Public Health and Health Policy
Public Health and Health Policy. 2026; 1: (1) ; 10.12208/j.phhp.20260005 .
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宁波大学医学院公共卫生学院 浙江宁波;
杭州市疾病预防控制中心（杭州市卫生监督所） 浙江杭州;
*通讯作者： 王勐,单位：杭州市疾病预防控制中心（杭州市卫生监督所） 浙江杭州; ；
放在当下的公共卫生实践中看，风险沟通早已不只是信息传递的问题。突发公共卫生事件频发、数字平台持续改变健康信息的流通方式，社会信任问题又不断浮现，这些变化共同抬高了风险沟通在健康促进中的重要性，也让它的职责从发布信息延伸到风险解释、行为引导、关系协调和信任建构等方面。本文从健康促进视角出发，梳理相关研究的应用场景、功能结构与讨论脉络，并据此分析跨部门协同不足、常态化信任培育偏弱以及风险关系协调不够充分等问题。如果把目光放到今后的实践，风险沟通显然不能再停留在单向告知和危机应对上，而需要更多面向多主体协同、持续性信任建设以及关系协调导向的制度安排，并配合评估与支撑机制不断调整和完善。只有真正进入健康促进与公共卫生治理的日常运行过程，风险沟通才更可能成长为较为稳定的治理能力。
Risk communication has become a crucial link connecting public health governance, health communication practice, and public behavioral response. As public health emergencies occur more frequently, digital platforms intervene more deeply in the circulation of health information, and issues of social trust become increasingly salient, the role of risk communication in health promotion has expanded well beyond simple information delivery. It now encompasses risk explanation, behavioral mobilization, relationship co- ordination, and trust building. From the perspective of health promotion, this article systematically reviews the major application settings, functional structure, and research trajectory of risk communication, and analyzes its current limitations in cross-sector collaboration, routine trust cultivation, and the coordination of risk relationships. It argues that risk communication should move from one-way public messaging to multi-actor collaborative communication, from crisis-triggered response to routine trust building, and from technical optimization to institutionally supported relational coordination. Only by being more deeply em- bedded in the systems of health promotion and public health governance can risk communication develop from a communication tool into a stable governance capacity.
[1] O’MARA-EVES A, BRUNTON G, MCDAID D, et al. Community engagement to reduce in- equalities in health: a systematic review, meta-analysis and economic analysis[M/OL]. Health Technology Assessment, 2013. DOI: 10.3310/hta17400.
[2] GLIK D C. Risk communication for public health emergencies[J/OL]. Annual Review of Public Health, 2007, 28: 33-54.
[3] 马会娟, 张嵩, 黄久仪. 突发公共卫生事件风险沟通研究进展[J/OL]. 中华疾病控制杂志, 2022, 26(1): 114-118.
[4] SUAREZ-LLEDO V, ALVAREZ-GALVEZ J. Infodemics and health misinformation: a sys- tematic review of reviews[J/OL]. Bulletin of the World Health Organization, 2021, 99(7): 514-525A.
[5] NAN X, WANG Y, THIER K. Why do people believe health misinformation and who is at risk? a systematic review of individual differences in susceptibility to health misinformation [J/OL]. Social Science & Medicine, 2022, 314: 115398.
[6] AAKKO E. Risk communication, risk perception, and public health[J]. WMJ, 2004, 103(1): 25-27.
[7] DESJARDINS C, DENIS-LEBLANC M, CANNALONGA C P, et al. Communicating effec- tively with patients about vaccination: a systematic review of randomized controlled trials [J/OL]. Canada Communicable Disease Report, 2023, 49(7-8): 331-341.
[8] SOPORY P, NOVAK J M, DAY A M, et al. Trust and public health emergency events: a mixed-methods systematic review[J/OL]. Disaster Medicine and Public Health Preparedness, 2022, 16(4): 1653-1673.
[9] 龚捷, 舒琴琴, 任晓东. 突发公共卫生事件中民众对专家系统的信任研究[J/OL]. 医学与哲学,2024, 45(2): 42-46.
[10] CAIRNS G, de ANDRADE M, MACDONALD L. Reputation, relationships, risk communi- cation, and the role of trust in the prevention and control of communicable disease: a review [J/OL]. Journal of Health Communication, 2013, 18(12): 1550-1565.
[11] HU G, CHEN Z, WANG J, et al. Editorial: risk communication and community engagement during public health emergencies[J/OL]. Frontiers in Public Health, 2023, 11: 1164973.
[12] 都率, 毛阿燕, 邱五七. 公共卫生应急管理风险沟通研究进展[J/OL]. 中华卫生应急电子杂志, 2023, 9(6): 369-373.
[13] MACKAY M, COLANGELI T, THAIVALAPPIL A, et al. A review and analysis of the literature on public health emergency communication practices[J/OL]. Journal of Community Health, 2022, 47(1): 150-162.
[14] LARSON H J, CLARKE R M, JARRETT C, et al. Measuring trust in vaccination: a sys- tematic review[J/OL]. Human Vaccines & Immunotherapeutics, 2018, 14(7): 1599-1609.
[15] 刘郅睿, 刘长君. 疫苗接种风险沟通的伦理问题与对策研究[J/OL]. 医学与哲学, 2024, 45(23): 6-9.
[16] FITZPATRICK-LEWIS D, YOST J, CILISKA D, et al. Communication about environmental health risks: a systematic review[J/OL]. Environmental Health, 2010, 9: 67.
[17] RICHTER R, JANSEN J, BONGAERTS I, et al. Communication of benefits and harms in shared decision making with patients with limited health literacy: a systematic review of risk communication strategies[J/OL]. Patient Education and Counseling, 2023, 116: 107944.
[18] CHIA A W Y, TEO W L L, ACHARYYA S, et al. Patient-physician communication of health and risk information in the management of cardiovascular diseases and diabetes: a systematic scoping review[J/OL]. BMC Medicine, 2025, 23(1): 96.
[19] MILLER A N, SELLNOW T, NEUBERGER L, et al. A systematic review of literature on effectiveness of training in emergency risk communication[J/OL]. Journal of Health Commu- nication, 2017, 22(7): 612-629.
[20] 丁凡, 李锦成, 黄立勇, 等. 疾病预防控制机构突发事件公共卫生风险沟通需求和能力现况研究[J/OL]. 实用预防医学, 2020, 27(11): 1281-1284.
[21] 马晓薇, 刘维斯, 张林, 等. 疾控机构利用微信公众号和官网开展风险沟通的探讨——基于 “长春长生”疫苗事件[J/OL]. 实用预防医学, 2021, 28(2): 240-242.
[22] WHITEHEAD H S, FRENCH C E, CALDWELL D M, et al. A systematic review of com- munication interventions for countering vaccine misinformation[J/OL]. Vaccine, 2023, 41(5): 1018-1034.