Journal of Health Communication最新文献_第5页

Amplification Chambers and Belief Persistence in Commercial Health Communication. 商业健康传播的放大室与信念坚持。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-03 DOI: 10.1080/10810730.2026.2693890

Åke Elden, Ursula Småland Goth, Luca Paolo Ardigò

{"title":"Amplification Chambers and Belief Persistence in Commercial Health Communication.","authors":"Åke Elden, Ursula Småland Goth, Luca Paolo Ardigò","doi":"10.1080/10810730.2026.2693890","DOIUrl":"https://doi.org/10.1080/10810730.2026.2693890","url":null,"abstract":"Beliefs about health interventions often persist despite a heterogeneous or predominantly null evidence base. While prior research has emphasized misinformation, less attention has been given to how belief persistence can emerge in environments where circulating information is largely accurate. This article develops a process model explaining how health communication environments shape the visibility, interpretation, and reinforcement of scientific evidence in commercially relevant domains. The model identifies three mechanisms: selective representation of evidence, interpretive asymmetry between positive and null findings, and reinforcement through multi-channel communication involving media, commercial messaging, and digital platforms.A content analysis of 137 English-language media articles comparing coverage of the REDUCE-IT trial with the contemporaneous VITAL trial identifies systematic asymmetries. The positive finding received over four times greater effective visibility, was framed as a breakthrough in most articles, and was more frequently linked to commercial communication. Null findings were more often contextualized and associated with methodological caveats.The article introduces the concept of amplification chambers to describe health communication environments in which accurate evidence circulates but asymmetries in prominence and repetition stabilize interpretations that diverge from the broader evidence base. These findings suggest that distortions in public understanding may arise from structural features of communication systems rather than from misinformation alone.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375920","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}

引用次数: 0

Beyond Conventional Messaging: Critical Communication Strategies to Boost Vaccine Intentions. 超越传统信息：促进疫苗意向的关键沟通策略。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-15 DOI: 10.1080/10810730.2026.2689094

Mi Zhou, A Susana Ramírez, Hannah Thompson, Dean Schillinger

{"title":"Beyond Conventional Messaging: Critical Communication Strategies to Boost Vaccine Intentions.","authors":"Mi Zhou, A Susana Ramírez, Hannah Thompson, Dean Schillinger","doi":"10.1080/10810730.2026.2689094","DOIUrl":"10.1080/10810730.2026.2689094","url":null,"abstract":"Despite widespread efforts to increase COVID-19 vaccination uptake, racial and ethnic disparities persist due to structural barriers, healthcare access inequities, and cultural mistrust. This online randomized experimental study examined the comparative effectiveness of traditional public health messaging and critical communication strategies in promoting COVID-19 vaccination among young adults of color. Participants (n = 2,409) aged 18-35 years (24.9% African American, 23.7% English-speaking Latinx, 25.3% Spanish-speaking Latinx, 26.1% other racial/ethnic groups) were randomized to view either a fact-based expert-led campaign or a culturally grounded, empowerment-focused campaign delivered through social media. Both campaigns significantly improved vaccine-related attitudes, subjective norms, and behavioral intentions (p < .001). However, participants exposed to the critical communication campaign reported greater gains in self-efficacy (p = .031), perceived message credibility (p < .001), and emotional engagement (p < .05). Stratified analyses indicated stronger effects among Latinx participants for the critical communication approach, comparable responses across campaigns among African American participants, and slightly stronger behavioral outcomes favoring the traditional campaign among other racial/ethnic groups. These findings suggest that culturally engaged, community-centered communication strategies may expand motivational pathways beyond conventional information-based approaches, expacially for healthcare consumers of color. Future research should assess long-term behavioral impacts and scalability across diverse public health contexts.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"419-430"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251864","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}

引用次数: 0

The Path to Compliance: Exploring the Roles of Trust, Positive Expectancy Violation, and eHealth Literacy in Online Patient-Centered Communication. 顺从之路：探索信任、积极期望违反和电子健康素养在以患者为中心的在线沟通中的作用。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-09 DOI: 10.1080/10810730.2026.2686738

Jing Zeng, Jinxu Li

引用次数: 0

User-Driven Fact-Checking Behavior, Motivational Barriers and Expertise Asymmetry in Health Communication: A Large-Scale Online Experiment. 健康沟通中的用户驱动事实核查行为、动机障碍和专业知识不对称：一项大规模在线实验

