Chou Wen-Ying Sylvia, Iles Irina A, Gaysynsky Anna, Klein William M P
All authors are with the Behavior Research Program, National Cancer Institute, Rockville, MD. Anna Gaysynsky is also with ICF Next, Rockville, MD.
Am J Public Health. 2025 Apr;115(4):511-518. doi: 10.2105/AJPH.2024.308003. Epub 2025 Feb 6.
Changes in the information landscape and increasing polarization in society over recent decades have made it more difficult to establish common ground, which poses a profound challenge to effective health communication and public health in general. We highlight the importance of assessing health communication approaches for their potential to bring people together and reduce polarization. We outline several communication approaches that use existing common ground (e.g., appeals to shared values, shared identity, common goals, social norms) or cultivate common ground (e.g., dialogue to bridge divides, trust-focused communication, efforts to humanize scientists), positing that by furthering common ground, these approaches can serve to increase a shared understanding of contentious health topics and foster greater trust in science and evidence-based health information. We end by cautioning against the use of approaches that may be shown to be effective on some measures but may also inadvertently create further polarization, such as the use of certain fear appeals, disparaging humor, or stigmatizing language. (. 2025;115(4):511-518. https://doi.org/10.2105/AJPH.2024.308003).
近几十年来,信息环境的变化以及社会两极分化的加剧使得建立共识变得更加困难,这对有效的健康传播乃至公共卫生构成了严峻挑战。我们强调评估健康传播方法对于凝聚人群和减少两极分化的潜力的重要性。我们概述了几种利用现有共识(例如诉诸共同价值观、共同身份、共同目标、社会规范)或培养共识(例如通过对话弥合分歧、以信任为重点的沟通、努力使科学家更具人情味)的传播方法,并认为通过促进共识,这些方法可以增进对有争议的健康话题的共同理解,并增强对科学和循证健康信息的信任。最后,我们告诫不要使用某些在某些指标上可能显示有效,但也可能无意中加剧两极分化的方法,例如使用某些恐惧诉求、贬低性幽默或污名化语言。(. (2025年);115(4):511 - 518. https://doi.org/10.2105/AJPH.2024.308003)