{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T06:07:16Z","timestamp":1788934036146,"version":"build-2803163510"},"reference-count":108,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In late 2022, the sudden termination of the \u201cZero-COVID\u201d policy in China triggered a massive surge in infections and widespread public uncertainty. During this transition, social media served as the primary infrastructure for health communication. This study investigates the associations between social media and COVID-19 preventive behaviors, specifically examining the mediating roles of risk perception and fear, and the moderating influence of mindfulness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to investigate the psychological pathways linking social media exposure to COVID-19 preventive behaviors during the abrupt termination of China\u2019s \u201cZero-COVID\u201d policy in late 2022. Specifically, the research examines the parallel mediating roles of cognitive risk perception and fear, while evaluating the potential of mindfulness as a self-regulatory resource to moderate the internal states and preventive health behaviors during a public health crisis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional online survey was conducted among 1,167 Chinese adults between December 21, 2022, and January 3, 2023\u2014the peak period of the policy shift. Data were analyzed using the SPSS PROCESS macro. Mediation effects (Model 4) were tested for risk perception and fear, while a moderated mediation model (Model 14) was employed to evaluate whether mindfulness buffered the relationship between fear and preventive action.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study found that social media exposure was positively associated with risk perception (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.600, SE\u202f=\u202f0.142,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), which in turn, was positively associated with preventive behaviors (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.069, SE\u202f=\u202f0.012,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). As revealed by the proposed model, social media exposure was positively associated with fear of COVID-19 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      =\u202f0.145, SE\u202f=\u202f0.034,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Fear of COVID-19 was positively associated with preventive behaviors (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      =\u202f0.238, SE\u202f=\u202f0.047,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), social media exposure showed a significant overall indirect association with preventive behaviors through fear (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.034, 95% CI\u202f=\u202f0.013, 0.062). Besides, mindfulness moderated the association between fear and COVID-19 preventive behaviors (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.170, SE\u202f=\u202f0.046,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). The indirect effect of social media exposure on COVID-19 preventive behaviors through fear was significant for mindfulness at the moderate (effect\u202f=\u202f0.024, SE\u202f=\u202f0.010, BootLLCI\u202f=\u202f0.006, BootULCI\u202f=\u202f0.047), and high (effect\u202f=\u202f0.043, SE\u202f=\u202f0.015, BootLLCI\u202f=\u202f0.017, BootULCI\u202f=\u202f0.075) levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Social media exposure is indirectly associated with preventive actions through risk perception and fear. Notably, mindfulness serves as a critical boundary condition: the positive link between threat-induced fear and adaptive protective behaviors is statistically significant only for individuals with moderate-to-high mindfulness. This study highlights the importance of incorporating emotional regulation into public health communication. Rather than relying solely on fear-inducing information, future communication strategies should couple risk information with digital mindfulness resources to support public health compliance and mental well-being during post-policy transitions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1869399","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:48:35Z","timestamp":1788932915000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations between social media exposure and COVID-19 preventive behaviors in post-zero-COVID China: a moderated mediation model of risk perception, fear, and mindfulness"],"prefix":"10.3389","volume":"14","author":[{"given":"Ting","family":"Han","sequence":"first","affiliation":[{"name":"School of Digital Media and Design Arts, Beijing University of Posts and Telecommunications","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Journalism and Communication, Beijing Normal University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"ref1","year":"2022"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.4324\/9780203366905","volume-title":"Social Media in Disaster Response: How Experience Architects Can Build for Participation","author":"Potts","year":"2013"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.chb.2016.09.024","article-title":"Social media engagement: what motivates user participation