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Female sex workers (FSWs) in Nepal continue to be disproportionately at risk for Sexually Transmitted Infections (STIs), including HIV. Due to stigma related to sex work and HIV, FSWs keep their sex work information hidden, which poses a barrier to seeking health services. Emerging research indicates a high uptake of mobile phones among FSWs in Nepal. Mobile health (mHealth) interventions can provide health information and linkage to care. However, largely missing from the literature is FSWs’ experience of managing the information about their involvement in sex work in a culture where sharing personal information and belongings is a part of the social norm, and maintaining privacy could have negative social repercussions. The current study aims to understand how FSWs perceive and manage privacy when they share their mobile phones. Using the Communication Privacy Management theory, we explore FSWs’ perception of the threat to their privacy posed by mobile phones. We conducted 30 in-depth interviews among FSWs in Kathmandu, Nepal. Results showed that all participants owned mobile phones, and sharing devices was common. Mobile phones pose a considerable challenge in keeping sex work information private, and FSWs use various communication strategies to circumvent privacy threats. The findings highlight the mental and emotional burden FSWs face trying to conceal their private information in a sharing culture. The study discusses the importance of theorizing privacy in the cultural context of the Global South and the practical implications for developing mHealth interventions for this population. [ABSTRACT FROM AUTHOR]

Informed by crisis communication literature and dialogic communication theory, this study proposed an internal crisis communication model for the COVID-19 pandemic, considering base crisis responses (i.e., instructing information, adjusting information) and dialogic competency (i.e., mutuality, openness) as key variables. Trust in organizational commitment related to the COVID-19 pandemic was presented as a mediator. Through this model, we examined how employees' sense of belonging to their organization, relational satisfaction, and their support for organizational decisions about COVID-19 were related to the factors presented. An online survey of full-time employees in the U.S. was conducted. The study found that instructing information in the context of COVID-19 was positively associated with employee trust in their organization's pandemic-related commitment and, in turn, increased employees' support for organizational decisions, sense of belonging, and relationship satisfaction. Conversely, adjusting information had a negative effect on employee trust in organizational commitment. The dialogic competency of employers in COVID-19-related internal crisis communication, characterized by mutuality and openness, was not only indirectly related to positive employee responses through trust in their organization's commitment, but was also directly related to greater support of organizational decisions, a sense of belonging, and relationship satisfaction. Based on the findings, theoretical and practical implications were discussed. [ABSTRACT FROM AUTHOR]

The lockdown that was deployed in Wuhan, China to combat the COVID-19 pandemic curbed the infection but also created great information challenges for people in social isolation. This resulted in surge in online health information seeking (OHIS) behaviors of the patients and their families. While the Internet has been widely used by Chinese public to access and search health information, there is relatively little research in the context of pandemic outbreaks, especially at the onset of a strong lockdown while many people were panicking. From a total of 10 908 '#COVID-19 Patient Seeking Help' posts on Weibo in a period of 20 days when the lockdown policy was first initiated, we identified 1496 unique patients living in or with family in Wuhan, China. Using textual analysis, we explored OHIS behaviors at the onset of the pandemic. Many faced increased difficulties accessing offline healthcare services and such turned to social media for help and information. In particular, the findings highlight the following themes: ' OHIS for medical treatment ', ' OHIS to manage self-quarantine ', ' OHIS for tangible support ' and ' OHIS to navigate information discrepancy '. Overall, our findings provide important insights into health information seeking behaviors and the role of social media during a pandemic. Our findings also highlight the importance of considering people's information need and challenges created due to the lockdown policies in the future pandemic communication and preparedness. [ABSTRACT FROM AUTHOR]

