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Journal of Health Communication

Zhi-Jin Zhong, Jinghong Nie, Xinyi Xie, Kexin Liu
The deterioration of medic-patient relation in China raises the question about its impact on patients' adherence to medical instructions. This study focuses on how the quantity and quality of medic-patient communication influences their relationship, and how the perceived relationship at individual level, institution level, and society level influences patients' treatment adherence, through a survey conducted in a city of Southern China (N = 597, Response rate = 66%). The results of path analysis show that consulting time is positively associated with patients' relationship with individual doctors and the whole medical system, as well as their satisfaction with hospital...
December 30, 2018: Journal of Health Communication
Eunjung Shin, Jae-Mahn Shim
Do individuals gain from multiple sources of information that are often dissonant, such as expert knowledge and lay knowledge of health interventions? What are the foundations for any gain? For these questions, this paper investigates differences in the perceived health outcomes among the users of complementary and alternative medicine (CAM) who found their selection of CAM treatments on different knowledge bases. By using data from the 2012 US National Health Interview Survey (NHIS), the paper shows that CAM users report better health outcomes in the treatment episodes where they use CAM treatments that experts (i...
December 28, 2018: Journal of Health Communication
Ben J Smith, Catriona Bonfiglioli
The popular reality television show The Biggest Loser Australia (TBL) is a significant source of media content about physical activity. This study examined audience responses to and interpretations of physical activity in TBL. A qualitative study using in-depth interviews was conducted in New South Wales, Australia. A sample of 46 viewers of TBL was recruited, stratified by gender, age group, area of residence, and body mass index. Interview data were thematically analyzed to identify how viewers evaluated TBL...
December 28, 2018: Journal of Health Communication
Florian Arendt, Narin Karadas
Minority group members tend to have more negative health outcomes compared to majority group members. As reducing health inequalities is a global imperative, research testing strategies to improve minority patient health outcomes are important. Evidence exists that ethnic concordance in patient-physician communication is statistically associated with positive outcomes for minority patients. Previous research has exclusively relied on non-experimental observational methods. The present study adds to this literature by presenting supplementary experimental evidence, thus increasing confidence in the causal interpretation of the relationships observed in previous studies...
December 12, 2018: Journal of Health Communication
Erin M Ellis, Rebecca A Ferrer, William M P Klein
Accurately assessing the public's knowledge about the human papilloma virus (HPV) and the HPV vaccine remains critical for informing health education interventions aimed at increasing vaccine uptake. Responding "don't know" (DK) to survey questions that assess knowledge is common and DK responders are often systematically different from other responders, resulting in potential for bias. This study aimed to advance our understanding of DK responding to HPV knowledge items. Data from the nationally representative Health Information National Trends Survey Wave 5 Cycle 1 (N = 2,034) were used...
December 10, 2018: Journal of Health Communication
Andrea M Russell, Samuel G Smith, Stacy C Bailey, Lisa T Belter, Anjali U Pandit, Laurie A Hedlund, Elizabeth A Bojarski, Steven R Rush, Michael S Wolf
Health systems and insurers alike are increasingly interested in leveraging mHealth (mobile health) tools to support patient health-related behaviors including medication adherence. However, these tools are not widely used by older patients. This study explores patient preferences for functionality in a smartphone application (app) that supports medication self-management among older adults with multiple chronic conditions. We conducted six discussion groups in Chicago, Miami, and Denver (N = 46). English-speaking older adults (55 and older) who owned smartphones and took five or more prescription medicines were invited to participate...
December 10, 2018: Journal of Health Communication
Elroy Boers, Hanneke Hendriks, Bas Van den Putte, Hans Beentjes
The large amount of vocational community college students that continue showing binge-drinking behavior might be an indication that interventions targeting this behavior have not been hugely successful. It might be that these interventions targeted beliefs that are less or not related with vocational community college binge-drinking behavior. The aim of this study was to identify vocational community college students` salient beliefs about binge drinking. In the context of the integrative model of behavioral prediction, we applied deductive qualitative content analysis of conversations about binge drinking...
