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Shay LA, McKenzie A, Avshman E, Savas LS, Shegog R. HPV vaccine-related articles shared on Facebook from 2019 to 2021: Did COVID make a difference? PEC INNOVATION 2024; 4:100301. [PMID: 38962500 PMCID: PMC11219959 DOI: 10.1016/j.pecinn.2024.100301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 05/31/2024] [Accepted: 06/03/2024] [Indexed: 07/05/2024]
Abstract
Objective HPV vaccination is recommended for children beginning at age 9 to prevent several types of cancer. Many parents turn to Facebook for health information. This study describes changes in HPV vaccine-related articles shared on Facebook amidst the COVID-19 pandemic. Methods HPV-related articles shared on Facebook (2019-2021) were collected using Buzzsumo, a social media analytics tool and analyzed using content analysis. Articles were categorized by valence, misinformation, evidence types, persuasive tactics, and framing. We quantified these data and tested for difference by article year. Results Of the 138 included articles, 51% had positive valence towards the vaccine and 36% had negative valence. In 2021, there was a significant increase in positive messaging (72% vs. 44% in 2019/2020; p < 0.01) and misinformation decreased from 50% in 2019 to 24% in 2021 (p = 0.04). Persuasive strategies were more common in 2019 than in later years. Conclusion Despite decreased engagement in 2021, more positive HPV vaccine messaging was observed, although a quarter of articles still contained misinformation. Our results can inform strategies for communicating with parents about the HPV vaccine. Innovation Our study is the first to analyze HPV-related articles linked on Facebook and to assess for differences during the pandemic.
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Affiliation(s)
- L. Aubree Shay
- Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Center for Health Promotion and Prevention Research, 7411 John Smith Dr., Suite 1110, San Antonio, TX 78229, USA
| | - Ashley McKenzie
- Department of Communication, Clemson University, Clemson, SC 29634, USA
| | - Elaine Avshman
- School of Medicine, Texas A&M University, Bryan, TX 77807, USA
| | - Lara S. Savas
- Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Center for Health Promotion and Prevention Research, Houston, TX, USA
| | - Ross Shegog
- Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Center for Health Promotion and Prevention Research, Houston, TX, USA
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Huang S, Zhou J, Li Q, Zhang Y, Xu Y, Li Y, Xiao Y, Ma W, He L, Ren X, Dai Z, Sun J, Jiao K, Cheng F, Liang W, Xin M, Luo S. Media Literacy and Its Potential Influence on Mpox-Related Perceptions and Prevention Intentions in China During the 2022 Multi-Country Outbreak of Mpox. HEALTH COMMUNICATION 2024:1-11. [PMID: 39263849 DOI: 10.1080/10410236.2024.2400391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/13/2024]
Abstract
Media literacy plays an increasingly important role in health communication during public health emergencies. The present study aimed to investigate the level of media literacy and its association with disease perceptions and behavioral intentions of receiving vaccination services among young men who have sex with men (YMSM) in China during the 2022 multi-country mpox outbreak. The data were from a large-scale cross-sectional survey conducted among 2,493 YMSM aged 18-29 years in six provincial regions in China in September 2022. A total of 2,079 YMSM who had obtained mpox information from social media platforms were included in this study. Correlation analysis and path analysis were conducted. The mean age of the sample was 24.7. After controlling for background variables, significant positive correlations were found in several pairs between media literacy, mpox-related perceptions (including perceived susceptibility to mpox, perceived severity of mpox, perceived benefits of mpox vaccination, and self-efficacy of receiving mpox vaccination), and the behavioral intention of receiving mpox vaccination. The mpox-related perceptions played a significant mediation role in the association between media literacy and intention of receiving mpox vaccination (indirect effect = 0.165, p < .001, effect size = 82.1%). Media literacy is crucial for developing disease perceptions during public health emergencies and may further influence the adoption of preventive measures. As social media platforms have become the main battle field of health communication during disease outbreaks, improvement of media literacy is urgently warranted.
