Xinshu Zhao
Biographic Data
| ID | 3620241 |
|---|---|
| NAME | Xinshu Zhao |
| GIVEN NAMES | Xinshu |
| FAMILY NAME | Zhao |
| SIGNATURE | ZHAO X |
| AFFILIATIONS | University of Macau |
| ORCID | 0000-0002-6038-0661 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 1046 |
| AUTHOR COUNT | 33 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
When chitchat fosters trust: Phatic communication and personal connections facilitate patient trust in China through patient-centered communication
In China, patient trust has been declining in recent decades. Patient-centered communication (PCC) has been found to be effective in fostering patient trust. Although scholars have identified multiple ways to improve PCC, prior research has paid little attention to the potential of phatic communication between patients and healthcare providers. Applying interaction ritual theory (IRT), this study aimed to examine the mediated effect of patient–pr…
How Health Self-Efficacy Affects Physical Activity Among Chinese Adults with Different Covid-19 Experiences: The Mediating Role of Health Information Technology Use
The COVID-19 pandemic has profoundly impacted global health. Considering the benefits of physical activity (PA) for improving health, this study focuses on enhancing PA among groups with different COVID-19 experiences. Guided by self-efficacy and self-regulation theories, this study examines how health self-efficacy (HSE) increases PA, with using health information technology (IT) for self-regulation serving as a mediating factor across three gro…
How Health-Related Social Media Use Affects Health Behaviors: Mediated by Self-Efficacy and Self-Regulation, Moderated by Gender
0003, se = .0001, 95% CI [.0002, .0004]). These findings highlight the association between HRSMU and health behaviors, as well as the need for gender-tailored interventions to strengthen cognitive factors during health behavior change
Understanding the Role of Online Patient–Provider Communication in Patient-Centered Care: A Structural Equation Modeling-Based Multigroup Analysis Comparing Brazil and Portugal
40.79), this comparative study explored discrepancies in OPPC utilization and related outcomes by examining the relationship between OPPC and healthcare satisfaction. Additionally, this study tested a serial mediation model of perceived efficacy in patient-provider interaction and patient-centeredness that links OPPC to healthcare satisfaction. Results indicated that the direct effects of OPPC on healthcare satisfaction were not significant in bo…
Invisible minority stress and addictive behaviors: Disparities in psychological distress and e-cigarette use among lesbian, gay, and bisexual adults in China
The pattern of e-cigarette use among Chinese sexual minorities is distinct: e-cigarettes are less commercialized and serve mainly as a coping mechanism. These findings highlight the importance of mental health support and eHealth interventions in reducing psychological distress and e-cigarette use among LGB individuals in China
How Do Health Information Scanning and Seeking Influence Excessive Alcohol Drinking Among Chinese Hypertensive Drinkers? A Moderated Mediation Analysis
China has a longstanding tradition of alcohol consumption, yet excessive drinking poses significant health risks, particularly for individuals with cardiovascular conditions such as hypertension. While existing literature indicates that both health information scanning and seeking behaviors can impact health beliefs and actions, their effects on alcohol prevention remain understudied. Utilizing data from a national survey in China, this study inv…
“I Saw it Incidentally but Frequently”: Exploring the Effects of Online Health Information Scanning on Lung Cancer Screening Behaviors Among Chinese Smokers
In China, lung cancer is the most common cancer with high mortality. While prior research suggests that health information scanning influences cancer screening within the general population, a deeper exploration of the underlying mechanisms is imperative. This study specifically targets smokers, aiming to investigate whether online health information scanning can effectively encourage lung cancer screening and elucidate the mechanisms driving thi…
Empowering Unvaccinated Women with Information: How Online Cancer Information Seeking and Scanning Encourage HPV Vaccination in China
Chinese women face a tremendous threat of cervical cancer alongside low rates of human papillomavirus (HPV) vaccination. Online cancer information has become a driving force of HPV vaccination, but the underlying mechanism remains unclear. Drawing upon the three-stage model of health promotion, this study examines the relationships between online cancer information seeking and scanning and HPV vaccination intention among unvaccinated Chinese wome…
