老年人健康信息回避行为发生机制研究

公文; 肖鹏; 宋鑫铭; 王玺

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国际新闻界 ›› 2024, Vol. 46 ›› Issue (3) : 6-29.

本期话题/健康传播研究

老年人健康信息回避行为发生机制研究

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Mechanism of Health Information Avoidance Behavior of the Elderly

Author information +

文章历史 +

摘要

健康信息回避行为是老年健康传播的重要干扰因素，而现有研究鲜少考察健康信息回避行为影响因素之间的关联路径。本研究基于SOR理论构建老年人健康信息回避行为发生机制模型，并对我国465名老年人进行问卷调查。结构方程模型分析结果表明，有机体端的感知危害特征、负面情感响应和弱渠道信念与老年人健康信息回避行为呈正相关关系；刺激端的消极信息特征、突出性、认知失调和社会支持通过影响老年人的个体反应，导致健康信息回避行为的产生。模糊集定性比较分析结果进一步表明，存在三种影响老年人健康信息回避行为的主构型：以弱渠道信念、缺乏社会支持为核心条件的外部主导型回避，以消极信息特征、突出性为核心条件的事实主导型回避和以负面情感响应、消极信息特征为核心条件的情感主导型回避。本研究不仅考察了老年人健康信息回避行为影响因素间的传导路径，还验证了各因素的组态关系和联动机制，为完善老年健康教育工作和公共健康风险管理机制提供了理论与实践启示。

Abstract

Health information avoidance behavior is a vital interfering factor in health communication among the elderly, while previous studies have rarely investigated the influencing paths on it. Based on the SOR theory, this study explored the mechanism of health information avoidance behavior among the elderly. A total of 465 older adults in China were recruited to participate in this survey. SEM shows that perceived hazard characteristics, negative affective response, and weak channel beliefs were positively associated with health information avoidance behavior. Furthermore, negative information characteristics, salience, cognitive dissonance, and social support were associated with health information avoidance behavior through the above three variables in the stage of organism. Additionally, fsQCA shows that there were three main configurations for health information avoidance behavior, including externally-driven avoidance with weak channel beliefs and the absence of social support as core conditions, factually-driven avoidance with negative information characteristics and salience as core conditions as well as emotionally-driven avoidance with negative affective response and negative information characteristics as core conditions. The study not only examines the pathways among factors influencing health information avoidance behavior in the elderly, but also verifies configuration effects of these factors, which provides theoretical and practical implications for improving geriatric education and risk management in public health.

导出引用

公文, 肖鹏, 宋鑫铭, 等. 老年人健康信息回避行为发生机制研究[J]. 国际新闻界. 2024, 46(3): 6-29

GONG Wen, XIAO Peng, SONG Xinming, et al. Mechanism of Health Information Avoidance Behavior of the Elderly[J]. Chinese Journal of Journalism & Communication. 2024, 46(3): 6-29

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基金

2022年度山东省社会科学规划研究项目“老年人健康信息回避发生机制与干预研究”的阶段性研究成果(22CXWJ08)

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2024-03-23
发布日期
2024-05-25

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