Developing a Critical Media Research Agenda for Health Psychology

A press(ing) issue: analysing local news coverage of abortion in the US South during the COVID-19 pandemic

In the early days of the COVID-19 pandemic, some US state governments banned abortion due to its allegedly 'elective' nature. While these actions were successfully challenged in courts, discussion about the topic may have shaped personal and public opinion. This study aimed to explore the framing of abortion in local newspapers during the onset of the pandemic. Articles regarding abortion were collected from three top circulated local online news publications from three southern US states. Of the states that attempted to block abortions, Alabama, Louisiana and Mississippi were selected for their high non-White populations. Using critical thematic analysis, 77 articles were analysed, and four themes were identified: individual-centric, public health risk, interplay with inequalities, and hierarchical health care. Existing abortion narratives were taken up by different sides of the debate to push political agendas. However, new pro-/anti-abortion justifications were observed, specifically regarding public health concerns during COVID-19. Anti-abortion activists framed abortion provision as a health risk and employed other narratives that likely reinforced gendered, ethnic and socioeconomic power disparities by shifting blame onto abortion seekers and providers. However, pro-choice supporters framed abortion as essential health care and as a structural issue, which may have bolstered awareness for structural change.

Public Understanding of Childhood Obesity: Qualitative Analysis of News Articles and Comments on Facebook

Childhood obesity has become a major focus of public health and subject to increased news coverage. News can shape public understanding of childhood obesity by selective reporting (framing) which can affect policy support and weight stigma. As news is consumed on social media, comments on articles present a novel method to explore public understanding. This study examined how childhood obesity is framed by news articles on Facebook and how individuals commenting understand and react to these articles. This study used a qualitative research design. Facebook pages of 11 national UK news outlets were searched for news articles on childhood obesity published between May 2015 and May 2020. Of those, 30 articles were randomly selected. Framing analysis was used to determine whether childhood obesity was portrayed as a behavioral, societal or medical issue. Responding comments (N = 1,104) were grouped according to the dominant frame of the corresponding article and analyzed using qualitative content analysis. Of the 30 articles, 28 mentioned societal, 26 behavioral and 18 medical aspects of childhood obesity, highlighting that most articles included more than one frame. Three themes were generated from responding comments: Culprits and Remedies, Appraising Childhood Obesity and Making Sense of the News Article. Findings showed that comments related to Appraising Childhood Obesity differed between differently framed articles, while the other themes did not. This study highlights the need for improved communication on childhood obesity to address weight stigma and improve understanding of news articles.

“It’s important to manage our stress”: Mental health advice in the Australian print news media during the COVID-19 pandemic

The COVID-19 pandemic has heightened existing concerns about mental health and illness in Australia. The news media is an important source of health information, but there has been little research into how advice about mental health is communicated to the public via the news media. In this study, we examined how advice about building and maintaining mental health was discursively constructed in the news media during the COVID-19 pandemic. A discourse analytic approach informed by critical discursive psychology was employed to analyse 436 articles published in daily newspapers in Australia between 1 January and 31 December 2020, which contained references to mental health and the COVID-19 pandemic. Three main interpretative repertoires were identified – negative emotions are a risk to mental health and must be managed; risky emotions should be managed by being controlled (based around a ‘border control’ metaphor); and risky emotions should be managed by being released (based around a ‘pressure cooker’ metaphor). This study demonstrates that, amid the COVID-19 pandemic, advice constructed negative emotions as risky and problematic; and normalized the habitual management of emotions by individuals through strategies of control and release. Potential implications of such discourses for goals of improving population mental health are discussed.

Complex adaptive systems: a new approach for understanding health practices

This article explores the potential of complex adaptive systems (CAS) theory to inform behaviour change research. A CAS describes a collection of heterogeneous agents interacting within a particular context, adapting to each other's actions. In practical terms, this implies that behaviour change is (1) socially and culturally situated; (2) highly sensitive to small baseline differences in individuals, groups, and intervention components; and (3) determined by multiple components interacting 'chaotically'. Two approaches to studying CAS are briefly reviewed. Agent-based modelling is a computer simulation technique that allows researchers to investigate 'what if' questions in a virtual environment. Applied qualitative research techniques, on the other hand, offer a way to examine what happens when an intervention is pursued in real-time, and to identify the sorts of rules and assumptions governing social action. Although these represent very different approaches to complexity, there may be scope for mixing these methods - for example, by grounding models in insights derived from qualitative fieldwork. Finally, I will argue that the concept of CAS offers one opportunity to gain a deepened understanding of health-related practices, and to examine the social psychological processes that produce health-promoting or damaging actions.

How do men’s magazines talk about penises?

Constructions of masculinity have shifted and changed but the central role of the penis has remained firm. Yet, despite the implications for sexual health, there has been very little research on discourses around penises. The messages men receive about their manhood is apparent in articles in men’s magazines. We conducted a discursive analysis of the ways in which penises were discussed in four market leading UK titles: Loaded, Men’s Health, GQ and Attitude. Two broad discourses were identified, termed Laddish and Medicalised, both of which create fear-ridden spaces where men are bombarded with unachievable masculine ideals and traumatic examples of mutilated members. We discuss how health psychologists could use the findings to communicate with men about their sexual health needs using this channel.

Can disclaimer labels or Dove Evolution commercial mitigate negative effects of thin-ideal exposure?

