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Drawing upon social cognitive theory, this study aims to investigate the potential predictors and consequences of social media health-misinformation seeking behavior during the coronavirus (COVID-19) pandemic.

Using a sample of 230 international students studying at Wuhan University and Beijing Language and Cultural University, China, this study employs structural equation modeling to analyze the collected data.

The results indicate that personal factors such as lack of health information literacy, environmental factors, information overload and social media peer influence have a significant effect on behavior, namely social media health-misinformation seeking behavior, which further influences outcomes, namely social media users' anxiety during the COVID-19 pandemic. In addition, both lack of health information literacy and social media peer influence have significant and direct effects on social media users' anxiety. However, the direct effect of information overload on social media users' anxiety is insignificant.

First, this study contributes to the literature on the individuals' social media health-misinformation seeking behavior, its precursors and its consequences, specifically on their mental healthcare during a pandemic situation. Second, this research is one of the pioneer studies that extend social cognitive theory to the context of social media health-misinformation seeking behavior and users' anxiety relationship.

The ballooning health misinformation on social media raises grave concerns. Drawing upon the S-O-R (Stimulus-Organism-Response) model and the information processing literature, this study aims to explore (1) how social media health information seeking (S) affects health misinformation sharing intention (R) through the channel of health misperceptions (O) and (2) whether the mediation process would be contingent upon different information processing predispositions.

Data were collected from a survey comprising 388 respondents from the Chinese middle-aged or above group, one of China's most susceptible populations to health misinformation. Standard multiple linear regression models and the PROCESS Macro were adopted to examine the direct effect and the moderated mediation model.

Results bolstered the S-O-R-based mechanism, in which health misperceptions mediated social media health information seeking's effect on health misinformation sharing intention. As an indicator of analytical information processing, need for cognition (NFC) failed to moderate the mediation process. Contrarily, faith in intuition (FI), an indicator reflecting intuitive information processing, served as a significant moderator. The positive association between social media health information seeking and misperceptions was stronger among respondents with low FI.

This study sheds light on health misinformation sharing research by bridging health information seeking, information internalization and information sharing. Moreover, the authors extended the S-O-R model by integrating information processing predispositions, which differs this study from previous literature and advances the extant understanding of how information processing styles work in the face of online health misinformation. The particular age group and the Chinese context further inform context-specific implications regarding online health misinformation regulation.

The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-04-2023-0157.

Drawing upon the communicative ecology theory (CET), this study aims to identify the potential precursors of social media health information seeking intentions (ISI) and examine their effects on health information re-sharing behaviors and PHH during coronavirus (COVID-19) pandemic.

The data is collected through an online survey conducted in two different universities situated in highly COVID-19-affected cities – Wuhan and Zhengzhou, China. The valid data consists of 230 useful responses from WeChat users and to analyze the final data set structural equation modeling (SEM) is used.

The results indicate that perceived health information credibility (PIC), trust on the medium (TRM) and peer influence (PI) significantly affect health ISI which further affects health information re-sharing behaviors (IRB) and personal health-care habits (PHH). Besides, the results also identify that PI has a direct, positive and significant effect on health IRB via social media during the COVID-19 pandemic.

This study investigates the health information intentional behavior precursors and their consequences via WeChat (taken as social media platform) during COVID-19 pandemic. Future studies may conduct research by examining online information behaviors on other social media platforms – Twitter, WhatsApp, Facebook, etc. – in health emergency situations.

The health information producers and providers have to deal with communicative ecology sentiments elegantly in emergency situations such as during the COVID-19 pandemic. They need to do collective efforts by introducing new tools or social apps which deal with valuable, reliable and accurate health content and information generated by the pandemic experts and health professionals. In such a way, the social apps and tools (Information providers) will act as mediators between the health professionals (Information producers) and general social media users (information seekers). Such initiatives will ultimately bring forth positive effect on individuals’ PHH as a whole within a network, community, environment or nations during a health emergency – COVID-19 pandemic.

This research is one of the first studies to examine the potential precursors of social media health ISIs and their resultant effects on individual’s health IRB and PHH during the COVID-19 pandemic. As currently it is noticed, an incredible upsurge of health information via social media has intense impacts on personal health-care research and practice, particularly during health emergency situations such as COVID-19 pandemic conditions.

Social media greatly enhances public access to health information and thus attracts older adults who tend to attach more importance to their health. This study aims to identify the factors that contribute to the likelihood of older adults' health information sharing on social media.

