江苏省农村居民慢性病健康信息规避行为影响因素研究

doi:10.13998/j.cnki.issn1002-1248.21-0539

摘要/Abstract

摘要： [目的/意义] 农村居民在面对慢性病健康信息时,常常会产生认知冲突或负面情绪,从而产生慢性病健康信息规避行为。本研究旨在探索江苏省农村居民慢性病健康信息规避行为的影响因素及其关系机理。[方法/过程] 研究基于压力应对理论和计划风险信息规避模型,在考虑农村居民特征的基础上,构建了农村居民慢性病健康信息规避行为影响因素模型。采用问卷调查法收集了250份有效问卷,并采用结构方程建模法对构建的理论模型进行检验。[结果/结论] 研究发现,社会氛围、负面情感和患者认知正向影响农村居民的慢性病健康信息规避意愿,进而导致其信息规避行为的发生。同时,验证了信息获取限制因素对农村居民慢性病健康信息规避行为的影响。研究结论有助于在理论层面丰富健康信息规避行为的理论体系,在实践层面为相关政府部门和医疗服务机构优化慢性病健康信息服务提供指导建议。

关键词: 农村居民, 健康信息, 慢性病, 规避意愿

Abstract: [Purpose/Significance] When rural residents read health information regarding chronic diseases, they often tend to develop cognitive conflicts or negative emotions, which leads to their avoidance behaviors towards health information regarding chronic diseases. The purpose of this study is to explore the influencing factors among rural residents in Jiangsu Province and the relationships among these factors. [Method/Process] Based on the stress coping theory and the planned risk information avoidance model, this study constructed a model of influencing factors of rural residents' avoidance behaviors towards health information on chronic diseases on the basis of the characteristics of rural residents. In this paper, 250 valid questionnaires were collected, and structural equation model method was used to test the theoretical model. [Results/Conclusions] It is found that social atmosphere, negative emotions and patients' cognition all have positive effects on rural residents' avoidance intention, which leads to the occurrence of health information avoidance behavior. At the same time, the influence of information access constraints on rural residents' avoidance behaviors towards health information on chronic diseases was verified. The research helps to enrich the theoretical system of health information avoidance behavior, and provide guidance and suggestions for government departments and medical service institutions to optimize health information services on how to deal with chronic diseases.

Key words: rural residents, health information, chronic diseases, avoidance intention

中图分类号:

G252

韩正彪, 岳杭, 翟冉冉. 江苏省农村居民慢性病健康信息规避行为影响因素研究[J]. 农业图书情报学报, 2022, 34(2): 14-28.

HAN Zhengbiao, YUE Hang, ZHAI Ranran. A Study on the Influencing Factors of Rural Residents' Avoidance Behaviors towards Health Information on Chronic Diseases in Jiangsu Province[J]. Journal of Library and Information Science in Agriculture, 2022, 34(2): 14-28.

