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Journal of Health Communication

Jie Zhuang, Mary Jiang Bresnahan, Shaojing Sun, Yi Zhu, Xiaodi Yan
Smoking remains a serious health threat to many mid- to old-age Chinese people. Many smoking interventions have been implemented in public areas, but smoking occurring in a private setting, such as at home, has largely been neglected. Generativity is based on evaluating the worth of one's life experience that can be passed on to others. This study evaluated whether generativity awareness can have an impact on smoking reduction. Five hundred and eight Chinese smokers were recruited and demonstrated their strong awareness of generativity, specifically general generativity (e...
April 15, 2019: Journal of Health Communication
Nathan Walter, Camille J Saucier, Sheila T Murphy
Empirical research has found that self-affirmation that precedes exposure to threatening information can reduce resistance and exert a positive effect on attitudes and beliefs. However, the effortful methods currently used to induce self-affirmation (e.g., writing an essay about an important value) limit its applicability. Informed by narrative persuasion literature, we present an experimental study designed to assess the potential of vicarious-affirmation (i.e., affirmation through a relevant exemplar in a fictional story) to influence perceived risk and behavioral intent among college-age electronic cigarette users (N = 832)...
April 15, 2019: Journal of Health Communication
Takashi Yamashita, Anthony R Bardo, Pa Cummins, Roberto J Millar, Shalini Sahoo, Darren Liu
We examine complex pathways that link health information seeking behavior with education and health literacy (decomposed into general literacy and numeracy), and how these pathways differ by perceived health status (need) among a nationally representative sample of Americans age 50 and older (n = 2,750). Data come from the Program for International Assessment of Adult Competencies (PIAAC). Multi-group structural equation models were used to examine the use of eight health information sources (newspapers, magazines, internet, radio, TV, books, friends/family, and health professionals)...
April 15, 2019: Journal of Health Communication
Donald W Helme, Carrie Oser, Hannah K Knudsen, Edward Morris, Ana de la Serna, Carina Zelaya
Tobacco use is the leading preventable cause of disease, disability, and death in the United States. Smokeless tobacco (SLT) is primarily used by younger, rural males and often in the presence of other males. This formative study examined how hegemonic masculinity and male norms can lead to initiation and continued use of SLT by rural adolescent males and females. Survey data collected from high school sophomores in 4 rural high schools (n = 293) explores perceptions of masculinity and male norms' contribution to SLT uptake and use...
April 9, 2019: Journal of Health Communication
Russell B Clayton, Rachel L Bailey, Jiawei Liu
The bulk of mass media and substance cue research has examined the processes and effects of substance cue images in isolation under controlled experimental conditions. However, little attention has been devoted to delineating the specific outcomes associated with simultaneous polysubstance depictions. This study experimentally examined whether alcohol, marijuana, and junk food mediated cues influence craving independently and whether craving for these substances is co-facilitated by simultaneous polysubstance cue depictions...
April 9, 2019: Journal of Health Communication
Zexin Ma, Xiaoli Nan
This study examines how the relative effects of independent and interdependent self-affirmation might be influenced by individuals' self-construal. A controlled experiment involving 186 Chinese adult smokers revealed a significant interactive effect of self-affirmation type and self-construal on message derogation and posttest attitudes toward smoking. For individuals with a dominant independent self-construal, independent self-affirmation (i.e., affirming the most important value to the self) led to less message derogation and more negative attitudes toward smoking than interdependent self-affirmation (i...
April 9, 2019: Journal of Health Communication
Theresa Y Kim, Muhiuddin Haider, Gregory R Hancock, Michel H Boudreaux
Health communication has contributed to an increase in family planning use through education and mass media as a means to increase health literacy. In this research, we investigate health literacy as an auxiliary component of health communication. We test the validity of the Health Literacy Skills Framework by examining the correlation of health literacy indicators to family planning use among Senegalese women in the 2014 Demographic Health Survey. We found that increased family planning use was most strongly associated with hearing family planning messages through television and radio...
April 8, 2019: Journal of Health Communication
Isaac M Lipkus, Constance Johnson, Sathya Amarasekara, Wei Pan, John A Updegraff
Providing adults tailored risk estimates of getting colorectal cancer (CRC) can increase screening. A concern is that receipt of lower risk estimates will demotivate screening; this effect may be curbed by matching level of risk with message framing. Theoretically, pairing lower risk estimates with gain-frame messages, and higher risk estimates with loss-frame messages, should increase screening and screening intentions more than pairing lower risk estimates with loss-frame messages/higher risk estimates with gain-frame messages...
April 8, 2019: Journal of Health Communication
Sohail Agha, Deanna Tollefson, Shadae Paul, Dylan Green, Joseph B Babigumira
The Fogg Behavior Model (FBM) is a new framework which posits that behavior happens when three factors - motivation, ability, and a prompt - occur in the same moment. The FBM categorizes people into four groups based on motivation and ability and posits that those with high motivation and high ability will adopt a behavior when prompted. Two rounds of panel survey data from 617 married men in urban Pakistan were used to test this hypothesis. Multilevel mixed-effects logistic regression was used for the analysis...
April 4, 2019: Journal of Health Communication
Amy McQueen, Charlene Caburnay, Matthew Kreuter, Julianne Sefko
Interventions are needed to increase colorectal cancer screening (CRCS) uptake. Narratives may have advantages over didactic information. We tested different narratives for increasing CRCS intentions and behaviors, and examined their mechanisms of influence. We randomized 477 unscreened adults 50-75 years old to one of three groups: CRCS information only (1) or CRCS information plus a photo and text narrative of a CRC survivor (2) or CRC screener who did not have cancer (3). Photos were tailored on participants' sex, age group, and race/ethnicity...