and consumption on Youtube?","volume":"66","author":"Khan","year":"2017","journal-title":"Comput Hum 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Health"},{"key":"ref39","author":"Do","year":"2016"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"e14118","DOI":"10.1371\/journal.pone.0014118","article-title":"Pandemics in the age of twitter: content analysis of tweets during the 2009 H1n1 outbreak","volume":"5","author":"Chew","year":"2010","journal-title":"PLoS One"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1016\/j.chb.2017.03.004","article-title":"The impact of social media on risk perceptions during the Mers outbreak in South Korea","volume":"72","author":"Choi","year":"2017","journal-title":"Comput Hum Behav"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/j.beth.2007.08.001","article-title":"The role of interdependence and perceived similarity in depressed affect contagion","volume":"39","author":"Paukert","year":"2008","journal-title":"Behav 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Sociol"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1037\/hea0000875","article-title":"The novel coronavirus (Covid-2019) outbreak: amplification of Public health consequences by media exposure","volume":"39","author":"Garfin","year":"2020","journal-title":"Health Psychol"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.4269\/ajtmh.20-0812","article-title":"Covid-19\u2013related infodemic and its impact on public health: a global social media analysis","volume":"103","author":"Islam","year":"2020","journal-title":"Am J Trop Med Hyg"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"191","DOI":"10.2105\/AJPH.90.2.191","article-title":"The making of a germ panic, Then and Now","volume":"90","author":"Tomes","year":"2000","journal-title":"Am J Public Health"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"72","DOI":"10.36131\/CN20200207","article-title":"Fear of Covid-19: insights from evolutionary Behavioral science","volume":"17","author":"Troisi","year":"2020","journal-title":"Clin Neuropsychiatry"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1093\/eurpub\/ckp061","article-title":"Television exposure is related to fear of avian flu, an ecological study across 23 member states of the European Union","volume":"19","author":"Van den Bulck","year":"2009","journal-title":"Eur. J. Public Health"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"102258","DOI":"10.1016\/j.janxdis.2020.102258","article-title":"Fear of the coronavirus (Covid-19): predictors in an online study conducted in march 2020","volume":"74","author":"Mertens","year":"2020","journal-title":"J Anxiety Disord"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"16598","DOI":"10.1038\/s41598-020-73510-5","article-title":"The Covid-19 social media infodemic","volume":"10","author":"Cinelli","year":"2020","journal-title":"Sci Rep"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"55","DOI":"10.11622\/smedj.2020018","article-title":"Outbreak of Covid-19\u2013an urgent need for good science to silence our fears?","volume":"61","author":"Lum","year":"2020","journal-title":"Singapore Med J"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4103\/SHB.SHB_11_20","article-title":"Social Reaction toward the 2019 Novel Coronavirus (Covid-19)","volume":"3","author":"Lin","year":"2020","journal-title":"Asian J Soc Health Behav"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"1014","DOI":"10.3390\/ijerph15051014","article-title":"Increased vaccination coverage among adolescents and young adults in the district of Palermo as a result of a Public health strategy to counteract an \u2018epidemic panic\u2019","volume":"15","author":"Costantino","year":"2018","journal-title":"Int J Environ Res Public Health"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1080\/08870440108405863","article-title":"Scary warnings and rational precautions: a review of the psychology of fear appeals","volume":"16","author":"Ruiter","year":"2001","journal-title":"Psychol Health"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1080\/02642069.2020.1751823","article-title":"Covid-19: fear appeal favoring purchase behavior towards personal protective 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in South Carolina","volume":"36","author":"Qiao","year":"2022","journal-title":"Am J Health Promot"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"684","DOI":"10.3390\/vaccines9070684","article-title":"Fear of Covid-19 and perceived Covid-19 infectability supplement theory of planned behavior to explain Iranians\u2019 intention to get Covid-19 vaccinated","volume":"9","author":"Yahaghi","year":"2021","journal-title":"Vaccine"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"106430","DOI":"10.1016\/j.addbeh.2020.106430","article-title":"Fear of missing out and problematic social media use as mediators between emotional support from social media and phubbing behavior","volume":"107","author":"Fang","year":"2020","journal-title":"Addict Behav"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"1875","DOI":"10.1007\/s11469-020-00281-5","article-title":"Functional fear predicts Public health compliance in the Covid-19 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