This qualitative study examines women's experiences with risk information exchange during their pregnancy. Semi-structured interviews were conducted with 15 women (aged 25–38) from September 2018 to February 2019. A non-random purposive sample of women who had given birth in the past year was invited to participate in the study. Women were invited by reaching out to personal contacts as well as through sending out a bulk institutional email, posting on mothers' Facebook groups' pages, and by giving out flyers to OB/mid-wife offices. The women represent an educated sample, and nearly half of the participants reported experiencing complications. Thematic analysis was conducted, with researchers individually engaging in open coding, and then collectively engaging in selective coding across multiple analysis sessions. Thematic analysis showed that all the women had different information preferences. Women who had a prior history of pregnancy risk reported engaging in active information seeking. All of the women in this study felt that information was withheld from them, with the exception of information about C-sections, birth plans, and genetic testing. Some women also reported that information was withheld from them when complications occurred during the pregnancy. Lastly, the data illustrate a need for verifying underlying emotions during information exchange as noted by all women. Women in this study reported varying preferences for information exchange. The women reported unmet information needs. The women highlight the need for providers to attend to emotions during information exchange. [ABSTRACT FROM AUTHOR]

China's family planning policy has historically silenced the voices of women, especially unwed single mothers at the expense of their reproductive health and overall wellbeing. Further, reproductive decisions in China are closely intertwined with marriage decisions and intergenerational dynamics, highlighting the relevance of gender in women's reproductive health experiences. Chinese unwed single mothers are in particular penalized for violating the gendered social norms supported by the national reproductive policies. Drawing on previous work that calls on the need to explore gender system and its influence on health, this manuscript explores the ways in which gender norms are played out for the unwed single mothers within romantic and intergenerational relations, with impacts on their reproductive health and decision‐making. The findings show that reproductive decisions are interwoven with the fulfilment of other gendered identities, such as daughter, daughter‐in‐law and wife. Although the decision to go through unwed motherhood is reflective of their agency, the tie between childbirth and marriage does not allow the women to entirely break free from the social system. The findings also highlight the importance of considering the role of gender system that is played out within social relations, which in turn impacts the health of the women. [ABSTRACT FROM AUTHOR]

China's family planning policy prioritizes the state and has historically silenced the voices of women in their own reproductive discourse. Unwed single Chinese mothers are in particular penalized and remain invisible in the national reproductive health discourse that promotes childbirth only within the institution of marriage. Drawing on Giddens' theoretical framework of structure-agency, thirty in-depth interviews were conducted to understand the lived experiences of Chinese unwed single mothers. Specifically, this study explored the ways in which structural violence is communicatively enacted in the interactions within institutions such as police station, family planning office and health care system; and interpersonal relationships such as family and neighbors that silence the voices of the unwed single mothers. Further the study also explored the ways in which the women enact their agency to navigate these macro and micro level constrains and limitations. The findings revealed that the women's experience of structural violence is often a manifestation of the state-controlled sexuality discourse in the social institutions and interpersonal relationships, and highlighted the women's agency enactment through employing various communicative behaviors to manage these day-to-day struggles. [ABSTRACT FROM AUTHOR]

This article explores the ways in which gender inequalities are reproduced and reinforced within entertainment establishments, and in turn the ways in which it affects health of the women working in these establishments. Specifically, this article is based on 35 in-depth interviews with women working in entertainment establishments in Kathmandu, Nepal. The findings highlight daily encounters of harassment by customers demanding engagement and acceptance of various sexual advances; strategies of exploitation by employers such as threatening the loss of work and/or salary to coerce the women into engaging in sexual talks and innuendoes to increase sales for the business; and an adverse impact on the physical, emotional, and psychological health of women working in the entertainment establishment. The findings urge us to locate the discussion of health, particularly health of marginalized women, within the context of gender inequalities, labor divisions, and power relations. [ABSTRACT FROM AUTHOR]

Human papillomavirus (HPV) vaccination uptake in Singapore is low among young women. Low uptake has been found to be linked to low awareness. Thus, this study aimed to understand active and passive vaccine information-seeking behavior. Furthermore, guided by the Elaboration Likelihood Model (ELM), this study examined young women’s (aged 21-26 years) processing of information they acquired in their decision to get vaccinated. ELM postulates that information processing could be through the central (i.e., logic-based) or peripheral (i.e., heuristic-based) route. Twenty-six in-depth interviews were conducted from January to March 2016. Data were analyzed using thematic analysis. Two meta-themes—information acquisition and vaccination decision—revealed the heuristic-based information processing was employed. These young women acquired information passively within their social network and actively in healthcare settings. However, they used heuristic cues, such as closeness and trust, to process the information. Similarly, vaccination decisions revealed that women relied on heuristic cues, such as sense of belonging and validation among peers and source credibility and likability in medical settings, in their decision to get vaccinated. The findings of this study highlight that intervention efforts should focus on strengthening social support among personal networks to increase the uptake of the vaccine. [ABSTRACT FROM AUTHOR]