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-26 DOI: 10.1080/10810730.2026.2689434

Elena Artemenko, Olessia Koltsova, Maksim Terpilovskii

{"title":"User-Driven Fact-Checking Behavior, Motivational Barriers and Expertise Asymmetry in Health Communication: A Large-Scale Online Experiment.","authors":"Elena Artemenko, Olessia Koltsova, Maksim Terpilovskii","doi":"10.1080/10810730.2026.2689434","DOIUrl":"10.1080/10810730.2026.2689434","url":null,"abstract":"Health misinformation undermines public well-being, yet most research conceptualizes fact-checking as an external intervention targeting false messages only. This obscures the effects of counter-messages on initially truthful statements and diverts attention from fact-checking as a user-driven practice. This study advances misinformation research by examining fact-checking as a spontaneous, naturalistic user behavior, captured via indirect behavioral indicators of external verification, and by testing its predictors and consequences for accuracy in a large-scale online experiment (N = 1,843). Participants evaluated the veracity of health-related statements and could verify information externally; in one condition, an accuracy-based financial incentive was introduced to model motivational stakes. Using Bayesian structural equation modeling, we show that greater fact-checking effort is associated with higher classification accuracy. However, its effectiveness varies by expertise: media professionals benefited more from verification than laypeople, whereas effects for medical professionals were inconsistent. These findings challenge assumptions about domain expertise as a universal safeguard against misinformation and point to the importance of transferable verification routines. Importantly, motivational incentives did not increase either fact-checking effort or accuracy, suggesting that motivational engagement in online verification may be difficult to induce, thereby limiting the feasibility of widespread routine fact-checking by users. Overall, resilience to misinformation appears to depend on the interaction between user-driven verification practices and forms of expertise. Interventions may therefore benefit from combining verification skill training with context-sensitive cues that help users identify high-risk informational situations worthy of fact-checking, rather than relying solely on domain knowledge or external fact-checking institutions.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"407-418"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338932","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}

引用次数: 0

The Impact of Social Media Based Advice on Health Behaviors in Digital Health Communication. 基于社交媒体的建议对数字健康传播中健康行为的影响

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-17 DOI: 10.1080/10810730.2026.2689098

Volkan Öngel, Özge Uluğ Yurttaş, Gözde Bozkurt Ateş, Yağmur Gümüşboğa, Hatice Mutlu

{"title":"The Impact of Social Media Based Advice on Health Behaviors in Digital Health Communication.","authors":"Volkan Öngel, Özge Uluğ Yurttaş, Gözde Bozkurt Ateş, Yağmur Gümüşboğa, Hatice Mutlu","doi":"10.1080/10810730.2026.2689098","DOIUrl":"10.1080/10810730.2026.2689098","url":null,"abstract":"The growing visibility of social media influencers has increased interest in their role in shaping health beliefs and behaviors. While prior research has largely focused on message characteristics or direct behavioral outcomes, less attention has been given to the conditions under which influencer-based health messages are interpreted and translated into action. This study conceptualizes influencer-based health communication not as a direct persuasive force, but as a conditional communication process. Drawing on Uses and Gratifications Theory and the Health Belief Model as interpretive frameworks, it examines how individuals engage with health-related influencer content, how such engagement relates to health perceptions, and how digital health literacy shapes message interpretation.Survey data from social media users were analyzed using Firth's penalized logistic regression to address the rarity of influencer-driven health behavior. Findings indicate that, despite high levels of exposure to influencer-based health content, the translation of such exposure into health-related action remains limited. Exposure to health content significantly increases the likelihood of influencer-driven behavior, whereas higher digital health literacy reduces this likelihood, suggesting a protective effect. Additionally, perceived commercial intent decreases the probability that influencer recommendations lead to action.By distinguishing between engagement and behavioral change, this study reframes influencer effects as conditional outcomes shaped by motivations, perceptions, and interpretive competencies. It contributes to health communication literature by moving beyond linear persuasion models and highlighting the critical role of digital health literacy. The findings also offer practical implications for strengthening individuals' ability to critically evaluate health information in digital environments.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"398-406"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271540","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}