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Affiliation(s)
- Siwen Huang
- Vanke School of Public Health, Tsinghua University
| | - Jingtao Zhou
- Vanke School of Public Health, Tsinghua University
| | - Qingyu Li
- Vanke School of Public Health, Tsinghua University
| | - Yuhang Zhang
- Vanke School of Public Health, Tsinghua University
| | - Yutong Xu
- Vanke School of Public Health, Tsinghua University
| | - Yan Li
- Department of Acute Infectious Diseases Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention
| | - Yongkang Xiao
- Department of Acute Infectious Diseases Control and Prevention, Anhui Provincial Center for Disease Control and Prevention
| | - Wei Ma
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University
| | - Lin He
- Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention
| | - Xianlong Ren
- Department of AIDS/STD Control and Prevention, Beijing Center for Disease Control and Prevention
| | - Zhen Dai
- Department of AIDS/STD Control and Prevention, Chengdu Center for Disease Control and Prevention
| | - Jiaruo Sun
- Vanke School of Public Health, Tsinghua University
| | - Kedi Jiao
- Vanke School of Public Health, Tsinghua University
| | - Feng Cheng
- Vanke School of Public Health, Tsinghua University
- Institute for Healthy China, Tsinghua University
| | - Wannian Liang
- Vanke School of Public Health, Tsinghua University
- Institute for Healthy China, Tsinghua University
| | - Meiqi Xin
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University
| | - Sitong Luo
- Vanke School of Public Health, Tsinghua University
- Institute for Healthy China, Tsinghua University
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Catanghal RAM, Sta Ana JS. Social Media Promotion of a Telehealth-based Vaccine Delivery System at the Outpatient Department: a Quasi-Experimental Study. ACTA MEDICA PHILIPPINA 2024; 58:69-75. [PMID: 39166225 PMCID: PMC11330995 DOI: 10.47895/amp.v58i13.7549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/22/2024]
Abstract
Background and Objective COVID-19 pandemic gave rise to an increase in demand for pneumococcal and influenza vaccines. Several approaches to improve vaccination rates among different populations were investigated to address this need. Social media may be used as a platform to promote and improve vaccination rates. The study aimed to determine the effect of social media promotion, on the number of patients requesting vaccination in a government tertiary hospital. Methods The study was conducted using a quasi-experimental design. A telehealth-based vaccination delivery system was established. The need for vaccination against flu and pneumonia was then promoted on a social media platform during the first month of the study. Posters on the risk of not being vaccinated and safety profile of vaccines were added on the second month. The number of requests for vaccination for each month was compared. Social media metrics of the two months of the study were likewise described. Results A total of 23 requests for vaccination were recorded, 11 on the first month and 12 on the second month. When a boost in advertising for the posts was implemented, twice as many requests were made during the third week of the second month as compared to the previous month (5 vs 10). Social media promotion with poster showed higher average in reach, engagement and comments per week than without poster. The mean differences among the social media metrics, however, were not statistically significant. Conclusion Promotion with posters resulted in a slight increase in number of vaccination requests. Further increase in requests may require a more refined social media promotional strategy.
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Affiliation(s)
- Ronan Aldous M Catanghal
- Department of Family and Community Medicine, Philippine General Hospital, University of the Philippines Manila
| | - Jardine S Sta Ana
- Department of Family and Community Medicine, Philippine General Hospital, University of the Philippines Manila
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Ruggeri K, Vanderslott S, Yamada Y, Argyris YA, Većkalov B, Boggio PS, Fallah MP, Stock F, Hertwig R. Behavioural interventions to reduce vaccine hesitancy driven by misinformation on social media. BMJ 2024; 384:e076542. [PMID: 38228339 PMCID: PMC10789192 DOI: 10.1136/bmj-2023-076542] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2024]
Affiliation(s)
- Kai Ruggeri
- Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York City, NY, USA
| | - Samantha Vanderslott
- Vaccines and Society Unit, Oxford Vaccine Group, Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, NIHR Oxford Biomedical Research Centre, Oxford, UK
| | - Yuki Yamada
- Faculty of Arts and Science, Kyushu University, Fukuoka, Japan
| | - Young Anna Argyris
- Department of Media and Information, Michigan State University, East Lansing, MI, USA
| | - Bojana Većkalov
- Department of Psychology, University of Amsterdam, Amsterdam, Netherlands
| | - Paulo Sergio Boggio
- Cognitive and Social Neuroscience Laboratory, Mackenzie Presbyterian University, São Paulo, Brazil
| | - Mosoka P Fallah
- Saving Lives and Livelihoods, Africa Center for Disease Control, Addis Ababa, Ethiopia
| | - Friederike Stock
- Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany
| | - Ralph Hertwig
- Max Planck Institute for Human Development, Berlin, Germany
