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  1. Article ; Online: Calls to Action (Mobilizing Information) on Cancer in Online News: Content Analysis.

    Zhang, Thomas Hongjie / Tham, Jen Sern

    Journal of medical Internet research

    2021  Volume 23, Issue 6, Page(s) e26019

    Abstract: Background: The health belief model explains that individual intentions and motivation of health behaviors are mostly subject to external cues to action, such as from interpersonal communications and media consumptions. The concept of mobilizing ... ...

    Abstract Background: The health belief model explains that individual intentions and motivation of health behaviors are mostly subject to external cues to action, such as from interpersonal communications and media consumptions. The concept of mobilizing information (MI) refers to a type of mediated information that could call individuals to carry out particular health actions. Different media channels, especially digital media outlets, play an essential role as a health educator to disseminate cancer health information and persuade and mobilize cancer prevention in the community. However, little is known about calls to action (or MI) in online cancer news, especially from Asian media outlets.
    Objective: This study aimed at analyzing cancer news articles that contain MI and their news components on the selected Malaysian English and Chinese newspapers with online versions.
    Methods: The Star Online and Sin Chew Online were selected for analysis because the two newspaper websites enjoy the highest circulation and readership in the English language and the Chinese language streams, respectively. Two bilingual coders searched the cancer news articles based on sampling keywords and then read and coded each news article accordingly. Five coding variables were conceptualized from previous studies (ie, cancer type, news source, news focus, cancer risk factors, and MI), and a good consistency using Cohen kappa was built between coders. Descriptive analysis was used to examine the frequency and percentage of each coding item; chi-square test (confidence level at 95%) was applied to analyze the differences between two newspaper websites, and the associations between variables and the presence of MI were examined through binary logistic regression.
    Results: Among 841 analyzed news articles, 69.6% (585/841) presented MI. News distributions were unbalanced throughout the year in both English and Chinese newspaper websites; some months occupied peaks (ie, February and October), but cancer issues and MI for cancer prevention received minimal attention in other months. The news articles from The Star Online and Sin Chew Online were significantly different in several news components, such as the MI present rates (χ
    Conclusions: This study provided new understandings regarding MI in cancer news coverage. This could wake and trigger individuals' preexisting attitudes and intentions on cancer prevention. Thus, health professionals, health journalists, and health campaign designers should concentrate on MI when distributing health information to the community.
    MeSH term(s) Health Promotion ; Humans ; Internet ; Mass Media ; Neoplasms/prevention & control ; Risk
    Language English
    Publishing date 2021-06-21
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/26019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Effects of Receiving and Expressing Health Information on Social Media during the COVID-19 Infodemic: An Online Survey among Malaysians.

    Zhang, Hongjie Thomas / Tham, Jen Sern / Waheed, Moniza

    International journal of environmental research and public health

    2022  Volume 19, Issue 13

    Abstract: Social media is used by the masses not only to seek health information but also to express feelings on an array of issues, including those related to health. However, there has been little investigation on the influence of expressing and receiving ... ...

    Abstract Social media is used by the masses not only to seek health information but also to express feelings on an array of issues, including those related to health. However, there has been little investigation on the influence of expressing and receiving information in terms of health-related engagement on social media. Moreover, little is known of the cognitive mechanisms underlying the expression and reception of health information on information overload (IO) during an infectious disease outbreak. Guided by the Cognitive Mediation Model (CMM), this study proposes a conceptual model to understand the effects of receiving and expressing COVID-19 information on social media on IO. Using an online survey conducted in Malaysia, our results indicated that risk perception positively predicted the reception and expression of information which, in turn, was positively associated with perceived stress and IO. Additionally, perceived stress triggered IO, indicating that the greater the perceived stress from health information engagement, the higher the likelihood of one experiencing IO during the pandemic. We conclude that the CMM can be extended to study IO as an outcome variable. More studies in diverse health contexts need to be conducted to enhance the conceptualization and operationalization of IO in health information processing.
    MeSH term(s) COVID-19/epidemiology ; Humans ; Infodemic ; Pandemics ; SARS-CoV-2 ; Social Media
    Language English
    Publishing date 2022-06-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19137991
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sourcing and framing in cancer control continuum: A content analysis of Malaysian English and Chinese online cancer news.

