The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency posing unprecedented challenges for health authorities. Social media may serve as an effective platform to disseminate health-related information. This study aimed to assess the extent of social media use, its impact on preventive behavior, and negative health effects such as cyberchondria and information overload.A cross-sectional observational study was conducted between June 10, 2020 and August 9, 2020 among people visiting the outpatient department of the authors' institution, and participants were also recruited during field visits for an awareness drive. Questions were developed on preventive behavior, and the Short Cyberchondria Scale and instruments dealing with information overload and perceived vulnerability were used.The study recruited 767 participants with a mean age of about 45 years. Most of the participants (>90%) engaged in preventive behaviors, which were influenced by the extent of information received through social media platforms (β=3.297; p<0.001) and awareness of infection when a family member tested positive (β=29.082; p<0.001) or a neighbor tested positive (β=27.964; p<0.001). The majority (63.0%) of individuals often searched for COVID-19 related news on social media platforms. The mean±standard deviation scores for cyberchondria and information overload were 9.09±4.05 and 8.69±2.56, respectively. Significant and moderately strong correlations were found between cyberchondria, information overload, and perceived vulnerability to COVID-19.This study provides evidence that the use of social media as an information- seeking platform altered preventive behavior. However, excessive and misleading information resulted in cyberchondria and information overload.

Health communication scholarship has built on the health-promoting role of the community in exploring participatory communication techniques in community-based health promotion efforts. Community participation inculcates responsibility, strengthens community bonds, and provides a platform for diffusing health interventions. This power of a community to embody responsible action and promote participation in preventive behavior is examined in recent research on social capital. Exploring the link between community participation and health, this article demonstrates, through 2 survey studies, that health information orientation and health information efficacy are positively correlated with community participation. Furthermore, community participation is linked with prevention orientation, health beliefs, and health behaviors. Based on the findings, theoretical and pragmatic suggestions are presented.

The current study investigated cultural and psychological factors associated with intentions to reduce the spread of COVID-19. Participants (n = 704) completed measures of individualism-collectivism, belief in conspiracy theories about COVID-19, feelings of powerlessness, and intentions to engage in behaviours that reduce the spread of COVID-19. Results revealed that vertical individualism negatively predicted intentions to engage in social distancing, directly and indirectly through both belief in COVID-19 conspiracy theories and feelings of powerlessness. Vertical collectivism positively predicted social distancing intentions directly. Horizontal collectivism positively predicted social distancing intentions indirectly through feelings of powerlessness. Finally, horizontal collectivism positively predicted hygiene-related intentions both directly and indirectly through lower feelings of powerlessness. These findings suggest that promoting collectivism may be a way to increase engagement with efforts to reduce the spread of COVID-19. They also highlight the importance of examining the interplay between culture and both personal feelings (powerlessness) and information consumption (conspiracy theories) during times of crisis.© 2020 The Authors. British Journal of Social Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

Current reports in the medical literature demonstrate increasing acknowledgment of consumer involvement in autonomous health and medical information search beyond the doctor. Although multiple studies have segmented consumers into different groups based on the different levels of patient autonomy, the literature review revealed the lack of systematic attempts at elucidating the antecedents of autonomous consumer health information search. In this article, I examine the role of health consciousness as a mediator of the relation between communicative (interpersonal, community, print, television, and Internet) factors and health information seeking.

The statistical tests used in the analysis of structural equation models with unobservable variables and measurement error are examined. A drawback of the commonly applied chi square test, in addition to the known problems related to sample size and power, is that it may indicate an increasing correspondence between the hypothesized model and the observed data as both the measurement properties and the relationship between constructs decline. Further, and contrary to common assertion, the risk of making a Type II error can be substantial even when the sample size is large. Moreover, the present testing methods are unable to assess a model's explanatory power. To overcome these problems, the authors develop and apply a testing system based on measures of shared variance within the structural model, measurement model, and overall model.

