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This project examined both quantitative and qualitative data about how American domestic undergraduates perceived Chinese international students' (CISs) reticence and face concerns. A quasi-experimental design about American students' ratings of a fictional CIS described in scenarios demonstrated that the reticent CIS was rated as more typical, less likable, and less socially-approved. A thematic analysis of American students' impression about CISs suggested: 1) some Americans stigmatized CISs due to their poor English and reticence in classroom; 2) others were more open minded to approach CISs' reticence with intercultural communication competence by taking CISs' perspective. The findings indicated: the stereotype that typical CISs are reticent leads to Americans' negative evaluations of CISs; while perspective-taking skills resulted in better intercultural-communication experience.

Black women suffer more complications and birthing harms compared to other race-ethnic groups. Even when birthing equity initiatives are implemented, many Black families choose to work with a Black doula to reduce harms linked to obstetric racism. Most Black doulas described their role as helping women have the kind of birth they want; however, problems doulas experience in communicating with other birthing team members are not well understood. Situated in the interprofessional team communication model, this study asked fifty Black doulas to respond to two open-ended questions about their communication experiences with other birthing care providers. Thematic analysis identified six themes including efforts to establish legitimacy as a doula, responding to provider use of power strategies, negotiating roles and responsibilities on the birthing team, conflict from difference in birthing philosophies, impact of hospital regulation of doulas on their practice, and how doula advocacy was conducted. While Black doulas reported successful communication with other providers, they also described microaggressions experienced from members of predominantly White birthing teams. Preemptive communication strategies that doulas used to encourage other birthing team members to accept them onto the team were identified. Suggestions for how Black doulas can be more fully integrated into birthing teams were also presented. [ABSTRACT FROM AUTHOR]

This scoping review examined racial and ethnic bias in artificial intelligence health algorithms (AIHA), the role of stakeholders in oversight, and the consequences of AIHA for health equity. Using the PRISMA-ScR guidelines, databases were searched between 2020 and 2024 using the terms racial and ethnic bias in health algorithms resulting in a final sample of 23 sources. Suggestions for how to mitigate algorithmic bias were compiled and evaluated, roles played by stakeholders were identified, and governance and stewardship plans for AIHA were examined. While AIHA represent a significant breakthrough in predictive analytics and treatment optimization, regularly outperforming humans in diagnostic precision and accuracy, they also present serious challenges to patient privacy, data security, institutional transparency, and health equity. Evidence from extant sources including those in this review showed that AIHA carry the potential to perpetuate health inequities. While the current study considered AIHA in the US, the use of AIHA carries implications for global health equity. [ABSTRACT FROM AUTHOR]

Background and goal: Marginalized patients often feel unwelcome in healthcare. The concept of culturally safe healthcare (CSH) represents an important paradigm shift from provider control to patients who feel safe voicing health concerns and believe that they are heard by providers. This study has five goals: review works describing CSH, identify CSH themes, describe provider behaviors associated with CSH, describe interventions, and discuss how health communication can advance CSH. Methods: A scoping review was conducted for articles published between 2019 and 2023 following modified PRISMA guidelines. Online databases included Pubmed (Medline), CINAHL, Web of Science, Google Scholar, and Redalyc. Thematic analysis was also conducted. Results: Twenty-one articles meeting inclusion criteria were identified and analyzed. Of these, five explained features of CSH, four were empirical studies, seven were content analyses, and five were interventions. Five themes were identified including (1) how patients perceive CSH, (2) sociocultural determinants of health inequity, (3) mistrust of care providers, (4) issues with the biomedical model of healthcare, and (5) the importance of provider-patient allyship. Care provider communication behaviors fostering CSH were discussed. Three CSH interventions were highlighted. Finally, there was a discussion for how health communication scholars can contribute to CSH. Conclusions: CSH offers a paradigm shift from provider control to marginalized patients' experience of patient-provider communication. Recommendations for how health communication scholars can contribute to the implementation of CSH included developing guiding theories and measurement, evaluation of CSH outcomes, and conducting focus groups with patients to assess the meaning of cultural safety. [ABSTRACT FROM AUTHOR]

Care provider communication with Black birthing families is impactful. This cross-sectional study asked 216 Black fathers to recall treatment by birthing care providers and tested variables contributing to birth satisfaction and fathering identity salience. Most fathers reported that care providers were respectful resulting in a positive birthing experience; however, 15% reported negative experiences with care providers. Perceived social support was shown to be a mediator between disrespect, mistreatment, inclusive communication, trust, and positive emotion with birth satisfaction and fathering identity salience. Care provider disrespect served as a "spoiler" of the birthing experience and subsequently diminished positive fathering identity salience. Analysis of open-ended comments showed that contrary to stereotypes about absent, disengaged Black fathers, fathers in this study were caring toward their newborns, present for them, and engaged in fathering. More work needs to be done with care provider communication to make every birth a positive and inclusive experience for Black fathers and their partners. [ABSTRACT FROM AUTHOR]

Smith and Smith claimed that altruistic action “is intended to benefit others beyond simple sociability or duties associated with role.” This definition will need to be carefully applied to behavior in communal cultures as they have extended obligation networks, the basis of which are expected helping behaviors offered to others in the network. Therefore, behaviors that would be captured by the coding scheme in an individualistic culture would not necessarily be seen as altruistic in a communal culture as they may be non-voluntary and role-related. Six components of altruistic behavior are addressed here, and two of these are predicted to differ according to the culture in which they are enacted. These are determining whether the act was motivated by a primary concern for the other and whether the actor would be likely to engage in self blame if he or she did not engage in the action. The other three components of altruistic behavior are postulated to operate pan-culturally. They are actual benefit to the recipient, empathy, cost to the initiator, and ease of escape from social censure.