引用次数: 0

The Social Amplification of Secondary Risk Perceptions: Online Media Attention, Interpersonal Discussion, and Dengue Vaccination Willingness in Singapore. 二次风险认知的社会放大：新加坡网络媒体关注、人际讨论和登革热疫苗接种意愿。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-14 DOI: 10.1080/10810730.2026.2687792

Mengxue Ou, Shirley S Ho

{"title":"The Social Amplification of Secondary Risk Perceptions: Online Media Attention, Interpersonal Discussion, and Dengue Vaccination Willingness in Singapore.","authors":"Mengxue Ou, Shirley S Ho","doi":"10.1080/10810730.2026.2687792","DOIUrl":"10.1080/10810730.2026.2687792","url":null,"abstract":"Drawing on a combined perspective integrating the social amplification of risk framework and secondary risk theory, we examined the ways in which people's online attention and interpersonal discussion shape their perceptions of secondary risks related to the dengue vaccine, as well as how these perceptions subsequently impact their willingness to receive the vaccine. Data were collected through an online survey (N = 1,001) using quota sampling methods. The findings indicated that interpersonal discussions had a positive connection to individuals' perceptions of both the severity and susceptibility of secondary risks, and both of these perceptual factors were inversely linked to vaccination willingness. However, online attention did not have a direct influence on secondary risk perceptions, but rather an indirect influence, via interpersonal discussions. Findings further indicated that secondary risk perceptions play an important mediating role in the relationship between offline discussions and vaccination willingness. Theoretical and practical implications are discussed.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"454-464"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251826","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}

引用次数: 0

Cervical Cancer Information Seeking in the Digital Communication Environment. 数字通信环境下的宫颈癌信息搜索。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-15 DOI: 10.1080/10810730.2026.2689090

Shuo Yao, Jiawei Liu, Francis Dalisay, Benjamin K Johnson, Jeff Niederdeppe

{"title":"Cervical Cancer Information Seeking in the Digital Communication Environment.","authors":"Shuo Yao, Jiawei Liu, Francis Dalisay, Benjamin K Johnson, Jeff Niederdeppe","doi":"10.1080/10810730.2026.2689090","DOIUrl":"10.1080/10810730.2026.2689090","url":null,"abstract":"Past research has typically examined online health information seeking behaviors without differentiating the types of seeking occurring across diverse online platforms. However, the breadth of sources and rising popularity of new online venues such as generative AI applications have accentuated the need to understand platform-specific online seeking. This study investigated the antecedents and correlates of platform-specific cervical cancer information seeking among Black and White women ages 21 to 65 in the U.S. (for whom routine cervical cancer screening is recommended). Findings revealed that health websites and search engines were the most commonly-used sources, followed by e-consultations, social media, generative AI, and virtual assistants. Black women used each of these platforms more frequently than White women; increased frequency was explained by predictors informed by the theory of planned behavior. Cervical cancer information seeking from health websites, search engines, generative AI, and virtual assistants were positively associated with cervical cancer screening guideline adherence among Black but not White respondents.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"431-441"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251921","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}

引用次数: 0

An Examination of TikTok Fitness Content and Its Motivational Impact on University Students. TikTok健身内容及其对大学生的激励影响研究

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-16 DOI: 10.1080/10810730.2026.2687797

Halle N Brin, Madelyn Smith, Justin Montney, Aspen E Streetman, Emily L Mailey

{"title":"An Examination of TikTok Fitness Content and Its Motivational Impact on University Students.","authors":"Halle N Brin, Madelyn Smith, Justin Montney, Aspen E Streetman, Emily L Mailey","doi":"10.1080/10810730.2026.2687797","DOIUrl":"10.1080/10810730.2026.2687797","url":null,"abstract":"Social media is a key source of exercise inspiration for college students, yet research examining fitness influencers' motivational approaches and the impact of \"fitspiration\" content on users is limited. This study involved 1) a content analysis characterizing the motivational approaches of videos (N = 71) by fitness influencers promoting strength training on TikTok, and 2) an examination of college students' (N = 146) exercise intentions, self-efficacy, and motivation after watching 10 TikTok videos. Results revealed progress/accomplishment (44%), appearance/aesthetics (31%), and strength/fitness (30%) were the primary exercise benefits promoted by influencers. A majority of videos used introjected (39%) or external (23%) regulation. Students reported significant improvements in exercise intentions (t(145)=5.04, p < .001) and self-efficacy (t(145)=5.89, p < .001) after viewing TikTok content. Additionally, participants reported greater enjoyment and more positive body image perceptions after watching videos promoting autonomous motivation, whereas videos characterized as using controlled motivation were linked to higher intentions to exercise. Future research should explore avenues for collaboration between exercise researchers and TikTok content creators to promote content that is appealing to users and employs evidence-based approaches for optimizing exercise motivation and engagement.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"379-388"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264911","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}