This study extends the Comprehensive Model of Information Seeking (CMIS) to online health information seeking in the context of India. This study considers the Internet (i.e., media) use an antecedent factor and the personal relevance factor salience is separated into two dimensions - susceptibility and severity. Structural equation modeling analysis (N = 990) tested the associations between health-related antecedents, information-carrier factors, and their direct effects on online information seeking. The results among online health information seekers in India showed significant relationships between length and frequency of media use and self-efficacy to engage in preventive behavior to the information carrier utility. As predicted, demographics have no significant relationship with utility of the Internet, and direct experience with illness resulted in negative relationship with the Internet utility. Contrary to expectations, susceptibility and severity produced negative relationships with the Internet utility. Result shows that both information-carrier factors - characteristics related to trust and utility related to perceived usefulness and relevance of information - directly affect online health-information-seeking behavior. Unlike the original CMIS that primarily focused on specific illnesses, the current modified CMIS can be adapted and tailored to general online health-information-seeking behavior. [ABSTRACT FROM AUTHOR]

Voice of Chinese unwed single mothers remains unheard in public discourse in China. Since 2001, the government has enforced punishment and penalties on childbirth out of wedlock. Isolated socially offline, many turn to parenting forums as a source for social support. This study examined the role of online social support in the social and well-being of unwed single mothers in China. In particular, the largest online parenting forum that caters to unwed single mother was examined. After filtering out causal talks and other unrelated conversations, 578 initial unwed motherhood related post was narrowed to a total of 76 threads (which included 4892 messages). Findings reveal that all three types of social support: information, emotion, and tangible support were present and exchanged among the members of the discussion board. The findings highlight a positive impact of online social support on the overall wellbeing of this group. The presence and exchange of social support not only enhanced self-esteem and promoted individual empowerment, but also raised group consciousness and created a bond and a sense of belonging to an online community. [ABSTRACT FROM AUTHOR]

In Singapore, the responsibility of caring for persons with dementia falls on family members who cope with a long-term caregiver burden, depending on available support resources. Hiring foreign domestic workers to alleviate caregiver burden becomes a prevalent coping strategy that caregivers adopt. This strategy allows caregivers to provide home care as part of fulfilling family obligations while managing the caregiver burden. This study aimed to investigate primary caregivers’ relationship with hired support and its impact on coping with caregiver burden. Twenty in-depth interviews were conducted with primary caregivers who hired live-in domestic helpers to take care of their family members with dementia. The findings revealed that caregivers perceived the normative obligations to provide home care to family members with dementia. They sought support from domestic helpers to cope with physical and mental burnout, disruption of normal routines, and avoidance of financial strain. A mutual-support relationship was built between caregivers and domestic helpers through trust and interdependence. The presence of domestic helpers as a coping resource reveals the positive outcomes of problem-, emotional-, and diversion-focused coping. This study illustrates that coping strategies are employed in different ways depending on the needs of caregivers, access to infrastructure, cultural expectations, and available resources. [ABSTRACT FROM PUBLISHER]

Structural and cultural barriers have led to limited access to and use of mental health services among immigrants in the United States (U.S.). This study provided a systematic review of factors associated with help-seeking attitudes, intentions, and behaviors among immigrants who are living in the U.S. This systematic review was performed using Medline, CINAHL, APA PsycInfo, Global Health, and Web of Science. Qualitative and quantitative studies examining mental help-seeking among immigrants in the U.S. were included. 954 records were identified through a search of databases. After removing duplicates and screening by title and abstract, a total of 104 articles were eligible for full-text review and a total of 19 studies were included. Immigrants are more reluctant to seek help from professional mental health services due to barriers such as stigma, cultural beliefs, lack of English language proficiency, and lack of trust in health care providers. [ABSTRACT FROM AUTHOR]

