Defining moments in risk communication research: 1996-2005

Ten years ago, scholars suggested that risk communication was embarking on a new phase that would give increased attention to the social contexts that surround and encroach on public responses to risk information. A decade later, many researchers have answered the call, with several defining studies examining the social and psychological influences on risk communication. This article reviews risk communication research appearing in the published literature since 1996. Among studies, social trust, the social amplification of risk framework, and the affect heuristic figured prominently. Also common were studies examining the influence of risk in the mass media. Among these were content analyses of media coverage of risk, as well as investigations of possible effects resulting from coverage. The use of mental models was a dominant method for developing risk message content. Other studies examined the use of risk comparisons, narratives, and visuals in the production of risk messages. Research also examined how providing information about a risk's severity, social norms, and efficacy influenced communication behaviors and intentions to follow risk reduction measures. Methods for conducting public outreach in health risk communication rounded out the literature.     

Evidence for the effects of parental mediation and childhood media use on US college students' social media use

Parents' rules and restrictions on media use have been shown to reduce amounts of media consumed by children. It remains unclear as to whether the effects of parents' restrictions on media use persist when children reach early adulthood. The present survey analysis assesses the extent to which restricted media use in childhood affects amounts of social media use among a sample (N = 454) of young adults and how self-control affects this relation. The results suggest that young adults who are higher in self-control and are introduced to social media at a later age use less social media as young adults. Being introduced to social media at an early age is also associated with texting during class as well as texting before sleep. Rules on children's media use appear to have no lasting effects on amounts of social media use.     

Social media networking: blogging

Social media networking is not your teenager's social media. It is a powerful tool that will change the way you communicate with your patients. This article will review the impact of social media and how social media can be a valuable tool for your medical practice. This is the first of a three-part article on social media and will discuss the use of blogging for medical practices.     

Defining Moments in Risk Communication Research: 1996–2005

Ten years ago, scholars suggested that risk communication was embarking on a new phase that would give increased attention to the social contexts that surround and encroach on public responses to risk information. A decade later, many researchers have answered the call, with several defining studies examining the social and psychological influences on risk communication. This article reviews risk communication research appearing in the published literature since 1996. Among studies, social trust, the social amplification of risk framework, and the affect heuristic figured prominently. Also common were studies examining the influence of risk in the mass media. Among these were content analyses of media coverage of risk, as well as investigations of possible effects resulting from coverage. The use of mental models was a dominant method for developing risk message content. Other studies examined the use of risk comparisons, narratives, and visuals in the production of risk messages. Research also examined how providing information about a risk's severity, social norms, and efficacy influenced communication behaviors and intentions to follow risk reduction measures. Methods for conducting public outreach in health risk communication rounded out the literature.     

Social marketing and communication in health promotion

Communication is a central aspect of health promotion and theopportunity for mass communication makes the ‘media’a popular option amongst health promoters. The media in thiscontext includes any non-personal channels of communication,from leaflets to television commercials to teaching packs. Thesechannels can be employed directly using deliberately designedmedia materials. Alternatively, they may be used indirectlyby stimulating editorial interest and comment on a particularissue. This paper will make some suggestions for improving theuse of the media in health promotion. In seeking guidance about how to make best use of the media,health promoters can turn to a number of disciplines, includingeducation, medicine, social psychology and communication theory.Another obvious source of insights is commercial marketing,where purposeful media communication, most apparent in the formof advertising, is in continuous use. it is this source of advicethat we want to examine here. In recent years much has been written about the applicationof commercial marketing approaches to social issues-so calledsocial marketing. This paper will begin by examining the originsof ‘social marketing’. it will then discuss itskey concepts and consider how these might help health promoterscommunicate more effectively. However, to interest active health promoters, the discussionneeds to progress beyond ideas and concepts, beyond theory anddemonstrate practical benefits that social marketing can providein real life situations. The paper will therefore continue byexamining the case histories of a number of media based healthpromotion campaigns and illustrate how the most basic of socialmarketing insights, consumer orientation, has contributed tothem.     

