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Student travellers are recognised as a group at high risk of travel-related morbidity, but few previous studies have evaluated students' perceptions of or willingness to take risks during travel. Individual risk propensities may influence travellers’ engagement in pre-travel healthcare and can therefore inform strategies in pre-travel risk communication. This study aimed to describe the factors influencing risk-taking willingness, risk perceptions and future health-seeking intention among student travellers. We conducted a cross-sectional online survey (June–August 2021) among students enrolled at Monash University, Melbourne, Australia. Primary outcomes were travel-related risk-taking willingness and risk perceptions, measured using the health/safety items of the validated Domain-Specific Risk-Taking (DOSPERT) scale. Four hundred and eighteen students completed the survey. The mean age of respondents was 25.61 years, 78% were female and 46% were born outside Australia. Greater willingness to take risks was predicted by younger age (<25 years), being Australian-born, greater travel experience (3+ trips), having previously sought PTA, and perceiving oneself at low risk of severe COVID-19. We found no significant predictors of risk perception. Increased intention to seek pre-travel advice in the future was associated with greater risk perception, younger age, and perceiving oneself at high risk of severe COVID-19. These findings support the rationale for a greater role of risk communication in travel medicine promotion strategies. We recommend that this could be achieved through 1) increasing risk perception by emphasising potential travel-associated risks, 2) personalising information about travel risks, 3) addressing perceived benefits of engaging in risky behaviours, and 4) reinforcing self-efficacy.

ABSTRACTExclusive breastfeeding can encourage optimal growth and development, especially during the child’s critical period which spans from when the baby is born until  2 years old. The objective of this study was to analyze the motivational phase of the Health Action Process Approach (HAPA) theory with the intention of exclusive breastfeeding in the work area of the Sidosermo Primary Healthcare Center. This study was a quantitative cross-sectional study with an observational research design. The sampling technique was conducted through the systematic random sampling technique with a total sample of 32 people. The study showed that risk perception has a significant influence on the intention of exclusive breastfeeding with a significance value of 0.014 < α (0.05) and an odds ratio of 0.101. This suggests that respondents who had the right perception about exclusive breastfeeding are 0.101 times more likely to exclusively breasfeed their child than respondents who had a wrong perception. This study also showed that there was a significant influence between self-efficacy towards the intention of exclusive breastfeeding, with a significance value of 0.006 < α (0.05). Respondents who felt that they were able to give exclusive breastfeeding were 17 times more likely to provide exclusive breastfeed than those who felt they were less able. The results of this study indicated that there was an influence between the outcome expectancies with the intention of exclusive breastfeeding with a significance value of 0.004 < α (0.05) and an odds ratio of 28.8. It means that respondents who had high expectations had 28.8 times more intention to provide exclusive breastfeeding than respondents who had low expectations. Keywords: exclusive breastfeeding, intention, Health Action Process Approach (HAPA)

Internet hospitals show great potential for adequately fulfilling people's demands for high-quality outpatient services, and with the normalization of the epidemic prevention and control of COVID-19, internet hospitals play an increasingly important role in delivering health services to the public. However, the factors that influence patients' intention to use the online inquiry services provided by internet hospitals remain unclear. Understanding the patients' behavioral intention is necessary to support the development of internet hospitals in China and promote patients' intention to use online inquiry services provided by internet hospitals during the prevention and control of the COVID-19 epidemic. The purpose of this study is to identify the determinants of patients' intention to use the online inquiry services provided by internet hospitals based on the theory of planned behavior (TPB). The hypotheses of our research model were developed based on the TPB. A questionnaire was developed through patient interviews, verified using a presurvey, and used for data collection for this study. The cluster sampling technique was used to include respondents with chronic diseases. Structural equation modeling was used to test the research hypotheses. A total of 638 valid responses were received from patients with chronic diseases. The goodness-of-fit indexes corroborated that the research model was a good fit for the collected data. The model explained 45.9% of the variance in attitude toward the behavior and 60.5% of the variance in behavioral intention. Perceived behavioral control and perceived severity of disease had the strongest total effects on behavioral intention (β=.624, P=.004 and β=.544, P=.003, respectively). Moreover, perceived convenience, perceived information risk, emotional preference, and health consciousness had indirect effects on behavioral intention, and these effects were mediated by attitude toward the behavior. Among the four constructs, perceived convenience had the highest indirect effect on behavioral intention (β=.207; P=.001). Perceived behavioral control and perceived severity of disease are the most important determinants of patients' intention to use the online inquiry services provided by internet hospitals. Therefore, internet hospitals should further optimize the design of online service delivery and ensure a reasonable assembly of high-quality experts, which will benefit the promotion of patients' adoption intention toward online inquiry services for health purposes. Perceived convenience, emotional preference, and perceived risks also have effects on behavioral intention. Therefore, the relevant quality control standards and regulations for internet hospitals should be further developed and improved, and the measures to protect personal information should be strengthened to ensure the patient safety. Our study supports the use of the TPB in explaining patients' intention to use online inquiry services provided by internet hospitals.

