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Health uncertainty: Scale development and its effect on health behaviors.

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Τίτλος: Health uncertainty: Scale development and its effect on health behaviors.
Συγγραφείς: Ren R; China University of Geosciences (Beijing), China., Tao S; China University of Geosciences (Beijing), China., Ouyang Y; China University of Geosciences (Beijing), China., Du W; Nottingham Trent University, UK.
Πηγή: Journal of health psychology [J Health Psychol] 2026 Sep; Vol. 31 (11), pp. 4547-4562. Date of Electronic Publication: 2026 Jan 13.
Τύπος έκδοσης: Journal Article; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Sage Publications Country of Publication: England NLM ID: 9703616 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1461-7277 (Electronic) Linking ISSN: 13591053 NLM ISO Abbreviation: J Health Psychol Subsets: MEDLINE
Imprint Name(s): Original Publication: London ; Thousand Oaks, CA : Sage Publications, 1996-
Ιατρικοί όροι (MeSH): Anxiety*/psychology , Psychometrics*/instrumentation , Health Behavior* , Health Status*, Surveys and Questionnaires/standards ; Humans ; Uncertainty ; Female ; Male ; China ; Adult ; Reproducibility of Results ; Middle Aged ; Young Adult
Περίληψη: While health-related awareness has been extensively studied, the concept of health uncertainty in the general population remains inadequately conceptualized and operationalized. This study aims to develop a conceptual framework and measurement tool for health uncertainty, and to examine its associations with health anxiety and health behaviors. The research comprised two studies conducted in China. Study 1 developed and validated a health uncertainty scale using data from 709 participants. The scale, which comprises dimensions of health status uncertainty, health changes unpredictability, and health threat and information ambiguity, demonstrated good reliability and validity. Study 2 employed a questionnaire-based approach with 345 participants and showed that health uncertainty negatively predicted health behaviors, with health anxiety acting as a mediator. The findings highlight the impact of health uncertainty on psychological and behavioral responses, emphasizing the need for strategies to reduce uncertainty during public health crises to promote healthier behaviors and achieve public health goals.
Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Contributed Indexing: Keywords: health anxiety; health behaviors; health status uncertainty; health uncertainty; uncertainty management
Entry Date(s): Date Created: 20260113 Date Completed: 20260821 Latest Revision: 20260824
Update Code: 20260824
DOI: 10.1177/13591053251405156
PMID: 41527502
Βάση Δεδομένων: MEDLINE
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  Data: Health uncertainty: Scale development and its effect on health behaviors.
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  Data: <searchLink fieldCode="AU" term="%22Ren+R%22">Ren R</searchLink>; China University of Geosciences (Beijing), China.<br /><searchLink fieldCode="AU" term="%22Tao+S%22">Tao S</searchLink>; China University of Geosciences (Beijing), China.<br /><searchLink fieldCode="AU" term="%22Ouyang+Y%22">Ouyang Y</searchLink>; China University of Geosciences (Beijing), China.<br /><searchLink fieldCode="AU" term="%22Du+W%22">Du W</searchLink>; Nottingham Trent University, UK.
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  Data: <searchLink fieldCode="JN" term="%229703616%22">Journal of health psychology</searchLink> [J Health Psychol] 2026 Sep; Vol. 31 (11), pp. 4547-4562. <i>Date of Electronic Publication: </i>2026 Jan 13.
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  Data: Journal Article; Research Support, Non-U.S. Gov't
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  Data: English
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  Data: <i>Original Publication</i>: London ; Thousand Oaks, CA : Sage Publications, 1996-
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  Data: <searchLink fieldCode="MM" term="%22Anxiety%22">Anxiety*</searchLink>/<searchLink fieldCode="MM" term="%22Anxiety+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Psychometrics%22">Psychometrics*</searchLink>/<searchLink fieldCode="MM" term="%22Psychometrics+instrumentation%22">instrumentation</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Behavior%22">Health Behavior*</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Status%22">Health Status*</searchLink><br /><searchLink fieldCode="MH" term="%22Surveys+and+Questionnaires%22">Surveys and Questionnaires</searchLink>/<searchLink fieldCode="MH" term="%22Surveys+and+Questionnaires+standards%22">standards</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Uncertainty%22">Uncertainty</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22China%22">China</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Reproducibility+of+Results%22">Reproducibility of Results</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink>
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  Data: While health-related awareness has been extensively studied, the concept of health uncertainty in the general population remains inadequately conceptualized and operationalized. This study aims to develop a conceptual framework and measurement tool for health uncertainty, and to examine its associations with health anxiety and health behaviors. The research comprised two studies conducted in China. Study 1 developed and validated a health uncertainty scale using data from 709 participants. The scale, which comprises dimensions of health status uncertainty, health changes unpredictability, and health threat and information ambiguity, demonstrated good reliability and validity. Study 2 employed a questionnaire-based approach with 345 participants and showed that health uncertainty negatively predicted health behaviors, with health anxiety acting as a mediator. The findings highlight the impact of health uncertainty on psychological and behavioral responses, emphasizing the need for strategies to reduce uncertainty during public health crises to promote healthier behaviors and achieve public health goals.
– Name: Abstract
  Label: Competing Interests
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  Data: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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  Data: <i>Keywords: </i>health anxiety; health behaviors; health status uncertainty; health uncertainty; uncertainty management
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  Data: 10.1177/13591053251405156
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  Data: 41527502
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        Value: 10.1177/13591053251405156
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        Text: English
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        StartPage: 4547
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      – SubjectFull: Surveys and Questionnaires standards
        Type: general
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      – SubjectFull: Health Behavior
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