Huang Siwen, Zhou Jingtao, Li Qingyu, Zhang Yuhang, Xu Yutong, Li Yan, Xiao Yongkang, Ma Wei, He Lin, Ren Xianlong, Dai Zhen, Sun Jiaruo, Jiao Kedi, Cheng Feng, Liang Wannian, Xin Meiqi, Luo Sitong
Vanke School of Public Health, Tsinghua University.
Department of Acute Infectious Diseases Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention.
Health Commun. 2025 Jun;40(7):1341-1351. doi: 10.1080/10410236.2024.2400391. Epub 2024 Sep 12.
Media literacy plays an increasingly important role in health communication during public health emergencies. The present study aimed to investigate the level of media literacy and its association with disease perceptions and behavioral intentions of receiving vaccination services among young men who have sex with men (YMSM) in China during the 2022 multi-country mpox outbreak. The data were from a large-scale cross-sectional survey conducted among 2,493 YMSM aged 18-29 years in six provincial regions in China in September 2022. A total of 2,079 YMSM who had obtained mpox information from social media platforms were included in this study. Correlation analysis and path analysis were conducted. The mean age of the sample was 24.7. After controlling for background variables, significant positive correlations were found in several pairs between media literacy, mpox-related perceptions (including perceived susceptibility to mpox, perceived severity of mpox, perceived benefits of mpox vaccination, and self-efficacy of receiving mpox vaccination), and the behavioral intention of receiving mpox vaccination. The mpox-related perceptions played a significant mediation role in the association between media literacy and intention of receiving mpox vaccination (indirect effect = 0.165, < .001, effect size = 82.1%). Media literacy is crucial for developing disease perceptions during public health emergencies and may further influence the adoption of preventive measures. As social media platforms have become the main battle field of health communication during disease outbreaks, improvement of media literacy is urgently warranted.
在突发公共卫生事件期间，媒介素养在健康传播中发挥着越来越重要的作用。本研究旨在调查2022年多国猴痘疫情期间，中国男男性行为者（YMSM）的媒介素养水平及其与疾病认知和接种疫苗服务行为意向之间的关联。数据来自2022年9月在中国六个省级地区对2493名年龄在18 - 29岁的YMSM进行的大规模横断面调查。本研究纳入了总共2079名从社交媒体平台获取猴痘信息的YMSM。进行了相关性分析和路径分析。样本的平均年龄为24.7岁。在控制背景变量后，发现媒介素养、猴痘相关认知（包括对猴痘的易感性认知、猴痘的严重性认知、猴痘疫苗接种的益处认知以及接种猴痘疫苗的自我效能感）和接种猴痘疫苗的行为意向之间的几对变量存在显著正相关。猴痘相关认知在媒介素养与接种猴痘疫苗意向之间的关联中起显著中介作用（间接效应 = 0.165，< .001，效应大小 = 82.1%）。在突发公共卫生事件期间，媒介素养对于形成疾病认知至关重要，并且可能进一步影响预防措施的采取。由于社交媒体平台已成为疾病爆发期间健康传播的主要战场，提高媒介素养迫在眉睫。