Self-consciousness has been an important trait in personality research. It seems logical to investigate whether health consciousness, involving a similar self-focusing, might operate in a parallel manner. To this end, I developed the Health Consciousness Scale (HCS), primarily by modifying items of the Self-Consciousness Scale, and also tested it for reliability and validity. My study found the HCS to contain four first-order factors: (1) Health Self-Consciousness, (2) Health Alertness, (3) Health Self-Monitoring, and (4) Health Involvement. I found these four first-order factors, along with the overall HCS second-order factor, to relate to a number of self-reported, health-associated behavioral variables. The study also included comparisons with the Health Locus-of-Control Scale and other measures.

The purpose of this study is to examine the role of health consciousness in processing TV news that contains potential health threats and preventive recommendations. Based on the extended parallel process model (Witte, 1992), relationships among health consciousness, perceived severity, perceived susceptibility, perceived response efficacy, perceived self-efficacy, and message acceptance/rejection were hypothesized. Responses collected from 175 participants after viewing four TV health news stories were analyzed using the bootstrapping analysis (Preacher & Hayes, 2008). Results confirmed three mediators (i.e., perceived severity, response efficacy, self-efficacy) in the influence of health consciousness on message acceptance. A negative association found between health consciousness and perceived susceptibility is discussed in relation to characteristics of health conscious individuals and optimistic bias of health risks.

Primary care patients with prediabetes is a priority group in the clinical, organisational and policy contexts. Engaging in regular physical activity is crucial to prevent diabetes for this group. The objectives of the study were to assess factors associated with meeting the recommendation of at least 150 min of moderate/vigorous physical activity weekly, and to explore facilitators and barriers related to the behaviour among primary care patients with prediabetes in Singapore.

During the past few decades, people have been increasingly exposed to health-related messages in the mass media, conveying recommendations for healthy lifestyles. The present study investigates whether these messages represent a stressor, and whether coping responses increase levels of motivation or levels of negative affect. A sample of 403 women aged 45 years were surveyed twice, at an interval of 4 weeks. A substantial proportion of the participants perceived the health messages to be stressful (increased levels of threat). Overall, the participants reported a greater use of adaptive than non-adaptive coping when exposed to the health messages. Socio-economic status (defined in educational terms) was negatively correlated with non-adaptive coping, while health consciousness was positively correlated with adaptive coping. Adaptive coping was positively related, and non-adaptive coping was negatively related, to intentions and behaviours. Non-adaptive coping was associated with stronger negative emotions. The results indicate that less-educated women tend to respond more non-adaptively to health messages than more-educated women; for the former group, this has negative consequences in terms of increased levels of negative emotions and decreased levels of motivation to engage in healthy behaviours.

Guided by information processing theory and the health belief model, this paper considers the relationship between health consciousness among the general population and attention to environmental health warnings about alcohol consumption. Mechanisms of exposure to three dominant types of impersonal alcohol-related health messages in the environment are explored.Cross-sectional survey using telephone interview data.A representative nationwide sample of adults was interviewed in 1993 (n = 1026), with a response rate of 63%.Key variables include exposure to warning labels on alcoholic beverages, to point-of-sale posters, and to advertisements in the media, as well as respondents' alcohol consumption, health problems (indicative of salience of health warnings), and level of health consciousness assessed by items tapping concern with nutrition and seeking information on health topics.In the total sample, over a third had seen a warning label or poster and almost all had seen an advertisement about the risks associated with alcohol consumption in 1993. Survey respondents scored very high on five individual items that make up the health consciousness scale introduced here, with 69% endorsing all items. The scale demonstrated good internal reliability (alpha =.70) and was significantly correlated (p <.01) with not enjoying getting drunk and with usually reading product warning labels, suggesting construct validity. Yet the hypothesized strong relationships between health consciousness and attention to health warnings about drinking were not observed; nor was salience of messages a predictor of recall. Importantly, high proportions of underage drinkers and young adults at elevated risk for drinking problems are reached by container warning label messages. Mechanisms of exposure recall vary based on message source, with "container label recall" associated with heavier drinking, younger age, and purchasing patterns; "poster recall" associated with purchasing and health consciousness; and "advertisement recall" associated with heavy consumption and younger age.These results are contrary to predictions from skeptics of broad-based informational interventions, who argue that only the already-health conscious are attentive to health warnings about the risks of alcohol consumption. These data suggest that the label is reaching intended target audiences, especially younger people, males, and heavier alcohol consumers. Future research in predicting attention to impersonal health warnings in the environment should continue to improve the assessment of constructs such as salience and health consciousness, and should further test the applicability of available theoretical models. Subsequent research should also consider additional measures to tap mechanisms of exposure to impersonal health messages to enable a better understanding of the population that is not being reached by such public health interventions.

