Effects of Mass and Interpersonal Communication on Breast Cancer Screening: Advancing Agenda-Setting Theory in Health Contexts

Drawing on components of agenda-setting theory and the two-step flow of information from mass media to news audiences, this study examines the effects of mass and interpersonal communication on breast cancer screening practices among college- and middle-aged women (n = 284). We theorized that screening behaviors among younger women would be influenced more by interpersonal sources of information while screening among middle-aged women would be more influenced by exposure to mass-mediated information. Findings supported anticipated patterns, revealing important and varying roles for both mass and interpersonal communication in the health behaviors of women. Implications for health practitioners and campaign planners, as well as recommendations for future research, are discussed.     

Adult Child Perceptions of Communication and Humor When the Parent Is Diagnosed with Cancer: A Suggestive Perspective from Communication Theory

This study examines the function of communication and humor in the older adult parent-adult child dyad when the parent has been diagnosed with cancer. Qualitative data of open-ended data from 46 adult children of a parent recently diagnosed with cancer revealed that discussing diagnosis and treatment procedures was perceived to be a satisfying conversation, whereas withholding information had an adverse affect. The discussion of the parents' feelings during the cancer period was a difficult and complex communicative experience. The Meta-Humorous Interaction Theory (MetaHIT) was used as a conceptual framework to understand the function of appropriate and inappropriate uses of humor in terms of cognitive, affective, and behavioral elements of humor. Humor was often used as a coping or relief function for discussing side effects of cancer treatment. This investigation underscores the importance of understanding how adult children use humorous communication to cope with the unknown conversational territory of a parent's cancer diagnosis.     

Tall Poppies in the Workplace: Communication Strategies Used by Envious Others in Response to Successful Women

Controversial media representations of the female body can reflect, reproduce, and even challenge ideological systems or Discourses (Jones, 2003 Jones , A. ( 2003 ). Introduction: Conceiving the intersection of feminism and visual culture . In A. Jones (Ed.), The feminism and visual culture reader (pp. 1 – 7 ). New York , NY : Routledge . [Google Scholar]; Louw, 2001 Louw , P. E. (2001). The media and cultural production . Thousand Oaks , CA : Sage. [Google Scholar]). This article interrogates the discourse surrounding TIME Magazine's recent cover regarding attachment parenting, which featured a mother breastfeeding her toddler. The analysis of 1 online comment board shows that, although multiple meanings were present, the talk regarding the cover was overwhelmingly informed by the Discourse of (Hetero)Sexuality, which defines breastfeeding as a sexualized act only appropriate in private and for children of a certain age. This backdrop of sexuality for breastfeeding is significant not only for mothers’ choices and practices regarding nursing, but also for policymakers who seek to support breastfeeding. In addition, the findings reinforce the importance of attending to the interrelations within and between macro- and microlevels of discourse in investigating symbolic systems through which meanings are constructed.     

A Call to Educate,Participate, Invoke and Indict: Understanding the Communication of Online Hate Groups

This study analyzes the messages in hate group websites using a grounded theory approach. Through this process of interpretive inquiry we propose four prominent themes—educate, participate, invoke, and indict—that characterize the messages examined in 21 hate groups. These message themes speak to the: (a) education of members and external publics; (b) participation within the group and in the public realm; (c) invocation of divine calling and privilege; and (d) indictment of external groups including the government, media, and entertainment industries, and other extremist sects. In advancing a substantive grounded theory of online hate group communication, we also explore the potential of these themes to ostensibly reinforce the hate group's identity, reduce external threats, and recruit new members.     

The Social Dimension of Blogging about Health: Health Blogging,Social Support,and Well-being

The study reported here explored the social dimension of health-related blogs by examining blogging as a means to marshal social support and, as a result, achieve some of the health benefits associated with supportive communication. A total of 121 individuals who author a blog dedicated to their experience living with a specific health condition completed the study questionnaire. The number of blog posts made by respondents and proportion of posts with reader comments were positively associated with perceived social support from blog readers. The relationship between blog reader support and two outcomes related to well-being depended upon the support available in bloggers' strong-tie relationships with family and friends. Consistent with the social compensation (i.e., “poor get richer”) perspective, blog reader support was negatively associated with loneliness and positively associated with personal growth when support in strong-tie relationships was relatively lacking.     

