在線首發  OnlineFirst publication
隱於疾病背後:虛假健康信息如何影響育齡女性就醫迴避?
The Underlying Cause: How Reproductive Health Misinformation Influences Doctor Avoidance Among Chinese Women of Childbearing Age
  (4)
作者 張連珊、李雪晴
Author Lianshan ZHANG, Xueqing LI
關鍵詞 虛假信息、公眾污名、自我效能、就醫迴避、「新聞找到我」
Keywords misinformation, public stigma, self-efficacy, doctor avoidance, “news-finds-me”
摘要 在當前低生育率的社會背景下,在面臨生育系統疾病時育齡女性就醫迴避的現象愈加受到關注。與此同時,虛假健康信息的廣泛傳播對育齡女性的就醫防護行為帶來了新的挑戰。研究通過對農村和城鎮地區育齡女性的問卷調查發現,生育健康虛假信息的接觸顯著助長了育齡女性對生殖、生育系統疾病的公眾污名感知,從而觸發了就醫迴避。儘管虛假健康信息並未直接作用於育齡女性在生育健康管理方面的自我效能感,卻通過強化公眾污名感知,間接削弱了該群體的自我效能感,進一步妨礙了育齡女性的尋醫問診。此外,「新聞找到我」感知在虛假信息接觸與公眾污名感知之間發揮了顯著的調節作用,加劇了虛假健康信息的負面影響。研究結論有助於理解在虛假信息的環境下,育齡女性就醫迴避行為的形成機理與邊界條件,並為制定生育健康政策和宣導健康行為提供了實際的參考。
Abstract In contemporary society, declining fertility rates have increasingly drawn scholarly attention to the phenomenon of doctor avoidance among women of childbearing age who face reproductive system diseases. Simultaneously, the widespread dissemination of health misinformation poses new challenges to the doctor-seeking behaviors of these women. Based on an online survey of women of childbearing age in both rural and urban areas, this study found that reproductive health misinformation exposure significantly heightened the perception of public stigma associated with reproductive system diseases among participants, which in turn led to doctor avoidance. Although reproductive health misinformation did not directly impact participants’ perceived self-efficacy in managing their reproductive health, it indirectly undermined their self-efficacy by reinforcing the perception of public stigma, thereby further hindering their doctor-seeking behavior. Additionally, the “news-finds-me” perception significantly moderated the relationship between misinformation exposure and the perception of public stigma, exacerbating the negative effects of reproductive misinformation. The findings of this study not only elucidate the theoretical mechanisms and boundary conditions of doctor avoidance among women of childbearing age in the context of misinformation but also provide practical implications for improving reproductive health among Chinese women.
No.75  2026 January
No.74  2025 October
No.73  2025 July
No.72  2025 April
No.71  2025 January
© 2017 Communication & Society Journal. All Rights Reserved.