Social media networking: Facebook and Twitter

The new wave of marketing and practice promotion will include social media networking. This article will discuss Facebook and Twitter. After reading this article you, will have an understanding of these two important aspects of social media and how you might use Facebook and Twitter in your practice to enhance your communication with your existing patients and attract new patients.     

Conversations with the community: the Methodist Hospital System's experience with social media

The Methodist Hospital System has maintained a social media presence on Facebook, Twitter, and YouTube since 2009. After initial unofficial excursions into the world of social media, we discovered that social media can be a useful tool to extend a conversation with our patients and the community at large and share our hospital's culture with a larger base of like-minded people. But with this new power comes a heightened responsibility--platforms that can potentially reach millions of viewers and readers also provide a potential for misuse that can jeopardize patient privacy and place hospitals at risk. Because of their unique restrictions, even hospitals that use the tools regularly have much left to learn about social media. With constant monitoring and stewardship and a commitment to educating staff, hospitals can effectively use social media tools for marketing and education.     

Social media use and influenza vaccine uptake among White and African American adults

Influenza vaccination rates in the U.S. remain low at 41% among adults over 18 years according to the Centers for Disease Control and Prevention’s 2016 data. Reasons for the low rate vary and include factors such as risk perception, vaccine hesitancy, and access to health care. This cross-sectional study sought to examine the relationship between social media use and influenza vaccine uptake among a sample of White and African Americans over 18 years of age. Using bivariate, and unadjusted and adjusted logistic regression tests, this study examined the relationship among social media use, social media as a source of health information, and influenza vaccination status in 2015. Our results indicate that users of Twitter (OR4.41, 95%CI: 1.43–13.60) and Facebook (OR 1.66, 95%CI: 1.01–2.72) as sources of health information were more likely to be vaccinated in comparison to users who do not use Twitter or Facebook as a source of health information. These findings have implications for the potential of using social media platforms to disseminate influenza vaccine information and encourage users to get vaccinated annually.     

Technology and social media use by adult patients with intellectual and/or developmental disabilities

BackgroundTechnology and social media offer individuals with intellectual and/or developmental disabilities (I/DD) unique and innovative ways to facilitate active participation in their own healthcare process. What remains unclear is the extent to which devices are currently used by this growing patient population.ObjectiveTo explore the prevalence of technology and social media use, as well as the possible barriers, among adult patients with I/DD.MethodsA cross-sectional study utilizing an anonymous, accessible survey was used to obtain data from all adult patients (18 + years of age) with I/DD presenting for primary care services at a healthcare facility in New York between September and December of 2016.ResultsA total of 370 individuals completed the survey (529 approached, 69.9% response rate). Less than half (44.6%) of respondents used devices such as a tablet, smartphone or desktop; most (86.8%) did not use social media. Only 21.6% of respondents indicated that they use some type of assistive technology. While some respondents (46.0%) were identified by their caregivers as having a disability that would prevent them from learning/using technology, other respondents reported having no challenges (18.0%), needing training and/or ongoing support (7.4%), or being uncertain as to whether they would experience any challenges (15.5%).ConclusionsMany adult patients with I/DD do not use technology and social media that could promote self-determination and participation in their healthcare. Continued efforts must be made to promote technology use among adults with I/DD and to ensure that appropriate training is available for both the individual and his/her caregivers to achieve adoption and utilization.     