Often, lack of support results in early termination of breastfeeding compromising infant health. Lactivists argue one way to normalize public breastfeeding is by posting brelfies on social network sites. An online experiment tested a 2 × 2 between-subjects factorial design. Participants (N = 296) were randomly assigned to one of the four experimental conditions varying the valence of comments or the control where no user comments were present. Most participants posted supportive comments. Compared to participants who only viewed brelfies, those who read any type of comment posted by other users showed negative attributions and emotions to brelfies. A number of other variables were also measured. Identification with other social media users was associated with approval for posting brelfies and supporting mothers. Emotional arousal and cognitive appraisal may be two sources of stigma about comments for brelfies even though people recognize that breastfeeding is an important health issue. [ABSTRACT FROM AUTHOR]

A large number of previous studies have used self-construal to predict communication outcomes. Recent evidence, however, suggests that validity problems may exist in self-construal measurement. The current study conducted a multimethod multitrait (Campbell & Fiske, 1959) validation study of self-construal measures with data (total N = 578) collected in Korea (N = 200), Japan (N = 212), and the U.S. (N = 166). The data showed that the Singelis (1994) Self-Construal Scale, the Cross, Bacon, and Morris (2000) Relational Interdependent Self-Construal Scale (RISC), and the Kuhn and McPartland (1954) Twenty Statements Test (TST) lacked convergent and discriminant validity, both pan-culturally and within each of the three countries included in the study. Scores on the TST were not significantly related to scores on the self-construal scales, and the various self-construal measures correlated more highly with measures of communication directness than with alternative measures of the same type of self-construal. Substantial method effects were also observed. The results were tested for both 2- and 3-dimensional models of self-construal and for refined scales and scales with all items retained. The results of all analyses were inconsistent with the claim that self-construal measures are construct valid.

Background: For many years in the United States, there has been an active discussion about whether race concordance between care providers and patients contributes to better health outcomes. Although beneficial provider–patient communication effects have been associated with concordance, there is minimal evidence for concordance benefits to health outcomes. Methods: A cross‐sectional survey was conducted including 200 Black mothers who had given birth within the last 2 years asking about the perceived racial identity of their birth health provider, whether they preferred to have Black women providers, and the intersection between race and gender concordance on birth outcomes. In addition to race and gender concordance, other variables were tested for their impact on birth satisfaction including respect, trust for the care provider, perceived competence, care provider empathy, and inclusive communication. Results: Forty‐one percent of the mothers in this study were assisted in birth by a Black woman provider. Although patient–provider concordance did not result in measurable health outcomes, it is clear that compared to other studies of birth satisfaction among Black birthing persons, this study showed relatively higher levels of satisfaction, perceived trust, empathy, perceived provider competence, inclusive communication, and equal respect for both concordant and discordant care providers. Conclusions: Although many participants showed a preference for race concordance, participants equally valued respect, competence, and trust with their care providers. Further community‐based research needs to be conducted to examine whether race, gender, and cultural concordance results in other beneficial health outcomes. Keywords: Black mothers and providers,Black OB/GYNs,concordance andhealth outcomes,health outcomesrace concordance in birth [ABSTRACT FROM AUTHOR]

Reports a meta-analysis of published cross-cultural self-construal research. Notes that the results across studies suggests that the evidence for the predicted cultural differences is weak, inconsistent, or nonexistent. Concludes that catastrophic validity problems exist in research involving the use of self-construal scales in cross-cultural research. (SG)

Offers a critical rejoinder in the discussion concerning the viability of self-construal scales. Disputes the arguments to the contrary offered by Gudykunst and Lee and Kim and Raja (see this issue, CS 764 298-299). Sees the potential utility in the self-construal construction, but the three primary scales fail to meet reasonable and accepted social scientific standards. (SG)

Evaluated attitudinal and affective responses toward accented English based on variation in role identity and intelligibility. American English was preferred; intelligible foreign accents resulted in more positive attitudes and affective responses compared to foreign accents that were unintelligible. Friends were viewed more positively compared to teaching assistants regardless of accent. (Author/VWL)

Examines how two factors (advisor role dilemma/role coalescence and use of foot-in-the-door or door-in-the-face strategies) contribute to the genesis and escalation of conflict in the texts of 14 actual advising interviews between college students and faculty, who must balance roles as students advocate or institutional gatekeeper. (SR)