This study investigated the functions of family support in older Chinese Singaporean women's daily health management in a Confucian cultural context, wherein family solidarity and women's caregiving responsibilities are emphasized. Thirty-eight interviews were conducted with ethnic Chinese women above the age of 60 in Singapore. Our thematic analysis showed that older women played dual roles as support providers and recipients in the family. Their caregiver identity and intent to preserve tradition resulted in a downward transmission of informational and physical support and their hesitance to accept resources provided by younger family members. The asymmetrical flow of family support generated mixed impacts on the women's daily health management. In their transition between tradition and modernity, older women fulfilled their family responsibilities but did not require their children to do so. Our findings suggested an integration of familial and institutional resources to meet older women's support needs and help them enhance their health behavior. [ABSTRACT FROM AUTHOR]

Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers' lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural violence conveys a message about who is entitled to health care and what a society emphasizes and expects regarding acceptable health behavior. Examining the structural violence highlighted how the sex workers negotiated, understood, and engaged with structural limitations in health care access, services, and utilization. [ABSTRACT FROM AUTHOR]

The lived experiences of women sex workers illustrate that sex work is frequently a manifestation of limited access to education, resources and jobs due to violence, oppression and patriarchy. However, some Nepalese sex workers reconstitute sex work as a viable form of work that provides food and shelter for their families and allows fulfillment of their duties as mothers. Through a culture-centred approach to research, which emphasis the voices of the marginalised and their own articulations of how marginalised spaces are negotiated, this paper offers an entry point to locating sex workers as active participants in their day-to-day lives. Thirty-five in-depth, semi-structured interviews were conducted with street-based female sex workers. Thematic analysis revealed the following three themes: (1) surviving through sex work, (2) financial security in sex work and (3) surviving sex work stigma. These findings have implications for health promotion involving members of this population. Lived experiences illustrate the need to move away from traditional, top-down, linear behaviour-change health campaigns to reconstitute health interventions within a participatory bottom-up approach that includes the voices of participants and is situated within their own context and needs. [ABSTRACT FROM AUTHOR]

Information behavior includes activities of active information seeking, passive acquisition of information, and information use. Guided by the Elaboration Likelihood Model, this study explored elderly Singaporean women’s health information behavior to understand how they sought, evaluated, and used health information in everyday lives. Twenty-two in-depth interviews were conducted with elderly Chinese women aged 61 to 79. Qualitative analysis of the interview data yielded three meta-themes: information-seeking patterns, trustworthiness of health information, and peripheral route of decision making. Results revealed that elderly women took both systematic and heuristic approaches to processing information but relied on interpersonal networks to negotiate health choices. [ABSTRACT FROM AUTHOR]

While pedagogy is predominantly viewed from the perspective of classroom instruction, educators worldwide invariably play a critical pastoral role of shaping the personal development of their students and nurturing in them life skills. With the avid use of participatory media by young people in peer interaction, educators need to be aware of the attendant risks and opportunities so that they may offer counsel and render appropriate advice. To this end, through interviews with 36 Singaporean male juvenile delinquents and youths-at-risk, this study explores how these youths utilise participatory media in their peer interaction. The findings indicate that for this vulnerable youth population, participatory media such as social networking sites can become a platform through which they are unwittingly drawn into criminal behaviour and post-rehabilitation, participatory media may offer an insidious route to recidivism. Participatory media complicates peer interaction by presenting risk factors such as network transparency, negative peer modelling, network seepage and network persistence, all of which have implications for these youths sliding further into delinquency and criminal activity. This article concludes with recommendations on the strategies which youths-at-risk can employ to avoid the risks of participatory media. [ABSTRACT FROM PUBLISHER]