参考文献

[1] KUHLTHAU C C.A principle of uncertainty for information seeking[J]. Journal of documentation, 1993, 49(4): 339-355.
[2] BARBOUR J, RINTAMAKI L, BRASHERS D E.Health information avoidance: Health information avoidance as uncertainty management[C]. Proceedings of the annual meeting of the international communication association, New York, 2005.
[3] CHOO C W.Seeking and avoiding information in a risky world[J]. Information research, 2017, 22(3).
[4] MASLOW A H.The need to know and the fear of knowing[J]. The journal of general psychology, 1963, 68(1): 111-125.
[5] HYMAN H, SHEATSLEY P B.Some reasons why information campaigns fail[J]. Public opinion quarterly, 1947, 11(3): 412-423.
[6] 利昂·费斯汀格. 认知失调理论[M]. 郑全全, 译. 杭州: 浙江教育出版社, 1999.
FESTINGER L.Theory of cognitive dissonance[M]. ZHENG Q Q. Hangzhou: Zhejiang education press, 1999.
[7] BRASHERS D E.Communication and uncertainty management[J]. Journal of communication, 2006, 51(3): 477-497.
[8] CASE D O, ANDREWS J E, JOHNSON J D, et al.Avoiding versus seeking: The relationship of information seeking to avoidance, blunting, coping, dissonance, and related concepts[J]. Journal of the medical library association, 2005, 93(3): 353-362.
[9] SWEENY K, MELNYK D, MILLER W, et al.Information avoidance: Who, what, when, and why[J]. Review of general psychology, 2010, 14(4): 340-353.
[10] 桑新刚, 尹爱田, 宋春燕. 农村慢性病患者疾病负担及新农合补偿分析[J]. 中国公共卫生, 2010, 26(5): 606-608.
SANG X G, YIN A T, SONG C Y.Economic burden of hypertension and diabetes patients and compensation by new rural medical system in rural areas[J]. Chinese journal of public health, 2010, 26(5): 606-608.
[11] DELINE M B, KAHLOR L A.Planned risk information avoidance: A proposed theoretical model[J]. Communication theory, 2019, 29(3): 360-382.
[12] 邹丹, 韩毅. 孕妇信息规避行为的影响因素研究[J]. 图书情报工作, 2017, 61(17): 91-98.
ZOU D, HAN Y.Researches on influence factors of information avoidance behavior in pregnant women[J]. Library and information service, 2017, 61(17): 91-98.
[13] BECKER M E.The health belief model and personal health behavior[J]. Health education monographs, 1974, 2(4): 324-473.
[14] MCCLOUD R F, OKECHUKWU C, SORENSEN G, et al.Cigarette graphic health warning labels and information avoidance among individuals from low socioeconomic position in the U. S.[J]. Cancer causes & control, 2017, 28(4): 351-360.
[15] CHAE J Y.A three-factor cancer-related mental condition model and its relationship with cancer information use, cancer information avoidance, and screening intention[J]. Journal of health communication, 2015, 20(10).
[16] SMITH S M, FABRIGAR L R, NORRIS M E.Refecting on six decades of selective exposure research: Progress, challenges and opportunities[J]. Social and personality psychology compass, 2008, 2(1): 464-493.
[17] HOWELL J L, SHEPPERD J A.Behavioral obligation and information avoidance[J]. Annals of behavioral medicine, 2013, 45(2): 258-263.
[18] JOSHUA B, LANCE S R, JASON A R, et al.Avoiding health information[J]. Journal of health communication, 2012, 17(2): 212-229.
[19] 王莹莹. 老年人健康信息规避行为影响因素研究[J]. 情报探索, 2018, 25(7): 24-29.
WANG Y Y.Influential factors on the olds' avoidance behavior of health information[J]. Information research, 2018, 25(7): 24-29.
[20] PERSOSKIE A, FERRER R A, KLEIN W M P. Association of cancer worry and perceived risk with doctor avoidance: An analysis of information avoidance in a nationally representative US sample[J]. Journal of behavioral medicine, 2014, 37(5): 977-987.
[21] ARORA N K, RUTTEN L J F, GUSTAFSON D H, et al. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer[J]. Psychooncology, 2010, 16(5): 474-486.
[22] SAIRANEN A, SAVOLAINEN R.Avoiding health information in the context of uncertainty management[J]. Information research, 2010, 15(4).
