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Li J, Guo Y. Disappearing Negative Valence: A Content Analysis of HPV Vaccine Newspaper Coverage in China (2000-2018). HEALTH COMMUNICATION 2024:1-10. [PMID: 38413578 DOI: 10.1080/10410236.2024.2323840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
News coverage of the human papillomavirus (HPV) vaccine grew rapidly in China in 2016 when the vaccine was approved. Drawing upon framing theory, the present study analyzed the content of 491 Chinese newspaper reports on the HPV vaccine published between June 2000 and December 2018 to investigate what and how information and valence about the vaccine was relayed to the public. The results indicated that, while the Chinese media failed to provide comprehensive and accurate information about HPV and the HPV vaccine, they showed a positive evaluation of the HPV vaccine demand and market. In addition, there was a decline in negative coverage after the vaccine was approved. This study extended the literature on HPV vaccine coverage by combining issue-specific framing and valence framing, considering the Chinese-specific vaccine market for presentation and the value of such products, which is rare in previous studies. Practical implications of the findings for health promotion were also discussed.
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Affiliation(s)
- Jinxu Li
- Department of Communication and Journalism, Texas A&M University
| | - Yuli Guo
- Department of Journalism, South China University of Technology
- Center for Public Health Risk Surveillance and Information Communication in Guangdong Province
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2
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Oh SH, Lee CJ, Park A. Trust Matters: The Effects of Social Media Use on the Public's Health Policy Support Through (mis)beliefs in the Context of HPV Vaccination. HEALTH COMMUNICATION 2023; 38:2628-2639. [PMID: 35850554 DOI: 10.1080/10410236.2022.2096985] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This study examines whether social media exposure is associated with the public's beliefs and misbeliefs about human papillomavirus (HPV) vaccination and how those (mis)beliefs are associated with the public's support for HPV vaccination-related policies. This study also explores whether trust in HPV vaccination-related regulatory organizations moderates the associations between social media exposure and public policy support through (mis)beliefs. We found that social media exposure was positively associated with misbeliefs about HPV vaccination. The findings also indicated that while beliefs about benefits were positively associated with policy support for HPV vaccination, misbeliefs were negatively associated with this support. More interestingly, our analysis revealed that the negative association of HPV-related misbeliefs with vaccination policy support was larger for those who had low levels of trust, compared to their high-trust counterparts.
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Affiliation(s)
- Sang-Hwa Oh
- Department of Advertising, College of Media, University of Illinois at Urbana-Champaign
| | - Chul-Joo Lee
- Department of Communication, Seoul National University
| | - Andrew Park
- Department of Communication, Seoul National University
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3
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Jiang S, Wang P, Liu PL, Ngien A, Wu X. Social Media Communication about HPV Vaccine in China: A Study Using Topic Modeling and Survey. HEALTH COMMUNICATION 2023; 38:935-946. [PMID: 34555993 DOI: 10.1080/10410236.2021.1983338] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The human papillomavirus (HPV) vaccine is relatively novel to people in China. Social media is becoming an important channel for learning new health information. However, limited is known about what HPV vaccine information has been disseminated on social media, and how such online information is associated with health-related behaviors in China. Based on Longo et al.'s model of patient use of healthcare information for healthcare decision, and Longo's model of health information seeking behaviors, this study examined HPV vaccine-related information type and information acquisition pattern. Following the mixed-methods approach, we first crawled 67,773 postings about HPV vaccine on Weibo, the largest microblogging website in China, and performed topic modeling to identify HPV vaccine-related topics that are prevalent on Weibo. The results showed six major topics about HPV vaccine, namely policy, guidance information, advertising, scandals, personal experience sharing, and HPV risks. Second, we conducted an online survey (n = 1,982) to investigate how scanning, seeking, and discussing the six HPV vaccine topics identified from big data analytics can affect HPV vaccine knowledge, safety concern, and vaccination intention. We documented significant impacts of social media health communication on users' health knowledge, attitude and behavioral intention.
