Steven Stelz, Bella Makhlin, Bleona Smajli, Stefanie M Jungmann
{"title":"Learning About Pain and Illness: Physical Symptoms in German Children's Picture Books.","authors":"Steven Stelz, Bella Makhlin, Bleona Smajli, Stefanie M Jungmann","doi":"10.1080/10810730.2026.2693889","DOIUrl":"https://doi.org/10.1080/10810730.2026.2693889","url":null,"abstract":"<p><p>Although picture books are among the most common early-childhood media for communicating information about pain and illness, little is known about how physical symptoms and responses to them are portrayed in contemporary picture books. This study examined physical symptoms and responses in contemporary German picture books. Forty-nine books were identified through systematic searches of two public library catalogs and analyzed using structured content analysis, with caregiver responses classified using the Adults' Responses to Children's Symptoms framework (ARCS). Across books, symptoms were predominantly mild (40.8%) or moderate (46.9%), short-lived, and embedded in everyday contexts; even minor symptoms were typically depicted as disrupting daily routines and accompanied by withdrawal and fear. Accidents (36.7%) and infections (22.5%) were the most common causes, with accidents often framed in terms of personal responsibility (61.1%). Social responses were overwhelmingly supportive, with caregivers and peers providing attention, comfort, and medical help. ARCS-based classification showed a strong predominance of protective caregiving, whereas Encourage/Monitor responses were rare. Overall, the books convey a narrow narrative in which bodily symptoms disrupt everyday life and elicit protection and medicalization. While such portrayals may foster feelings of safety, they rarely depict physical symptoms as transient experiences that resolve without professional intervention, thus missing an opportunity to normalize everyday discomfort and model adaptive self-regulation.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301944","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":"Sierra Leone's Polydrug Crisis is an Epidemic of Structural Violence: Community Engagement During the Ebola Response May Offer a Viable Framework for Communication Interventions.","authors":"Usman Bah, Shaunak Sastry","doi":"10.1080/10810730.2026.2689086","DOIUrl":"https://doi.org/10.1080/10810730.2026.2689086","url":null,"abstract":"<p><p>Sierra Leone is confronting an escalating polydrug epidemic centered on Kush, a synthetic cannabinoid compound whose proliferation has produced a 4000% rise in drug-related psychiatric hospitalizations since 2020 in a context of acute mental health resource scarcity. Dominant policy responses have privileged punitive containment over rehabilitative and harm-reduction frameworks, recapitulating victim-blaming discourses that obscure the structural antecedents of polydrug use. This commentary establishes why the polydrug crisis is an epidemic rooted in structural violence and situates its emergence within Sierra Leone's intersecting legacies of civil war, recurrent epidemic shocks, and entrenched poverty. Drawing on critical pragmatism and the culture-centered tradition in critical health communication, we demonstrate how community mobilizations from past public health crises can provide insights for global health communication practitioners. We extract five health communication insights from Sierra Leone's 2014 Ebola response: centering community engagement and trust building; investing in youth livelihoods; decriminalizing and reintegrating people who use drugs; integrating mental health into primary care; and galvanizing coordinated international support. Leaning on these theoretical and experiential insights can guide communication interventions toward addressing the sociopolitical conditions in which the polydrug crisis emerges, as well as the individuals that use Kush.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-4"},"PeriodicalIF":2.9,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271555","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":"Plastic Waste Ads Attributes Generating Awareness, Interest, Attitudes and Desires to Act Pro-Environmentally.","authors":"Helen Inseng Duh","doi":"10.1080/10810730.2026.2637830","DOIUrl":"https://doi.org/10.1080/10810730.2026.2637830","url":null,"abstract":"<p><p>Plastic wastes harm the environment, kill various marine species and domestic/wild animals. There are campaigns/advertisements to create awareness of the environmental problems caused by plastic wastes. However, the various attributes of ads that trigger awareness and resultant interest, attitudes and desires to act are rarely studied. This study borrows from the stimulus-organism-response and attitude-behavior theories to extend the AIDA model by examining the attributes of plastic waste environmental ads impacting awareness, interest, and desire to act pro-environmentally. It also assesses the mediating role of attitude in the relationship between awareness and interest. After showing two ads pictures on the dangers of plastic waste, cross-sectional quantitative data was collected from 150 respondents electronically. The sample was drawn from various age groups, educational levels and the four ethnic groups in South Africa. Structural equation model through Partial Least Square (PLS-SEM) was used to analyze the data. The results revealed that the ads attributes that positively impacted awareness were the informativeness, sensory and affective attributes and not credibility and entertainment. The awareness significantly influenced attitudes and interest in the ads, which in turn strongly influenced desires to act pro-environmentally. Attitudes toward the ads was a significant mediator in the relationship between awareness and interest. Practical and theoretical contributions/implications are provided.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321744","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":"Building Quality Health Communication in a Changing Information Environment.","authors":"Rebecca Katherine Ivic","doi":"10.1080/10810730.2026.2664924","DOIUrl":"10.1080/10810730.2026.2664924","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"135-137"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838926","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}
