Exploring the Need of Social Change Leadership Concerning Health Communication and Health Disparities During the COVID-19 Pandemic

In March of 2020, the United States activated nationwide pandemic response protocols due to the swift spread of Novel Coronavirus Disease 2019, also known as COVID-19. Amidst the domestic response, urgency surrounded the need to build collective awareness of the signs, symptoms, and preventive measures of the virus. As the virus spread and historically marginalized communities were disproportionately impacted with rates of infection, the need to explore the presence of disparities in health communication, health education, and personal health literacy surfaced. The research contained within this study examines the root cause of the gap in health literacy for communities of color and presents actionable next steps to increase positive healthcare outcomes for all.

Social and Cognitive Psychology Theories in Understanding COVID-19 as the Pandemic of Blame

When faced with adverse circumstances, there may be a tendency for individuals, agencies, and governments to search for a target to assign blame. Our focus will be on the novel coronavirus (COVID-19) outbreak, where racial groups, political parties, countries, and minorities have been blamed for spreading, producing or creating the virus. Blame—here defined as attributing causality, responsibility, intent, or foresight to someone/something for a fault or wrong—has already begun to damage modern society and medical practice in the context of the COVID-19 outbreak. Evidence from past and current pandemics suggest that this tendency to seek blame affects international relations, promotes unwarranted devaluation of health professionals, and prompts a spike of racism and discrimination. By drawing on social and cognitive psychology theories, we provide a framework that helps to understand (1) the effect of blame in pandemics, (2) when people blame, whom they blame, and (3) how blame detrimentally affects the COVID-19 response. Ultimately, we provide a path to inform health messaging to reduce blaming tendencies, based on social psychological principles for health communication.

Twitter and Facebook posts about COVID-19 are less likely to spread misinformation compared to other health topics

The COVID-19 pandemic brought widespread attention to an “infodemic” of potential health misinformation. This claim has not been assessed based on evidence. We evaluated if health misinformation became more common during the pandemic. We gathered about 325 million posts sharing URLs from Twitter and Facebook during the beginning of the pandemic (March 8-May 1, 2020) compared to the same period in 2019. We relied on source credibility as an accepted proxy for misinformation across this database. Human annotators also coded a subsample of 3000 posts with URLs for misinformation. Posts about COVID-19 were 0.37 times as likely to link to “not credible” sources and 1.13 times more likely to link to “more credible” sources than prior to the pandemic. Posts linking to “not credible” sources were 3.67 times more likely to include misinformation compared to posts from “more credible” sources. Thus, during the earliest stages of the pandemic, when claims of an infodemic emerged, social media contained proportionally less misinformation than expected based on the prior year. Our results suggest that widespread health misinformation is not unique to COVID-19. Rather, it is a systemic feature of online health communication that can adversely impact public health behaviors and must therefore be addressed.

Indigenous Language Media, Communication, and Sickle Cell Disorder

The importance of health communication and information cannot be over emphasized especially with issues related to sickle cell disorder. Sickle cell disorder, common among Africans, has a lot of myths and misconceptions tied to it, so this chapter unearths and explores how indigenous communication can facilitate learning and understanding of the disorder majorly in rural areas and some urban areas where knowledge of the disorder is assessed low using the focus group discussion. It also reveals the importance of incorporating indigenous language and communication techniques in increasing awareness and eradicating stereotypes as regards sickle cell disorder. The findings of this chapter reflect that misinformation occurs due to lack of proper understanding of language used in sickle cell health communication-related issues. Hence, this chapter proposes that health education about the concept of SCD should be executed majorly in indigenous languages and through the indigenous media platforms.

Social Media Alternative for Health Communication in Nigeria

In the changing media and health landscapes, health communication requires more ways to improve and sustain new practices for health advocacy. The same way global population is soaring, people are becoming more urbane, and these vicissitudes are accompanied by the need to access new forms of media to meet information needs. This chapter assesses social media relevance as an alternative tool for health communication and clearly established that social media holds an integral locus in the day-to-day activities of the people, the same way it has for health communication. The growing concern is for stakeholders who are government and non-government agencies actors like traditional rulers, faith-based organisations, and international bodies to adopt the use of social media as an alternative for health communication in Nigeria.

The Science of Individuality and Tailored M-Health Communication

The era of the science of individuality promises to fully recognize the uniqueness of the individual who needs to be seen and treated with utter respect for his or her individuality. It will not be long until digitizing a person unlocks the cause for what is wrong, creating valuable knowledge that can save a life or markedly improve the quality of life. On the other hand, emerging m-health technologies provide fundamentally different ways of looking at tailored communication technology. As a result, tailored communications research is poised at a crossroads. It needs to both build on and break away from existing frameworks into new territory, realizing the necessary commitment to theory-driven research at basic, methodological, clinical, and applied levels. The chapter envisions tailored m-health communication in the context of the science of individuality, emphasizing the variability, stability, and centrality of the individual.

In Principio Erat Verbum

This chapter discusses the origins of the various models used as a basis for health communication through a literature review. Models seek to represent reality and are dynamic constructs that evolve as the world's own needs and discoveries are made. Particularly in health, a territory for a long time dominated by the biomedical model and a passive view of its recipients, the models have brought a breath of fresh air to the true human dimension. Among the various models that have been defended based on a biopsychosocial perspective, the cognitive, behavioral, emotional components of the human being are reflected, as well as their context and environment in which they move, namely the social, economic, cultural, political, and other dimensions. It is also the determinants of health that influence the whole and that make the interpersonal relationship in health richer and representative of the complex human dimension seen in a holistic way.

Better Health Communication During the Life Cycle Contributes to Better Health Literacy

Health literacy (HL) is about acquiring competences, confidence, and motivation to take action in health improvement. Health communication is key in promoting HL. Information leaflets are a tool that grants autonomy, thereby empowering self-management of health. Qualitative and content analysis of two original leaflets was made by a group of medical doctors, targeting pregnant women and the elderly, who represent different stages of the life cycle. The content was written in an assertive, clear, and positive language, and was adjusted to the target public. A question-answer system was used, making it easier for the reader to gather specific information. Structural aspects underlying both leaflets were similar. Health leaflets are widely used for the proper transmission of information. It is therefore essential that they are appropriate to the recipients' HL throughout the life cycle. The critical and systematised analysis of their information content contributes to quality assurance, leading to better HL and healthcare in general.