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Affiliation(s)
- Shaohai Jiang
- Department of Communications and New Media, National University of Singapore
| | - Pianpian Wang
- School of Media and Communication, Shenzhen University
| | | | - Annabel Ngien
- Department of Communications and New Media, National University of Singapore
| | - Xingtong Wu
- School of Media and Communication, Shenzhen University
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4
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Feng Y, Feng R, Liu Y. Social media promotion, risk perception, and parental support for adolescent girls' HPV vaccination: Taking consideration of future consequences and sexual attitudes as moderators. Health Care Women Int 2023; 45:430-443. [PMID: 36943274 DOI: 10.1080/07399332.2023.2190979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 03/10/2023] [Indexed: 03/23/2023]
Abstract
HPV vaccine hesitancy in Asia is unique compared to western countries. Concerning whether social media promotion about HPV vaccine will be related with parental support for Chinese adolescent girls, we investigated the correlation among social media promotion, risk perception of HPV vaccine and parental support. Through the theoretical lens of Health Action Process Approach model (HAPA), we found that social media promotion could reduce the risk perception of HPV vaccine and promoted parental supportive decision, and risk perception played a mediation role between social media information exposure to vaccine and parental support. Consideration of future consequences has been found to play a moderating role between social media promotion and risk perception, and parents' sexual attitudes moderated the effect of social media promotion on parental support. Implications of the findings are discussed.
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Affiliation(s)
- Yulei Feng
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
| | - Ran Feng
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
| | - Yuanyuan Liu
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
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5
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Luo C, Dai R, Deng Y, Chen A. How did Chinese public health authorities promote COVID-19 vaccination on social media? A content analysis of the vaccination promotion posts. Digit Health 2023; 9:20552076231187474. [PMID: 37469960 PMCID: PMC10353024 DOI: 10.1177/20552076231187474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 06/26/2023] [Indexed: 07/21/2023] Open
Abstract
Objective Drawing upon the health belief model, this study aims to analyze the message characteristics of coronavirus disease 2019 (COVID-19) vaccination promotion messages posted by influential Chinese public health institutions and how those characteristics affect audiences' participative engagement on Weibo, which is a popular social media site in China. Methods Two Chinese phrases for the COVID-19 vaccine were adopted as search terms to retrieve qualified posts on Weibo from 1 December 2019 to 18 March 2023. A total of 2546 posts by the top nine most impactful public health institutions were retained for quantitative content analysis. Message characteristics derived from the health belief model and participative engagement indicators were coded by the authors. Results Among health belief model constructs, the collective-oriented constructs (i.e., benefits, cues to action, and susceptibility) appeared in almost half of the posts, while the individual-oriented constructs (i.e., barriers, self-efficacy, and severity) were mentioned less. Moreover, negative binomial regression models revealed that collective-oriented constructs and self-efficacy facilitated engagement, while other constructs played impeding roles. Conclusions Appearances and functions of the health belief model's constructs in the COVID-19 vaccination promotion context are closely associated with China's collectivistic culture. Furthermore, constructs conforming to people's psychological traits are likely to promote public engagement and may facilitate vaccination behavior.
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Affiliation(s)
- Chen Luo
- School of Journalism and Communication, Wuhan University, Wuhan, Hubei, China
| | - Runtao Dai
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Yuying Deng
- Department of Sociology and Communication, Faculty of Social Sciences, University of Salamanca, Salamanca, Spain
| | - Anfan Chen
- School of Humanities and Social Science, University of Science and Technology of China, Hefei, Anhui, China
- School of Journalism and Communication, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
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6
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Wang Q, Zhou F, Zhang W, Tang C. A study of parental decision-making over the vaccination of girls, based on the protection motivation theory and the elaboration likelihood model. Front Public Health 2022; 10:1024399. [PMID: 36438257 PMCID: PMC9691002 DOI: 10.3389/fpubh.2022.1024399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Accepted: 10/27/2022] [Indexed: 11/12/2022] Open
Abstract
This study proposed a new theoretical framework that combines the protection motivation theory and the elaboration likelihood model to examine how health information processing patterns influence parents' vaccination decision-making on behalf of their daughters. Based on survey data from 359 parents of girls aged 9-15, we tested the theoretical model by using structural equation model. The results showed that the central route, represented by information quality, affected the parents' perceptions of HPV severity and susceptibility; the peripheral route, represented by source credibility, influenced their perceptions of HPV severity, HPV susceptibility, vaccine response efficacy, and secondary risks. Also, Chinese parents' perceptions of HPV vaccines, not perceptions of HPV, affected their intention to vaccinate their daughters. The study suggests in addition to improving the quality of health information, the peripheral route, such as the release of vaccination photos, public immunization evaluations, and case narratives, should also be used to change parents' perceptions. Besides, reducing the traditional stigmatization of female sexuality and improving parents' understanding of the new generation's sexual attitudes will increase parents' intention to have their daughters vaccinated against HPV.
