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1. Assessing adolescents’ critical health literacy: How is trust in government leadership associated with knowledge of COVID-19?

   https://doi.org/10.1371/journal.pone.0259523  

   Mathews, Channing J.; McGuire, Luke; Joy, Angelina; Law, Fidelia; Winterbottom, Mark; Rutland, Adam; Drews, Marc; Hoffman, Adam J.; Mulvey, Kelly Lynn; Hartstone-Rose, Adam (November 2021, PLOS ONE)

   Camacho-Rivera, Marlene (Ed.)

   This study explored relations between COVID-19 news source, trust in COVID-19 information source, and COVID-19 health literacy in 194 STEM-oriented adolescents and young adults from the US and the UK. Analyses suggest that adolescents use both traditional news (e.g., TV or newspapers) and social media news to acquire information about COVID-19 and have average levels of COVID-19 health literacy. Hierarchical linear regression analyses suggest that the association between traditional news media and COVID-19 health literacy depends on participants’ level of trust in their government leader. For youth in both the US and the UK who used traditional media for information about COVID-19 and who have higher trust in their respective government leader (i.e., former US President Donald Trump and UK Prime Minister Boris Johnson) had lower COVID-19 health literacy. Results highlight how youth are learning about the pandemic and the importance of not only considering their information source, but also their levels of trust in their government leaders. 

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2. Health Information Sourcing and Health Knowledge Quality: Repeated Cross-sectional Survey

   https://doi.org/10.2196/39274  

   Korshakova, Elena; Marsh, Jessecae K; Kleinberg, Samantha (January 2022, JMIR Formative Research)

   Background People’s health-related knowledge influences health outcomes, as this knowledge may influence whether individuals follow advice from their doctors or public health agencies. Yet, little attention has been paid to where people obtain health information and how these information sources relate to the quality of knowledge. Objective We aim to discover what information sources people use to learn about health conditions, how these sources relate to the quality of their health knowledge, and how both the number of information sources and health knowledge change over time. Methods We surveyed 200 different individuals at 12 time points from March through September 2020. At each time point, we elicited participants’ knowledge about causes, risk factors, and preventative interventions for 8 viral (Ebola, common cold, COVID-19, Zika) and nonviral (food allergies, amyotrophic lateral sclerosis [ALS], strep throat, stroke) illnesses. Participants were further asked how they learned about each illness and to rate how much they trust various sources of health information. Results We found that participants used different information sources to obtain health information about common illnesses (food allergies, strep throat, stroke) compared to emerging illnesses (Ebola, common cold, COVID-19, Zika). Participants relied mainly on news media, government agencies, and social media for information about emerging illnesses, while learning about common illnesses from family, friends, and medical professionals. Participants relied on social media for information about COVID-19, with their knowledge accuracy of COVID-19 declining over the course of the pandemic. The number of information sources participants used was positively correlated with health knowledge quality, though there was no relationship with the specific source types consulted. Conclusions Building on prior work on health information seeking and factors affecting health knowledge, we now find that people systematically consult different types of information sources by illness type and that the number of information sources people use affects the quality of individuals’ health knowledge. Interventions to disseminate health information may need to be targeted to where individuals are likely to seek out information, and these information sources differ systematically by illness type. 

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3. Idiosyncratic media exposures during a pandemic and their link to well-being, cognition, and behavior over time

   https://doi.org/10.1073/pnas.2304550120  

   Jones, Nickolas M.; Thompson, Rebecca R.; Holman, E. Alison; Silver, Roxane Cohen (June 2023, Proceedings of the National Academy of Sciences)