Previous studies have suggested that often, Black mothers' birthing experiences are not what they expected because of how they were treated by healthcare providers during labor and birth. Our goal in this study was to ask Black mothers who had recently given birth about the quality of their birthing experiences as well as their level of respect from, trust in, and satisfaction with their maternity healthcare providers. This study gathered data from Black mothers (N = 209) who had given birth within the past two years, using a cross-sectional online survey measuring several variables about the birthing experience including types of healthcare provider communication, provider respect for the mother, trust, birth satisfaction, and emotional responses to birth. Provider-centered communication, although preferred by some mothers, was associated with lower birth satisfaction and stronger negative emotions whereas positive birth satisfaction was linked to patient-centered communication which resulted in positive emotions. While most mothers reported overall satisfaction with their birth experience, nearly half reported experiencing some degree of disrespect from their healthcare providers during labor and birth. Moreover, trust and respect mediated the relationship for patient-centered communication with positive emotion and birth satisfaction. Over one-third of participants gave birth with a certified nurse midwife attending. There were no differences in perception of being respected or the quality of birth given the professional identity of the provider as an Obstetrician/Gynecologist or as a midwife. The advice suggested by Black mothers for their healthcare providers was instructive in identifying ways those providers could better serve their patients during birth. This study showed that there is still additional work that needs to be done for racial equity and respect during birth. Practical implications for addressing health inequities are discussed. [ABSTRACT FROM AUTHOR]

Chinese international students (CIS) in American universities encounter serious mental health issues, and they also underutilize campus mental health care services. The current study examined several factors which result in this phenomenon, such as Chinese face concerns, self-stigma of seeking help for mental health services, as well as English proficiency and language discrimination. A survey with 433 CIS in multiple U.S. universities was conducted to analyze the relationships between these factors above, help-seeking intentions, and mental health problems (depression and anxiety). The SEM results suggested that face concerns increased the risk of mental health problems such as depression and anxiety and also increased self-stigma toward seeking mental health services. However, face concerns positively influenced help-seeking intentions. The self-stigma had a negative effect on help-seeking intentions. Perceived English discrimination increased mental health problems while English proficiency increased help-seeking intentions. Meanwhile, both linguistic factors above were significantly associated with face concerns. The theoretical and practical implications are discussed to investigate how to address mental health problems among Chinese international students. [ABSTRACT FROM AUTHOR]

To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1467-8519.2008.00690.x Byline: MARY JIANG BRESNAHAN (1), KEVIN MAHLER (2) Keywords: ethics of brain death organ donation; online health information seeking; Google searches; religion and brain death Abstract: ABSTRACT This study investigated what information about brain death was available from Google searches for five major religions. A substantial body of supporting research examining online behaviors shows that information seekers use Google as their preferred search engine and usually limit their search to entries on the first page. For each of the five religions in this study, Google listings reveal ethical controversy about organ donation in the context of brain death. These results suggest that family members who go online to find information about organ donation in the context of brain death would find information about ethical controversy in the first page of Google listings. Organ procurement agencies claim that all major world religions approve of organ donation and do not address the ethical controversy about organ donation in the context of brain death that is readily available online. Author Affiliation: (1)Department of Communication at Michigan State University in East Lasning (2)Michigan State University Article note: Mary Bresnahan, Michigan State University - Communication, 470 Communication Arts Building, East Lansing, Michigan 48824-1212, United States, T: 517 432 1285, F: 517 432 1192. Email: bresnah1@msu.edu

This study investigated people's reactions to Muslim and Latinx immigrants in the U.S. participants with positive intergroup contact and who were politically liberal showed less intergroup anxiety, less realistic and symbolic threat, and more willingness to help immigrants. The frequency of contact and immigration issue salience were associated with the willingness to help. When participants perceived the source of a pro-immigration message to be trustworthy, they reported less realistic threats and more willingness to help. Participants had differential response to Latinx and Muslim immigrants. While participants associated more realistic threats with Latinx immigrants, more symbolic threat was associated with Muslim immigrants. [ABSTRACT FROM AUTHOR]

The purpose of this study was to determine whether or not 'self-construals' (Markus & Kitayama, 1991) are an aspect of culture that accounts for the perceived importance of conversational constraints. To spell out the way in which culture influences communication styles, we developed a mediation model. The model assumes that the perceived importance of conversational constraints is determined by values, e.g., independent versus interdependent self-construals, and that values (self-construals) are determined in part by culture. Participants were 972 undergraduates studying in Korea, Japan, Hawai'i, and the mainland United States. After being presented with six situations, participants rated the perceived importance of each of three constraints in relation to each situation. They then completed a scale reflecting the independent and interdependent dimensions of their self-construals. The results were consistent with the proposed mediation model. Culture-level individualism influenced independent self-construals, which, in turn, correlated positively with the two outcome-oriented conversational constraints. The study also showed that culture-level collectivism affects interdependent self-construals, and, in turn, correlated positively with the three relational constraints. Of the various self-construal patterns, individuals simultaneously maintaining high independent and high interdependent construals ('biculturals') had the highest totals for the importance ratings of all the constraints combined, even though the mean for biculturals did not significantly differ from the mean for interdependents (low independent and high interdependent self-construals).