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Yu Y, Zhang X, Lau MMC, Lau JTF. The intention to get COVID-19 booster vaccination and its association with cognitive and emotional factors: A survey of Chinese COVID-19 infected people in Hong Kong. Vaccine 2024; 42:206-212. [PMID: 38065769 DOI: 10.1016/j.vaccine.2023.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 12/01/2023] [Accepted: 12/02/2023] [Indexed: 01/01/2024]
Abstract
BACKGROUND Although the pandemic has ended officially, COVID-19 remains impactful. Booster COVID-19 vaccination is still needed to protect individuals against COVID-19 and the disease's harmful consequences. This study investigated the prevalence of the intention to get booster COVID-19 vaccination after receiving the COVID-19 diagnosis and its associated factors among people reporting prior COVID-19. METHODS A population-based anonymous telephone survey was conducted in Hong Kong, China from June to August 2022 among Chinese people reporting prior COVID-1 between February and August 2022 and having taken up ≥2 doses of COVID-19 vaccines prior to COVID-19 diagnosis. RESULTS The prevalence of the intention to get booster vaccination was 59.2 %. Older age (>60 years), being currently married, not employed full-time, and having chronic diseases were positively associated with the intention to get booster vaccination. Adjusted for the background factors, higher levels of the cognitive factors of perceived susceptibility to COVID-19, perceived acquired moderate-to-strong immunity against COVID-19, and perceived adequate knowledge of COVID-19 were positively associated with the intention to get booster vaccination; stronger perceived severity of prior infection despite vaccination was negatively associated with the intention outcome. In contrast, stronger mental distress due to COVID-19, illness concern, and emotional representation were positively associated with the intention. Self-perceived long COVID status was not a significant factor. DISCUSSION The prevalence of the intention to get booster COVID-19 vaccination was limited, especially among younger people reporting prior COVID-19. Health promotion is still required among people reporting prior COVID-19 and may emphasize the significant cognitive factors positively associated with the intention. Future studies are needed to confirm the findings, clarify the role of emotional factors on booster vaccination, and explore other factors of the intention to get booster vaccination among people reporting prior COVID-19.
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Affiliation(s)
- Yanqiu Yu
- School of Public Health, Fudan University, Shanghai, China
| | - Xiaoying Zhang
- College of Public Health, Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Mason M C Lau
- Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Joseph T F Lau
- Public Mental Health Center, School of Mental Health, Wenzhou Medical University, Wenzhou, China; Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, China.
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Keselman A, Arnott Smith C, Wilson AJ, Leroy G, Kaufman DR. Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes. Vaccines (Basel) 2022; 11:vaccines11010094. [PMID: 36679939 PMCID: PMC9865922 DOI: 10.3390/vaccines11010094] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/15/2022] [Accepted: 12/20/2022] [Indexed: 01/03/2023] Open
Abstract
The development of COVID-19 vaccines is a major scientific accomplishment that has armed communities worldwide with powerful epidemic control tools. Yet, COVID-19 vaccination efforts in the US have been marred by persistent vaccine hesitancy. We used survey methodology to explore the impact of different cognitive and cultural factors on the public's general vaccination attitudes, attitudes towards COVID-19 vaccines, and COVID-19 vaccination status. The factors include information literacy, science literacy, attitudes towards science, interpersonal trust, public health trust, political ideology, and religiosity. The analysis suggests that attitudes towards vaccination are influenced by a multitude of factors that operate in a complex manner. General vaccination attitude was most affected by attitudes towards science and public health trust and to a lesser degree by information literacy, science literacy, and religiosity. Attitudes towards COVID-19 vaccines were most affected by public health trust and to a lesser extent by general trust, ideology and attitudes towards science. Vaccination status was most influenced by public health trust. Possible mediating effects of correlated variables in the model need to be further explored. The study underscores the importance of understanding the relationship between public health trust, literacies, and sociocultural factors.
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Affiliation(s)
- Alla Keselman
- National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA
- Correspondence: ; Tel.: +1-301-827-5671
| | | | - Amanda J. Wilson
- National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA
| | - Gondy Leroy
- Management Information Systems, University of Arizona, Tucson, AZ 85721, USA
| | - David R. Kaufman
- Medical Informatics Program, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
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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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