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Affiliation(s)
- Qi Wang
- School of Industrial Design, Hubei University of Technology, Wuhan, China
| | - Fangzhou Zhou
- Institute of Communication Studies, Communication University of China, Beijing, China
| | - Wen Zhang
- School of Journalism and Culture Communication, Zhongnan University of Economics and Law, Wuhan, China,*Correspondence: Wen Zhang
| | - Chenjin Tang
- School of Journalism and Culture Communication, Zhongnan University of Economics and Law, Wuhan, China
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7
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Hu J, Whyke TW, Lopez-Mugica J. Investigating Media Coverage and Public Perceptions of the HPV Vaccine in China - A Content Analysis of Weibo Posts. SEXUALITY & CULTURE 2022; 27:363-388. [PMID: 36093363 PMCID: PMC9443650 DOI: 10.1007/s12119-022-10017-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
Human papillomavirus (HPV) is one of the most common sexually transmitted infections worldwide. The HPV vaccination has been widely advocated around the world since the vaccine is beneficial in avoiding diseases, including some sexually transmitted diseases, brought on by HPV infections. For most Chinese, the HPV vaccine is still a relatively new concept, having only been made available to the general public in 2016. Despite the vaccine's increased prominence, there is still a lack of investigation about how the public is influencing the conversation about HPV vaccines and the public's perception of this vaccine. With the theoretical construct of the Health Belief Model, this study conducts both quantitative and qualitative content analysis to investigate the existing media narratives around HPV vaccines in China and the changes in public opinion by looking at users' contributions on Weibo, one of China's most popular social networking sites. It was found that different groups of Weibo users had contributed to diverse narratives surrounding HPV vaccination. Though the public awareness of HPV vaccination had been improved along with increasingly active communication practices and enhanced public health services, public knowledge about HPV remains inadequate. Therefore, to facilitate the popularisation of HPV related knowledge, more effort should be invested in tailoring and disseminating messages that communicate responsive and comprehensive HPV related information.
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Affiliation(s)
- Junyi Hu
- The School of International Communications, The University of Nottingham Ningbo China, Ningbo, Zhejiang China
| | - Thomas William Whyke
- The School of International Communications, The University of Nottingham Ningbo China, Ningbo, Zhejiang China
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8
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Zhou F, Zhang W, Cai H, Cao Y. Portrayals of 2v, 4v and 9vHPV vaccines on Chinese social media: a content analysis of hot posts on Sina Weibo. Hum Vaccin Immunother 2021; 17:4433-4441. [PMID: 34543155 DOI: 10.1080/21645515.2021.1971016] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Rather than receive the effective 2vHPV vaccines that are readily available in China, Chinese women usually wait to receive 4v and 9vHPV vaccines, which are difficult to acquire. This means that Chinese women miss the opportunity for optimal protection from cervical cancer. As social media platforms are the main channel by which Chinese women learn about HPV vaccines, this study aimed to explore how HPV vaccines are described on social media, and in particular how they discuss or distinguish 2 v, 4 v and 9vHPV vaccines. The Octopus Web crawler tool was used to capture hot Weibo posts from 2013-2021, and 1,164 valid data were obtained. Results suggested that there are very few posts with great influence on Weibo about HPV vaccines among 9 years and much of them are created by "lay people." HPV-related topics lacked persistent popularity, comprised highly repetitive content and the spread of information was geographically diverse. There were significant differences in the media descriptions of different kinds of HPV vaccines. Price was mentioned more often in the descriptions of 2vHPV vaccines, whereas appointments were referred to most often in the descriptions of 9vHPV vaccines. There was little media attention paid to the safety and effectiveness of HPV vaccines. Chinese media should develop better collaborations with public health professionals, pay more attention to the originality of their news coverage of HPV vaccines and strive to promote HPV vaccination. Such collaboration will help news media to better understand the key points of HPV information that need to be disseminated.