    Zhang, Thomas Hongjie / Tham, Jen Sern / Yu, Xueyong / Chang, Peng Kee / Kho, Suet Nie

    Frontiers in public health

    2022  Volume 10, Page(s) 924027

    Abstract: Background: In health news production, sourcing and framing are two critical mechanisms that influence how newsreaders think about and perceive the severity of a health issue. Understanding how local media covers the cancer control continuum is vital. ... ...

    Abstract Background: In health news production, sourcing and framing are two critical mechanisms that influence how newsreaders think about and perceive the severity of a health issue. Understanding how local media covers the cancer control continuum is vital. However, very limited studies have looked at the effect of sourcing and framing in cancer news coverage, and it is still unknown how sources and news frames shape cancer coverage, especially in non-Western countries.
    Objective: This study examines framing and sourcing patterns in news stories reporting on cancer control in Malaysian mainstream (English) and ethnicity (Chinese) online news sites, uncovering underlining associations between essential news components, source, and framing.
    Methods: We used a predesigned code book to conduct a quantitative content analysis on cancer news stories (
    Results: Two logistic regression models demonstrated the internal relationships between sourcing, framing, and different elements in cancer coverage. In terms of news sources, the results revealed that medical journals were the most likely to be cited when the news focused on medical research, followed by primary cancer prevention. When the news concentrated on statistical cancer reports and environmental/occupational risk factors, government agencies were more likely to be interviewed. Of news frames, when the news articles engaged with medical institutions and mentioned medical publications, the lifestyle frame was very likely to be shown, but the environmental frame was more likely to be portrayed when interviewing medical practitioners.
    Conclusion: This study is the first comprehensive assessment to analyze and compare Malaysian English and Chinese online cancer news coverages and uncover underlying associations between news components, sourcing, and framing paradigms. We contributed to the scholarly understanding of cancer news coverage. This study can serve as a model for future health promotion researchers, journalists, and policymakers. Implications for cancer risk communication research, health journalist practices, and health policymaking were discussed.
    MeSH term(s) Humans ; Attitude to Health ; Health Promotion ; Neoplasms ; Malaysia ; Newspapers as Topic
    Language English
    Publishing date 2022-12-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.924027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Affirmative Religious Response Culture to HIV and AIDS

    Tham Jen Sern / Hasmah Zanuddin

    Asian Social Science, Vol 10, Iss

    Understanding the Public Relations Role of JAKIM in Curbing the Epidemic among Young Muslim Couples in Malaysia

    2014  Volume 13

    Abstract: In regards to containing the spread of the deadly disease namely HIV/AIDS, it is particularly troublesome that the culture of information sharing in terms of sexuality still remains as a private subject and taboo for discussion not only among the Muslim ... ...

    Abstract In regards to containing the spread of the deadly disease namely HIV/AIDS, it is particularly troublesome that the culture of information sharing in terms of sexuality still remains as a private subject and taboo for discussion not only among the Muslim communities but among the Asian communities as well. Despite the fact that Islam is concerned in placing a high value on chaste behaviour, prohibiting sexual intercourse outside marriage and homosexuality, the HIV/AIDS infection will not suppress just because of these strict Islamic doctrines are mostly adhered by fellow Muslims. While the HIV/AIDS scourge is disastrous in disregard of the religious, signaling a dire need to understand the role of religious response in curbing the disease so as to reach out to the target audiences effectively. This study is specifically to explore the responsibility of Jabatan Kemajuan Islam Malaysia or the Malaysia Department of Islamic Development (JAKIM) in respect to how they convey the accurate information to the Muslim communities in general and among the young Muslim couples in specific. Therefore, semi-structural elite interview with the officer was conducted in order to dwell into the plight of how the religious institution addresses the epidemic. The study found that JAKIM has conferred striking benefits to the Muslim community in curtailing the spread of HIV/AIDS through its publication on “Manual on HIV/AIDS in Islam” and the Premarital HIV Screening Programme. The fantastic contribution of JAKIM therefore can maintain links between the religious group, government, media, and stakeholders on fighting the HIV/AIDS issues.
    Keywords Social sciences (General) ; H1-99 ; Social Sciences ; H
    Subject code 290
    Language English
    Publishing date 2014-06-01T00:00:00Z
    Publisher Canadian Center of Science and Education
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Malaysia`s 13th General Election