In response to the Ebola scare in 2014, many people evinced strong fear and xenophobia. The present study, informed by the pathogen-prevalence hypothesis, tested the influence of individualism and collectivism on xenophobic response to the threat of Ebola. A nationally representative sample of 1,000 Americans completed a survey, indicating their perceptions of their vulnerability to Ebola, ability to protect themselves from Ebola (protection efficacy), and xenophobic tendencies. Overall, the more vulnerable people felt, the more they exhibited xenophobic responses, but this relationship was moderated by individualism and collectivism. The increase in xenophobia associated with increased vulnerability was especially pronounced among people with high individualism scores and those with low collectivism scores. These relationships were mediated by protection efficacy. State-level collectivism had the same moderating effect on the association between perceived vulnerability and xenophobia that individual-level value orientation did. Collectivism-and the set of practices and rituals associated with collectivistic cultures-may serve as psychological protection against the threat of disease.© The Author(s) 2016.

Individuals who lead a "wellness-oriented" lifestyle are concerned with nutrition, fitness, stress, and their environment. They accept responsibility for their health and are excellent customers for health-related products and services. Those who lack a wellness orientation are identified as higher health risks and become candidates for health promotion program intervention. The authors report a new scale by which to measure the wellness-oriented lifestyle. Scale development procedures are detailed, followed by information from five studies that support its validity. The authors suggest ways health care marketers may use the Wellness Scale to segment and target potential customers and position their products and services.

The present studies demonstrate that daily worry level is predictive of cognitive processing differences and that these differences are an effect of negative thoughts. In Study 1, worriers (those who reported 50% or greater daily worry) and non-worriers performed a categorization task. The groups did not differ when the stimulus was a clear member or non-member of the category. Worriers showed a significant disruption in processing as the ambiguity of the category membership increased. Study 2 demonstrated that the disruption arose as a result of increased levels of negative thoughts. Worriers and non-worriers were assigned to two conditions, either O-worry ("Relax and let your mind wander for 15 minutes") or 15-worry ("Worry as you typically would for 15 minutes"). Non-worriers evidenced the same disruptive effects in the 15-worry condition as worriers in that condition and worriers in Study 1. Similarly, worriers in the O-worry condition showed a reduction in disruptive effects. The findings are taken as indicating that worry is accompanied by changes in cognitive processing and that these changes are similar for worriers and non-worriers.

What are the origins of cultural differences in conformity? The authors deduce the hypothesis that these cultural differences may reflect historical variability in the prevalence of disease-causing pathogens: Where pathogens were more prevalent, there were likely to emerge cultural norms promoting greater conformity. The authors conducted four tests of this hypothesis, using countries as units of analysis. Results support the pathogen prevalence hypothesis. Pathogen prevalence positively predicts cultural differences in effect sizes that emerge from behavioral conformity experiments (r=.49, n=17) and in the percentage of the population who prioritize obedience (r=.48, n=83). Pathogen prevalence also negatively predicted two indicators of tolerance for nonconformity: within-country dispositional variability (r=-.48, n=33) and the percentage of the population who are left-handed (r=-.73, n=20). Additional analyses address plausible alternative causal explanations. Discussion focuses on plausible underlying mechanisms (e.g., genetic, developmental, cognitive).