From Online to Offline: How Different Sources of Online Health Information Seeking Affect Patient-Centered Communication in Chinese Older Adults? The Roles of Patient Activation and Patient–Provider D…
Despite the increasing prevalence of online health information seeking (OHIS) among older adults, its impact on patient-centered communication (PCC) outcomes remains unclear. Drawing from Street's ecological framework of communication in medical encounters, the present study examined the mediation role of patient activation in the relationship between OHIS across three media channels - social media, search engines, and mobile health applications …
Unpacking media channel effects on AI perception: A network analysis of AI information exposure across channels, overload, literacy, and anxiety among Chinese users
How do electronic personal health information technologies enhance obesity prevention behaviors? Examining the roles of obesity risk perception and body weight
The findings suggest more limited relationships between ePHI technology and health behaviors than previously anticipated. Physical activity and dietary regulation showed modest associations with ePHI technology use, while alcohol consumption showed no significant relationship. Overweight and obese individuals did not show a higher risk perception of obesity or greater engagement in preventive behaviors compared to those of healthy weight. These f…
How does social tie strength work? A panel study exploring the effects of pro-e-cigarette content from peers, influencers, and brands on social media
Organ donation information scanning, seeking, and discussing: Impacts on knowledge, attitudes, and donation intentions
Health information acquisition and lifestyle choices among cancer survivors in China: Examining the roles of patient-centered communication, patient trust, and system trust
Guided by the health information model and pathway model of health communication, this study investigates the relationship between different health information acquisition (seeking/scanning) and healthy lifestyle behaviors in a nationally representative, cross-sectional sample of cancer survivors ( N = 567) in China. A moderated mediation model was employed to explore the mediating roles of patient-centered communication (PCC) and patient trust i…
How face-to-face and online patient-provider communication associate with cervical cancer screening behaviors: The mediating roles of HPV awareness and cancer worry
Cervical cancer screening is a crucial cancer detection measure that can be facilitated by effective patient-provider communication (PPC). This study examined how face-to-face patient-provider communication (FPPC) and online patient-provider communication (OPPC) were associated with cervical cancer screening behaviors through the mediation of human papillomavirus (HPV) awareness and cancer worry. Using data from 3133 women in the Health Informati…
Communication Matters: The Role of Patient-Centered Communication in Improving Old Adults’ Health Competence and Health Outcomes
Research has demonstrated links between patient-centered communication (PCC) and patients' health outcomes. However, little is known about the underlying processes that may mediate the relationship. This study is one of the first to examine the influence of PCC on older adults' health outcomes, as well as the mediation role of health competence, from a longitudinal perspective. With a general basis of Street et al.'s pathway model, we proposed an…
Association between health-related social media use and E-cigarette use among current cigarette users: The roles of anti-tobacco messages and harm perception
Health-related social media use positively correlates with e-cigarette use among current cigarette users through exposure to online anti-tobacco messages. The perceived harm of e-cigarettes moderates this indirect path. These findings have implications for public health interventions aimed at smoking cessation
How does patient-centered communication work? Trend analysis of mediation through cancer worry and health self-efficacy, 2011-2020
This study proposed and tested the cross-sectional effects of patient-centered communication (PCC) on cancer screening behaviors via an affective-cognitive sequential chain of mediation through cancer worry and health self-efficacy. Cross-sectional data were analyzed from four iterations of the Health Information National Trends Survey (2011, 2014, 2017, and 2020). The results found that lowered cancer worry following PCC does not show a cross-se…
Overcoming obstacles to mammography screening: Examining the role of offline healthcare barriers and online patient-provider communication
