Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China
BackgroundIn the post-pandemic era, influenza and COVID-19 jointly exacerbate global public health burdens, yet persistent biases in risk perception drive declining vaccination rates and health disparities. Conventional linear models fail to capture the complex interactions between risk cognition, f...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1633541/full |
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| author | Cheng Yang Cheng Yang Jiawei Li Jiawei Li Xianqiong Feng Xianqiong Feng Shaoyu Su Shaoyu Su Qin Zeng Qin Zeng |
| author_facet | Cheng Yang Cheng Yang Jiawei Li Jiawei Li Xianqiong Feng Xianqiong Feng Shaoyu Su Shaoyu Su Qin Zeng Qin Zeng |
| author_sort | Cheng Yang |
| collection | DOAJ |
| description | BackgroundIn the post-pandemic era, influenza and COVID-19 jointly exacerbate global public health burdens, yet persistent biases in risk perception drive declining vaccination rates and health disparities. Conventional linear models fail to capture the complex interactions between risk cognition, family protection motivation, and socioeconomic vulnerability—particularly within collectivist contexts like China. This gap impedes effective interventions targeting critical behavioral nodes in influenza mitigation.ObjectiveThis study employs network analysis to uncover the core structural features of influenza risk perception among the Chinese public, examining the association between science literacy and risk perception to inform targeted mitigation and intervention strategies.DesignA multicenter, cross-sectional network analysis study using convenience sampling.SettingFifteen provinces across mainland China, covering eastern, western, southern, northern, and central regions.Participants1,416 individuals aged 18–70, representing diverse occupations, education levels, and income groups.ResultsThe public’s influenza risk perception network exhibited a “family-knowledge-economy” triadic structure. “Risk of family infection” (M_2) emerged as the central node (strength = 2.165), while “transmissibility knowledge” (F_3) and “socioeconomic loss” (S_2) served as the key knowledge nodes (strength = 1.520) and bridge node (bridge strength = 2.037). Additionally, science literacy moderated risk perception by enhancing perceived control, with the strongest association observed between knowledge level and “temporal controllability” (C_3, edge weight = 0.25). Family-based knowledge-sharing effects were significant (K_1-K_2 edge weight = 0.42). Network stability tests confirmed robustness (centrality stability coefficient CS > 0.5, core node differences p < 0.01).ConclusionNetwork analysis reveals a “family-knowledge-economy” triad governing influenza risk perception, with family infection risk (M_2) as the central driver (strength = 2.165) and socioeconomic loss (S_2) as the pivotal bridge node (bridge strength = 2.037). Science literacy amplifies perceived controllability (C_3–K_1 edge = 0.25) but fails to alleviate economic anxiety, underscoring the need for integrated structural policies. Family-centered interventions—leveraging tiered communication, economic security narratives, and real-time surveillance of network dynamics—are essential to optimize public health strategies in collectivist societies. |
| format | Article |
| id | doaj-art-4e89f3b8fda047148e1f6b7450fdd9e5 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-4e89f3b8fda047148e1f6b7450fdd9e52025-08-20T03:41:01ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.16335411633541Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in ChinaCheng Yang0Cheng Yang1Jiawei Li2Jiawei Li3Xianqiong Feng4Xianqiong Feng5Shaoyu Su6Shaoyu Su7Qin Zeng8Qin Zeng9Department of Pediatric Intensive Care Unit Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Pediatric Outpatient Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Nursing, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Pediatrics Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Pediatrics Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaBackgroundIn the post-pandemic era, influenza and COVID-19 jointly exacerbate global public health burdens, yet persistent biases in risk perception drive declining vaccination rates and health disparities. Conventional linear models fail to capture the complex interactions between risk cognition, family protection motivation, and socioeconomic vulnerability—particularly within collectivist contexts like China. This gap impedes effective interventions targeting critical behavioral nodes in influenza mitigation.ObjectiveThis study employs network analysis to uncover the core structural features of influenza risk perception among the Chinese public, examining the association between science literacy and risk perception to inform targeted mitigation and intervention strategies.DesignA multicenter, cross-sectional network analysis study using convenience sampling.SettingFifteen provinces across mainland China, covering eastern, western, southern, northern, and central regions.Participants1,416 individuals aged 18–70, representing diverse occupations, education levels, and income groups.ResultsThe public’s influenza risk perception network exhibited a “family-knowledge-economy” triadic structure. “Risk of family infection” (M_2) emerged as the central node (strength = 2.165), while “transmissibility knowledge” (F_3) and “socioeconomic loss” (S_2) served as the key knowledge nodes (strength = 1.520) and bridge node (bridge strength = 2.037). Additionally, science literacy moderated risk perception by enhancing perceived control, with the strongest association observed between knowledge level and “temporal controllability” (C_3, edge weight = 0.25). Family-based knowledge-sharing effects were significant (K_1-K_2 edge weight = 0.42). Network stability tests confirmed robustness (centrality stability coefficient CS > 0.5, core node differences p < 0.01).ConclusionNetwork analysis reveals a “family-knowledge-economy” triad governing influenza risk perception, with family infection risk (M_2) as the central driver (strength = 2.165) and socioeconomic loss (S_2) as the pivotal bridge node (bridge strength = 2.037). Science literacy amplifies perceived controllability (C_3–K_1 edge = 0.25) but fails to alleviate economic anxiety, underscoring the need for integrated structural policies. Family-centered interventions—leveraging tiered communication, economic security narratives, and real-time surveillance of network dynamics—are essential to optimize public health strategies in collectivist societies.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1633541/fullinfluenza risk perceptionnetwork analysisfamily protection motivationsocioeconomic vulnerabilityscience literacypublic health strategy |
| spellingShingle | Cheng Yang Cheng Yang Jiawei Li Jiawei Li Xianqiong Feng Xianqiong Feng Shaoyu Su Shaoyu Su Qin Zeng Qin Zeng Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China Frontiers in Public Health influenza risk perception network analysis family protection motivation socioeconomic vulnerability science literacy public health strategy |
| title | Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China |
| title_full | Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China |
| title_fullStr | Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China |
| title_full_unstemmed | Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China |
| title_short | Family protection motivation and economic vulnerability: a network analysis of public influenza risk perception, education and mitigation strategies in China |
| title_sort | family protection motivation and economic vulnerability a network analysis of public influenza risk perception education and mitigation strategies in china |
| topic | influenza risk perception network analysis family protection motivation socioeconomic vulnerability science literacy public health strategy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1633541/full |
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