ArticleFrontiers in public health2026
Beyond coexistence: the asymmetric interplay of health risk and promotion pathways driven by communication legacies across emerging and recurring epidemics.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Prior emergency risk communication incidents create enduring psychological legacies that complicate the interplay between health-promoting and health-risk tendencies. This study investigates how negative and positive legacies jointly operate within this spillover effect. Specifically, we examine whether positive legacies can offset the adverse effects of negative ones and identify the boundary conditions moderated by emerging versus recurring epidemics-under which this buffering mechanism fails. Methods: Grounded in the Stress Spillover Model and Post-traumatic Growth Theory, a dual-path parallel mediation model for PERCI was constructed. Adopting a cross-sectional survey combined with scenario simulation to capture cross-epidemic effects, we recruited 822 participants who have experienced COVID-19 via convenience and snowball sampling. Data were examined using structural equation modeling. Results: PERCI exerts significant spillover effects via an asymmetric dual-path mechanism. While parallel mediation by both positive and negative legacies was confirmed, a crucial asymmetry emerged: the negative pathway substantially dominated the positive one, indicating that risk impulses often override promotional resources. However, boundary condition analysis revealed a divergent regulation: in recurring epidemics, positive legacies significantly strengthened the promotion pathway ( Conclusion: While negative legacies exert a dominant risk effect, positive legacies provide an independent protective pathway that partially offsets this inertia, but only under specific boundary conditions. These findings highlight a critical, non-linear interplay in cross-epidemic responses. Public health interventions must adopt a context-specific dual strategy: simultaneously mitigating negative legacies and strengthening positive ones. Crucially, standard promotional tactics may fail to counteract dominant risk pathways during emerging outbreaks, necessitating tailored communication strategies that account for the asymmetric nature of psychological legacies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.