网络健康社区用户信息交流的认知动因探究——基于SEM和fsQCA方法  

Research on the Cognitive Motives of Users’Health Information Exchange in Online Health Community Using SEM and fsQCA

作　　者：贺珊 曹坡 余佳琪 刘蕤[1] He Shan;Cao Po;Yu Jiaqi;Liu Rui(Central China Normal University,School of Information Management,Wuhan 430079,China;Hubei Three Gorges Polytechnic,Yichang 443199,China;Library,Hubei Normal University,Huangshi 435002,China)

机构地区：[1]华中师范大学信息管理学院,湖北武汉430079 [2]湖北三峡职业技术学院,湖北宜昌443199 [3]湖北师范大学图书馆,湖北黄石435002

出　　处：《现代情报》2023年第3期42-52,共11页Journal of Modern Information

摘　　要：[目的/意义]网络健康社区已经成为人们交流健康信息的重要场所,探究用户健康信息交流行为认知动因有利于提高健康信息交流质量、增强网络健康社区的用户粘性、促进网络健康社区的持续发展。[方法/过程]基于健康信念模型和计划行为理论,整合电子健康素养、健康数学运算能力构建网络健康社区用户健康信息交流认知动因的研究模型。利用结构方程模型(SEM)和模糊集定性比较分析(fsQCA)方法,使用SPSS 22.0、Amos 24.0和fsQCA 3.0对研究模型检验。[结果/结论]SEM分析结果显示,行动线索、感知收益、行为态度、健康焦虑、健康数学运算能力、电子健康素养对健康信息交流有显著正向影响;行为态度与健康焦虑两情感变量分别在感知易感性与健康信息交流行为、感知严重性与健康信息交流行为间起完全中介作用;感知障碍对健康信息交流行为无显著影响。fsQCA分析分别发现4种触发用户产生/不产生信息交流行为的前因构型。行为态度是触发用户产生健康信息交流行为组合路径的共有因素,其与电子健康素养、感知易感性、感知严重性等共同导致用户的健康信息交流;感知障碍是用户不产生健康信息交流行为组合路径的共有因素。既探讨用户健康信息交流行为认知动因的净效应,又厘清了导致结果变量的构型,研究结果可为用户提升健康信息交流效率以及医疗健康社交媒体设计与优化提供理论依据。[Purpose/Significance]The online health community(OHC)is playing a critical role for users to exchange health information,and to explore the cognitive motives of users’health information exchange behaviour is beneficial to the quality of health information exchanges,the user stickiness of the OHC as well as its sustainable development.[Method/Process]Based on the theories of Health Belief Model,Planned Behavior Theory,e-Health Literacy and Health Numeracy,this paper constructed a research model to investigate on the cognitive motives of users’health information exchanges using structural equation modeling(SEM)and fuzzy set qualitative comparative analysis(fsQCA).[Results/Conclusions]The SEM results showed that Cue to Action,Perceived Benefits,Behavioral Attitude,Health Anxiety,Health Numeracy and e-Health Literacy had significant positive impacts on Health Information Exchange Behaviour;Respectively,Behavioral Attitude and Health Anxiety demonstrated complete mediating effects between Perceived Susceptibility to Health Information Exchange Behaviour and Perceived Severity to Health Information Exchange Behaviour;Perceived Barriers had no significant impact on Health Information Exchange Behaviour.The fsQCA results indicated that four configurations that leaded to the occurrence of Health Information Exchange Behaviour and four configurations that caused the nonoccurrence of it.The research findings can help improve users’health information exchange as well as the function design of OHC.

关 键 词：健康信息 信息交流 健康信念模型 计划行为理论 认知动因 定性比较分析 

分 类 号：G206[文化科学—传播学]