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.     

Quality and relevance of domain-specific search: A case study in mental health

When searching for health information, results quality can be judged against available scientific evidence: Do search engines return advice consistent with evidence based medicine? We compared the performance of domain-specific health and depression search engines against a general-purpose engine (Google) on both relevance of results and quality of advice. Over 101 queries, to which the term ‘depression’ was added if not already present, Google returned more relevant results than those of the domain-specific engines. However, over the 50 treatment-related queries, Google returned 70 pages recommending for or against a well studied treatment, of which 19 strongly disagreed with the scientific evidence. A domain-specific index of 4 sites selected by domain experts was only wrong in 5 of 50 recommendations. Analysis suggests a tension between relevance and quality. Indexing more pages can give a greater number of relevant results, but selective inclusion can give better quality.     

少数民族文字文献数字化的规范控制

少数民族文字文献的数字化是我国数字图书馆发展中的一个重要组成部分。文章从如何对少数民族文字文献数字化进行规范控制等方面进行了论述, 并对网络环境下的少数民族文字文献数字化建设提出了一些建议。     

联合编目系统中书目数据源的规范

论文提出在进行联合编目、共同建设数据库、寻求资源共享等工作中必须充分关注书目数据的质量问题，必须加强数据编制的标准化和规范化，逐步形成一个工作标准。     

关于食品工业文献分类的研究(上)

研究了食品工业文献分类的三个问题：食品工业文献的分类标准；食品工业文献的分类体系；食品工业文献的分类方法。     

The metamorphosis of medical discourse and embedded cultural rationality: a content analysis of health reporting for neurasthenia and depressive disorder in China

Neurasthenia (shenjing shuairuo) and depressive disorder are medical issues that have given rise to disputes in China for more than 20 years. Since the 1980s, the once ubiquitous diagnosis of neurasthenia in China was rapidly substituted by depressive disorder in the clinical context. Globally, the metamorphosis from neurasthenia to depressive disorder heralded the triumph of scientific rationality, which identifies neurasthenia as a categorical fallacy. In China, however, neurasthenia retained social and cultural significance; thus, it has become a contestable discourse in relation to depressive disorder. By examining the health reporting of both discourses over a decade, this study explicated how neurasthenia and depressive disorder were represented in a popular health newspaper in China. The content analysis showed that neurasthenia is a more culturally and everyday embedded discourse closely associated with Chinese medicine and laymen’s discourse, while depressive disorder is more associated with Western medicine and the professional discourse. The differentiation of two sets of medical discourse evinces that despite the ostensibly prevailing scientific rationality in media health reporting, cultural rationality is deeply embedded in communicating mental health issues with the lay public. It further suggests the significance of investigating the social and cultural expression of mental illnesses in China.     

Managing a Biomedical Library’s Instruction Program: Redefining Scope

The National Institutes of Health (NIH) library instruction program provides training services to staff, clinicians, and researchers across NIH and several Department of Health and Human Services (HHS) operating divisions. The audience, training needs, and training topics are diverse and constantly changing. The NIH library has developed several new services and class topics to meet the needs of its NIH and HHS communities. Context, strategies, and future directions for the NIH library instruction program are described.     

Child sexual abuse as reported by Israeli adolescents: Social and health related correlates

The objectives of the study were to assess the prevalence of child sexual abuse (CSA) in a nation-wide representative sample of 14–17 year old Israeli adolescents, and to examine the associations between CSA, socio-demographic correlates and various measures of physical and mental health. The study population consisted of 906 mother–adolescent dyads, belonging to a community based, representative sample of Israeli 14–17 year olds, interviewed in 2004–5. Response rate was 68%. Subjects provided demographic data, and information about CSA, physical symptoms, body image, well-being and use of mental health services. DAWBA was used to obtain information regarding mental disorders and suicidality. SDQ was used to obtain data on bullying. Statistical analyses were conducted using an SPSS-17 complex sample analysis module and multivariate analyses were conducted to assess the associations between CSA and risk factors and social and health related correlates. Findings show that CSA was reported by 3.3% of adolescents. Higher risk of exposure to CSA was found among girls, among adolescents living in a one-parent household and among adolescents with a chronic disability. In multivariate models adjusting for gender, learning disabilities and depression, CSA was associated with suicidal attempts, stomach ache, dizziness, sleep problems, well being at home and bullying behaviors. No association was found with suicidal ideation or other physical symptoms. Our findings confirm that the associations between CSA and different outcomes vary depending on the socio-psychological context, and underline the importance of addressing the complexity of variables associated with CSA.     

Co-developmental trajectories of psychological need satisfactions at school: Relations to mental health and academic functioning in Chinese elementary school students

This study explored the co-developmental trajectories of autonomy, competence and relatedness need satisfactions at school and their relations to mental health and academic functioning in Chinese elementary school students. An accelerated longitudinal design was used with a sample of three cohorts (grade 3, grade 4, and grade 5) (N = 1070, 45.8% female; M_age = 9.44, SD = 0.97) on four occasions at 6-month intervals. Parallel process latent class growth models revealed five heterogeneous patterns (i.e., Congruent-moderate; Congruent-high; Congruent-low; Congruent-decreasing; Low-autonomy, High-competence and relatedness), all of which significantly associated with time-varying mental health and academic functioning indicators. The findings highlight the importance of subgroup differences and possible cultural considerations in understanding the progression of psychological need satisfactions and the need for universal screening and dynamic monitoring of students’ psychological need satisfactions at school and implementing more sophisticated interventions tailored to the unique characteristics of the relevant subgroups to promote optimal mental health and learning.