.","authors":"Le Yao, Cindy Sing Bik Ngai, Rita Gill Singh, Fangfang Chen","doi":"10.1080/10810730.2024.2378338","DOIUrl":"10.1080/10810730.2024.2378338","url":null,"abstract":"<p><p>Government health messaging is significant to the containment of public health crises. Such communication may benefit from using fear appeal, a message strategy for promoting health and preventing diseases. Yet little scholarly attention has been paid to how fear appeal is employed in government messaging to promote social media engagement through online actions including likes, shares, and comments. These actions play a meaningful role in addressing communication exigencies within the context of health crises. In this study, quantitative content analysis and corpus linguistics methods were employed to analyze fear appeal-related elements in COVID-19 messages sent by a state-owned media outlet on social media. The results show that when compared to messages without threat, messages conveying threat elicited significantly more comments, in which emotions and perceptions to threat and efficacy were exhibited, while messages containing both threat and efficacy generated more engagement in comparison to messages with threat alone. Moreover, while subdimensions under efficacy were positive predictors of engagement, those under threat were primarily found to have exerted negative effects. The findings provide insights into how fear appeal elements can be employed in government health crisis communication to engage the public.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"524-537"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633690","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":"mRNA Vaccine Hesitancy: Spreading Misinformation Through Online Narratives.","authors":"Hilary K Fussell Sisco, John Brummette","doi":"10.1080/10810730.2024.2379954","DOIUrl":"10.1080/10810730.2024.2379954","url":null,"abstract":"<p><p>This research examined the themes that emerge from online discussions of the COVID-19 vaccines to assist health communicators and officials in combating misinformation in health-related discussions. Using framing theory and the diffusion of innovation framework, this study presents findings from a semantic network analysis of 3842 tweets collected during the first week of February 2022. The authors calculated betweenness and page rank centrality scores for Twitter users participating in the online dialogue and identified 36 semantic themes. Findings revealed that the most influential dialogue participants were retired health and medical professionals, data analysts, journalists, online advocates, and politicians. The frames identified in the study contained several misinformation narratives about the COVID-19 vaccines. The authors discuss the implications of these findings for health officials and communicators as well as the theoretical implications of the diffusion of misinformation and framing as a tool to reiterate untruths.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"538-547"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633689","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}
Rohini Ganjoo, Rajiv N Rimal, Jeffrey Bingenheimer, Erica Sedlander, Yichen Jin, Sameera A Talegawkar, Ichhya Pant, Aika Aluc, Hagere Yilma, Bikash Panda
{"title":"Interpersonal Communication Strategies to Increase Iron-Folic Acid Supplement Consumption: Reduction in Anemia Through Normative Innovations (RANI) Project.","authors":"Rohini Ganjoo, Rajiv N Rimal, Jeffrey Bingenheimer, Erica Sedlander, Yichen Jin, Sameera A Talegawkar, Ichhya Pant, Aika Aluc, Hagere Yilma, Bikash Panda","doi":"10.1080/10810730.2024.2355286","DOIUrl":"10.1080/10810730.2024.2355286","url":null,"abstract":"<p><p>More than half of women of reproductive age in India are anemic. This study investigates the role of interpersonal communication in increasing the consumption of iron-folic acid supplements. Interventions that increase interpersonal communication may influence and empower individuals and the larger community in promoting behavior change. This investigation uses data from a cluster randomized intervention to understand the pathways by which interpersonal communication mediates the consumption of iron-folic acid supplements. Longitudinal data from control and intervention arms in rural Odisha, India, were collected at baseline (<i>N</i> = 3,691) and 20 months later at end-line (<i>N</i> = 3,394). Structural equation models highlighted the positive role of interpersonal communication in mediating iron-folic acid supplement use. This study illustrates that even during social distancing due to COVID-19, strategic interpersonal communication can improve iron-folic acid supplement use. Our results elucidate two key interpersonal communication pathways at play, namely the ritualistic and instrumental pathways in improving health behavior change in the community.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"481-489"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200134","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":"Health Controversies: Long-Term Disagreement Management Challenges.","authors":"Sally Jackson","doi":"10.1080/10810730.2024.2369810","DOIUrl":"10.1080/10810730.2024.2369810","url":null,"abstract":"<p><p>Health controversies involve complex exchanges of disagreements over health and medicine. They unfold differently in different parts of the world, and they often extend over long periods of time. In contemporary argumentation theory, proposals have recently been emerging for \"disagreement management at large scale\" and for an explicit focus on design of disagreement management methods. Lewiński and Aakhus characterize large-scale disagreement as polylogic: formed of complex networks of <i>players</i> holding contrasting <i>positions</i> that are attacked and defended in multiple <i>places</i>. Large-scale disagreements such as health controversies are important sites for emergence of new disagreement management methods, including new ways of arriving at conclusions about questions of fact (affecting positions) and new formats for coming to decisions about questions of policy (affecting places). The controversy over myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), spanning a period of very rapid change in reasoning about health, has been deeply entangled with the design of new institutional places for managing disagreements about health. It serves well to illustrate both the large, multi-scale structure of health controversies and the importance of long-term disagreement management strategies.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"490-501"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442821","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}
Jae-Eun C Kim, Elissa C Kranzler, Kathleen Yu, Benjamin Denison, Heather M Dahlen, Joseph N Luchman, Timothy O Ihongbe, Michael C Marshall, Blake Hoffman, Kenneth Moffett, Daphney Dupervil, Katherine A Margolis, Leah Hoffman
{"title":"The Association Between the We Can Do This Campaign and Vaccination Beliefs in the United States, January 2021-March 2022.","authors":"Jae-Eun C Kim, Elissa C Kranzler, Kathleen Yu, Benjamin Denison, Heather M Dahlen, Joseph N Luchman, Timothy O Ihongbe, Michael C Marshall, Blake Hoffman, Kenneth Moffett, Daphney Dupervil, Katherine A Margolis, Leah Hoffman","doi":"10.1080/10810730.2024.2373159","DOIUrl":"10.1080/10810730.2024.2373159","url":null,"abstract":"<p><p>Public health campaigns addressing COVID-19 vaccination beliefs may be effective in changing COVID-19 vaccination behaviors, particularly among people who remain vaccine hesitant. The \"<i>We Can Do This</i>\" COVID-19 public education campaign (the Campaign) was designed to increase COVID-19 vaccine confidence and uptake. This study aims to evaluate whether Campaign dose was associated with changes in vaccination beliefs related to COVID-19 vaccine concerns and perceived risks, the importance of COVID-19 vaccines, the perceived benefits of COVID-19 vaccination, normative beliefs about COVID-19 vaccination, and perceptions about general vaccine safety and effectiveness. The study linked data from four waves of a nationally representative longitudinal panel of U.S. adults (January 2021-March 2022) with Campaign paid digital media data (April 2021-May 2022). We used mixed-effects linear regressions to examine the association between Campaign paid digital impressions and changes in vaccination beliefs. The results provide evidence that Campaign digital impressions were significantly associated with changes in respondent beliefs regarding COVID-19 vaccine concerns and perceived risks, perceived benefits of COVID-19 vaccination, and perceptions about general vaccine safety and effectiveness. Findings suggest that public education campaigns may influence vaccine confidence and uptake by increasing positive vaccination beliefs and reducing vaccine concerns.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"502-513"},"PeriodicalIF":3.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492251","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}