引用次数: 0

Impact of Information Overload on Fear of Disease Progression in Surgical Patients: Serial Mediation by Decisional Conflict and Generalized Anxiety. 信息超载对外科病人疾病进展恐惧的影响：决策冲突和广泛性焦虑的系列中介作用。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-07-01 Epub Date: 2026-06-22 DOI: 10.1080/10810730.2026.2689095

Mengying Cui, Zijing Huang, Mengya Guo, Liu Yuan, Xiaoya Wu, Zhihui Lu, Ying Wang

{"title":"Impact of Information Overload on Fear of Disease Progression in Surgical Patients: Serial Mediation by Decisional Conflict and Generalized Anxiety.","authors":"Mengying Cui, Zijing Huang, Mengya Guo, Liu Yuan, Xiaoya Wu, Zhihui Lu, Ying Wang","doi":"10.1080/10810730.2026.2689095","DOIUrl":"10.1080/10810730.2026.2689095","url":null,"abstract":"This study investigates how information overload influences fear of disease progression among 579 surgical patients at a tertiary hospital in China, specifically examining the independent and serial mediating effects of decisional conflict and generalized anxiety. Using validated scales and a chain mediation model with bias-corrected bootstrapping, the results demonstrate that information overload significantly predicts increased decisional conflict, anxiety, and fear of disease progression. Path analysis confirmed a significant direct effect of information overload on fear, while also identifying three critical indirect trajectories: independent mediation by decisional conflict, independent mediation by anxiety, and a serial pathway from decisional conflict to anxiety. This total indirect effect constituted the majority of the comprehensive impact. The findings indicate that excessive medical information exacerbates fear of disease progression both directly and indirectly by triggering cognitive stressors and escalating emotional responses. These results suggest that optimizing the delivery of health information is essential for reducing decisional conflict and mitigating psychological distress in surgical settings.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"389-397"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148295342","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}

引用次数: 0

Framing Nutrition Messages for Audience Engagement: Insights from Institutional Social Media Communication. 为受众参与构建营养信息：来自机构社会媒体传播的见解。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-06-23 DOI: 10.1080/10810730.2026.2691986

Nichole M Bristol, Franzis Jayke P Batallantes, Erika Niña C Bacolod, Jennica Ruby B Banzuela, Salvador R Serrano

{"title":"Framing Nutrition Messages for Audience Engagement: Insights from Institutional Social Media Communication.","authors":"Nichole M Bristol, Franzis Jayke P Batallantes, Erika Niña C Bacolod, Jennica Ruby B Banzuela, Salvador R Serrano","doi":"10.1080/10810730.2026.2691986","DOIUrl":"https://doi.org/10.1080/10810730.2026.2691986","url":null,"abstract":"Social media has become a key platform for disseminating nutrition information, making it important to understand what content is associated with greater public interaction. This study examined how the subject, message framing, and visual format of food and nutrition-related Facebook posts are associated with audience interaction, specifically organic reach and engagement. We analyzed 341 Facebook posts published by DOST-FNRI, a government-run food and nutrition research institution, from January 1, 2024, to September 30, 2025, using data obtained from the Meta Professional Dashboard. Descriptive statistics and chi-square tests were employed for the analysis. Over the 21-month study period, the posts reached 3.1 million unique users and generated nearly 70,000 engagements. Audience interaction peaked during Nutrition Month (July) and National Breastfeeding Awareness Month (August). Posts featuring practical nutrition tips, recipes, and survey data were more frequently associated with higher reach and engagement levels compared to institutional activity-oriented content. Hedonically framed and image-based posts were likewise associated with higher audience interaction than utilitarian or video content. Findings highlight that audience-centered, emotionally engaging, and visually accessible communication enhances audience engagement on social media. Integrating evidence-based content with relatable framing and accessible presentation may support institutional efforts to translate food and nutrition science into actionable public knowledge.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301979","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}

引用次数: 0