The current study examined the effect of emotion regulation prompts on obesity-related behavioral intentions and food choices in a sample of undergraduate students. Prior to reading a pamphlet regarding obesity-related health concerns and healthy food choices, participants were prompted to regulate their emotions or no prompt was given. Study 1 investigated differences in health behavior intentions and perception of risk of obesity-related health concerns. Study 2 examined differences in meal choices from a menu. Finally, Study 3 examined differences in food choices between participants prompted to attend, regulate emotions, or no prompt. Participants prompted to regulate their emotions were more likely to report intentions to follow a healthier diet and perceive a greater likelihood of health concerns, select health food options from a presented menu. and select a healthier food choice from presented options. These findings suggest emotion regulation strategies may be beneficial to increase awareness of perceived health risks as well as encourage healthier lifestyle choices among college students.

Forest-based health tourism is an important part of health tourism, which has gradually become the internal demand of urban residents for a healthy life. However, few studies have explored the factors influencing the willingness of forest-based health tourism in the period of epidemic prevention and control. From the perspective of cognition and social trust, this study explored the impact of cognition and social trust on the forest-based health tourism intention of urban residents during COVID-19, and proposed feasible suggestions for revitalizing the development of forest-based health tourism under the COVID-19 pandemic. Based on online questionnaire data collected from 383 Chinese respondents, a binary Logistic regression model was constructed for analysis. The results showed the following. (1) Cognition of health preservation had a significant positive effect on the forest-based health tourism intention of urban residents, while epidemic prevention cognition had no significant effect. (2) Social trust played a significant role in promoting the behavioral decision of wellness tourism in forest among urban residents. Public trust and interpersonal trust had significant positive effects on the forest-based health tourism intention of urban residents. (3) Educational level and health status were the demographic factors that affected the forest-based health tourism intention of urban residents. These findings provide theoretical references for policy makers to attract tourists and realize the sustainable development of forest-based health tourism, and provide important implications for tourism marketing and destination management under the COVID-19 pandemic.

Introduction Introducing a primary care physician ( Kakaritsuke-I : KI) system to improve the efficiency of the health care system has been controversial in Japan. This study aimed to determine the relevance of KI to an individual’s health behavioral intentions. Methods We used data from a nationwide, population-based internet survey ( N  = 5,234) to conduct a cross-sectional regression analysis. Additionally, we used a propensity score matching method to mitigate the potential endogenous biases inherent in the decision to have a KI. Results KI was positively associated with various behavioral intentions. For example, the probabilities of intending to eat a well-balanced diet and engaging in moderate exercise were 12.8 (95% confidence interval [CI]:9.5–16.1) percentage points and 7.2 (95% CI: 3.9–10.4) percentage points higher, respectively, among those with a KI than among those without a KI. A KI equally increased the likelihood of getting vaccinated against coronavirus (in November 2021) by 7.5 (95% CI: 5.2–9.8) percentage points. Conclusions Although further analysis is needed to examine the effect of KI on health, the results of this study suggest the potential benefits of policy measures to promote the KI system.

Background The burgeoning field of health tourism has garnered significant attention due to its integration of health and leisure, reflecting a growing consumer demand for wellness-oriented travel experiences. Based on the socioemotional selectivity theory, this study examines the relationship between future time perspective, health awareness, involvement, and health tourism intention. It aims to understand how different dimensions of future time perspective influence the intention to engage in health tourism, beyond the traditional chronological age. Methods A cross-sectional survey was conducted among individuals aged 16 years and above with normal cognitive function. Data was collected through online questionnaires distributed on popular Chinese social media platforms, WeChat and QQ. A total of 536 valid questionnaires were returned, with a validity rate of 91.47%. The study employed the structural equation modeling (SEM) to test the proposed hypotheses. Results The effect of different dimensions of future time perspective on health tourism intention differed. Limited future time perspective (LFTP) positively influenced health tourism intention, while open-ended future time perspective (OFTP) did not have a significant effect on health tourism intention. Involvement and health awareness not only directly influence health tourism intention, but also mediate the relationship between future time perspective (OFTP and LFTP) and health tourism intention respectively. Moreover, there is a significant difference in the effect of LFTP on healthy tourism intention between different age groups. Conclusions The findings highlight the importance of considering subjective time perspectives in understanding health tourism intention. Health tourism companies should focus on strategies that enhance health awareness and consumer involvement to capitalize on the positive effects of health tourism intention. Additionally, the study suggests that marketing efforts should be tailored to address the specific needs and goals of individuals with different future time perspectives, thereby optimizing the appeal of health tourism products. Future research should explore these relationships across diverse populations and contexts to further refine the understanding of health tourism decision-making.