By drawing on health belief (HBM) and elaboration likelihood models (ELM), a novel conceptual model integrating older adults' health belief and information processing is established to uncover the factors. Online survey data from 290 Chinese older adult users of WeChat, the most popular social media platform in China, were collected to test the research model.

As health belief-related variables, perceived susceptibility is positively associated with health information-sharing intention (HISI), while perceived severity negatively influences HISI, which is contrary to prior findings. For information processing, the positive impacts of argument quality and source credibility on HISI are fully mediated by perceived usefulness.

This study is one of the first studies to explore the initiative use of information and communication technology among older adults. The new theoretical perspective proposed herein considers health belief and information processing perspectives in a complementary manner and can facilitate an overall analysis of the factors influencing older adults' HISI in a social media context. This study also furthers understandings of the ELM and expands the theory of HBM to take the age of decision makers into account.

Technology has eased access to information. During the ongoing COVID-19 pandemic, ease of access and transmission of information via social media has led to ambiguity, misinformation and uncertainty. This research studies the aforementioned behaviours of information sharing and verification related to COVID-19, in the context of social media.

Two studies have been carried out. Study 1, with Indian social media users, is a two-factor between-subjects experimental design that investigated the effect of message polarity (positive versus negative) and message type (news versus rumour) on the dissemination and verification behaviour of COVID-19-related messages. The study also investigated the mediation of perceived message importance and health anxiety. Study 2 is a replica study conducted with US users.

The study finding revealed significantly higher message sharing for news than rumour. Further, for the Indian users, message with positive polarity led to higher message sharing and message with negative polarity led to higher verification behaviour. On the contrary, for the US users, message with negative polarity led to higher message sharing and message with positive polarity led to higher verification behaviour. Finally, the study revealed message importance mediates the relationship of message type and message sharing behaviour for Indian and US users; however, health anxiety mediation was significant only for Indian users.

The findings offer important implications related to information regulation during a health crisis. Unverified information sharing is harmful during a pandemic. The study sheds light on this behaviour such that stakeholders get insights and better manage the information being disseminated.

The study investigates the behaviour of sharing and verification of social media messages between users containing health information (news and rumour) related to the ongoing COVID-19 pandemic.

The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-07-2020-0282

The purpose of this paper is to develop an in-depth understanding of the effectiveness, evolution and dynamism of the current health communication media used in Ghana.

This paper uses a multi-method approach which utilizes a combination of qualitative and quantitative approaches. In-depth interviews are conducted with health promotion professionals in Ghana and 150 members of the general public were surveyed.

The paper finds that the general public sees social media as an effective place for health professionals to share health-related messages. They also view health-related messages on social media seriously. Health professionals see social media as an effective tool for sending health-related messages to the public and are concerned about the fact that traditional media are losing their effectiveness as means to share health-related messages.

This study was conducted in Ghana. Future studies should be conducted across multiple countries to examine the conclusions developed in this paper and the possibility of multiple perspectives regarding the use of social media for sending health messages.

The results inform public health officials on developments in health communication and suggest prescriptions on how to adjust to the new media.

Health messaging is an area that has been relatively ignored in the literature and almost no research focusses on the effectiveness of social media and other health messaging technologies, particularly in developing countries. Although the study was conducted in Ghana, health professionals worldwide can use the findings to help improve their health messaging strategies.

Misperceptions hinder our ability to effectively respond to health crises such as the COVID-19. We aimed to examine the dynamic influences between information exposure, information trust and misperceptions during the early phase of the COVID-19 pandemic. Specifically, we focused on the relative influence of exposure to COVID-19-related information via social media versus interpersonal offline communication.

The current study conducted a two-wave national survey of US adults in May and June of 2020 with a two-week time interval. A professional polling firm recruited participants, and 911 and 679 respondents participated in the first and the second wave survey, respectively. To test proposed hypotheses, researchers conducted path analyses using AMOS 27.0.

Findings show that individuals exposed to COVID-19-related information via social media are likely to hold increased misperceptions. In contrast, exposure to COVID-19-related information offline did not elicit any effects on misperceptions. The exposure to information on social media was positively associated with trust in that information, which, in turn, contributed to an increase in misperceptions. Furthermore, when examining the effects of misperception, it was found that misperceptions increased the likelihood of individuals being exposed to and having trust in COVID-19-related information on social media. The findings provide valuable insights into the role of social media as a platform where a detrimental cycle thrives, shaping the formation of misperceptions and cultivating a heightened dependence among individuals with elevated misperceptions.