December 7, 2018: Journal of Health Communication
Tracy Marie Scull, Janis Beth Kupersmidt, Christina V Malik, Antonio A Morgan-Lopez
This study examined the short-term efficacy of Media Aware, a classroom-based media literacy education (MLE) program for improving adolescents' sexual health outcomes. In a randomized control trial, schools were randomly assigned to the intervention (N = 5 schools) or health promotion control (N = 4 schools) group. Students completed questionnaires at pretest (N = 880 students) and immediate posttest (N = 926 students). The Media Aware program had a significant favorable impact on adolescent outcomes related to sexual health, including increased self-efficacy and intentions to use contraception, if they were to engage in sexual activity; enhanced positive attitudes, self-efficacy, and intentions to communicate about sexual health; decreased acceptance of dating violence and strict gender roles; and increased sexual health knowledge...
November 23, 2018: Journal of Health Communication
Liana B Winett, Larissa Yoshino, Abraham Moland, Justine Pope, Lawrence Wallack
The 2010 Healthy, Hunger-Free Kids Act (HHFKA) represented a major and controversial overhaul of national nutrition standards for foods served in the United States' nearly 100,000 public schools. To unpack how debate over this far-reaching policy was presented to the public, we examined 152 national print; network, network affiliate, and cable television; and public radio news stories about the policy, all appearing during the window surrounding its scheduled reauthorization (9/1/14-1/31/16). We found that HHFKA opponents were more likely to argue from a smaller set of frames that comprised a concise, clear narrative they frequently repeated, while proponents drew from a broader range of frames, each used less frequently, to present their position...
November 20, 2018: Journal of Health Communication
Arul Chib, Sapphire H Lin
There are now few hundred thousand healthcare apps, yet there is a gap in our understanding of the theoretical mechanisms for which, and how, technological features translate into improved healthcare outcomes. In particular, the technological convergence, within mobile health (mHealth) apps, of the processes of mass and interpersonal communication, and human-computer interaction requires greater parsing in the literature. This paper analyzed 85 empirical studies on mHealth apps using the Input-Mechanism-Output model...
November 19, 2018: Journal of Health Communication
Saul Johnson, Sarah Magni, Ziphozonke Dube, Susan Goldstein
BACKGROUND: Young women in South Africa are at high risk for HIV, particularly after they leave school. There are few studies examining the long-term impact of school-based public health interventions aimed at protecting young women from HIV. We undertook a long-term evaluation of an extracurricular, school-based HIV prevention program, that leveraged off a mass media television series in South Africa. METHODS: We recruited 403 women aged 18-28 years. One hundred and seventy were members of Soul Buddyz Clubs (SBCs) between 2004 and 2008 and 233 were matched controls from the same communities as the ex-Buddyz...
November 14, 2018: Journal of Health Communication
Qinghua Yang, Christopher Tufts, Lyle Ungar, Sharath Guntuku, Raina Merchant
Twitter is one of the largest social networking sites (SNSs) in the world, yet little is known about what cardiovascular health related tweets go viral and what characteristics are associated with retransmission. The current study aims to identify a function of the observable characteristics of cardiovascular tweets, including characteristics of the source, content, and style that predict the retransmission of these tweets. We identified a random sample of 1,251 tweets associated with CVD originating from the United States between 2009 and 2015...
November 7, 2018: Journal of Health Communication
Sung-Yeon Park, Kyle J Holody
This review presents a comprehensive picture of research studies about marijuana-related content in news, social media, and advertisements. Studies that examined the extent of people's exposure to the messages and its effects were also included. A total of 27 peer-reviewed journal articles and one thesis were located, of which 16 analyzed the content, four contained information about people's exposure to the messages, and ten examined the effects. Over time, news coverage shifted from negative to slightly positive toward marijuana use...
