Modeling the Mediating and Moderating Roles of Risk Perceptions, Efficacy, Desired Uncertainty, and Worry in Information Seeking-Cancer Screening Relationship Using HINTS 2017 Data

Zhuang, Jie; Guan, Mengfei

doi:10.1080/10410236.2021.1876324

Cited by 14 publications

(20 citation statements)

References 51 publications

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“…For individuals who believed they had a higher chance of contracting the virus, the pandemic is severe to themselves and their community members; they were less likely to suffer from IO even if they encountered more COVID-19 information through social media usage. This result is in line with the proposition in Zhuang and Guan ( 34 ). When someone believes they are vulnerable to a health problem, their information-seeking experiences are more likely to prompt preventative behaviors, such as cancer screening.…”

Section: Discussionsupporting

confidence: 93%

“…For other health issues, a study focusing on the MERS outbreak in South Korea reported that risk perception strengthens the relationship between health information seeking and preventive behaviors practices ( 33 ). Regarding cancer issues, Zhuang and Guan ( 34 ) also found that risk perception moderates the association between previous cancer information seeking experiences and breast cancer screening among female Americans. As such, we propose the following:…”

Section: Introductionmentioning

confidence: 99%

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Pathway linking health information behaviors to mental health condition during the COVID-19 infodemic: A moderated mediation analysis

Zhang

Tham

Waheed

et al. 2022

Front. Public Health

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BackgroundThe COVID-19 outbreak is no longer a pure epidemiological concern but a true digital infodemic. Numerous conflicting information and misinformation occupy online platforms and specifically social media. While we have lived in an infodemic environment for more than 2 years, we are more prone to feel overwhelmed by the information and suffer from long-term mental health problems. However, limited research has concentrated on the cause of these threats, particularly in terms of information processing and the context of infodemic.ObjectiveThis study proposed and tested moderated mediation pathways from two types of health information behaviors (social media engagement and interpersonal communication) on information overload and mental health symptoms—long-term stress.MethodsWe conducted a cross-sectional online survey between May and June of 2021 among the Malaysian public. The final sample size was 676 (N = 676). A conceptual model was built to guide the data analysis. We conducted structural equation modeling (SEM), moderation and mediation analyses to examine each direct pathway, moderating and mediating effects.ResultsAccording to the pathway analysis, we found that, during the infodemic period, engaging COVID-19 information on social media positively associated with information overload, but interpersonal communication was negatively related to it. As the proximal outcome, there was also a positive association between information overload and the final outcome, perceived stress. The moderation analysis only reported one significant interaction: risk perception weakened the association between social media engagement and information overload. A conditional indirect effect was demonstrated and the indirect associated between social media engagement and perceived stress mediated through information overload was further moderated by COVID-19 risk perception.ConclusionThis research offers new grounds for understanding health information behaviors and their consequences in the COVID-19 infodemic. We particularly highlighted the distinct functions of health information behaviors in causing information overload, as well as the importance of personal health belief in this process. Our proposed model contributes to the strategies of developing health messaging strategies that may be utilized by public health researchers and health educators in the future.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Pathway linking health information behaviors to mental health condition during the COVID-19 infodemic: A moderated mediation analysis

Zhang

Tham

Waheed

et al. 2022

Front. Public Health

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show abstract

“…Twenty‐five null relationships between anticipatory anxiety and breast cancer screening were evident in the studies reviewed. Specifically, fear ( n = 5), distress ( n = 1), worry ( n = 2) and anxiety ( n = 2) about a cancer diagnosis were found to have no association with screening intention or behaviour in several studies 60,65,73–80 . Notably, multivariate analyses in two recent studies included potential confounders such as perceived risk and severity indicating indirect relationships between cancer worry and screening may exist 73,75 .…”

