“讳疾忌医”：健康信息回避的影响因素与理论解释

健康信息回避是指有意识地防止或延迟获取可利用的身体健康信息的行为,对疾病的预防与治疗有着重要影响。本文通过回顾前人文献概述了个体因素、社会因素和信息因素对健康信息回避的影响。风险认知理论、信息处理与决策双加工系统理论和威胁资源管理模型为健康信息回避的产生提供了理论依据。未来研究可以关注健康信息回避的分类研究并扩展健康信息回避的研究范围,加强健康信息回避的实证干预研究并根据我国医疗背景开展健康信息回避的本土化研究。     

Does partisan media make a pawn of mistrust? Institutional trust and preventive COVID-19 health behaviors in a polarized pandemic

In a rapidly developing crisis such as the COVID-19 pandemic, people are often faced with contradictory or changing information and must determine what sources to trust. Across five time points (N = 5902) we examine how trust in various sources predicts COVID-19 health behaviors. Trust in experts and national news predicted more engagement with most health behaviors from April 2020 to March 2022 and trust in Fox news, which often positioned itself as counter to the mainstream on COVID-19, predicted less engagement. However, we also examined a particular public health behavior (masking) before and after the CDC announcement recommending masks on 3 April 2020 (which reversed earlier expert advice discouraging masks for the general public). Prior to the announcement, trust in experts predicted less mask-wearing while trust in Fox News predicted more. These relationships disappeared in the next 4 days following the announcement and reversed in the 2 years that follow, and emerged for vaccination in the later time points. We also examine how the media trusted by Democrats and Republicans predicts trust in experts and in turn health behaviors. Broadly we consider how the increasingly fragmented epistemic environment has implications for polarization on matters of public health.     

Fear of missing out and depressive symptoms during the COVID-19 pandemic

During the early stages of the COVID-19 pandemic, governments issued public health safety measures (e.g., “stay-at-home” ordinances), leaving many people “missing out” on integral social aspects of their own lives. The fear of missing out, popularly shortened as, “FoMO,” is a felt sense of unease one experiences when they perceive they may be missing out on rewarding and/or enjoyable experiences. Among 76 participants (ages M = 69.36, SD = 5.34), who were at risk for hospitalization or death if infected with COVID-19, we found that FoMO was associated with depressive symptoms at Time 1, even when controlling for perceived stress, loneliness, and fear of COVID-19. However, FoMO did not predict future depressive symptoms, about 1 week later, when controlling for Time 1 depressive symptoms. These findings provide further evidence that FoMO is associated with depressive symptoms in a short period of time even when accounting for other powerful social factors such as loneliness. Future research should explore the potential causal relationships between FoMO and depression, especially those that may establish temporal precedence.     

Spirituality and intentions to engage in Covid-19 protective behaviours

Accumulating evidence points to spirituality as a belief system that contributes to low trust in science, with self-identified spiritual individuals reporting high levels of unwarranted scepticism towards science in general and vaccination specifically. We investigated whether self-identified spirituality also predicts intentions to engage with Covid-19 protective measures during the pandemic. In Studies 1–3 (N = 774), we asked participants to report their spirituality and desire to be vaccinated against Covid-19 shortly after the first vaccine rollout. In Studies 2–3, we included measures of scepticism towards and intentions to comply with Covid-19 prevention measures (handwashing, wearing face coverings, distancing). As expected, stronger self-reported spirituality involved lower desire to be vaccinated, controlling for various worldview and demographic variables. Yet, we found no evidence for spirituality to predict scepticism towards other Covid-19 preventative behaviours or intentions to engage with them. Our findings corroborate and extend previous literature on science rejection, demonstrating that spirituality is uniquely involved in vaccine rejection.     

“Keep them out to save our inside:” discourses on immigration by the Spanish far right

Vox is a far-right, Spanish political party that has steadily grown to become the third main party in the national congress. Immigration is a major presence in Vox's political agenda. Through Critical Discourse Analysis, we analyze the party's public speeches and Twitter communications on immigration in the last 3 years, from the beginning of the COVID-19 pandemic in 2020 to the Ukraine-Russia war in 2022. These contexts have provided a fertile ground for Vox's concerns with the protection of national borders, the criminalization of African and irregular immigrants, and the Spanish Government's ineffectiveness to protect the Spaniards' homes. Vox's main discursive strategies entail constructions of migrants and migration based on dichotomous binaries, culture clash, exclusionary discourses of domopolitics, and fears of imminent social and cultural changes. These constructions are based on the unproblematized belief on essential and unchangeable values that forge the identity of the homeland, which is implicitly threatened by immigrants. Against the migratory invasion, Vox constitutes itself as the ethical protector of the Spanish society and nation, “out of care for the insiders and not out of hatred for outsiders.”     