[23] MILES A, VOORWINDEN S, CHAPMAN S, et al.Psychologic predictors of cancer information avoidance among older adults: the role of cancer fear and fatalism[J]. Cancer epidemiology biomarkers & prevention, 2008, 17(8): 1872-1879.
[24] 魏巍, 黄丽霞. 信息查寻行为中自我效能感的表现形式及其控制[J]. 情报探索, 2015, 22(9): 22-24.
WEI W, HUANG L X.Manifestation of self-efficacy in information seeking behavior and its control[J]. Information research, 2015, 22(9): 22-24.
[25] ELISSA R W, JANE Z, BARBARA E, et al.Risk and reluctance: Understanding impediments to colorectal cancer screening[J]. Preventive medicine, 2001, 32(6): 502-513.
[26] HOWELL J L, SHEPPERD J A.Social exclusion, self-affirmation, and health information avoidance[J]. Journal of experimental social psychology, 2017, 68: 21-26.
[27] SADIE P H, KELLY A D, AMBER N P, et al.The mountains hold things in: The use of community research review work groups to address cancer disparities in Appalachia[J]. Oncology nursing forum, 2007, 34(6): 1133-1139.
[28] YANG Z J, KAHLOR L A.What, me worry? The role of affect in information seeking and avoidance[J]. Science communication, 2013, 35(2): 189-212.
[29] LUND-NIELSEN B, JULIE M, MIKAEL R, et al.An avalanche of ignoring-aqualitative study of health care avoidance in women with malignant breast cancer wounds[J]. Cancer nursing, 2011, 34(4): 277-285.
[30] BANDURA A.Perceived self-efficacy in the exercise of control over AIDS infection[J]. Evaluation and program planning, 1990, 13(1): 9-17.
[31] 刘晓, 黄希庭. 社会支持及其对心理健康的作用机制[J]. 心理研究, 2010, 3(1): 3-8.
LIU X, HUANG X T.Social support and its mechanism for mental health[J]. Psychological research, 2010, 3(1): 3-8.
[32] MAYER D K, TERRIN N C, KREPS G L.Cancer survivors information seeking behaviors: A comparison of survivors who do and do not seek information about cancer[J]. Patient education and counseling, 2007, 65(3): 342-350.
[33] SAVOLAINEN R.Approaches to sociocultural barriers to information seeking[J]. Library and information science research, 2016, 38(1): 52-59.
[34] SARASON S B.The psychological sense of community: Prospects for a community psychology[J]. American journal of psychiatry, 1974, 132(3): 306-307.
[35] FOLKMAN S, LAZARUS R S.If it changes it must be a process: Study of emotion and coping during three stages of a college examination[J]. Journal of personality and social psychology, 1985, 48(1): 150-170.
[36] FOLKMAN S.Dynamics of a stressful encounter: Cognitive appraisal coping and encounter outcomes[J]. Journal of personality and social psychology, 1986, 50(5): 992-1003.
[37] GRASSO K L.When is ignorance bliss? Toward a better understanding of health information nonseeking and avoidance[D]. Davis: University of California, 2014.
[38] WEINSTEIN N D.Unrealistic optimism about future life events[J]. Journal of personality and social psychology, 1980, 39(5): 806-820.
[39] 苏航. 残疾人健康信息回避行为影响因素研究[J]. 情报探索, 2020, 27(9): 23-28.
SU H.On influencing factors of disabled people's health information avoidance behavior[J]. Information research, 2020, 27(9): 23-28.
[40] 王文韬, 张帅, 李晶. 大学生健康信息回避行为的驱动因素探析及理论模型建构[J]. 图书情报工作, 2018, 62(3): 5-11.
WANG W T, ZHANG S, LI J.Analysis on the driving factors of college students' health information avoidance behavior and the construction of the theoretical model[J].Library and information service, 2018, 62(3): 5-11.
[41] 姜婷婷, 权明喆, 魏子瑶. 信息规避研究: 边界、脉络与动向[J]. 中国图书馆学报, 2020, 46(4): 99-114.
JIANG T T, QUAN M Z, WEI Z Y.A review of information avoidance studies: Domain boundaries, research foci, and future trends[J]. Journal of library science in China, 2020, 46(4): 99-114.
[42] RUI G, SíLVIA L, BEATE S, et al. Consumers' avoidance of information on red meat risks: Information exposure effects on attitudes and perceived knowledge[J]. Journal of risk research, 2016, 19(4): 533-549.