Qualitative Inquiry and the Future of Health Communication Research

This article examines the ways that qualitative inquiry, especially when used in concert with quantitative inquiry in multimethodological designs, can contribute to the research challenges of health care and health promotion. It explores methodological diversity in health communication research and illustrates how survey, textual analytic, and ethnographic research are utilized in health communication research. The article concludes with a discussion of how multimethodological research designs have been successfully employed to examine complex health communication models, theories, and processes.     

Communication Efficacy and Couples' Cancer Management: Applying a Dyadic Appraisal Model

The purpose of the present study was to apply Berg and Upchurch's (2007) developmental-conceptual model to understand better how couples cope with cancer. Specifically, we hypothesized a dyadic appraisal model in which proximal factors (relational quality), dyadic appraisal (prognosis uncertainty), and dyadic coping (communication efficacy) predicted adjustment (cancer management). The study was cross-sectional and included 83 dyads in which one partner had been diagnosed with and/or treated for cancer. For both patients and partners, multilevel analyses using the actor-partner interdependence model (APIM) indicated that proximal contextual factors predicted dyadic appraisal and dyadic coping. Dyadic appraisal predicted dyadic coping, which then predicted dyadic adjustment. Patients' confidence in their ability to talk about the cancer predicted their own cancer management. Partners' confidence predicted their own and the patient's ability to cope with cancer, which then predicted patients' perceptions of their general health. Implications and future research are discussed.     

A Typological Examination of Communication Competence and Mental Health in Stepchildren

Despite continued interest in communication and family functioning, researchers have been challenged to adequately describe the complicated dynamics and complex configurations of stepfamilies. This study extends previous stepfamily research by classifying stepchildren according to their beliefs and experiences with key dimensions of stepfamily life, and by examining differences in perceptions of communication competence and mental health among different stepfamily types. Participants included 586 stepchildren from four different states who completed a series of survey measures. Results of cluster and discriminant analyses revealed five discrete types of stepfamilies, including bonded, functional, ambivalent, evasive, and conflictual stepfamilies. Estimates of validity for the typology revealed significant differences in self-reported communication competence and mental health among the five stepfamily types, as well as significant differences in perceptions of mothers’ and stepparents’ communication competence.     

Information Sources and the Health Information-Seeking Process: An Application and Extension of Channel Complementarity Theory

Contemporary information seekers can acquire health information from an unprecedented variety of sources. The reported study applied and extended channel complementarity theory to explain the use of multiple information sources in the health-information-seeking process. Channel complementarity was extended to consider four characteristics (i.e., access to medical expertise, tailorability, anonymity, and convenience) of health-information sources. The information-seeking behavior of 3,392 respondents from the 2007–2008 Health Information National Trends Survey was analyzed to test study hypotheses. Results indicate that, sources were used complementarily based on tailorability and anonymity during health-information sources. Additionally, the likelihood of using complementary sources based on all four characteristics changed during the search process.     

HIV/AIDS and Subaltern Autonomous Rationality: A Call to Recenter Health Communication in Marginalized Sex Worker Spaces

Sex workers in India constitute a marginalized population. They are considered at high risk of HIV/AIDS and are stigmatized for “selling sex” in a culture that generally censures sex outside marriage. HIV/AIDS initiatives targeted at this population have mostly adhered to promoting condom use, increasing awareness, and encouraging blood tests to screen for HIV/AIDS. Missing from this discourse are voices of sex workers and their autonomous consciousness. Based on an analysis of interview data from an eight-week field project, this paper seeks to centralize sex worker subaltern rationality in a call to reframe expert-led HIV/AIDS communication efforts that cater to sex worker communities.     

Connection,Restructuring, and Buffering: How Groups Link Individuals and Organizations

Research examining the individual–organization relationship has largely ignored the linking role of groups. Grounded in Scott, Corman, and Cheney's (1998) structurational model of organizational identification, we analyzed data obtained from members of groups embedded in a large religious organization. Results revealed three primary ways groups link individual members and the organization via identification. The connection function provides members with local copresent linkages to the organization and an environment in which to express their connection/relationship to the organization. The restructuring function enables members to restructure conflicting individual and organizational identity structures. The buffering function enables members to disidentify with a portion of the organizational identity and still maintain a sense of organizational identification.     