The Use of Social Media in Detecting Drug Safety–Related New Black Box Warnings,Labeling Changes,or Withdrawals: Scoping Review

BackgroundSocial media has become a new source for obtaining real-world data on adverse drug reactions. Many studies have investigated the use of social media to detect early signals of adverse drug reactions. However, the trustworthiness of signals derived from social media is questionable. To confirm this, a confirmatory study with a positive control (eg, new black box warnings, labeling changes, or withdrawals) is required.ObjectiveThis study aimed to evaluate the use of social media in detecting new black box warnings, labeling changes, or withdrawals in advance.MethodsThis scoping review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist. A researcher searched PubMed and EMBASE in January 2021. Original studies analyzing black box warnings, labeling changes, or withdrawals from social media were selected, and the results of the studies were summarized.ResultsA total of 14 studies were included in this scoping review. Most studies (8/14, 57.1%%) collected data from a single source, and 10 (71.4%) used specialized health care social networks and forums. The analytical methods used in these studies varied considerably. Three studies (21.4%) manually annotated posts, while 5 (35.7%) adopted machine learning algorithms. Nine studies (64.2%) concluded that social media could detect signals 3 months to 9 years before action from regulatory authorities. Most of these studies (8/9, 88.9%) were conducted on specialized health care social networks and forums. On the contrary, 5 (35.7%) studies yielded modest or negative results. Of these, 2 (40%) used generic social networking sites, 2 (40%) used specialized health care networks and forums, and 1 (20%) used both generic social networking sites and specialized health care social networks and forums. The most recently published study recommends not using social media for pharmacovigilance. Several challenges remain in using social media for pharmacovigilance regarding coverage, data quality, and analytic processing.ConclusionsSocial media, along with conventional pharmacovigilance measures, can be used to detect signals associated with new black box warnings, labeling changes, or withdrawals. Several challenges remain; however, social media will be useful for signal detection of frequently mentioned drugs in specialized health care social networks and forums. Further studies are required to advance natural language processing and mine real-world data on social media.     

Application of social media in the environment and health professional community

The purpose of the EU FP6 funded coordination action HENVINET was to create a permanent network of environment and health professionals. The main outcome is a networking portal (http://www.henvinet.eu), based on the concepts of social media to support communication between professional stakeholders in the environment and health fields. Its aim is to enable sharing of relevant information in an innovative and interactive manner to eventually support policy making. A social networking tool is not necessarily a typical platform for communication in the professional context, or between scientists and decision-makers. The aim of this paper is to look upon the use of social media in relevant professional communities in the light of the HENVINET experience, and to reflect on the acceptance and usefulness of such a new approach. The portal was designed over the course of HENVINET through intensive interactions by a multi-disciplinary group, involving environmental as well as health scientists, but with only limited access to decision-makers' opinions. After the social networking portal was launched, a recruitment campaign was run during the last six months of the project, taking every opportunity to present the portal and to get feedback from users. This feedback was used to improve the functionalities of the tool. Additionally, a feedback session was organized at the final event of the project, attended by over 50 professionals, about half of whom participated from the beginning in the entire HENVINET project. We have also compared the HENVINET portal with similar tools employed by other related communities, and made a literature-based survey on the use of social media for scientific communication. At the end of the project, the portal had more than 300 members with registered professional profile, over 10 topics and 15 discussion groups. The HENVINET consortium members were the most active group of users. The quality of the portal content was considered more important than having a large amount of information. To maintain the content, the majority of the participants declared their willingness to use their time, stating however that dedicated content providers would be also necessary. In theory, professionals see the value of such a tool, and are willing to contribute. Only time will tell if the tool is viable in the long run.     

Psychosocial Functions of Shared Media use Among German Adolescents

During adolescence, teenagers intensify their media use as a peer group activity. It is a commonly shared assumption that social contexts influence selection and perception of media content; however, the specific characteristics of adolescents' shared media use have yet to be systematically analyzed. Based on qualitative data, I show that shared media use reflects adolescents' growing autonomy and disassociation from family structures. Shared media use serves as a situational frame for enacting adult social roles. Peer groups define socially desirable media content and utilize plot elements to negotiate the appropriateness of specific behaviors. These distinct characteristics of shared media use show that selection and perception of media content can only be fully understood as part of everyday social practices.     