Barriers to accessing offline healthcare may discourage patients from undergoing mammography screening. Online patient-provider communication (OPPC) offers a supplementary health resource that can complement traditional medical encounters and facilitate mammography screening. This study examines how offline healthcare barriers influence mammography screening, taking into account OPPC as an independent variable and cancer fatalism and patient acti…
Associations Between Covid-19 Information Acquisition and Vaccination Intention: The Roles of Anticipated Regret and Collective Responsibility
While public health communication has been suggested to be a key for improving acceptance of COVID-19 vaccination, this study tested mediation pathways through which three types of vaccine information acquisition, i.e. seeking, scanning, and discussing, affect COVID-19 vaccination intention. The pathways comprise two mediators, i.e. anticipated regret due to inaction and collective responsibility. Results suggest that information seeking and disc…
Social media and partnership jointly alleviate caregivers’ psychological distress: Exploring the effects of online and offline connectedness
The findings indicate that caregivers experience more mental distress, which leads to risky behavior. This study highlights the crucial role of both online and offline connectedness in mitigating the adverse consequences of caregiving
Longitudinal relationship between social media and e-cigarette use among adolescents: The roles of internalizing problems and academic performance
Frequent social media use among young individuals leads to an increase in e-cigarette use through enhanced internalizing problems. However, adolescents who perform well academically exhibit higher resistance to e-cigarette use. Based on our findings, we recommend that tailored anti-e-cigarette campaigns and mental health interventions be used to target frequent social media users and academically struggling adolescents to prevent adverse health o…
Effect of information encounter on concerns over healthy eating– mediated through body comparison and moderated by body mass index or body satisfaction
Exposure, even if unintentional, to food and nutrition information is an important predictor of HEC. BC, BS, and BMI are important factors that help to explain the process through which information affects behaviors
Nice You Share in Return: Informational Sharing, Reciprocal Sharing, and Life Satisfaction Amid Covid-19 Pandemic
Health Communication through Positive and Solidarity Messages Amid the Covid-19 Pandemic: Automated Content Analysis of Facebook Uses
The COVID-19 outbreak has caused significant stress in our lives, which potentially increases frustration, fear, and resentful emotions. Managing stress is complex, but helps to alleviate negative psychological effects. In order to understand how the public coped with stress during the COVID-19 pandemic, we used Macao as a case study and collected 104,827 COVID-19 related posts from Facebook through data mining, from 1 January to 31 December 2020…
Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis
Journal Article Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis Get access Xinshu Zhao, Xinshu Zhao Search for other works by this author on: Oxford Academic PubMed Google Scholar John G. Lynch, Jr., John G. Lynch, Jr. Search for other works by this author on: Oxford Academic PubMed Google Scholar Qimei Chen Qimei Chen Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of Consumer Rese…
Horse-Race Polls and Audience Issue Learning
Media critics often complain about too much coverage of “horse-race” polls. A common assumption sustaining this criticism is that such coverage competes with issue coverage. We propose the opposite, that horse-race polls might increase voters' attention to other election messages, including issue information, which in turn leads to a better understanding of public policies. To test these competing theories, we conducted three studies during the 1…
Effects of Perceived Interactivity on Web Site Preference and Memory: Role of Personal Motivation
The main purpose of this study is to explore theoretically and empirically the effects of consumers' different surfing behaviors in terms of advertising effectiveness in the new media context. This study attempts to answer two primary questions: (1) What effect does interactivity have on attitude and memory? (2) What is the role of individual motivation on clicking behavior on the Web site? In this study, perceived interactivity was also found to…
Public Political Consciousness in China: An Empirical Profile
Research Article| October 01 1990 Public Political Consciousness in China: An Empirical Profile Jianhua Zhu, Jianhua Zhu Search for other works by this author on: This Site PubMed Google Scholar Xinshu Zhao, Xinshu Zhao Search for other works by this author on: This Site PubMed Google Scholar Hairong Li Hairong Li Search for other works by this author on: This Site PubMed Google Scholar Asian Survey (1990) 30 (10): 992–1006. https://doi.org/10.23…