The current study significantly extends the findings of prior research by examining the differential effects of social media and interpersonal communication offline on misperception and by revealing the intricate dynamics between information exposure and misperception by focusing on the role of trust. The findings emphasize the detrimental role of social media in generating a vicious information cycle. That said, seemingly superficial discussions about health crises within a social media environment rich in misinformation can contribute to fueling a self-reinforcing loop, making it challenging to effectively counteract misperceptions.

Purpose: For deaf people who use American Sign Language (ASL), including cancer survivors, there are documented reports of difficulties in accessing and understanding health information. More than five years ago, a local breast cancer knowledge study with deaf signers found that only 23% of this sample cited the Internet as a source of health information. More research is needed to understand the current trends of a nationwide adult sample of deaf people’s experience with seeking and understanding health information across technology-mediated platforms.

Methodology/Approach: The Health Information National Trends Survey in American Sign Language survey included sections on health status, Internet use, and social media. We used several approaches to recruit deaf people across the USA, including Hawaii, Alaska, and Puerto Rico. The survey was administered online, in person, or through videophone. Following data cleaning, we conducted multiple logistic regression analyses, controlling for demographic factors associated with eHealth-seeking behaviors. The outcome variables of interest were Internet use and sharing health information on social media.

Findings: A total of 713 deaf people in USA (M = 49 years old; SD = 19) provided informed consent and took the survey. Half of the participants had a college degree. Twenty percent of the sample included those who self-identified as lesbian, gay, or bisexual and 38% who were people of color. White, educated, or younger deaf adults were more likely to cite the Internet as the first source of health information. Although all sub-groups were comparable in using social media, younger or ASL/English bilingual deaf adults were more likely to actively share health information through social media. While perceived trust in health information on the Internet did not differ across subgroups within the deaf sample, frustration in finding and understanding information was strongly linked to increasing age as well as those who prefer using ASL only. Users of YouTube for health-related information were likely to be younger or female.

Conclusions: Deaf users of eHealth information are diverse in terms of language usage, which affects their perception of accessing and using health information across technology-mediated platforms. While using YouTube for health appears to be accessible to deaf people, further improvements are needed to make health information sharing through social media inclusive of people who prefer ASL only. The addition of multimodal delivery features (text, audio, and video) in social networking sites has the strong potential to improve health information access and inclusion for all groups, including deaf ASL users. To make online health information inclusive of all groups, materials need to be accessible and easy to understand by all groups.

Social media celebrities are getting popular in promotions, and more people have experienced social media to receive information on diet and health tips. This research presents a study showing how social media can influence young people's diet behavior through collaboration with social media celebrities.

Through recruiting on various social media and online education forums, this research recruited 196 young Hongkongers to participate in an online survey developed based on the AIDA (Action, Interest, Desire, Attention) marketing communication model on how youths access diet information from social media celebrities in Hong Kong.

Hong Kong youths consume diet information from social media celebrities through instant messaging systems, social networking sites and online videos, and, in particular, information on food calories and nutrition. However, sponsorship from vendors would decrease their desire to agree with the messages from social media celebrities. After receiving this information, some participants would follow tips and guides from social media celebrities. However, they seldom share such information. Interestingly, males are more willing to follow these tips and guides.

First, this study fills the gap of prior research, which did not study much on how social media celebrities contribute to diet promotion to youths in Asia. Second, through the AIDA Model, this study shows how social media can affect the awareness and accessibility of diet information by young Hongkongers, followed by initiating their interest in this topic and retrieving more relevant information. Furthermore, the authors further understand their desire to follow and improve their behavior as promoted by social media influencers and how they practice such behavior. Based on these findings, health-related brands could consider using social media influencers helping to promote their products and services, and these brands could further use social media to secure customer engagement.

This study investigates the Centers for Disease Control and Prevention (CDC) Facebook Page to examine what kinds of information is shared to public using Facebook and how Facebook users share and engage with information during a health crisis situation with a case of the COVID-19 pandemic.

Using Facebook Graph API, CDC's Facebook Page posts and users' engagement and reactions for six months from January to June 2020 were collected and analyzed. The posts were categorized into five categories. Users' engagement and reactions include share, comment, like, love, haha, wow, sad and angry.

The findings show that the type of posts have significant association with COVID-19 situation and the level of users' engagement and reactions differs significantly when COVID-19 related information is shared. The findings show that users become more active during health emergency situation. The results provided an insight into how different types of posts gain users' attention and motivation to interact.

This study investigates the use of social media during a national health crisis situation. While literature provides the use of social media during emergency and crisis cases, as health crisis situation is unique in that the boundary of time and location as well as people's daily life, the findings of this study provide an insight into how health authorities could communicate with the public during a health crisis situation.

The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-09-2020-0416