HEALTH INFORMATION AVOIDANCE AMONG ELDERLY RESIDENTS IN NANJING, CHINA: A QUALITATIVE STUDY
DOI:
https://doi.org/10.55197/qjssh.v7i1.946Keywords:
information avoidance, elderly, qualitative study, health communication, ChinaAbstract
Health information avoidance will be conceptualised as the intentional decision to evade health-related knowledge, often employed as a coping strategy when such information is perceived as threatening or emotionally burdensome. This qualitative study will explore the lived experiences and underlying motivations of health information avoidance among elderly residents in Nanjing, China. Guided by Stress–Coping Theory, Social Support Theory, and Self-Determination Theory, the study will examine how psychological, interpersonal, and cultural factors interact to shape avoidance behaviour. Data will be collected through ten in-depth semi-structured interviews with participants aged between 60 and 78 years. Thematic analysis will be employed to identify recurring patterns and meanings within the data. Four major themes are expected to emerge: (1) emotional protection and fear of diagnosis, where avoidance will function as a mechanism to preserve psychological well-being; (2) family mediation and filial filtering, reflecting the role of family members in managing and filtering health information; (3) technological barriers and digital mistrust, highlighting difficulties related to digital health platforms and scepticism toward online information; and (4) cultural beliefs and acceptance of fate, rooted in traditional values and perceptions of ageing and illness. The findings will contribute to a deeper understanding of health information behaviour within China’s collectivist context and will provide practical guidance for developing culturally sensitive, age-appropriate health communication strategies and interventions.
References
[1] Braun, V., Clarke, V. (2006): Using thematic analysis in psychology. – Qualitative Research in Psychology 3(2): 77-101.
[2] Chang, L., Zhou, W., Li, H. (2024): Strategies for assessing health information credibility among older WeChat users in China. – Health Communication 39(9): 1841-1853.
[3] Folkman, S., Lazarus, R.S. (1988): Coping as a mediator of emotion. – Journal of Personality and Social Psychology 54(3): 466-475.
[4] Hicks, A., McKenzie, P., Bronstein, J., Seiden Hyldegård, J., Ruthven, I., Widén, G. (2025): Information avoidance: A critical conceptual review. An Annual Review of Information Science and Technology (ARIST) paper. – Journal of the Association for Information Science and Technology 76(1): 326-346.
[5] Howell, J.L., Shepperd, J.A. (2012): Reducing information avoidance through affirmation. – Psychological Science 23(2): 141-145.
[6] Li, J. (2023): Information avoidance in the age of COVID-19: A meta-analysis. – Information Processing & Management 60(1): 15p.
[7] Liu, S., Zhao, H., Fu, J., Kong, D., Zhong, Z., Hong, Y., Tan, J., Luo, Y. (2022): Current status and influencing factors of digital health literacy among community-dwelling the elderly in Southwest China: a cross-sectional study. – BMC Public Health 22(1): 12p.
[8] Liu, X., Yu, H.J., Zhang, M.Z., Yang, H.G., Chen, R., Zhao, L., He, Q.Q. (2024): The transition of eldercare responsibility and traditional filial piety concepts and its urban-rural differences in China: an age-period-cohort analysis from 2006 to 2017. – BMC Public Health 24(1): 13p.
[9] Meese, W.B., Hua, J., Howell, J.L. (2024): Information avoidance: An interchangeable strategy of self-protection. – Social Science & Medicine 354: 9p.
[10] Ryan, R.M., Deci, E.L. (2000): Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. – American Psychologist 55(1): 68-78.
[11] Song, S., Yao, X., Wen, N. (2021): What motivates Chinese consumers to avoid information about the COVID-19 pandemic? The perspective of the stimulus-organism-response model. – Information Processing & Management 58(1): 14p.
[12] Sweeny, K., Melnyk, D., Miller, W., Shepperd, J.A. (2010): Information avoidance: Who, what, when, and why. – Review of General Psychology 14(4): 340-353.
[13] Zhao, B.Y., Huang, L., Cheng, X., Chen, T.T., Li, S.J., Wang, X.J., Huang, S.X., Hu, R.F., Li, H. (2024): Digital health literacy and associated factors among internet users from China: a cross-sectional study. – BMC Public Health 24(1): 12p.
[14] Zhong, F., Gu, C. (2024): The impact of health information echo chambers on the elderly avoidance behavior: the mediating role of information fatigue and the moderating role of trait mindfulness. – Frontiers in Psychology 15: 13p.
[15] Zhou, Y., Bai, Y., Wang, J. (2024): The impact of internet use on health among the elderly in China: a nationally representative study. – BMC Public Health 24(1): 10p.
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Copyright (c) 2026 HUANHUAN TANG, MIHARAINI MD GHANI, JULIANA ABDUL WAHAB

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