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Affiliation(s)
- Fangzhou Zhou
- School of Journalism and Culture Communication, Zhongnan University of Economics and Law, Wuhan, PR China
| | - Wen Zhang
- School of Journalism and Culture Communication, Zhongnan University of Economics and Law, Wuhan, PR China
| | - Hongning Cai
- Department of Gynecological Oncology, Hubei Maternal and Child Health Care Hospital, Wuhan, PR China
| | - Yuan Cao
- Analytical and Testing Center, Wuhan University of Science and Technology, Wuhan, PR China
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Ma J, Zhang X, Wang W, Zhang R, Du M, Shan L, Li Y, Wang X, Liu Y, Zhang W, Li X, Qiao Y, Wei M, Chen H, Zhou J, Li J. Knowledge of HPV, its vaccines, and attitudes toward HPV vaccines among obstetrician-gynecologists, pediatricians and immunization services providers in Western China. Hum Vaccin Immunother 2021; 18:1-7. [PMID: 34520323 PMCID: PMC8920158 DOI: 10.1080/21645515.2021.1962150] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background In mainland China, HPV vaccines have been available to the public. However, only a few related studies among health care providers, as the key information providers, were reported although public concerns on HPV vaccines still exist. In this study, we aim to assess the knowledge of HPV, its vaccines, and attitudes toward HPV vaccines among the three most important groups of health care providers in Western China. Method This was a cross-sectional questionnaire-based study. Health care providers including obstetrician-gynecologists (OB-GYNs), pediatricians, and immunization service providers in Western China were investigated regarding their knowledge of HPV and its vaccines and their attitudes toward HPV vaccines. Results Of 1079 health care providers completing the survey, 1015 (94.1%) knew HPV infection is the primary cause of cervical cancer. However, lower knowledge levels of other HPV-related diseases were also found (43.2%). About three-quarters (74.1%) of practitioners interviewed would be willing to recommend HPV vaccination, which was found to be lower among the OB-GYNs (69.6%) and the pediatricians (73.2%). “Lack of relevant knowledge,” “concerns on safety and efficacy” and price were the three most important concerns surrounding HPV vaccination. Conclusion The interviewed practitioners did not have adequate knowledge of HPV and its vaccines in depth. Education interventions are highly recommended to the health care providers, especially for OB-GYNs and pediatricians, to increase the coverage of HPV vaccination among the population. For the currently high price of vaccines, a future co-sharing mechanism between the government, the providers, and the individuals might be a solution.
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Affiliation(s)
- Jianqiao Ma
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Xi Zhang
- Beijing Office for Cancer Prevention and Control, Peking University Cancer Hospital & Institute, Beijing, China
| | - Wei Wang
- Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Rong Zhang
- Postdoctoral Research Station, Xinjiang Center for Disease Control and Prevention, Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention, Urumqi, China
| | - Mei Du
- Department of Obstetrics & Gynaecology, Dali Maternal & Child Health Hospital/Dali Children's Hospital, Dali, China
| | - Li Shan
- Department of Gynaecology, Northwest Women's and Children's Hospital, Shannxi, China
| | - Yucong Li
- Department of Gynecological Oncology, Chongqing University Cancer Hospital, Chongqing, China
| | - Xiaohui Wang
- Department of Public Health, Gansu Provincial Cancer Hospital/Gansu Provincial Academic Institute for Medical Research, Lanzhou, China
| | - Yijun Liu
- School of Public Health, Zunyi Medical University, Zunyi, China
| | - Wen Zhang
- Department of Gynecology, Kunming Women and Children's Hospital, Kunming, China
| | - Xiaoling Li
- Obstetrics and Gynecology Department, Yuxi Hospital of Traditional Chinese Medicine, Yuxi, China
| | - Youlin Qiao
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Mengna Wei
- Breast Tumor Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
| | - Hui Chen
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jing Zhou
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jing Li
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
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10
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Pan S, Zhang D, Zhang J. Caught in the Crossfire: How Contradictory Information and Norms on Social Media Influence Young Women's Intentions to Receive HPV Vaccination in the United States and China. Front Psychol 2020; 11:548365. [PMID: 33343438 PMCID: PMC7744687 DOI: 10.3389/fpsyg.2020.548365] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 11/16/2020] [Indexed: 11/23/2022] Open
Abstract
This study uses online survey data from the United States and China to examine how contradictory information and social norms regarding HPV vaccines obtained through social media are related to young women’s attitudes and intentions surrounding HPV vaccination. The results show that exposure to contradictory information on social media had a greater negative association with intentions to receive HPV vaccination among the United States participants than among the Chinese participants, while social norms supporting HPV vaccines had a stronger positive association with intentions to receive HPV vaccination among the Chinese participants than among the United States participants. These findings extend the literature on social media communication regarding HPV vaccination and contribute to our knowledge of cultural contexts that influence intentions to receive HPV vaccination.