Yusi Aveva Xu, Jace D Pierce, Kennedy Anderson, Lenna Dawkins-Moultin, Dalnim Cho, Suellen Hopfer, Yisheng Li, Lois M Ramondetta, Qian Lu
{"title":"From Knowledge to Action: Effects of HPV Knowledge, HPV Vaccine Attitude, Gender, and HPV Vaccine Safety Concerns on HPV Vaccination Intent.","authors":"Yusi Aveva Xu, Jace D Pierce, Kennedy Anderson, Lenna Dawkins-Moultin, Dalnim Cho, Suellen Hopfer, Yisheng Li, Lois M Ramondetta, Qian Lu","doi":"10.1080/10810730.2026.2624671","DOIUrl":"10.1080/10810730.2026.2624671","url":null,"abstract":"<p><p>Human papillomavirus (HPV) is a leading cause of six types of invasive cancer, which are largely preventable through HPV vaccination. Despite recommendations for vaccination through age 26 years, uptake remains low, particularly among men. In a sample of Texas college students aged 18-26 years (<i>N</i> = 298), we tested whether greater HPV knowledge was associated with stronger HPV vaccination intent via more favorable attitudes toward HPV vaccination. We also tested whether gender and vaccine safety concerns independently moderate the relationship between knowledge and attitude. We found that HPV knowledge was indirectly associated with vaccination intent through more favorable attitudes toward HPV vaccination (full mediation), with this knowledge-attitude association independently moderated by gender and safety concerns. The knowledge-attitude link was stronger among females and individuals with lower safety concerns. Even when individuals possess adequate HPV knowledge, lingering safety doubts may override factual knowledge to dampen positive attitudes toward vaccination. To increase vaccination uptake among young adults, findings highlight the need to counter HPV vaccination misinformation and shift the narratives away from safety myths and back to cancer prevention. Additionally, interventions targeting men should prioritize shaping favorable attitudes through relevant and engaging materials, as increasing knowledge alone may be insufficient to influence vaccination intent.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"90-100"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271162","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":"The Relationships Between Adverse Childhood Experiences, Patient-Centered Communication, and Care-Seeking Intention.","authors":"Zhiyuan Yu, Fei Shen, Ranran Z Mi","doi":"10.1080/10810730.2026.2657838","DOIUrl":"10.1080/10810730.2026.2657838","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) are linked to distinct care-seeking patterns; however, the interpersonal pathways underlying care engagement remain underspecified. We tested whether patient-centered communication (PCC) mediates associations between ACEs and intentions to seek general- and women's care among 577 U.S. women who completed a general checkup or wellness visit within the past 12 months. ACEs, PCC, and intentions of general or women's care-seeking were measured using the Philadelphia ACEs Survey, patient-reported items outlined in the Patient-Centered Communication in the Cancer Care framework, and one-item questions on how likely they are to schedule a general or OB/GYN checkup in the next 12 months, respectively. Higher ACEs exposure was significantly associated with lower perceived PCC (<i>r</i> = -.21, <i>p</i> < .01), but not directly with lower intention to seek future care. Perceived PCC was positively associated with intentions to seek general (<i>r</i> = .13, <i>p</i> < .01) and women's care (<i>r</i> = .10, <i>p</i> < .05), and PCC mediated the association between ACEs and intentions to seek general (indirect effect <i>β</i> = -.03, <i>p =</i> .03) and women's (<i>β</i> = -.02, <i>p =</i> .02) care. Findings identify PCC as a modifiable communication pathway through which ACEs may influence future engagement with care.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"233-243"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690611","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}
Xue-Jing Liu, Danny Valdez, Andi Mai, Eric R Walsh-Buhi
{"title":"Understanding HPV Mitigation Content in Highly Engaged YouTube Videos: A Mixed-Method Topic Modeling and Sentiment Analysis of Videos and Related Comments Study.","authors":"Xue-Jing Liu, Danny Valdez, Andi Mai, Eric R Walsh-Buhi","doi":"10.1080/10810730.2026.2682494","DOIUrl":"10.1080/10810730.2026.2682494","url":null,"abstract":"<p><p>As the most common sexually transmitted infection and leading cause of several cancers, the human papillomavirus (HPV) warrants careful attention in how it is portrayed and discussed on social media platforms such as YouTube. This study examines highly commented YouTube videos about HPV to analyze how different content creators frame health information and behaviors, and how audiences respond. We applied the Health Belief Model to evaluate how different creators portrayed health information, performed sentiment analysis to assess comments' emotions, and conducted topic modeling to identify key themes emerging from the comments. Medical professionals contributed most of the videos (<i>n</i> = 15, 75%) and were protagonists (<i>n</i> = 15, 75%). However, those videos received lower viewer engagement and fewer positive interactions. The most frequently mentioned health behavior was vaccination (<i>n</i> = 12, 60%), followed by medical screening (<i>n</i> = 10, 50%), treatment (<i>n</i> = 8, 40%), consulting healthcare providers (<i>n</i> = 6, 30%), practicing safe sex (<i>n</i> = 5, 25%), and lifestyle change (<i>n</i> = 3, 15%). Constructs of perceived severity, perceived susceptibility to HPV, and perceived benefits of health behaviors were present in over 80% of videos, whereas self-efficacy was mentioned in only 45%. Topic modeling of comments identified four major themes: knowledge (43.36%), screening and treatment (27.67%), vaccination (16.58%), and alternative treatment (12.38%). These findings highlight that medical professionals were the primary creators and figures in HPV-related YouTube communication. Health behaviors received limited emphasis. Comments revealed notable disagreement and skepticism toward recommended health behaviors and frequent promotion of alternative treatments, highlighting the need for more engaging, trust-building, and behaviorally focused HPV communication on social media.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"351-362"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163376","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}