PurposeThis paper aims to theorize and examine how central cognition elaboration cue and peripheral cognition elaboration cue influence users’ health information sharing intention in Strong ties social media (STSM) in emerging markets.Design/methodology/approachThis paper innovatively proposes two concepts of health information emotion and health information sharing value based on the in-depth observation of users’ social health behavior. We integrate Elaboration Likelihood Model, Media Richness Theory, Trust Theory and Regulatory Focus Theory to develop hypotheses and research models and lay emphasis on the study of health information emotion’s moderating effect. This paper conducts an empirical study by selecting 372 health information users of WeChat, a typical STSM, to verify the research model by structural equation model.FindingsFor the central route, individual motivation and health information richness positively influence health information sharing value. For peripheral route, health information source trust and health information recipient trust both positively influence the health information sharing attitude. Health information sharing value and sharing attitude can positively affect users’ health information sharing intention. In addition, health information positive emotion has significant moderating effect, while health information negative emotion does not have.Originality/valueThis study contributes to a comprehensive perspective for understanding users’ health information sharing intention in STSM in emerging markets, an important but understudied topic. The results can also give implications for researchers to explore users’ behavioral intention from the perspective of process-oriented persuasion and health information emotion’s moderating effect.

Background and Aims Breast cancer is the most prevalent cancer among women worldwide, with rising trends in prevalence, incidence, and mortality rates. Genetic testing for BRCA1 and BRCA2 variants plays a pivotal role in assessing risk and enabling early detection. Despite its importance, participation in breast cancer screening programs, including genetic testing, remains notably low in Iran. This study aimed to assess Iranian women's intention to undergo predictive genetic testing for breast cancer and identify associated factors to inform policymakers and intervention strategies. Methods A cross‐sectional online survey was conducted from July to August 2021 among 1041 Iranian women aged 30 and above. A validated questionnaire assessed demographics, psychological factors, personal and family cancer history, knowledge of breast cancer genetics, attitudes toward genetic testing, and testing intentions. Statistical analyses included Chi‐square tests, Fisher's Exact Test, and logistic regression to identify predictors of testing intention. Results Most participants (89.5%) expressed willingness to undergo genetic testing if it were free. Higher knowledge of breast cancer genetics (OR = 1.59, p = 0.038) and positive attitudes toward testing (OR = 1.59, p = 0.042) were significant predictors of intention. Married women and those with a history of breast cancer screening were more likely to have undergone testing (p = 0.03 and p = 0.02, respectively). However, a family history of cancer and perceived risk showed no significant association with testing intentions. Conclusion Despite limited knowledge, Iranian women demonstrated a strong interest in genetic testing for breast cancer. Educational interventions and policy measures to reduce financial barriers could enhance participation rates. Tailored programs addressing psychological concerns and improving genetic literacy are recommended to support informed decision‐making and early detection efforts.

PurposeThe proliferation of health misinformation on social media has increasingly engaged scholarly interest. This research examines the determinants influencing users’ proactive correction of health misinformation, a crucial strategy in combatting health misbeliefs. Grounded in the elaboration likelihood model (ELM), this research investigates how factors including issue involvement, information literacy and active social media use impact health misinformation recognition and intention to correct it.Design/methodology/approachA total of 413 social media users finished a national online questionnaire. SPSS 26.0, AMOS 21.0 and PROCESS Macro 4.1 were used to address the research hypotheses and questions.FindingsResults indicated that issue involvement and information literacy both contribute to health misinformation correction intention (HMCI), while misinformation recognition acts as a mediator between information literacy and HMCI. Moreover, active social media use moderated the influence of information literacy on HMCI.Originality/valueThis study not only extends the ELM into the research domain of correcting health misinformation on social media but also enriches the perspective of individual fact-checking intention research by incorporating dimensions of users’ motivation, capability and behavioral patterns.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-09-2023-0505