The emergence of virtual influencers and AI doctors has significantly increased the attention of Chinese users, especially their health awareness and cancer health literacy. In our current study, guided by parasocial relationship theory, we examined the psychological antecedents that influence Chinese young adults’ willingness to engage in liver cancer prevention. Specifically, we aimed to examine the mediated mechanism of reduced unrealistic optimism within this relationship. A total of 252 respondents participated in this study, and the vali...