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Affiliation(s)
- Shuya Pan
- Renmin University of China, Beijing, China
| | - Di Zhang
- Renmin University of China, Beijing, China
| | - Jingwen Zhang
- University of California, Davis, Davis, CA, United States
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11
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Li J, Zheng H. Coverage of HPV-Related Information on Chinese Social Media: a Content Analysis of Articles in Zhihu. Hum Vaccin Immunother 2020; 16:2548-2554. [PMID: 32159420 PMCID: PMC7644171 DOI: 10.1080/21645515.2020.1729028] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 02/08/2020] [Indexed: 10/24/2022] Open
Abstract
Information about human papillomavirus (HPV) disease and its vaccination has been increasingly communicated and discussed on social media platforms. The current study aims to investigate the coverage of HPV-related information on one of the most popular Chinese social media - Zhihu. Data for this study were user-generated articles, which were identified and collected by a Python web crawler with keyword searching. The final sample included a total of 115 articles, covering a two-year period between 2017 and 2018. Each article was coded for several key characteristics, including HPV epidemiological information, health belief model (HBM) constructs, framing strategy, and responses to the article. Results suggested that most of the articles reported HPV's relationship to cervical cancer, HPV severity, and vaccination benefits. Thematic framing was more often used by the Zhihu articles to disseminate HPV-related issues, and a significant relationship between framing strategy and information coverage was found. The study has not only theoretically extended the literature of online HPV vaccine information coverage, but also practically suggested the needs to communicate comprehensive and detailed knowledge about HPV vaccination on Chinese social media.
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Affiliation(s)
- Jinhui Li
- School of Journalism and Communication, Jinan University, Guangdong, China
- Media National Experimental Teaching Demonstration Center, Jinan University, Guangdong, China
| | - Han Zheng
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore
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12
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Li L, Li J. Factors affecting young Chinese women's intentions to uptake human papillomavirus vaccination: an extension of the theory of planned behavior model. Hum Vaccin Immunother 2020; 16:3123-3130. [PMID: 32692605 DOI: 10.1080/21645515.2020.1779518] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Aside from personal beliefs, women's intention to uptake human papillomavirus vaccination can be influenced by their perceived risks of developing cervical cancer and daily communication. OBJECTIVES This study incorporated perceived risks and communication factors (i.e., media attention and interpersonal discussion) with theory of planned behavioral factors (i.e., attitude, subjective norm, and perceived behavioral control) to predict women's intentions to uptake human papillomavirus vaccination in China. METHODS A quantitative survey was conducted with 417 female university students in China. The Structural Equation Modeling analysis was applied to test the proposed extended TPB model and to examine the hypotheses in Mplus software. RESULTS The results showed that the original theory of planned behavior factors and the perceived risk toward cervical cancer were positively related to their intention to uptake human papillomavirus vaccination. Moreover, media attention and interpersonal discussion positively affected people's attitudes toward human papillomavirus vaccination and subjective norm, which further influenced their intentions to uptake human papillomavirus vaccination. CONCLUSION This study can help better understand unvaccinated eligible vaccine recipients and identify the differences between individuals who are likely and unlikely to get vaccinated.
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Affiliation(s)
- Li Li
- School of Journalism, Yunnan University , Kunming, P. R. China
| | - Jinhui Li
- School of Journalism and Communication, Jinan University , Guangzhou, P. R. China.,Media National Experimental Teaching Demonstration Center, Jinan University , Guangzhou,Guangdong, China
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13
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Yang G, Myrick JG. Online media use and HPV vaccination intentions in mainland China: integrating marketing and communication perspectives to improve public health. HEALTH EDUCATION RESEARCH 2020; 35:110-122. [PMID: 32053153 DOI: 10.1093/her/cyaa002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 01/16/2020] [Indexed: 06/10/2023]
Abstract
This study investigates the role of media in shaping human papilloma virus vaccination intentions in mainland China by applying both communication and marketing-focused theoretical frameworks in order to better understand ways to increase vaccine uptake across young men and women in China. An online survey (N = 359) revealed direct effects of online information consumption on perceived scarcity of the vaccine, as well as an indirect effect via perceived influence of media on others. Scarcity perceptions, in turn, predicted vaccine attitudes and behavioral intentions. Additionally, gender differences emerged in the data. Compared with women, men's intent to be vaccinated were not high, even if they realized the vaccine shortage. Implications for theory and practice are discussed.