    Tham Jen Sern / Hasmah Zanuddin

    Asian Journal for Public Opinion Research, Vol 1, Iss 2, Pp 73-

    Political Communication and Public Agenda in Social Media

    2014  Volume 89

    Abstract: Everyone has a voice and can broadcast it to the world. We hear about the old maxim of media do not tell people what to think but what to think about. Under this theory or approach, a key function of political communication is to make the public think ... ...

    Abstract Everyone has a voice and can broadcast it to the world. We hear about the old maxim of media do not tell people what to think but what to think about. Under this theory or approach, a key function of political communication is to make the public think about an issue in a way that is favorable to the sender of the message. In a democracy, political communication is seen as crucial for the building of a society where the state and its people feel they are connected. Thus, this is a study on how social media (e.g., Facebook, blogs, and YouTube) were used in the domain of Malaysian politics during the 13th general election campaigning period in order to set the agenda to form public opinion. The study found that Facebook was the most popular social media tool that political parties actively engaged with during the 13th general election campaign period. Apart from that, issues pertaining to the election were significantly highlighted by the political parties in social media, especially Facebook. However, other issues that were also important to the people such as the economy, crime, and education were not sufficiently highlighted during the election campaign period. This indicates that the political parties influence the public on what to think about using social media.
    Keywords political communication ; 13th general election ; social media ; social networking sites (SNS) ; agenda setting ; public opinion ; Political science (General) ; JA1-92 ; Political institutions and public administration - Asia (Asian studies only) ; JQ1-6651
    Subject code 320
    Language English
    Publishing date 2014-02-01T00:00:00Z
    Publisher ANPOR Korea
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Public knowledge, attitudes and practices towards COVID-19

    Arina Anis Azlan / Mohammad Rezal Hamzah / Tham Jen Sern / Suffian Hadi Ayub / Emma Mohamad

    PLoS ONE, Vol 15, Iss 5, p e

    A cross-sectional study in Malaysia.

    2020  Volume 0233668

    Abstract: In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and ... ...

    Abstract In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and compliance of all members of society. The knowledge, attitudes and practices people hold toward the disease play an integral role in determining a society's readiness to accept behavioural change measures from health authorities. The aim of this study was to determine the knowledge levels, attitudes and practices toward COVID-19 among the Malaysian public. A cross-sectional online survey of 4,850 Malaysian residents was conducted between 27th March and 3rd April 2020. The survey instrument consisted of demographic characteristics, 13 items on knowledge, 3 items on attitudes and 3 items on practices, modified from a previously published questionnaire on COVID-19. Descriptive statistics, chi-square tests, t-tests and one-way analysis of variance (ANOVA) were conducted. The overall correct rate of the knowledge questionnaire was 80.5%. Most participants held positive attitudes toward the successful control of COVID-19 (83.1%), the ability of Malaysia to conquer the disease (95.9%) and the way the Malaysian government was handling the crisis (89.9%). Most participants were also taking precautions such as avoiding crowds (83.4%) and practising proper hand hygiene (87.8%) in the week before the movement control order started. However, the wearing of face masks was less common (51.2%). This survey is among the first to assess knowledge, attitudes and practice in response to the COVID-19 pandemic in Malaysia. The results highlight the importance of consistent messaging from health authorities and the government as well as the need for tailored health education programs to improve levels of knowledge, attitudes and practices.
    Keywords Medicine ; R ; Science ; Q ; covid19
    Subject code 690
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Pathway linking health information behaviors to mental health condition during the COVID-19 infodemic: A moderated mediation analysis.

