1
|
Luisi M, Geana MV, Pei J. Pandemic antecedents - Exploring predictivity and relationships between COVID-19 vaccine uptake and influenza, shingles, and HPV vaccination. Vaccine 2024; 42:2455-2462. [PMID: 38461049 DOI: 10.1016/j.vaccine.2024.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 02/16/2024] [Accepted: 03/02/2024] [Indexed: 03/11/2024]
Abstract
BACKGROUND A wealth of extant research focuses on identifying barriers to, and predictors of, COVID-19 vaccination. In addition to treating COVID-19 vaccination and related experiences as antecedents, this study analyzes the relationships between COVID-19 vaccination experiences and intent to receive the flu, shingles, and HPV vaccines. METHOD Analyses were performed on the responses from U.S. survey panel of 1,024 participants (n = 1,024), 530 (51.8 %) who received at least a dose of the COVID-19 vaccine and 494 (48.2 %) who had not. Descriptive and inferential statistics identify participant demographic characteristics, prior vaccination behavior, vaccination intentions, risk behavior assessment, vaccination attitudes and beliefs, and the predictivity of COVID-19 vaccination, when treated as an antecedent. RESULTS Receiving a first dose of the COVID-19 vaccine interacted with receiving a past influenza vaccine, predicting the future intention to receive a COVID-19 vaccine or booster. Vaccine hesitancy in parents is significantly related to vaccination behaviors for themselves and their children. Analyses also showed differences between the vaccinated group (VG) and the unvaccinated group (UVG) on hesitancy, beliefs, and attitudes toward the COVID-19 vaccine. CONCLUSION Experience with COVID-19 vaccination and the relationship of those experiences with other vaccinations provide useful insight on leveraging vaccine uptake. Healthcare professionals should improve the COVID-19 vaccination experience and use vaccination appointments to promote other vaccinations. Research should continue to compare vaccination experiences and how they may persuade or dissuade vaccination intent for other vaccinations.
Collapse
Affiliation(s)
- Monique Luisi
- School of Journalism, University of Missouri, 178 Gannett Hall, Columbia, MO 65211, USA.
| | - Mugur V Geana
- Center for Excellence in Health Communication to Underserved Populations, School of Journalism and Mass Communications, University of Kansas, 1000 Sunnyside Ave., Suite 2001, Lawrence, KS 66045, USA.
| | - Jun Pei
- Center for Excellence in Health Communication to Underserved Populations, School of Journalism and Mass Communications, University of Kansas, 1000 Sunnyside Ave., Suite 2001, Lawrence, KS 66045, USA.
| |
Collapse
|
2
|
Geana MV, Liu P, Pei J, Anderson S, Ramaswamy M. "A Friendly Conversation." Developing an eHealth Intervention to Increase COVID-19 Testing and Vaccination Literacy Among Women with Criminal and Legal System Involvement. J Health Commun 2024; 29:131-142. [PMID: 38111197 PMCID: PMC10842808 DOI: 10.1080/10810730.2023.2293094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2023]
Abstract
Many women leaving jails are ill-prepared to follow recommended COVID-19 mitigation practices, including testing and vaccination. Low COVID-19-related health literacy, exposure to disinformation, and mistrust in authorities put women at increased risk. Research on this population has shown significant use of mobile devices for communication and web access and public Wi-fi for the internet. Using inductive (formative empirical research with the community) and deductive (theory-based) practices, we designed, developed, and pilot-tested a multimedia, culturally tailored web-based electronic health (eHealth) application to increase COVID-19-specific health literacy and promote testing and vaccination among women with criminal and legal system involvement (CLSI). The intervention included a serialized animated multimedia component and a telenovela-style series, complementing each other and addressing knowledge needs identified in the formative research phase of the project. The eHealth intervention was pilot-tested with 13 CLSI women by using online activity logs and semi-structured telephone interviews. Findings confirmed that eHealth interventions employing multimodal information delivery had increased chances of engaging audiences, especially when developed with input from the target population and are culturally tailored. In addition, using a web-based delivery optimized for mobile made the intervention accessible on various devices and decreased the risk of technical problems.