Section: Resultsmentioning

confidence: 99%

Anticipatory anxiety and participation in cancer screening. A systematic review

Goodwin,

Anderson,

Collins

et al. 2023

Psycho-Oncology

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ObjectivesTo synthesize current evidence on the association between anticipatory anxiety, defined as apprehension‐specific negative affect that may be experienced when exposed to potential threat or uncertainty, and cancer screening to better inform strategies to maximize participation rates.MethodsSearches related to cancer screening and anxiety were conducted in seven electronic databases (APA PsycINFO, Scopus, Web of Science, Embase, Cochrane Library, PubMed, CINAHL), with potentially eligible papers screened in Covidence. Data extraction was conducted independently by multiple authors. Barriers to cancer screening for any type of cancer and relationships tested between anticipatory anxiety and cancer screening and intention were categorized and compared according to the form and target of anxiety and cancer types.ResultsA total of 74 articles (nparticipants = 119,990) were included, reporting 103 relationships tested between anticipatory anxiety and cancer screening and 13 instances where anticipatory anxiety was reported as a barrier to screening. Anticipatory anxiety related to a possible cancer diagnosis was often associated with increased screening, while general anxiety showed no consistent relationship. Negative relationships were often found between anxiety about the screening procedure and cancer screening.ConclusionAnticipatory anxiety about a cancer diagnosis may promote screening participation, whereas a fear of the screening procedure could be a barrier. Public health messaging and primary prevention practitioners should acknowledge the appropriate risk of cancer, while engendering screening confidence and highlighting the safety and comfort of screening tests.

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“…Long/short-term orientation defines the relation each culture experiences with its past, present and future, whereas indulgence/restraint refers to the propensity of a culture of having weaker or stronger control over impulses [45]. Only three of these six dimensions (individualism/collectivism, power distance, and uncertainty avoidance) have been found to explain significant cultural differences between countries in terms of public responses, behaviors, and attitudes during emergencies and pandemics [46][47][48] and, accordingly, these three dimensions are applied in this study.…”

Section: Conceptual Framework and Hypotheses Developmentmentioning

confidence: 99%

“…Uncertainty avoidance has been found to be an important variable in studying public coping behaviors during emergencies and pandemics, which by nature are highly unpredictable and, in the case of new diseases, produce high uncertainty among people [46]. Particularly, uncertainty due to unclear, incomplete, or even contradictory information received during a pandemic has been found to predict public preventive behaviors [48]. Further, recent research shows that participants who perceived higher uncertainty about crisis responsibility felt higher crisis emotions and had higher intention to seek further crisis information [56].…”

Section: The Role Of Uncertainty Avoidance In Csr Communication Campaign Effectiveness During the Pandemicmentioning

confidence: 99%

Does Culture Matter? Measuring Cross-Country Perceptions of CSR Communication Campaigns about COVID-19

et al. 2022

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The COVID-19 pandemic has brought several challenges to businesses and societies. In response, many corporations have supported local communities and authorities in the management of the pandemic. Although these initiatives, which can be considered forms of corporate social responsibility (CSR), were highly coupled with explicit CSR communication campaigns, little is known about whether these campaigns were effective. Previous research indicates that culture can shape people’s perceptions of CSR initiatives and communications, suggesting that businesses pay attention to careful consideration of cultural norms for effective CSR communication. However, the COVID-19 pandemic as a new CSR setting may challenge earlier findings. This study empirically investigates whether three cultural factors (individualism/collectivism, uncertainty avoidance, and power distance) affect public perceptions measured as recall of and favorability towards corporate COVID-19 response initiatives across six countries. Findings from a representative survey of adults across these countries show that respondents in individualistic and collectivistic countries recall these CSR communication campaigns about these corporate COVID-19 response initiatives quite differently, and these are related to differences in power distance and uncertainty avoidance. However, no difference was found in overall corporate favorability, indicating that cultural factors did not affect levels of favorability towards such initiatives. This, we argue, can be explained by the global dimension of the COVID-19 pandemic, which is the context of these CSR initiatives. This study contributes to CSR communication literature with empirical findings from a global pandemic setting. It offers businesses and managers empirical grounds to understand the communicative impact of COVID-19 response initiatives, which can inform future CSR actions.

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Modeling the Mediating and Moderating Roles of Risk Perceptions, Efficacy, Desired Uncertainty, and Worry in Information Seeking-Cancer Screening Relationship Using HINTS 2017 Data

Cited by 14 publications

References 51 publications

Pathway linking health information behaviors to mental health condition during the COVID-19 infodemic: A moderated mediation analysis

Pathway linking health information behaviors to mental health condition during the COVID-19 infodemic: A moderated mediation analysis

Anticipatory anxiety and participation in cancer screening. A systematic review

Does Culture Matter? Measuring Cross-Country Perceptions of CSR Communication Campaigns about COVID-19

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