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Affiliation(s)
- Guolan Yang
- Donald P. Bellisario College of Communications, Pennsylvania State University, University Park, PA, USA
| | - Jessica Gall Myrick
- Donald P. Bellisario College of Communications, Pennsylvania State University, University Park, PA, USA
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14
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Liu Y, Tsai JY, Chen Y. Beyond Altruism: Framing Organ Donation in a 19-year Review of Chinese News Coverage. JOURNAL OF HEALTH COMMUNICATION 2019; 24:878-888. [PMID: 31687890 DOI: 10.1080/10810730.2019.1681564] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Despite a significant legal transformation of the organ donation system in China, the public's willingness to become organ donors remains low. This study provides the first empirical examination of how Chinese newspaper coverage reflects the complex interplay among multifaceted factors associated with the stagnant donation rate. Using framing as the primary theoretical lens, we analyzed 923 organ donation newspaper articles from 2000 to 2018 in terms of topics, facilitators and barriers, valence, and policy development. The three most common topics emphasized were: a new official information release regarding organ donation promotion; the challenges of promoting organ donation in social, cultural, and legal contexts; and the positive emotional appeals of organ donors, coordinators, and transplant surgeons. Findings suggest that the values that facilitators of and barriers to organ donation represent can be culturally favored but in conflict with each other. Sharp increases in the presence of policy development framing are associated with the official announcements of new legislation. A better understanding of trending topics and interacting influence from facilitators and barriers is imperative for developing culturally tailored messages to raise awareness about organ donation promotion.
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Affiliation(s)
- Yanqin Liu
- Center for Strategic Communication, Hugh Downs School of Human Communication, Arizona State University, Tempe, AZ, USA
| | - Jiun-Yi Tsai
- School of Communication, Northern Arizona University, Flagstaff, AZ, USA
| | - Yashu Chen
- Hugh Downs School of Human Communication, Arizona State University, Tempe, AZ, USA
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15
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Tung WC, Lu M, Qiu X, Ervin S. Human papillomavirus knowledge, attitudes, and vaccination among Chinese college students in the United States. Vaccine 2019; 37:3199-3204. [PMID: 31047678 DOI: 10.1016/j.vaccine.2019.04.084] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 04/17/2019] [Accepted: 04/25/2019] [Indexed: 02/04/2023]
Abstract
Human papilloma virus (HPV) is the most common sexually transmitted infection in the USA with some strains increasing the risk of certain cancers. The HPV vaccine, introduced in 2006, has reduced the infection rate, although racial/ethnic disparities in vaccination exist. Asian college students are among those with the lowest vaccination rates, however there has been little exploration as to why. The purposes of this study were to assess (a) knowledge and attitudes regarding HPV and its vaccine, (b) HPV vaccination practices, and (c) factors associated with HPV-related knowledge and attitudes, and vaccination among Chinese college students in the USA. This cross-sectional quantitative survey collected data face-to-face and online from 449 participants. The mean scores for HPV knowledge and attitudes were 40.87 and 2.36 indicating a low-to-moderate level of knowledge but a moderately positive attitude regrading HPV transmission and vaccination. Only half (50.8%) knew that the vaccination could be received after the age of 18 years. Only 38.3% reported having receiving at least one dose of the vaccine, with 92.4% receiving their first HPV vaccines in the USA. Multiple logistic regression showed that men and non-health sciences majors had lower knowledge about HPV. Older students, those without a primary care provider, and those who completed the survey in English had more negative attitudes about the HPV and vaccine. Participants who were younger, female, had a higher level of knowledge, had more positive attitudes, and completed the survey online were associated with better vaccination status. Findings from this study provide insight into Chinese college students' knowledge and attitudes about HPV and HPV vaccination and may be used to develop culturally sensitive programs that address the risk of HPV and the benefits of HPV vaccine.
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Affiliation(s)
- Wei-Chen Tung
- Orvis School of Nursing, University of Nevada-Reno, Reno, Nevada 89557, United States.
| | - Minggen Lu
- School of Community Health Sciences, University of Nevada, Reno, Nevada 89557, United States
| | - Xiangwen Qiu
- University of California, Davis, CA, United States
| | - Susan Ervin
- Orvis School of Nursing, University of Nevada-Reno, Reno, Nevada 89557, United States
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