March 29, 2019: Journal of Health Communication
Andrew Z H Yee, May O Lwin, Jerrald Lau
The study of parenting practices on child food consumption has often been characterized as having great utility but lacking in theory. In contrast, the theory of planned behavior (TPB) has often been suggested to be limited in its utility. To address these gaps, interpersonal constructs - the concepts of active parental guidance (e.g., nutrition education) and restrictive parental guidance (e.g., rule-setting) - were integrated as antecedents to the original TPB variables in predicting child fruits and vegetables (FV) consumption...
March 26, 2019: Journal of Health Communication
Yining Z Malloch, Jingwen Zhang
Participation in online support groups leads to improved health. While viewing others' interactions is one of the major activities in online support groups and lurkers comprise the majority of online support group participants, the literature on how participants benefit from viewing others' posts and comments is sparse. Building upon the Social Penetration Theory and the narrative persuasion process, this study focused on two key features of online support groups, self-disclosure and similarity. It tested their direct effects on viewers' perceived similarity with the poster and indirect effects on viewers' behavior intention through three mediators: perceived similarity, identification, and perceived support availability...
March 26, 2019: Journal of Health Communication
James B Tidwell, Anila Gopalakrishnan, Stephen Lovelady, Esha Sheth, Arathi Unni, Richard Wright, Shonali Ghosh, Myriam Sidibe
Poor handwashing behavior is a major cause of morbidity and mortality globally. We evaluated two complementary mass-scale media interventions targeting mothers to increase the frequency of handwashing with soap; one using TV advertising, and the other mobile phone messaging. Television Commercials (TVCs): Mothers of 4-12 year-old children (n = 756) were randomly allocated among four arms: Three different branded TVCs and a fourth, control TVC unrelated to handwashing. TVCs were embedded in blocks of unrelated commercials and shown once a week over four weeks in participants' own homes...
March 26, 2019: Journal of Health Communication
Alyson J Crozier, Kristyn L Taylor
This exploratory study examined the interaction between messages conveying descriptive norms and image appeals on adults' physical activity intentions. Using a pre-post experimental design, insufficiently active adults (N = 204) were randomly assigned to receive one of four messages, which included both a descriptive norm (prevalence of physical activity: high vs. low) and an image appeal (personality attributes: positive vs. negative). The results from an analysis of covariance, controlling for baseline physical activity intentions, revealed a significant interaction...
March 21, 2019: Journal of Health Communication
Corine S Meppelink, Edith G Smit, Marieke L Fransen, Nicola Diviani
When looking for health information, many people turn to the Internet. Searching for online health information (OHI), however, also involves the risk of confirmation bias by means of selective exposure to information that confirms one's existing beliefs and a biased evaluation of this information. This study tests whether biased selection and biased evaluation of OHI occur in the context of early-childhood vaccination and whether people's health literacy (HL) level either prevents or facilitates these processes...
March 21, 2019: Journal of Health Communication
Jo-Yun Li, Sayward Harrison, Shan Qiao, Xiaoming Li
Stigma against people living with HIV in China is common, not only among the general public but also among Chinese health-care providers, impacting their ability to provide quality HIV treatment and care. HIV stigma may be particularly common in rural areas of China, where village doctors (i.e., "barefoot doctors") have limited medical training yet are charged with providing frontline care for much of China's rural population. Therefore, the present study aims to use communication and behavioral theory to better understand Chinese village doctors' beliefs about HIV, including their willingness to become involved in HIV treatment and care...
March 11, 2019: Journal of Health Communication
Hongmei Shen, Jie Xu, Yueyan Wang
Informed by the Situational Theory of Problem Solving (STOPS), this study used data from the Health Information National Trends Survey, a large and representative national sample, to examine predictors of information seeking and information accessing of health information, including cancer-related information. We found that the independent variables in STOPS-problem recognition, involvement recognition, and referent criterion- well predicted people's information seeking of cancer-related information and accessing of health information on line...
March 8, 2019: Journal of Health Communication
Shaohai Jiang
The Chinese health care system has suffered from severe tension between patients and doctors during the past decade. Patient-centered communication (PCC) may play a significant role in mitigating this problem. With a general basis of the pathway model linking communication to health, this paper illustrates social mechanisms that underlie how PCC improves health outcomes in China. Using three-wave panel data collected in China, the results showed that PCC failed to directly influence health. Instead, PCC at Wave 1 predicted patient satisfaction and patient trust at Wave 2, which in turn enhanced self-reported health outcomes at Wave 3...
March 8, 2019: Journal of Health Communication
Macarena Pena-Y-Lillo, Chul-Joo Lee
This study focuses on the VERB campaign and explores whether the campaign effects differed across socioeconomic status and race/ethnicity groups. Using a three-wave longitudinal survey dataset, this study found that the effects of exposure to the VERB campaign on behaviors were mediated by descriptive norms, perceived behavioral control (PBC), and intentions. More importantly, the VERB campaign increased intentions of being physically active by affecting PBC and descriptive norms across all social groups. When the link between intentions and behavior was taken into consideration, however, disparities between high and low SES, and majority and minority racial/ethnic group children emerged...
March 1, 2019: Journal of Health Communication
Kyung Jung Han, Soojung Kim
This study seeks to explore more effective ways of creating tailored health messages in order to help self-management of diabetes symptoms. Personal value orientation and freedom threat as antecedents of psychological reactance are investigated as potential elements reflecting to tailored health messages and leading to more or less persuasive effects on self-management. Using these elements, the current study examines whether invoking an individual's personal value orientation (i.e., two extreme value orientations: self-enhancement and self-transcendence) and threatening an individual's freedom in health news messages about diabetes influence psychological reactance and affect suggested health behaviors...
March 1, 2019: Journal of Health Communication
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