   Over the past two decades of research, increased media consumption in the context of collective traumas has been cross-sectionally and longitudinally linked to negative psychological outcomes. However, little is known about the specific information channels that may drive these patterns of response. The current longitudinal investigation uses a probability-based sample of 5,661 Americans measured at the onset of the COVID-19 pandemic to identify a) distinct patterns of information-channel use (i.e., dimensions) for COVID-related information, b) demographic correlates of these patterns, and c) prospective associations of these information channel dimensions with distress (i.e., worry, global distress, and emotional exhaustion), cognition (e.g., beliefs about the seriousness of COVID-19, response efficacy, and dismissive attitudes), and behavior (e.g., engaging in health-protective behaviors and risk-taking behaviors) 6 mo later. Four distinct information-channel dimensions emerged: journalistic complexity; ideologically focused news; domestically focused news; and nonnews. Results indicate that journalistic complexity was prospectively associated with more emotional exhaustion, belief in the seriousness of the coronavirus, response efficacy, engaging in health-protective behaviors, and less dismissiveness of the pandemic. A reliance on conservative-leaning media was prospectively associated with less psychological distress, taking the pandemic less seriously, and engaging in more risk-taking behaviors. We discuss the implications of this work for the public, policy makers, and future research. 

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4. COVID-19 Vaccine Information Seeking Patterns and Vaccine Hesitancy: A Latent Class Analysis to Inform Practice

   https://doi.org/10.1097/PHH.0000000000001834  

   Piltch-Loeb, Rachael; Silver, Diana; Kim, Yeerae; Abramson, David (January 2024, Journal of Public Health Management and Practice)

   Context:Throughout the COVID-19 pandemic, state and local health departments served as risk communicators to the public; however, public health practitioners have limited resources at their disposal when trying to communicate information, especially when guidance is rapidly changing. Identifying how the population gathers information across channels and which subsets of the population utilize which channels can help practitioners make the best use of these limited resources. Objective:To identify how individuals utilized different information channels to get COVID-19–related information and determine its effect on one COVID-19–related action: vaccine intentions. Design:This study applies latent class analysis to utilization of information channels to characterize information consumption patterns during the COVID-19 infodemic and then explores the relationship between these patterns and vaccine hesitancy. Setting:The data were collected from theCOVID-19 Vaccine Hesitancy Survey, which is a nationally representative sample of US adults 18 years and older recruited from Social Science Research Solutions (SSRS)'s Opinion Panel. Participants:The online survey was conducted between April 7 and April 11, 2021, after the COVID-19 vaccine was available to all adults and enrolled more than 3000 respondents (n = 3014). Main Outcome Measure(s):Respondents were asked about their frequency of information seeking related to the COVID-19 vaccine, sociodemographics, and vaccine perceptions. Results:Based on fit statistics and prior research, we identified 6 latent classes that characterize information seeking: Nonseekers, Legacy, Legacy + Facebook/Instagram, Traditional Omnivore, Omnivore + Broad Social Media, and Twitter. Sociodemographics, political, economic, and COVID-19 exposure variables are associated with different patterns of seeking information about COVID-19. Membership in 3 of these classes was associated with higher rates of vaccine refusal and vaccine hesitancy. Discussion:The study has implications for public health officials and policymakers who use media channels to share news and health information with the public. Information should be tailored to the sociodemographic profiles of those users who are likely consuming information across multiple different channels. 

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5. COVID-19: Social Media Sources of Authority During a Global Pandemic

   https://doi.org/10.1007/978-3-030-77685-5_23  

   Alsoubai, A. (July 2021, the Proceedings of the 21st International Conference on Human-Computer Interaction (HCII 2021))

   null (Ed.)

   Since the start of coronavirus disease 2019 (COVID-19) pandemic, social media platforms have been filled with discussions about the global health crisis. Meanwhile, the World Health Organization (WHO) has highlighted the importance of seeking credible sources of information on social media regarding COVID-19. In this study, we conducted an in-depth analysis of Twitter posts about COVID-19 during the early days of the COVID-19 pandemic to identify influential sources of COVID-19 information and understand the characteristics of these sources. We identified influential accounts based on an information diffusion network representing the interactions of Twitter users who discussed COVID-19 in the United States over a 24-h period. The network analysis revealed 11 influential accounts that we categorized as: 1) political authorities (elected government officials), 2) news organizations, and 3) personal accounts. Our findings showed that while verified accounts with a large following tended to be the most influential users, smaller personal accounts also emerged as influencers. Our analysis revealed that other users often interacted with influential accounts in response to news about COVID-19 cases and strongly contested political arguments received the most interactions overall. These findings suggest that political polarization was a major factor in COVID-19 information diffusion. We discussed the implications of political polarization on social media for COVID-19 communication. 

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