How Interpersonal Communication Mediates the Relationship of Multichannel Communication Connections to Health-Enhancing and Health-Threatening Behaviors

This article examines how everyday media use and interpersonal communication for health information could influence health behaviors beyond intervention or campaign contexts. The authors argue that interpersonal communication works as an independent information channel and mediates the relation between media channels and health behaviors. In addition, the authors investigate whether interpersonal communication differently influences the relation between media connections and health behaviors for more and less educated individuals. Using data from the 2008 Annenberg National Health Communication Survey, the authors show that multiple communication channels for health information encourage health-enhancing behaviors but do not have significant relations with health-threatening behaviors. Interpersonal communication is directly linked to health-enhancing behaviors, but it also mediates the influence of individuals' multichannel media environment on health-enhancing behaviors. The mediating role of interpersonal health communication was only significant for less educated people. In addition, among media channels, television was a more important instigator of health-related conversations with family and friends for the less educated group. The theoretical and practical implications of these findings, as well as suggestions for future research directions, are discussed.