Pandemics challenge conventional assumptions about health promotion, message development, community engagement, and the role of news media. To understand the use of press releases in news coverage of pandemics, this study traces the development of framing devices from a government public health agency's press releases to news stories about the 2009 H1N1 A influenza pandemic. The communication management of the H1N1 pandemic, an international news event with local implications, by the Singapore government is a rich locus for understanding the dynamics of public relations, health communication, and journalism. A content analysis shows that the evolution of information from press release to news is marked by significant changes in media frames, including the expansion and diversification in dominant frames and emotion appeals, stronger thematic framing, more sources of information, conversion of loss frames into gain frames, and amplification of positive tone favoring the public health agency's position. Contrary to previous research that suggests that government information subsidies passed almost unchanged through media gatekeepers, the news coverage of the pandemic reflects journalists’ selectivity in disseminating the government press releases and in mediating the information flow and frames from the press releases. [ABSTRACT FROM PUBLISHER]

Information behavior includes activities of active information seeking, passive acquisition of information, and information use. Guided by the Elaboration Likelihood Model, this study explored elderly Singaporean women’s health information behavior to understand how they sought, evaluated, and used health information in everyday lives. Twenty-two in-depth interviews were conducted with elderly Chinese women aged 61 to 79. Qualitative analysis of the interview data yielded three meta-themes: information-seeking patterns, trustworthiness of health information, and peripheral route of decision making. Results revealed that elderly women took both systematic and heuristic approaches to processing information but relied on interpersonal networks to negotiate health choices. [ABSTRACT FROM AUTHOR]

Based upon the culture-centered approach that foregrounds the relevance of interrogating the taken-for-granted assumptions that circulate in the dominant models of health communication on family planning, this article argues that traditional approaches to reproductive health campaigns are concerned with safe motherhood (e.g., fertility, birth spacing, hospital delivery) rather than with the processes through which women construct, negotiate, and maintain meanings of motherhood and health within their cultural contexts. In doing so, this traditional framework leaves out the broader sociocultural, political, and economic contexts of social structures that constrain and enable the possibilities for health in the realm of motherhood. The culture-centered approach notes the erasure of these voices of women from dominant epistemic structures, and seeks to interrupt knowledge production by co-constructing meanings of reproductive health through dialogues with women at the margins. Therefore, in-depth interviews were conducted to centralize experiences of the cultural participants, allowing alternative health meanings to emerge within their local contexts. In particular, highlighting narratives of young Nepalese women living under poverty, we are able to understand how women actively (re)construct meanings of motherhood within their localized cultural spaces. [ABSTRACT FROM AUTHOR]

BASNYAT I. Nursing Inquiry 2011; : 123-134 This article argues that traditional approaches to reproductive health are concerned with safe motherhood. In the discourse of reproductive health, safe motherhood is defined as the ability to bear and raise children, and to plan and space births for safe pregnancy, focusing strictly on the biological abilities of women [ Reproductive Health Matters, 2005, 34]. This fails to account for how women construct, negotiate and maintain their health within their own cultural context. To understand how social context influences meanings of health, in-depth interviews were conducted with young Nepalese women living in poverty. Centralizing women's voices not only creates opportunities for exploring how local context shapes meanings of health but also allows alternative health meanings of the cultural participants to emerge. In particular, by highlighting narratives we are able to understand how women actively (re)construct dominant meanings of reproductive health and in turn act upon meanings that are socially and culturally relevant. [ABSTRACT FROM AUTHOR]

Social media have become an important platform for health promotion. Based on the Information-Community-Action Framework, we conducted a content analysis of 1,481 Facebook postings by Singapore's Health Promotion Board. Results showed that organizational information and health benefit information dissemination were positively associated with online audience engagement. Also, organization-audience interaction had a positive relationship with online audience engagement. In addition, messages that help build confidence for health behavior change increased online audience engagement. In addition to these main effects, organization-audience interaction also played a moderating role that strengthened the effects of information dissemination and action confidence building on online audience engagement. This study offers important theoretical contributions to the Information-Community-Action Framework and has practical implications for enhancing the effectiveness of health promotion in this digital era. [ABSTRACT FROM AUTHOR]