We examined the comparative effectiveness of the Dove Evolution commercial and disclaimer labels as media literacy interventions. Women ( N = 287) viewed thin-ideal images by themselves, preceded by the Dove Evolution commercial, or containing specific or generic disclaimer labels. Participants completed pre- and post-test measures of body satisfaction, post-test social comparison, and media literacy. Interventions were not effective in mitigating drops in body satisfaction, reducing social comparison, or increasing media literacy, despite women understanding their purpose. A 2-week follow-up showed no delayed effects on media literacy. None of these interventions were effective in counteracting the negative effects of media exposure in women.

Intergenerational inequity arguments and the implications for state-funded financial support of older people

As population demographics shift towards an older population structure in the Western world, concerns about the future costs of pensions are apparent in politics, media and everyday conversations. In New Zealand, the universal state-funded pension paid to all citizens over the age of 65 years is often considered to be unsustainable in the context of population ageing. To examine the arguments surrounding universal superannuation, rhetorical analysis was undertaken on two New Zealand newspaper articles that discussed the future cost of pensions, and the 233 public responses these articles generated. The cost of superannuation was used to emphasise the different characteristics of each generational cohort and the ways that this produced inequity across generations. Claims of intergenerational inequity generated antagonism and widened divisions between generational groups. Foregrounding generational inequity in the discussion of superannuation has profound implications for state-funded income support for older people which relies upon widespread public support. Intergenerational inequity ignores the significant inequity in health and social circumstances in retirement among older New Zealanders and overlooks the significant impact of universal superannuation on protecting older New Zealanders from poverty in later life.

Reimagining community health psychology: maps, journeys and new terrains

This special issue celebrates and maps out the 'coming of age' of community health psychology, demonstrating its confident and productive expansion beyond its roots in the theory and practice of small-scale collective action in local settings. Articles demonstrate the field's engagement with the growing complexity of local and global inequalities, contemporary forms of collective social protest and developments in critical social science. These open up novel problem spaces for the application and extension of its theories and methods, deepening our understandings of power, identity, community, knowledge and social change - in the context of evolving understandings of the spatial, embodied, relational, collaborative and historical dimensions of health.

Pre-existing beliefs and expectations influence judgments of novel health information

The present study examined whether health information is judged differently depending on pre-existing beliefs and expectations. People's initial beliefs and expectations were assessed by a questionnaire about acupuncture and a trustworthiness and preference rating task of doctors' faces. Then, newspaper headlines about novel acupuncture treatment were shown and rated for their feasibility in a normal and framed condition. The judged feasibility of the newspaper headlines correlated strongly with initial beliefs about acupuncture in the normal condition, and with initial expectations towards a doctor's face in the framed condition. Thus, as suggested by Bayes Theorem, pre-existing beliefs and expectations influence judgments of novel health information.

Factors associated with high media coverage of the HIV epidemic in Lesotho

Regional studies show that Lesotho outperforms other countries in southern Africa in terms of awarding coverage to HIV and AIDS. Through qualitative interviews, this study examines the motivations, experiences, and perceived challenges among media workers, which could explain the high coverage. While a high level of personal commitment seems to be the outcome of interrelated factors-such as media workers' personal experience of the country's high HIV prevalence and high mortality rate-Lesotho's political leadership and various government initiatives, notably the unique 'Know Your Status' campaign, were singled out as a key factor behind the high coverage. Moreover, journalists and editors are often consciously exploiting the mass media's potential agenda-setting function in order to raise attention to HIV and AIDS. Although covering the HIV epidemic has become significantly easier in Lesotho because of government efforts, government and public officials are simultaneously identified as the main obstacle to more comprehensive coverage.

Human exploitation is not a joke--so don't laugh!

In a previous article, I called for an open discussion and debate on health psychology perspectives on social and political issues relevant to health, in particular the issue concerning racism and the media (Estacio, 2009). In this article, I raise three topics for discussion which the controversial BBC 'Harry and Paul' sketch (un)intentionally exposed to the public domain: (1) racist humour, the media and health; (2) human rights abuses against domestic workers; and (3) third world poverty and labour migration. Its implications on health psychology theory, research and practice are also explored.

Editorial: media exploitation, racism and health

The BBC comedy show ;Harry and Paul' sparked media controversy in the UK and around the world for inciting stereotyped racial discrimination, vulgarity and violation of human rights when it portrayed a Filipino domestic worker as a sex toy in Episode 4 of the series. This incident raises the issue concerning the media's role in framing social issues and how it affects the wider determinants of health. There is a need for health psychology as an academic discipline to engage more in these issues. The Journal of Health Psychology provides a unique platform for discussion and debate of perspectives on racism, the media and health.

Constructing health news: possibilities for a civic-oriented journalism

Health is a very prominent news category. However, we know little about the production processes of journalists leading to the health stories we encounter on a daily basis. Such knowledge is crucial for ensuring a vibrant public sphere for health. This article draws on interviews with eight health journalists in New Zealand to document what they consider to constitute a health story, their professional norms and practices, their perceptions of audiences, and the need for increased civic deliberations regarding health. Journalists privilege biomedical stories involving lifestyle and individual responsibility, and have limited frames for presenting stories that involve socio-political concerns. Stories are strongly shaped by journalists' considerations of their target audience, the sources they draw on, their professional norms, and institutional practices. This results in the omission of stories that have relevance for minority and disadvantaged groups and limits the nature of the stories told to ones that reflect the views of the majority. However, journalists are also reflective about these issues and receptive to ways to overcome them. This raises possibilities for health researchers to engage with journalists in order to repoliticise health and promote a more civic-oriented form of health journalism.