Collapse
Affiliation(s)
- Mugur V. Geana
- Center for Excellence in Health Communication to Underserved Populations, School of Journalism and Mass Communications, University of Kansas, Lawrence, Kansas, USA
| | - Pan Liu
- Department of Media, Design, and Communication, Marian University, Indianapolis, Indiana, USA
| | - Jun Pei
- Center for Excellence in Health Communication to Underserved Populations, School of Journalism and Mass Communications, University of Kansas, Lawrence, Kansas, USA
| | - Sherri Anderson
- Department of Population Health, University of Kansas School of Medicine, Kansas City, Kansas, USA
| | - Megha Ramaswamy
- Department of Population Health, University of Kansas School of Medicine, Kansas City, Kansas, USA
| |
Collapse
|
3
|
Light N, Fernbach PM, Rabb N, Geana MV, Sloman SA. Knowledge overconfidence is associated with anti-consensus views on controversial scientific issues. Sci Adv 2022; 8:eabo0038. [PMID: 35857847 PMCID: PMC9299547 DOI: 10.1126/sciadv.abo0038] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Public attitudes that are in opposition to scientific consensus can be disastrous and include rejection of vaccines and opposition to climate change mitigation policies. Five studies examine the interrelationships between opposition to expert consensus on controversial scientific issues, how much people actually know about these issues, and how much they think they know. Across seven critical issues that enjoy substantial scientific consensus, as well as attitudes toward COVID-19 vaccines and mitigation measures like mask wearing and social distancing, results indicate that those with the highest levels of opposition have the lowest levels of objective knowledge but the highest levels of subjective knowledge. Implications for scientists, policymakers, and science communicators are discussed.
Collapse
Affiliation(s)
- Nicholas Light
- School of Business, Portland State University, Portland, OR, USA
- Corresponding author.
| | - Philip M. Fernbach
- Leeds School of Business, University of Colorado Boulder, Boulder, CO, USA
| | | | - Mugur V. Geana
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, KS, USA
| | - Steven A. Sloman
- Cognitive, Linguistic, and Psychological Sciences, Brown University, Providence, RI, USA
| |
Collapse
|
4
|
Geana MV, Rabb N, Sloman S. Walking the party line: The growing role of political ideology in shaping health behavior in the United States. SSM Popul Health 2021; 16:100950. [PMID: 34761098 PMCID: PMC8566901 DOI: 10.1016/j.ssmph.2021.100950] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 10/20/2021] [Accepted: 10/20/2021] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE To assess the extent to which political ideology affects COVID-19 preventive behaviors and related beliefs and attitudes in the U.S. METHODS Two surveys, one using a convenience sample and another using a nationally representative sample, were conducted in September and November 2020, respectively. Multiple regressions compared political ideology with identified COVID-19 risk factors and demographics as well as knowledge measures. Surveys were followed by a review of the emerging COVID-19 behavioral literature (completed in January 2021) to assess the frequency of ideological effects in publicly reported data. RESULTS In the survey data, political ideology was a significant predictor for all dependent variables in both surveys, and the strongest predictor for most of them. Out of 141 estimates from 44 selected studies, political ideology was a significant predictor of responses in 112 (79%) and showed the largest effect on COVID-19-related measures in close to half of these estimates (44%). CONCLUSIONS This study reinforces previous research that found partisan differences in engaging in behaviors with long-term health consequences by showing that these ideologically-driven differences manifest in situations where the possibility of severe illness or death is immediate and the potential societal impact is significant. The substantial implications for public health research and practice are both methodological and conceptual.
