家庭沟通模式如何影响健康信息采纳行为及家庭凝聚力——基于健康信念的中介作用

How Family Communication Patterns Influence Health Information Adoption Behavior and Family Cohesion: The Mediating Role of Health Beliefs

摘要: 家庭作为日常生活中健康信息传播与决策的重要场域，其内部沟通模式如何影响成员健康行为与家庭功能，是健康传播与家庭研究交叉领域的重要议题。本研究旨在构建一个链式中介模型，探讨家庭沟通模式如何通过健康信念的中介作用，影响个体的健康信息采纳行为及家庭凝聚力。主要采用问卷调查法，使用SPSS等软件对数据进行统计分析。结果表明：1) 对话取向对健康信息采纳及家庭凝聚力均具有显著正向影响；2) 妥协取向对健康信息采纳具有显著负向影响，但其对家庭凝聚力的负向影响未获支持；3) 健康信念在家庭沟通模式与健康信息采纳之间、家庭沟通模式与家庭凝聚力之间均起显著中介作用。本研究揭示了家庭沟通模式通过健康信念影响个体行为与家庭关系的内在机制，强调开放、平等的对话取向是促进健康信息理性采纳和提升家庭凝聚力的关键因素，而强调服从的妥协取向则抑制健康信息采纳，但其与凝聚力的关系在中国文化背景下可能更为复杂。

Abstract: The family, as a crucial context for the dissemination of health information and daily decision-making, plays a significant role in shaping members’ health behaviors and overall family functioning. How internal family communication patterns influence these outcomes constitutes an important topic at the intersection of health communication and family studies. This study aims to establish a chain mediation model to examine how family communication patterns affect individuals’ health information adoption and family cohesion through the mediating role of health beliefs. A questionnaire-based survey was conducted, and data were analyzed using statistical software such as SPSS. The results indicate that: 1) Conversation orientation has a significant positive effect on both health information adoption and family cohesion; 2) Conformity orientation exerts a significant negative influence on health information adoption, though its negative effect on family cohesion was not supported; 3) Health beliefs significantly mediate the relationships between family communication patterns and health information adoption, as well as between family communication patterns and family cohesion. This study reveals the underlying mechanism through which family communication patterns—via health beliefs—affect individual behaviors and family relationships. It underscores that an open and equal conversation orientation is a key factor in promoting rational health information adoption and enhancing family cohesion, while an emphasis on obedience through conformity orientation inhibits health information adoption, though its relationship with cohesion may be more complex within the Chinese cultural context.