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. However, the impact of trust in online health information was more complicated than anticipated. Our study demonstrated the utility of the STOPS in the health information context. Theoretical and practical implications are discussed.

For two decades, the extended parallel process model (EPPM; Witte, 1992 ) has been one of the most widely used theoretical frameworks in health risk communication. The model has gained much popularity because it recognizes that, ironically, preceding fear appeal models do not incorporate the concept of fear as a legitimate and central part of them. As a remedy to this situation, the EPPM aims at "putting the fear back into fear appeals" ( Witte, 1992, p. 330). Despite this attempt, however, this article argues that the EPPM still does not fully capture the essence of fear as an emotion. Specifically, drawing upon Lazarus's (1991 ) cognitive appraisal theory of emotion and the concept of dispositional coping style ( Miller, 1995 ), this article seeks to further extend the EPPM. The revised EPPM incorporates a more comprehensive perspective on risk perceptions as a construct involving both cognitive and affective aspects (i.e., fear and anxiety) and integrates the concept of monitoring and blunting coping style as a moderator of further information seeking regarding a given risk topic.

This article investigates media dependency among Chinese individuals during the SARS epidemic of 2003. While most media dependency research has examined dependency relations under circumstances when information was readily available, this study looks at a situation in which information was highly controlled and thus was not easily available from the mainstream media. As the socio-structural environment was not conducive to the free flow of information during a major public health crisis, audience members were not only actively engaged in information seeking from alternative resources such as short message services (SMS) and the internet, but they were also involved in creating alternative information channels by being information producers and disseminators. The internet was a particularly empowering tool to allow individuals to bypass official control and to challenge official claims during the crisis.

Cultural background influences how migrants and ethnic minority populations view and assess health. Poor oral health literacy (OHL) may be a hindrance in achieving good oral health. This systematic review summarizes the current quantitative evidence regarding OHL of migrants and ethnic minority populations. The PubMed database was searched for original quantitative studies that explore OHL as a holistic multidimensional construct or at least one of its subdimensions in migrants and ethnic minority populations. 34 publications were selected. Only 2 studies specifically addressed OHL in migrant populations. Generally, participants without migration background had higher OHL than migrant and ethnic minority populations. The latter showed lower dental service utilization, negative oral health beliefs, negative oral health behavior, and low levels of oral health knowledge. Due to its potential influence on OHL, oral health promoting behavior, attitudes, capabilities, and beliefs as well as the cultural and ethnic background of persons should be considered in medical education and oral health prevention programs.© 2021. The Author(s).

Despite the concerns raised about the impact of online health information on users, research has not specifically explored different types of information behaviors people exhibit during the communicative process. In this article, we address this research gap by combining the Situational Theory of Problem Solving with considerations of multiple dimensions of risk perception, such as affective and deliberative. This study constructs a hypothetical model to explore how online users' risk perceptions and information behaviors (information seeking, forefending, and forwarding) influence their health behavioral intention. A survey collected data from 1,463 participants at two healthcare centers in China. Based on the structural equation modeling, multiple dimensions of risk perception play a distinctive role in communicating online health information and forming health behavioral intention. Furthermore, information forwarding, an essential information behavior, influences deliberative risk perception more than information forefending, and it is a much better predictor of individuals' health intention than information seeking. Implications and suggestions for health communication research are discussed.

Guided by the three-stage model and the integration of key constructs from the Health Belief Model, this study proposed a conceptual model to delve into the underlying mechanism linking health information seeking to psychological well-being. A nationwide online survey was administered, involving 522 WeChat users in China. The results of structural equation modeling analysis showed that health consciousness and WeChat health information reliability are significant antecedents predicting users' health information-seeking actions on WeChat, while perceived susceptibility, severity, and self-efficacy did not have significant relationships with such behavior. As predicted, the positive relationship between WeChat health information seeking and psychological well-being is mediated by perceived social support. The findings of this study provide both theoretical and practical implications to guide the use of mobile social media as a milieu for health improvement.