A Patient-centered Approach to Breaking Bad News: Communication Guidelines for Health Care Providers

This investigation takes a patient-centered approach to examining strategies physicians use to deliver bad news to patients. Qualitative data were obtained from 68 patients who had received a message they perceived as negative information from a health care provider. Through grounded theory methodology, patient accounts were examined to reveal four provider strategies for breaking bad news. This investigation underscores the importance of using effective communication strategies to achieve patient satisfaction and compliance.     

Merchant of Mercy, Merchant of Death: How Values Advocacy Messages Influence Jury Deliberations

This exploratory study addresses the ability of values advocacy messages to influence target publics' behavior beyond consumer purchase decisions. In doing so, it fills a gap in the research by extending our understanding of the persuasive premises of values advocacy messages beyond rhetorical (de)construction; consumer behavior; and the establishment of typologies, definitions, and methods of inquiry. Using focus group methodology, target audience members (n=37) of a contemporary values advocacy campaign reflect upon the messages presented in the context of jury deliberations. The findings show that focus group participants would likely reduce punitive damage judgments if exposed to values advocacy messages. The social and cultural implications exposed by participants' comments reflect ongoing concern among critical scholars about the ability of corporations to manipulate public behavior and indicate the ethical conundrum between corporate and community speech.     

Emergency Communication Challenges in Response to Hurricane Katrina: Lessons from the Centers for Disease Control and Prevention

In response to Hurricane Katrina's extensive destruction and related public health threats, the Centers for Disease Control and Prevention (CDC) deployed more than 1,000 staff to its emergency operations center and to affected areas. Among them were members of CDC's Emergency Communication System. This paper describes the strategies and tactics used by health communication specialists during the pre-event, response, and post-event stages to address a range of emergency communication exigencies. It highlights three difficult challenges for CDC communication specialists during Hurricane Katrina: rapid dissemination of health messages; adaptation of health messages for diverse audiences, locations, and circumstances; and phasing of key risk messages during the emergency response.     

Hunger as Health: Culture-Centered Interrogations of Alternative Rationalities of Health

What are the experiences of health at the margins of the globe? How do the material inequities in the distributions of resources across the globe play out in the expressions of the experiences of health in the localized contexts of the global margins? In this synthesis essay, I draw upon three interconnected ethnographies conducted over several villages in West Bengal, India, over a decade-long period to explore the alternative rationalities of health that emerge at the margins. At the heart of these ethnographies is the commitment to culturally center narratives of health as hunger, foregrounding the everyday experiences of hunger and the expressions of agency at the margins in securing access to food resources. Based on the synthesis of the ethnographies, entry points are suggested for the praxis of social change communication that builds on the articulation of health as hunger and imagines localized strategies of collective resistance.     

Social support within an on-line cancer community: an assessment of emotional support,perceptions of advantages and disadvantages,and motives for using the community from a communication perspective

This study investigated an on-line cancer support community emphasizing communication concerns important to the community administrators. The researcher conducted an on-line survey of participants (N v = v 103) focused on their on-line communication activities and social support. The results indicate a modest negative correlation between emotional support received on-line and perceived stress, differences in emotional support scores based on perceptions of disadvantages of on-line support groups, and different motives for using the community between people with cancer and family members. The study also describes suggestions based on the results that were made to community administrators and which could be used by other on-line support communities.     

Health Care Providers' Confidentiality Practices and Perceptions: Expanding a Typology of Confidentiality Breaches in Health Care Communication

Confidentiality breaches of health information can affect every person who seeks medical care. To better understand this phenomenon, breaches of confidentiality by employees in a health care organization were examined and compared to the perceived confidentiality maintenance actions of the organization's health care providers. The study, using observation and interviews of a health promotion department, supported Brann and Mattson's (2004) typology of confidentiality breaches, provided evidence for another type of communicative breach, and revealed inconsistencies between health care providers' actions and their perceptions of those actions. Future research should address the prevalence of such discrepancies in other health contexts and its impact on patient care.