Collapse
Affiliation(s)
- Mugur V. Geana
- Center for Excellence in Health Communication to Underserved Populations (CEHCUP), William Allen White School of Journalism and Mass Communications, University of Kansas, USA
| | | | - Steven Sloman
- Cognitive, Linguistic & Psychological Sciences, Brown University, USA
| |
Collapse
|
5
|
Geana MV, Anderson S, Ramaswamy M. COVID-19 vaccine hesitancy among women leaving jails: A qualitative study. Public Health Nurs 2021; 38:892-896. [PMID: 33973268 PMCID: PMC8242643 DOI: 10.1111/phn.12922] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 04/14/2021] [Indexed: 01/24/2023]
Abstract
In many correctional facilities across the United States, COVID-19 vaccine refusal rates are as high as 50%. Most women leaving jails have low SES, health literacy, and mistrust of governmental institutions, thus exacerbating existing health disparities and making women leaving jail vulnerable. Data from 25 interviews with recently released women suggest that interventions to promote vaccines to this population will have to address health education and mitigate mistrust, misinformation, and conspiracy theories.
Collapse
Affiliation(s)
- Mugur V. Geana
- Center for Excellence in Health Communication to Underserved PopulationsSchool of Journalism and Mass CommunicationsUniversity of KansasLawrenceKSUSA
| | - Sherri Anderson
- Department of Population HealthUniversity of Kansas School of MedicineKansas CityKSUSA
| | - Megha Ramaswamy
- Department of Population HealthUniversity of Kansas School of MedicineKansas CityKSUSA
| |
Collapse
|
6
|
Geana MV, Anderson S, Lipnicky A, Wickliffe JL, Ramaswamy M. Managing Technology, Content, and User Experience: An mHealth Intervention to Improve Women's Health Literacy after Incarceration. J Health Care Poor Underserved 2021. [DOI: 10.1353/hpu.2021.0053] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
7
|
Geana MV. Kansans in the Middle of the Pandemic: Risk Perception, Knowledge, Compliance with Preventive Measures, and Primary Sources of Information about COVID-19. Kans J Med 2020; 13:160-164. [PMID: 32612749 PMCID: PMC7324058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 06/15/2020] [Indexed: 11/09/2022] Open
Abstract
INTRODUCTION As we conduct this study, the world is in the grasp of a deadly pandemic. In less than six months since its first diagnosis in Wuhan, China, the COVID-19 infectious disease due to the novel coronavirus has infected over 5,000,000 people and claimed over 350,000 lives. In the United States, most of the cases are in large urban settings along the coasts, but the disease is slowly progressing through the mainland. Kansas, with its particular location in the midwest United States, has seen a relatively small number of cases, but these are increasing. The Kansas government took radical measures to prevent the spread of the disease. According to the Health Beliefs Model, an individual's perception of risk will dictate engagement with preventive behaviors. Knowledge about the disease and preventive measures drive the risk assessment. Knowledge is dependant on the sources of information used. This study explored these metrics in a sample of Kansans living in the times of the COVID-19 pandemic. METHODS A combination of snowball samples and random distribution through social media was used to recruit participants to an online survey. The risk and knowledge instrument was developed and validated by WHO Europe. Data collection lasted 96 hours. RESULTS The attitudes and behaviors of Kansans concerning COVID-19 were consistent with its location in an area of the country with a relatively lower incidence of the disease. Participants had good knowledge about the disease and preventive measures and were willing to comply with recommendations from local authorities. CONCLUSION Localized information sources that cater to the community are often primary, while social media is not a valuable source for information pertinent to COVID-19.