How does patient-centered communication work? Trend analysis of mediation through cancer worry and health self-efficacy, 2011-2020
This study proposed and tested the cross-sectional effects of patient-centered communication (PCC) on cancer screening behaviors via an affective-cognitive sequential chain of mediation through cancer worry and health self-efficacy. Cross-sectional data were analyzed from four iterations of the Health Information National Trends Survey (2011, 2014, 2017, and 2020). The results found that lowered cancer worry following PCC does not show a cross-se…
Assumptions behind Intercoder Reliability Indices
Inter-coder reliability is the most often used quantitative indicator of measurement quality in content studies. Researchers in psychology, sociology, education, medicine, marketing and other disciplines also use reliability to evaluate the quality of diagnosis, tests and other assessments. Many indices of reliability have been recommended for general use. This article analyzes 22, which are organized into 18 chance-adjusted and four non-adjusted…
Organ donation information scanning, seeking, and discussing: Impacts on knowledge, attitudes, and donation intentions
Overcoming obstacles to mammography screening: Examining the role of offline healthcare barriers and online patient-provider communication
Barriers to accessing offline healthcare may discourage patients from undergoing mammography screening. Online patient-provider communication (OPPC) offers a supplementary health resource that can complement traditional medical encounters and facilitate mammography screening. This study examines how offline healthcare barriers influence mammography screening, taking into account OPPC as an independent variable and cancer fatalism and patient acti…
Nice You Share in Return: Informational Sharing, Reciprocal Sharing, and Life Satisfaction Amid Covid-19 Pandemic
Public Political Consciousness in China: An Empirical Profile
Research Article| October 01 1990 Public Political Consciousness in China: An Empirical Profile Jianhua Zhu, Jianhua Zhu Search for other works by this author on: This Site PubMed Google Scholar Xinshu Zhao, Xinshu Zhao Search for other works by this author on: This Site PubMed Google Scholar Hairong Li Hairong Li Search for other works by this author on: This Site PubMed Google Scholar Asian Survey (1990) 30 (10): 992–1006. https://doi.org/10.23…
Political Knowledge and the Campaign Media of 1992
Effects of various mass media on political learning during the 1992 presidential campaign are examined via analyses of two voter surveys conducted in different states. Three indicators of political knowledge are compared: differences on issues between parties (Republican vs. Democratic), differences on issues among candidates (Bush vs. Clinton vs. Perot), and personal knowledge about the candidates (Bush, Clinton, and Perot). Campaign media, incl…
Horse-Race Polls and Audience Issue Learning
Media critics often complain about too much coverage of “horse-race” polls. A common assumption sustaining this criticism is that such coverage competes with issue coverage. We propose the opposite, that horse-race polls might increase voters' attention to other election messages, including issue information, which in turn leads to a better understanding of public policies. To test these competing theories, we conducted three studies during the 1…
Meanings of Money Nurtured by Nature: Some Very Personal Observations Across the Pacific
Based on the experiences of his family members, peers, and himself in China since the 1920s, the author suggests three individual-level factors that combine to have a huge impact on people's attitudes toward money and property. One is the influence of parents or parental figures. The second is one's life goal or lack thereof. The third is the role that money and property (or the lack thereof) play in achieving that goal. There are, however, socie…
Effects of Perceived Interactivity on Web Site Preference and Memory: Role of Personal Motivation
The main purpose of this study is to explore theoretically and empirically the effects of consumers' different surfing behaviors in terms of advertising effectiveness in the new media context. This study attempts to answer two primary questions: (1) What effect does interactivity have on attitude and memory? (2) What is the role of individual motivation on clicking behavior on the Web site? In this study, perceived interactivity was also found to…
Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis
Journal Article Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis Get access Xinshu Zhao, Xinshu Zhao Search for other works by this author on: Oxford Academic PubMed Google Scholar John G. Lynch, Jr., John G. Lynch, Jr. Search for other works by this author on: Oxford Academic PubMed Google Scholar Qimei Chen Qimei Chen Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of Consumer Rese…