    Zhang, Thomas Hongjie / Tham, Jen Sern / Waheed, Moniza / Kim, Jeong-Nam / Jeong, Jae-Seon / Chang, Peng Kee / Ahmad, Abdul Mua'ti Zamri

    Frontiers in public health

    2022  Volume 10, Page(s) 924331

    Abstract: Background: The COVID-19 outbreak is no longer a pure epidemiological concern but a true digital infodemic. Numerous conflicting information and misinformation occupy online platforms and specifically social media. While we have lived in an infodemic ... ...

    Abstract Background: The COVID-19 outbreak is no longer a pure epidemiological concern but a true digital infodemic. Numerous conflicting information and misinformation occupy online platforms and specifically social media. While we have lived in an infodemic environment for more than 2 years, we are more prone to feel overwhelmed by the information and suffer from long-term mental health problems. However, limited research has concentrated on the cause of these threats, particularly in terms of information processing and the context of infodemic.
    Objective: This study proposed and tested moderated mediation pathways from two types of health information behaviors (social media engagement and interpersonal communication) on information overload and mental health symptoms-long-term stress.
    Methods: We conducted a cross-sectional online survey between May and June of 2021 among the Malaysian public. The final sample size was 676 (
    Results: According to the pathway analysis, we found that, during the infodemic period, engaging COVID-19 information on social media positively associated with information overload, but interpersonal communication was negatively related to it. As the proximal outcome, there was also a positive association between information overload and the final outcome, perceived stress. The moderation analysis only reported one significant interaction: risk perception weakened the association between social media engagement and information overload. A conditional indirect effect was demonstrated and the indirect associated between social media engagement and perceived stress mediated through information overload was further moderated by COVID-19 risk perception.
    Conclusion: This research offers new grounds for understanding health information behaviors and their consequences in the COVID-19 infodemic. We particularly highlighted the distinct functions of health information behaviors in causing information overload, as well as the importance of personal health belief in this process. Our proposed model contributes to the strategies of developing health messaging strategies that may be utilized by public health researchers and health educators in the future.
    MeSH term(s) COVID-19/epidemiology ; Cross-Sectional Studies ; Humans ; Infodemic ; Mediation Analysis ; Mental Health
    Language English
    Publishing date 2022-08-29
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.924331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Exposure to Misinformation, Risk Perception, and Confidence towards the Government as Factors Influencing Negative Attitudes towards COVID-19 Vaccination in Malaysia.

    Mohamad, Emma / Tham, Jen Sern / Mohd Ajis, Siti Zaiton / Hamzah, Mohammad Rezal / Ayub, Suffian Hadi / Tri Sakti, Andi Muhammad / Azlan, Arina Anis

    International journal of environmental research and public health

    2022  Volume 19, Issue 22

    Abstract: Introduction: This study explored exposure to misinformation, COVID-19 risk perception, and confidence towards the government as predictors of negative attitudes toward the COVID-19 vaccine.: Methods: A cross-sectional survey was carried out from 30 ... ...

    Abstract Introduction: This study explored exposure to misinformation, COVID-19 risk perception, and confidence towards the government as predictors of negative attitudes toward the COVID-19 vaccine.
    Methods: A cross-sectional survey was carried out from 30 June to 30 August 2021 involving 775 respondents. The survey instrument for the questionnaire was an adaptation from various different studies consisting of five main variables: (1) misinformation about vaccination; (2) risk perception toward COVID-19; (3) attitudes toward the vaccination programme; (4) intention to get vaccinated; and (5) public confidence in the government in executing the vaccination programme.
    Results: The results of this study indicate that higher exposure to misinformation led to higher levels of negative attitudes toward the COVID-19 vaccine. When the perceived risk of COVID-19 infection was high, mistrust of vaccine benefits was low but there were also higher worries about the future effects of the vaccine. Confidence in the government was associated with lower negative attitudes toward the COVID-19 vaccine.
    Conclusion: The results of this study may help develop an understanding of negative attitudes toward vaccinations in Malaysia and its contributing factors.
    MeSH term(s) Humans ; COVID-19 Vaccines ; Cross-Sectional Studies ; COVID-19/prevention & control ; Malaysia ; Health Knowledge, Attitudes, Practice ; Vaccination ; Government ; Communication ; Vaccines ; Perception
    Chemical Substances COVID-19 Vaccines ; Vaccines
    Language English
    Publishing date 2022-11-08
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192214623
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Relationship Between COVID-19 Information Sources and Attitudes in Battling the Pandemic Among the Malaysian Public: Cross-Sectional Survey Study.