Collapse
|
8
|
Luisi MLR, Luisi T, Geana MV. Homosexuality and the Heartbeat of a Locker Room: An Analysis of Quotations in the Context of Hegemonic and Inclusive Masculinity Theories. J Homosex 2016; 63:1314-1338. [PMID: 26914518 DOI: 10.1080/00918369.2016.1157996] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This qualitative textual analysis examines the attitudes and beliefs of the U.S. sports industry reflected in news stories through quotations (n = 405) employed by writers in the media. The researchers analyzed quotations from U.S. national newspapers regarding Jason Collins (National Basketball Association) and Michael Sam (National Football League), the first openly gay athletes in their sports leagues, and their coming-out announcements. The findings from the quotations suggest that the National Basketball Association is more accepting toward the presence of gay male teammates than adhering to a more inclusive definition of masculinity. The National Football League, however, is more resistant to the presences of gay male teammates, with more attitudes aligned with a traditional hegemonic masculinity. Whereas both organizations openly state their support for equality, there are still obstacles to achieving GLBT equality in professional sports leagues.
Collapse
Affiliation(s)
- Monique L R Luisi
- a School of Journalism , University of Kansas , Lawrence , Kansas , USA
| | - Tim Luisi
- a School of Journalism , University of Kansas , Lawrence , Kansas , USA
| | - Mugur V Geana
- b William Allen White School of Journalism and Mass Communications , University of Kansas , Lawrence , Kansas , USA
| |
Collapse
|
9
|
Geana MV, Greiner KA, Cully A, Talawyma M, Daley CM. Improving health promotion to American Indians in the midwest United States: preferred sources of health information and its use for the medical encounter. J Community Health 2013; 37:1253-63. [PMID: 22477671 DOI: 10.1007/s10900-012-9564-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the "expert" tone needed to promote health improvements in American Indians.
Collapse
Affiliation(s)
- Mugur V Geana
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, KS 66045, USA.
| | | | | | | | | |
Collapse
|
10
|
Geana MV. Can Facebook Tell Us Something About Regional Health Indicators? Kans J Med 2012. [DOI: 10.17161/kjm.v5i3.11421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
11
|
Geana MV, Daley CM, Nazir N, Cully L, Etheridge J, Bledowski C, Choi WS, Greiner KA. Use of online health information resources by American Indians and Alaska Natives. J Health Commun 2012; 17:820-835. [PMID: 22642739 PMCID: PMC3412882 DOI: 10.1080/10810730.2011.650831] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
According to the Office of Minority Health, an estimated 4.9 million people living in the United States consider themselves American Indian or Alaska Native, either alone or in combination with one or more races/ethnicities. American Indians or Alaska Natives comprise a racial/ethnic group experiencing serious health disparities, with little if any improvement in health outcomes over the past several decades. This study was designed to explore use of the Internet as a health information source among American Indians in the Central Plains region of the United States. The authors recruited 998 Natives in the region from May 2008 to December 2009 at powwows, health fairs, focus groups, career fairs and conferences, and other social and cultural events, and asked them to complete a self-administered survey. Although compared with data from the general population, American Indians or Alaska Natives in this sample may seem to be more frequent Internet users, their use of modern wireless devices is limited, and their use of the Internet to access health information is lower in comparison with the adult U.S. population. Natives living in the Central Plains region face generational differences in general and health-related use of the Internet. Inadequate availability of culturally appropriate health information websites may drive American Indians or Alaska Natives toward search engines and general information websites.
Collapse
Affiliation(s)
- Mugur V Geana
- William Allen White School of Journalism and Mass Communications, University of Kansas, 1435 Jayhawk Boulevard, Lawrence, KS 66045, USA.