Envy,entitlement, and cutting the line: Dark personality predicted selfishness during the U.S. COVID-19 vaccine rollout

Dark Triad personality traits (narcissism, psychopathy, and Machivellianism) predict increased selfish thinking and behavior. In the context of the COVID-19 pandemic, they have been related to behaviors such as greater hoarding and decreased COVID-preventative behaviors. Here we examined whether the Dark Triad might predict selfish beliefs and behavior surrounding COVID-19 vaccinations during the 2021 U.S. vaccine rollout—a time when availability was scarce and people were prioritized based on factors like preexisting medical conditions or line of work. In a sample of 499 people, we found that the constellation of Dark Triad traits predicted skipping one's priority in line to get the COVID-19 vaccine earlier among the vaccinated. Among the unvaccinated it predicted greater envy, entitlement, perceptions of unfairness, and willingness to skip the line. Taken together, these findings suggest that those high in the Dark Triad do not simply care less about their health and safety, instead there may be circumstances in which dark traits predict preventative, albeit selfish, behavior.     

Examining approaches to encourage COVID-19 vaccination on social media

Following the release of the first COVID-19 vaccinations many people utilized social media to promote vaccination among their social circles. These attempts to persuade others to get vaccinated ranged from positive encouragement (e.g., emphasizing the prosocial benefits and positive outcomes) to shame and threats (e.g., name calling and threating to end friendships over vaccination status). The present study investigated how these different social media messages affected COVID-19 vaccination intentions. In June 2021, shortly after vaccines had been made freely available to anyone over the age of 16 in the United States, unvaccinated participants read a manipulated Twitter message designed to be either encouraging or shaming. Message-type did not significantly affect intentions to become vaccinated against COVID-19; however, participants who saw the encouraging message reported that the post made them feel more likely to get vaccinated. Self-efficacy was also manipulated but did not reveal any significant effects. Additional analyses suggest that having personal experience with COVID-19 moderates reactions to these different messages. We discuss limitations and promising avenues for future research on the effects of social media messages on health behaviors.     

The protective role of social network factors during the COVID-19 pandemic in the United States

The present study examined the relationship between COVID-19 threat perception, isolating health precautions, and loneliness. As a test of the stress-buffering hypothesis (Cohen & Wills, 1985), this study also examined if social network factors representing various aspects of social support moderated, or weakened, the relationship between threat perception, isolating health precautions, and loneliness. Participants (N = 1149) provided information about themselves, as well as 15 other people they know via an online survey. We found that structural and compositional social network factors, density, number of close alters, network threat perception, network covid cautiousness and number of vaccinated alters all negatively related to loneliness. Further, using moderated mediation analyses, we found that network threat perception and network covid cautiousness moderated the indirect relationship between threat perception and loneliness through precautions. At high levels of these factors, the mediation was less likely to be significant suggesting that the social network factors may buffer people from the loneliness that sometimes comes with engaging in isolating health precautions in response to the perceived threat of COVID-19.     

Direct and vicarious experiences of discrimination and rumination among Latinos before and during the beginning of the COVID-19 pandemic

People from racial/ethnic minority groups can experience discrimination in various ways, including both being the direct target of discrimination (directly experienced discrimination) and learning about others' experiences of discrimination (vicariously experienced discrimination). Additionally, the frequency of these experiences may change over time as larger societal changes occur. In this retrospective self-report study, we examined how Latinos' experiences of discrimination changed during the beginning of the COVID-19 pandemic, examining both direct and vicariously experienced discrimination, in real life and online. Participants reported significantly less discrimination in-person during the beginning of the pandemic relative to before the pandemic (both direct and vicarious), but no changes for direct or vicarious discrimination experienced online. We also examined changes in rumination, a maladaptive coping strategy thought to prolong negative effects of discrimination. Rumination was experienced more frequently than discrimination in general and increased during the beginning of the pandemic. Importantly, experiences of discrimination and rumination were related to mental health outcomes, including anxiety, depression, and loneliness.     

Parental socialization of mental health in Chinese American families: What parents say and do,and how youth make meaning

Parental mental health socialization is a process by which parents shape how youth develop and maintain beliefs, attitudes, and behaviors regarding mental health and help-seeking behaviors. Although culture shapes parental mental health socialization, few studies have examined specific parental socialization practices regarding mental health and help-seeking, especially as a culturally anchored process. Using a qualitative approach, this study explores youth-reported parental socialization of mental health within Chinese American families by examining focus group data from 69 Chinese American high school and college students. Findings revealed that youth received parental messages that conveyed culturally anchored conceptualizations of mental health that included stigmatized views of mental illness and perceptions of mental distress as not a legitimate problem. Parents responded to youth distress in culturally consonant ways: by encouraging culturally specific coping methods, dismissing or minimizing distress, or responding with silence. Youth engaged in the active interpretation of parental messages through cultural brokering, bridging the gap between their parents’ messages and mainstream notions of mental health and help-seeking. Overall, our findings point to the significant role of culture in parental mental health socialization in Chinese American families and the need to integrate culturally specific understandings of mental health into future interventions for Asian American youth.