    Mohamad, Emma / Tham, Jen Sern / Ayub, Suffian Hadi / Hamzah, Mohammad Rezal / Hashim, Hasrul / Azlan, Arina Anis

    Journal of medical Internet research

    2020  Volume 22, Issue 11, Page(s) e23922

    Abstract: Background: There are multiple media platforms and various resources available for information on COVID-19. Identifying people's preferences is key to building public confidence and planning for successful national health intervention strategies.: ... ...

    Abstract Background: There are multiple media platforms and various resources available for information on COVID-19. Identifying people's preferences is key to building public confidence and planning for successful national health intervention strategies.
    Objective: This study examines the sources of information for COVID-19 used by the Malaysian public and identifies those that are associated with building public confidence and positive perceptions toward the Malaysian government.
    Methods: A cross-sectional online survey of 4850 Malaysian residents was conducted. Participant demographics, media use, information sources, and attitudes surrounding COVID-19 were assessed. Descriptive statistics and multiple logistic regression analyses were conducted to gauge the relationship between demographics, information sources, and attitudes toward COVID-19.
    Results: Malaysians primarily used television and internet news portals to access information on COVID-19. The Malaysian Ministry of Health was the most preferred source of COVID-19 information. Respondents who referred to the Ministry of Health, television, and the Malaysian National Security Council for information were more likely to believe that the country could win the battle against COVID-19 and that the government was handling the health crisis well compared to those who referred to other information sources. Those who used the World Health Organization, friends, YouTube, family, and radio as sources of information were less likely to harbor confidence and positive belief toward combating COVID-19.
    Conclusions: Managing information and sustaining public confidence is important during a pandemic. Health authorities should pay considerable attention to the use of appropriate media channels and sources to allow for more effective dissemination of critical information to the public.
    MeSH term(s) Adult ; Attitude ; COVID-19/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Malaysia ; Male ; SARS-CoV-2/pathogenicity ; Surveys and Questionnaires
    Keywords covid19
    Language English
    Publishing date 2020-11-12
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/23922
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Associations between Health Literacy and Sociodemographic Factors: A Cross-Sectional Study in Malaysia Utilising the HLS-M-Q18.

    Azlan, Arina Anis / Hamzah, Mohammad Rezal / Tham, Jen Sern / Ayub, Suffian Hadi / Ahmad, Abdul Latiff / Mohamad, Emma

    International journal of environmental research and public health

    2021  Volume 18, Issue 9

    Abstract: Health literacy is progressively seen as an indicator to describe a nation's health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment ...

    Abstract Health literacy is progressively seen as an indicator to describe a nation's health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment is crucial to identify and evaluate the strengths and limitations of a country in addressing health issues. By addressing these health inequalities, a country would be better informed to take necessary steps to improve the nation's health literacy. This study examines health literacy levels in Malaysia and analyses socio-demographic factors that are associated with health literacy. A cross-sectional survey was carried out using the HLS-M-Q18 instrument, which was validated for the Malaysian population. Multi-stage random sampling strategy was used in this study, utilising several sampling techniques including quota sampling, cluster sampling, and simple random sampling to allow random data collection. A total of 855 respondents were sampled. Our results showed that there were significant associations between health literacy and age, health status, and health problems. Our findings also suggest that lower health literacy levels were associated with the younger generation. This study's findings have provided baseline data on Malaysians' health literacy and provide evidence showing potential areas of intervention.
    MeSH term(s) Cross-Sectional Studies ; Factor Analysis, Statistical ; Health Literacy ; Malaysia ; Surveys and Questionnaires
    Language English
    Publishing date 2021-05-02
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph18094860
    Database MEDical Literature Analysis and Retrieval System OnLINE

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