| | | | | | | | | | | | | | | |
Collapse
|
12
|
Greiner KA, Geana MV, Epp A, Watson A, Filippi M, Daley CM, Engelman KK, James AS, Campbell M. A computerized intervention to promote colorectal cancer screening for underserved populations: theoretical background and algorithm development. Technol Health Care 2012; 20:25-35. [PMID: 22297711 PMCID: PMC4086405 DOI: 10.3233/thc-2011-0653] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVE The aim of this exploratory study was to assess factors deemed by patients as "important" as they planned and considered undergoing colorectal cancer (CRC) screening, and to use this data to design a computer-delivered intervention to promote screening. METHODS Fifty participants 50 years or older, not up-to-date with current recommended CRC screening guidelines, were recruited from a primary care clinic. A semi-structured interview focused on aspects of preparing for colorectal cancer screening was administered; after transcription, researchers used triangulation and consensus to identify relevant themes and concepts. RESULTS Four main themes were identified that dealt with issues important for both FOBT and colonoscopy planning: personal concerns, reminders, communication with healthcare providers and obtaining test results. FOBT specific themes included: sample collection and return. For colonoscopy screening, themes included: scheduling, intervention questions, colonoscopy preparation, and transportation. These can be classified as barrier, process and accessory themes. The developed computer-administered implementation intentions algorithm addressed all the identified concerns in a planned and sequential manner, in order to facilitate planning for CRC screening. CONCLUSIONS The results of this study suggest that appropriate reminders, explanations of procedures, and patient understanding of temporary life disruptions, help patients develop and accept a detailed screening plan.
Collapse
Affiliation(s)
- K. Allen Greiner
- Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA
| | - Mugur V. Geana
- Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, KS, USA
| | - Aaron Epp
- Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA
| | - Angela Watson
- Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA
| | - Melissa Filippi
- Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA
| | - Christine Makosky Daley
- Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA
| | - Kimberly K. Engelman
- Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA
| | - Aimee S. James
- Department of Surgery, Washington University, St. Louis, MO, USA
| | - Marci Campbell
- Department of Nutrition, School of Public Health, University of North Carolina Chapel Hill, NC, USA
| |
Collapse
|
13
|
Geana MV, Kimminau KS, Greiner KA. Sources of health information in a multiethnic, underserved, urban community: does ethnicity matter? J Health Commun 2011; 16:583-594. [PMID: 21391043 DOI: 10.1080/10810730.2011.551992] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The Latino population is the fastest growing minority in the country, and is expected to reach about 30% of the total U.S. population by 2050. Historically, primary care practitioners are not the preferred source of health information for Latinos living in the United States. Latinos are known to rely more on media, family, and friends to get answers to health-related questions. Choosing the appropriate information source is an important component of health information-seeking behavior; it also represents a major challenge for health communicators trying to deliver information to their target audience. This study explores how ethnicity influences health information source selection among Latinos and White non-Latinos living together in an underserved, multiethnic urban community with poor health status and underlying socioeconomic characteristics. The results suggest that this community manifests a high degree of homogeneity in their usage of health information sources. Nevertheless, there are significant differences between ethnic groups and age groups on perceived usefulness of the health information retrieved from common sources. Our results suggest that health information sources that are interactive, native to the community (e.g., the local pharmacist), and promote active engagement are the most useful in delivering health messages that will be listened to by those living in this underserved, multiethnic urban community.
Collapse
Affiliation(s)
- Mugur V Geana
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, Kansas 66045, USA.
| | | | | |
Collapse
|
14
|
Geiger TM, Miedema BW, Geana MV, Thaler K, Rangnekar NJ, Cameron GT. Improving rates for screening colonoscopy: Analysis of the health information national trends survey (HINTS I) data. Surg Endosc 2007; 22:527-33. [DOI: 10.1007/s00464-007-9673-2] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2007] [Revised: 07/08/2007] [Accepted: 08/07/2007] [Indexed: 01/10/2023]
|
15
|
Abstract
Recent research suggests a beneficial role of nutrition as possible supportive therapy for cancer patients. A national survey of oncology nurses has shown that nutrition-related issues are an important subject discussed during nurse-patient meetings. The authors applied the activation theory of information exposure to oncology nurses in regard to nutrition information. Findings suggest that oncology nurses who consider nutrition important at a personal level tend to discuss nutrition more with patients and to seek more information about nutrition and cancer. Personal rather than professional motives appear to be triggers for the information search. Implications for health care communication professionals are discussed.
Collapse
|