Assumptions behind Intercoder Reliability Indices
Inter-coder reliability is the most often used quantitative indicator of measurement quality in content studies. Researchers in psychology, sociology, education, medicine, marketing and other disciplines also use reliability to evaluate the quality of diagnosis, tests and other assessments. Many indices of reliability have been recommended for general use. This article analyzes 22, which are organized into 18 chance-adjusted and four non-adjusted…
Antecedents and Consequences of Smoking Cessation Intention in the Context of the Global Covid-19 Infodemic
A growing body of scientific studies has been published to inform responses to the ongoing coronavirus pandemic, and some have claimed that cigarette smoking has a beneficial or mixed effect on the prevention and treatment of COVID-19. The presentation of such findings, unfortunately, has created an infodemic. This study integrated the theory of planned behavior and the health belief model and incorporated findings on addiction from the medical l…
Health Communication through Positive and Solidarity Messages Amid the Covid-19 Pandemic: Automated Content Analysis of Facebook Uses
The COVID-19 outbreak has caused significant stress in our lives, which potentially increases frustration, fear, and resentful emotions. Managing stress is complex, but helps to alleviate negative psychological effects. In order to understand how the public coped with stress during the COVID-19 pandemic, we used Macao as a case study and collected 104,827 COVID-19 related posts from Facebook through data mining, from 1 January to 31 December 2020…
Associations Between Covid-19 Information Acquisition and Vaccination Intention: The Roles of Anticipated Regret and Collective Responsibility
While public health communication has been suggested to be a key for improving acceptance of COVID-19 vaccination, this study tested mediation pathways through which three types of vaccine information acquisition, i.e. seeking, scanning, and discussing, affect COVID-19 vaccination intention. The pathways comprise two mediators, i.e. anticipated regret due to inaction and collective responsibility. Results suggest that information seeking and disc…
Social media and partnership jointly alleviate caregivers’ psychological distress: Exploring the effects of online and offline connectedness
The findings indicate that caregivers experience more mental distress, which leads to risky behavior. This study highlights the crucial role of both online and offline connectedness in mitigating the adverse consequences of caregiving
Longitudinal relationship between social media and e-cigarette use among adolescents: The roles of internalizing problems and academic performance
Frequent social media use among young individuals leads to an increase in e-cigarette use through enhanced internalizing problems. However, adolescents who perform well academically exhibit higher resistance to e-cigarette use. Based on our findings, we recommend that tailored anti-e-cigarette campaigns and mental health interventions be used to target frequent social media users and academically struggling adolescents to prevent adverse health o…
Effect of information encounter on concerns over healthy eating– mediated through body comparison and moderated by body mass index or body satisfaction
Exposure, even if unintentional, to food and nutrition information is an important predictor of HEC. BC, BS, and BMI are important factors that help to explain the process through which information affects behaviors
Nice You Share in Return: Informational Sharing, Reciprocal Sharing, and Life Satisfaction Amid Covid-19 Pandemic
Communication Matters: The Role of Patient-Centered Communication in Improving Old Adults’ Health Competence and Health Outcomes
Research has demonstrated links between patient-centered communication (PCC) and patients' health outcomes. However, little is known about the underlying processes that may mediate the relationship. This study is one of the first to examine the influence of PCC on older adults' health outcomes, as well as the mediation role of health competence, from a longitudinal perspective. With a general basis of Street et al.'s pathway model, we proposed an…
Association between health-related social media use and E-cigarette use among current cigarette users: The roles of anti-tobacco messages and harm perception
Health-related social media use positively correlates with e-cigarette use among current cigarette users through exposure to online anti-tobacco messages. The perceived harm of e-cigarettes moderates this indirect path. These findings have implications for public health interventions aimed at smoking cessation