November 5, 2018: Journal of Health Communication
Linda R Stanley, Kathleen J Kelly, Randall C Swaim, Danielle Jackman
American Indian (AI) adolescents living on reservations report much higher substance use rates compared to other youth yet there are few effective prevention interventions developed for them. This paper presents findings from formative research undertaken to guide adaptation for AI youth of a prevention intervention, Be Under Your Own Influence (BUYOI), previously found to be effective in reducing substance use among middle-school youth. We conducted focus groups with 7th graders, the primary target audience, and photovoice with 11th graders, the role models who would help deliver the campaign, to inform surface and deep structure adaptation...
October 31, 2018: Journal of Health Communication
Bart Vyncke, Baldwin van Gorp
The media are often blamed for perpetuating the stigma surrounding mental illnesses, but they can also be used to counter stigmatizing narratives. Drawing on framing theory, this study tested the potency of two framing strategies (deframing and reframing) to reduce mental health stigma, using an online between-subject posttest-only survey experiment (N = 400), conducted in Belgium in November 2017. For people without a personal history of mental illness, deframing (i.e. refuting the stigmatizing narrative) was able to significantly reduce public stigma, while reframing (i...
October 29, 2018: Journal of Health Communication
Ryan T Halvorson, Christopher C Stewart, Aishwarya Thakur, Stanton A Glantz
Recreational cannabis is being legalized in states across the USA. The public relies on popular media for health information about cannabis. We assessed the accuracy of reporting on health effects of cannabis use in GreenState, a specialty publication on cannabis published by the San Francisco Chronicle and the main newspaper using the Index of Scientific Quality for Health Related News Reports. Results were compared using t-tests. Seventeen GreenState articles and four San Francisco Chronicle articles were identified for analysis...
October 25, 2018: Journal of Health Communication
Remco Sanders, Annemiek J Linn
This study aims to propose and test a model that provides a more comprehensive understanding of the impact of discussing online health information on patient outcomes. By combining survey data (N = 160) and qualitative analysis of video recordings of consultations (N = 165) with structural equation modeling, this study explores: (1) whether patients and health-care providers talk about online medical information and (2) the impact of talking about online medical information on patient outcomes (patient satisfaction, recall of medical information, and medication adherence)...
October 23, 2018: Journal of Health Communication
Tyler R Harrison, Fan Yang, Susan E Morgan, Jessica Wendorf Muhamad, Ed Talavera, Samuel A Eaton, Neal Niemczyk, Vicki Sheppard, Erin Kobetz
Studies show significant association between cancer risk and being a firefighter. After exposure to even routine firefighting, firefighters' bunker gear often contains carcinogens that may be absorbed through contact or inhaled through off-gassing, thereby increasing cancer risk. Awareness of increased cancer risk has given rise to policies and practices focused on gear cleaning and decontamination processes to decrease risk; yet, these efforts are in their infancy and tend to be somewhat piecemeal in nature...
October 22, 2018: Journal of Health Communication
Sixiao Liu, Janet Z Yang, Haoran Chu, Shaojing Sun, Haichun Li
Unlike the United States, where human papillomavirus (HPV) vaccines have been available for decades, China recently approved its first HPV vaccines. Setting up a baseline comparison between these two countries, this study examines the influence of message framing, motivational orientation, cultural worldview, knowledge, and gender on young adults' intentions to get vaccinated. Compared to the U.S. participants, Chinese participants perceived HPV as a more severe risk and were more willing to get the vaccine...
October 22, 2018: Journal of Health Communication
Jessica D Welch, Erin M Ellis
Adequate fruit and vegetable (FV) consumption is promoted as a means of preventing chronic health conditions, such as cardiovascular disease and cancer. This study investigated whether perceived ambiguity about cancer prevention recommendations, fatalistic beliefs about cancer, and health-related self-efficacy were associated with FV consumption and whether sex moderated these associations. Data from the five most recent waves (spanning 2011 to 2017) of the nationally representative Health Information National Trends Survey (N = 16,965) were used...
October 22, 2018: Journal of Health Communication
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