Anjali Vasavada, Matthew Triplette, Lorella Palazzo, James Ralston, Lisa Carter-Bawa, Casey Luce, Beverly B Green, Hongyuan Gao, Melissa L Anderson, Yu-Ru Su, Kristine Rogers, Karen J Wernli
{"title":"<i>Is Anybody Out There?</i> Understanding the Reach of Lung Cancer Screening Health Communication Through EHR Patient Portal.","authors":"Anjali Vasavada, Matthew Triplette, Lorella Palazzo, James Ralston, Lisa Carter-Bawa, Casey Luce, Beverly B Green, Hongyuan Gao, Melissa L Anderson, Yu-Ru Su, Kristine Rogers, Karen J Wernli","doi":"10.1080/10810730.2026.2679491","DOIUrl":"10.1080/10810730.2026.2679491","url":null,"abstract":"<p><p>Health communication addressing individuals eligible for lung cancer screening (LCS) can increase screening uptake and adherence, which remain low in the U.S. Digital Communication via EHR patient portals offers a scalable solution, but face barriers related to portal access and use. We conducted a secondary analysis of a pragmatic clinical trial (Kaiser Permanente Washington, Nov 2022-Apr 2024) to identify gaps in access and engagement with an LCS health communication intervention delivered via portal message. We assessed factors associated with 1) patient portal access (all participants, <i>n</i> = 1837); and 2) opening the intervention message (intervention arm only, <i>n</i> = 820) using multivariate log binomial regression to calculate prevalence ratios (PRs) and confidence intervals (CIs). Most participants (89.6%) had access to the portal. No access was associated with current tobacco use (PR 0.4), neighborhood income <$50K (PR 0.3), and <5 years of insurance (PR 0.5). Among the intervention group, 81.2% opened the message. Not opening was associated with older age (PR 0.7), current tobacco use (PR 0.5), >1 well-care visit in the past year (PR 0.6), and 5-10 years of insurance (PR 0.5). While patient portals can broadly deliver LCS interventions, disparities in access and engagement suggest the need for alternative communication strategies.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"263-274"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101446","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":"Health Communication at a Crossroads as the <i>Journal of Health Communication</i> Begins Its 4<sup>th</sup> Decade of Publication.","authors":"Rebecca Katherine Ivic, Scott C Ratzan","doi":"10.1080/10810730.2026.2629287","DOIUrl":"10.1080/10810730.2026.2629287","url":null,"abstract":"<p><p>As the Journal of Health Communication enters its fourth decade in 2026, the field confronts a period of profound transformation. AI, platform-mediated communication, and the fragmenting of information environments reshape health communication and information amid persistent global inequities and declining governing confidence. This editorial reflects on the Journal's legacy while articulating a vision that centers the quality, governance, and social responsibilities of the discipline. We argue for a shift beyond individual-level models toward greater attention to institutional accountability, health literacy as a systemic model, and the communicative consequences of digital and AI-driven systems. Reaffirming a commitment to methodological rigor and global perspectives, we invite scholarship that advances theory and practice in response to the evolving conditions that now define health communication.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"101-103"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165328","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":"Narrative Engagement and Cultural Resonance: Examining Spokesperson Messaging in the \"Get Real About Diabetes\" Campaign Targeting African American Audiences.","authors":"Sean J Upshaw, Damariyé L Smith","doi":"10.1080/10810730.2025.2584695","DOIUrl":"10.1080/10810730.2025.2584695","url":null,"abstract":"<p><p>This study examines how narrative and humor function within the \"Get Real About Diabetes<i>\"</i> health communication campaign, which features spokesperson messaging by actor Anthony Anderson. Guided by Miller-Day and Hecht's Narrative Engagement Framework and Foss's rhetorical criticism, we conducted a narrative and rhetorical analysis of 19 media artifacts to examine how culturally tailored storytelling strategies engage African American audiences in diabetes awareness and self-management. The analysis reveals recurring persuasive features -including testimonial narrative, cultural symbolism, and humor - as key mechanisms for enhancing audience identification, emotional engagement, and cultural message resonant. Findings indicate that narratives not only contribute to raising diabetes awareness but also reframe diabetes management discourse as an empowering and culturally significant endeavor. This study contributes to the growing body of scholarship on culturally grounded health communication, demonstrating the value of integrating narrative and rhetorical frameworks to design more engaging, resonant public campaigns.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"12-21"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863083","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}