[43] NEBEN T.A model of defensive information avoidance in information systems use[C]. International conference on information systems, 2015.
[44] SPLEEN A M, LENGERICH E J, CAMACHO F T, et al.Health care avoidance among rural populations: Results from a nationally representative survey[J]. Journal of rural health, 2014, 30(1): 79-88.
[45] KUNDA Z.The case for motivated reasoning[J]. Psychological bulletin, 1990, 108(3): 480-498.
[46] 周明峰. 农民健康信息规避行为研究[D]. 南京: 南京农业大学, 2020.
ZHOU M F.Research on farmers' health information avoidance behavior[D]. Nanjing: Nanjing agricultural university, 2020.
[47] LIPSEY N P, SHEPPERD J A.Powerful audiences are linked to health information avoidance: Results from two surveys[J]. Social science& medicine, 2019, 225: 51-59.
[48] 王文韬, 张帅, 李晶. 个人信息回避行为的驱动因素研究[J]. 现代情报, 2018, 38(4): 29-34.
WANG W T, ZHANG S, LI J.Research on motivations traceability of personal information avoidance behavion[J]. Journal of modern information, 2018, 38(4): 29-34.
[49] DAWSON E, SAVITSKY K, DUNNING D."Don't tell me, I don't want to know": Under-standing people's reluctance to obtain medical diagnostic information[J]. Journal of applied social psychology, 2006, 36(3): 751-768.
[50] 李颖, 杨伟娜, 李媛. 数字环境下城乡青年健康信息搜寻行为研究[J]. 图书情报工作, 2016, 60(12): 115-123.
LI Y, YANG W N, LI Y.Health information seekinq behavior of urban and rural youth in digital environment[J]. Library and information service, 2016, 60(12): 115-123.
[51] GOLMAN R, HAGMANN D, LOEWENSTEIN G.Information avoidance[J]. Journal of economic literature, 2017, 55(1): 96-135.
[52] KAPHINGST K A, LACHANCE C R, CONDIT C M.Beliefs about heritability of cancer and health information seeking and preventive behaviors[J]. Journal of cancer education, 2009, 24(4): 351-356.
[53] LI Y, MENG J, SONG C, et al.Information avoidance and medical screening: A field experiment in China[C]. Tsinghua conference on behavioral, experimental and theoretical economics, 2018.
[54] WILSON P.Unused relevant information in research and development[J]. Journal of the American society for information science, 2010, 46(1): 45-51.
[55] 张帅. 大学生健康信息规避的潜在成因探究——基于压力应对理论[J]. 图书馆学研究, 2020, 39(14): 76-83.
ZHANG S.The potential causes of college students' health information avoidance: Based on the theories of stress and adaptation theory[J]. Research on library science, 2020, 39(14): 76-83.
[56] 汤苏川, 夏迎秋. 建设农村区域性医疗卫生中心助力全面建成高水平小康社会[J]. 中国农村卫生事业管理, 2020, 40(9): 610-615.
TANG S C, XIA Y Q.Setting up regional health service centers in rural areas to help build a moderately prosperous society in all respects[J]. Chinese rural health service administration, 2020, 40(9): 610-615.
[57] 梅秋红, 冯宏伟, 徐倩倩. 宁波市农村居民慢性病防治素养水平及其影响因素研究[J]. 中国农村卫生事业管理, 2020, 40(11): 833-836.
MEI Q H, FENG H W, XU Q Q.Prevention literacy of rural chronic disease residents in Ningbo city and its influencing factors[J]. Chinese rural health service administration, 2020, 40(11): 833-836.
[58] 王晓康, 闵捷, 李晓宁, 等. 江苏省居民慢性病预防素养及影响因素研究[J]. 中国全科医学, 2015, 18(28): 3477-3480.
WANG X K, MIN J, LI X N, et al.Chronic disease prevention literacy of residents in Jiangsu province and its influencing factors[J]. Chinese general practice, 2015, 18(28): 3477-3480.
[59] 于佳琪. 社会风险视角下农民疾病风险责任分担机制的变迁研究[J]. 劳动保障世界, 2018(27): 80-81.
YU J Q.Research on the changes of farmers' disease risk responsibility sharing mechanism from the perspective of social risks[J]. Labor security world, 2018(27): 80-81.
[60] 张健明, 李美兰. 保障农民安康助推乡村振兴——基于农村社区健康服务管理机制思考[J]. 上海农村经济, 2020(2): 33-36.
ZHANG J M, LI M L.Ensuring farmers' well-being and promoting rural revitalization: Based on the management mechanism of rural community health service[J]. Shanghai rural economy, 2020(2): 33-36.