Media manipulation of adolescents' personal level judgements regarding consequences of smokeless tobacco use

Generational differences in the relationship between media exposure and health behaviors during COVID-19 pandemic

Based on a questionnaire survey (N = 857), this study analyzed generational differences in the public health behaviors of COVID-19 and provided an explanation for generational differences from the perspective of media exposure. There are significant differences in media exposure and health behaviors between the Mesozoic generation (35-55) and the young generation (18-34) during the lull. The Mesozoic generation paid greater attention to information on pandemics. Consequently, their health behaviors surpass that of the young generation. On the basis of social cognitive theory and protection motivation theory, this study develops a mediating model of media exposure on health behaviors, demonstrating that media exposure can influence health behaviors through the mediating effects of perceived severity, self-efficacy, and response efficacy, but not via perceived susceptibility. Moreover, a moderated mediation study found that generation moderates the indirect effect of media exposure on health behaviors via perceived susceptibility. Media exposure influences Mesozoic healthy behaviors positively by decreasing their perceived susceptibility. The implication of this study is that the development of health communication theory must account for generational differences and disease-specific characteristics.

Searching for the New Behavioral Model in Energy Transition Age: Analyzing the Forward and Reverse Causal Relationships between Belief, Attitude, and Behavior in Nuclear Policy across Countries

This study aims to analyze the forward/reverse causal relationships between belief (risk perception), attitude (judgment), and behavior (acceptance). A traditional view stresses forward causal relationships between the three variables. However, recently, several studies have reported the possibility of reverse causal relationships between them. Based on survey data collected from 1027 Korean/Japanese participants, here we test not only the forward or reverse relationships between these three variables, but also how such causal relationships depend on the trust and country contexts (Korea and Japan in this study). The results showed that, first, not only a general forward causal relationship but also reverse causal relationship exists between belief, attitude, and behavior. Second, there exist the moderated mediation and mediated moderation effect of trust in government and media across two countries. Third, the effects of trust in government and media work significantly overall. However, the patterns of interaction effects differ between two countries. The level of trust in the government influenced the belief and attitude of citizens in Japan more than in Korea. However, the level of trust in the media showed opposite results.

Systematic Review of Health Communication for Non-Cigarette Tobacco Products

The Food and Drug Administration, which now has regulatory authority over all tobacco products meeting the statutory definition, is tasked with communicating the risks of these products to the public through health warnings and public education. However, there have been no attempts to summarize what is known about non-cigarette tobacco product (NCTP) health messaging. We conducted a systematic review to examine the existing literature on health communication for NCTPs and identify key research gaps. A total of 45 unique studies were retrieved and coded, with the majority focused on messaging for smokeless tobacco (SLT, k = 32, 71.1%), followed by waterpipe tobacco (WT, k = 9, 20%), electronic nicotine delivery systems (ENDS, k = 2, 4.4%), cigars (k = 2, 4.4%), and a potentially reduced exposure product (k = 1, 2.2%). Studies most commonly examined tobacco product warnings (k = 26, 57.8%) and public education (k = 19, 42.2%), which included mass media campaigns. Most studies examined knowledge, attitudes, and beliefs as outcomes (k = 27, 60%), while behavior was an outcome in the minority of studies (k = 8, 17.8%). Pictorial warnings and public education about NCTPs demonstrated positive impact in some studies, although the literature is nascent. Given the increasing use of NCTPs such as ENDS, WT, and cigars, particularly among adolescents and young adults, more research is needed on effective ways to communicate product risk to those audiences most at risk.

How Fear-Arousing News Messages Affect Risk Perceptions and Intention to Talk About Risk

Building on the theoretical arguments of the impersonal-impact and differential-impact hypotheses, this study has a twofold purpose: first, to demonstrate how fear-arousing media messages about risk are associated with personal-level risk perception, as well as, and perhaps more so than, societal-level risk perception; and second, to examine how the resulting risk perceptions can mediate intention to talk about the risk with family and friends. A news message evaluation study was conducted among the general public in South Korea concerning two major risks, carcinogens and bovine spongiform encephalopathy (BSE). Two sets of structural equation models reveal three main findings: (a) Fear-arousing news messages are positively related to personal-level risk perception, as well as to societal-level risk perception; (b) fear-arousing news messages result in intention to talk about the risk directly and indirectly through risk perception; and

Drench effects of media portrayal of fatal virus disease on health locus of control beliefs

Drawing on the notion of the drench hypothesis proposed by Greenberg (1988), the author proposes a preliminary theoretical framework to explain "drenching" effects of dramatic media. Three drench variables-perceived realism, role identification, and media involvement-were identified and tested regarding their role in mediating the impact of virus disease portrayals on health locus-of-control belief orientations. Participants in the experimental condition watched the movie Outbreak (a portrayal of an outbreak of a deadly virus disease). Perceived realism, role identification, and media involvement were measured concerning the movie depiction of the virus disease. The findings indicate that the dramatized portrayal significantly weakened the viewers' beliefs in self-controllability over health and strengthened their beliefs in chance outcomes of health. Beliefs in provider control over health were affected by the viewers' perception of realism regarding the movie portrayals. Effects of role identification were different between male and female viewers. The results are discussed in relation to drench analysis as a theoretical approach to media effects.

Project towards no tobacco use: 1-year behavior outcomes

OBJECTIVES

We present 1-year follow-up data from a school-based tobacco use prevention project designed to test the effectiveness of three main components of social influence programs. The components teach refusal skills, awareness of social misperceptions about tobacco use, and misconceptions about physical consequences.

METHODS

Four different curricula were developed and tested in a randomized experiment involving 48 junior high schools. The outcome variables examined were changes in initial and weekly cigarette and smokeless tobacco use 1 year after the intervention.

RESULTS

Analyses indicated that each of the component programs were effective in decreasing both the initial and the weekly use of cigarettes except for the curriculum in which refusal skills were taught. Also, each curriculum was effective in decreasing the initial use of smokeless tobacco except for the one aimed at correcting social misperceptions. Only the combined curriculum showed an effect on the weekly use of smokeless tobacco.

CONCLUSIONS

The combined intervention was the most effective overall in reducing the initial and weekly use of cigarettes and smokeless tobacco. This suggests that different reasons for use exist and need to be counteracted simultaneously. However, since single programs were also effective in reducing all but weekly smokeless tobacco use, any of these components may be worthwhile prevention tools.

Adolescents' first and most recent use situations of smokeless tobacco and cigarettes: similarities and differences

This study compared first and most recent use situations of adolescent smokeless tobacco experimenters with those of adolescent cigarette experimenters. Structured, open-ended interviews were conducted with 320 seventh and tenth grade youths in 16 Southern California schools. Students were categorized as nonusers (those who had never experimented with any tobacco product), minimal experimenters (those who had experimented with smokeless tobacco or cigarettes between 1 and 9 times), and persistent experimenters (those who had experimented with smokeless tobacco or cigarettes 10 or more times). The situations reported by smokeless tobacco were similar to those reported by cigarette experimenters. The most important differences between the two groups are highlighted. In particular, smokeless tobacco users seemed less concerned about negative social consequences of use than cigarette smokers. In addition, nonusers' observations of use and implications for prevention and cessation are discussed.