How does patient-centered communication work? Trend analysis of mediation through cancer worry and health self-efficacy, 2011-2020
This study proposed and tested the cross-sectional effects of patient-centered communication (PCC) on cancer screening behaviors via an affective-cognitive sequential chain of mediation through cancer worry and health self-efficacy. Cross-sectional data were analyzed from four iterations of the Health Information National Trends Survey (2011, 2014, 2017, and 2020). The results found that lowered cancer worry following PCC does not show a cross-se…
Overcoming obstacles to mammography screening: Examining the role of offline healthcare barriers and online patient-provider communication
Barriers to accessing offline healthcare may discourage patients from undergoing mammography screening. Online patient-provider communication (OPPC) offers a supplementary health resource that can complement traditional medical encounters and facilitate mammography screening. This study examines how offline healthcare barriers influence mammography screening, taking into account OPPC as an independent variable and cancer fatalism and patient acti…
How Do Health Information Scanning and Seeking Influence Excessive Alcohol Drinking Among Chinese Hypertensive Drinkers? A Moderated Mediation Analysis
China has a longstanding tradition of alcohol consumption, yet excessive drinking poses significant health risks, particularly for individuals with cardiovascular conditions such as hypertension. While existing literature indicates that both health information scanning and seeking behaviors can impact health beliefs and actions, their effects on alcohol prevention remain understudied. Utilizing data from a national survey in China, this study inv…
“I Saw it Incidentally but Frequently”: Exploring the Effects of Online Health Information Scanning on Lung Cancer Screening Behaviors Among Chinese Smokers
In China, lung cancer is the most common cancer with high mortality. While prior research suggests that health information scanning influences cancer screening within the general population, a deeper exploration of the underlying mechanisms is imperative. This study specifically targets smokers, aiming to investigate whether online health information scanning can effectively encourage lung cancer screening and elucidate the mechanisms driving thi…
Empowering Unvaccinated Women with Information: How Online Cancer Information Seeking and Scanning Encourage HPV Vaccination in China
Chinese women face a tremendous threat of cervical cancer alongside low rates of human papillomavirus (HPV) vaccination. Online cancer information has become a driving force of HPV vaccination, but the underlying mechanism remains unclear. Drawing upon the three-stage model of health promotion, this study examines the relationships between online cancer information seeking and scanning and HPV vaccination intention among unvaccinated Chinese wome…
From Online to Offline: How Different Sources of Online Health Information Seeking Affect Patient-Centered Communication in Chinese Older Adults? The Roles of Patient Activation and Patient–Provider D…
Despite the increasing prevalence of online health information seeking (OHIS) among older adults, its impact on patient-centered communication (PCC) outcomes remains unclear. Drawing from Street's ecological framework of communication in medical encounters, the present study examined the mediation role of patient activation in the relationship between OHIS across three media channels - social media, search engines, and mobile health applications …
Unpacking media channel effects on AI perception: A network analysis of AI information exposure across channels, overload, literacy, and anxiety among Chinese users
How do electronic personal health information technologies enhance obesity prevention behaviors? Examining the roles of obesity risk perception and body weight
The findings suggest more limited relationships between ePHI technology and health behaviors than previously anticipated. Physical activity and dietary regulation showed modest associations with ePHI technology use, while alcohol consumption showed no significant relationship. Overweight and obese individuals did not show a higher risk perception of obesity or greater engagement in preventive behaviors compared to those of healthy weight. These f…
How does social tie strength work? A panel study exploring the effects of pro-e-cigarette content from peers, influencers, and brands on social media
Psychology (27 works) · Medicine (17 works) · Social Psychology (13 works) · Mediation (12 works) · Political science (11 works) · Computer Science (9 works) · Health Literacy and Information Accessibility (8 works) · Patient-Provider Communication in Healthcare (8 works) · Social Psychology (8 works) · Behavioral Health and Interventions (7 works)