Hegemonic Open Science, emergent from the circuits of knowledge production in the Global North and serving the economic interests of platform capitalism, systematically erase the voices of the subaltern margins from the Global South and the Southern margins inhabiting the North. Framed within an overarching emancipatory narrative of creating access for and empowering the margins through data exchanged on the global free market, hegemonic Open Science processes co-opt and erase Southern epistemologies, working to create and reproduce new enclosures of extraction that serve data colonialism-capitalism. In this essay, drawing on our ongoing negotiations of community-led culture-centered advocacy and activist strategies that resist the racist, gendered, and classed structures of neocolonial knowledge production in the metropole in the North, we attend to Southern practices of Openness that radically disrupt the whiteness of hegemonic Open Science. These decolonizing practices foreground data sovereignty, community ownership, and public ownership of knowledge resources as the bases of resistance to the colonial-capitalist interests of hegemonic Open Science. [ABSTRACT FROM AUTHOR]

Due to the increasing amount of new information that is emerging about COVID-19, traditional and web-based information sources are commonly used to spread and seek information. This study compared differences in information seeking, trust of information sources, and use of protective behaviors (e.g., mask wearing) among individuals in the US and China during the COVID-19 pandemic. A total of 722 valid responses in the US and 493 valid responses in China were collected via online surveys in May 2020. Pearson's Chi-square tests, independent samples t-tests, and multiple linear regressions were used to conduct the analyses. Results showed that US respondents accessed significantly fewer COVID-19 information sources, rated significantly lower levels of trust in these sources, and reported significantly lower levels of protective behaviors than the Chinese respondents. In both countries, trust in newspapers, radio/community broadcasting, and news portals were significantly positively correlated with protective behaviors. While trust of TV was significant in both populations, in China it was positively correlated, whereas in the US was negatively correlated, with protective behaviors. Findings from this study showed that coordinated and consistent messages from governmental officials, health authorities, and media platforms are important to promote and encourage protective behaviors. [ABSTRACT FROM AUTHOR]

While extensive research has been conducted on young people’s peer interaction via online communication, the focus has been on mainstream youths, with marginalized youth communities being understudied. To help address this inadequacy, the current study conducted interviews with Singaporean male juvenile delinquents (n =36) to understand the role of online communication in their peer interactions and the salient characteristics of such interactions. Our findings show that Facebook was the principal tool of online peer interaction. However, given the particular circumstances of juvenile delinquents, online social networking presents issues that may compromise efforts to rehabilitate them. These include extending the time and opportunities for unstructured and unsupervised peer socialization, peer endorsement of delinquent acts and the pressure of having to display group loyalty in the online space. Even after rehabilitation, youths who attempt to distance themselves from their delinquent peers are challenged by the persistence of their online social networks. [ABSTRACT FROM AUTHOR]

While extensive research has been conducted on young people’s peer interaction via online communication, the focus has been on mainstream youths, with marginalized youth communities being understudied. To help address this inadequacy, the current study conducted interviews with Singaporean male juvenile delinquents (n =36) to understand the role of online communication in their peer interactions and the salient characteristics of such interactions. Our findings show that Facebook was the principal tool of online peer interaction. However, given the particular circumstances of juvenile delinquents, online social networking presents issues that may compromise efforts to rehabilitate them. These include extending the time and opportunities for unstructured and unsupervised peer socialization, peer endorsement of delinquent acts and the pressure of having to display group loyalty in the online space. Even after rehabilitation, youths who attempt to distance themselves from their delinquent peers are challenged by the persistence of their online social networks. [Copyright &y& Elsevier]

This article explores the strategic “facework” practices of an under-researched youth population. Based on interviews with male juvenile delinquents and youths-at-risk in Singapore, the article analyses their use of online social networking sites (SNS) using the Asian concept of “face.” These youths' online facework, geared towards gaining face, giving face, and avoiding loss of face, reflects the power dynamics underlying gang interactions which, when conducted over Facebook, become highly observable to gang members. The youths strategically appropriate technological affordances of Facebook such as posting status updates, comments, photographs, tagging, and viewable friendship networks for posturing, power aggrandizement, and reputation management. However, online facework can be a risky enterprise for these youths because of the possibility of context collapse and vulnerability to surveillance by the authorities and rival gangs, both of which they attempt to creatively circumvent. [ABSTRACT FROM PUBLISHER]