The consumers' social media use in choosing physicians and hospitals: the case study of the province of Izmir

Manifested as a reflection of the Internet technology progress, web 2.0 has transformed communication among people to different dimensions while increasing the social use of Internet. Thus, the concept of social media has entered our lives. Blogs, forums, Facebook, Twitter and YouTube applications are but few of the social media platforms with active users exceeding millions. As in many other subjects, these and others are also environments where people share information and their positive or negative experiential views with respect to healthcare issues and services. Hence, the social media communication and exchange of information are deemed influential on the process of receiving health services. In the present study that aims to determine social media use of individuals in their choice of physicians, dentists and hospitals, a survey, as a data collection instrument, has been carried out to 947 residents of the province of Izmir. Individuals participating in the study have stated that they have used social media in choosing a physician (41.9% of the participants), dentist (34.1% of the participants) and hospitals (41.7% of the participants). The study has revealed that individuals are affected by social media in their healthcare choices. Copyright © 2015 John Wiley & Sons, Ltd.     

Social Media Message Designs to Educate Adolescents About E-Cigarettes

PurposeE-cigarette use is increasing among adolescents, despite potential harms. Social media messages are a promising way to educate youth about e-cigarettes, yet little is known about what message topics and formats will have beneficial impacts for message reception, reach, e-cigarette knowledge, and beliefs about harms.MethodsA national convenience sample of adolescents (n = 928, aged 15–18 years) in high school was recruited for an online experiment. In October 2019, participants were randomized to view one of three social media formats (visual based, quiz, and text only) or a no-message control. Participants in format conditions viewed six unique topics in a random order. Outcomes were e-cigarette knowledge and beliefs. Message reactions and sharing preferences were also assessed among youth who saw social media messages.ResultsSocial media messages led to greater knowledge (Cohen's f = .19; p < .001) and beliefs (f = .16; p < .001) about harms of e-cigarettes compared with the control, regardless of format. Almost four in five adolescents (79%) reported they would share the social media messages, most likely in person (49%) and with friends (52%). Message topics for missing out because of lung damage, having uncontrolled moods, and ingesting specific harmful chemicals elicited higher intended message reactions.ConclusionsSocial media messages can educate about e-cigarette harms. Social media campaigns are a promising e-cigarette education strategy to reach youth, directly and potentially through peer-to-peer sharing.     

Marketing your practice in a social world

Social media use has moved beyond just being a way for family and friends to keep in touch. Now it is imperative that all businesses implement a social media strategy into their overall marketing plan. Medical practices are no exception. Using social media within your medical practice will allow you take your marketing to a new level of success. It also allows you to connect with patients on a more personal, less corporate level.     

Relationships between self-esteem,media influence and drive for thinness

The media is a powerful societal tool for expressing expectations about how men and women should look. As a result, over the past several years, women have shown an increase in body dissatisfaction (Cash, Morrow, Hrabosky, & Perry, 2004). The present study examined the relationships between drive for thinness, self-esteem, and media influence among men and women. Two hundred ninety-four college students completed the Texas Social Behavior Inventory (Helmreich & Stapp, 1974), Sociocultural Attitudes towards Appearance Scale-3 (Thompson, van den Berg, Roehrig, Guarda, & Hienberg, 2004), self-constructed questionnaire influence of media models, and the drive for Thinness Subscale (DT) from the Eating Disorder Inventory-3 (EDI-3; (Garner, 2004)). We expected to find an association between drive for thinness and media influence and between drive for thinness and self-esteem for both men and women. Finally, we expected that the use of media, social pressures and media internalization would be predictors of drive for thinness. We found a relationship between media influence and drive for thinness. There was also a relationship between self-esteem and drive for thinness. For both men and women, media models were the primary predictor for drive for thinness. However, for women the secondary predictor was social pressures; whereas for men the secondary predictor was internalization. Such findings show the importance of examining the impact of media sources on men and women in order to entangle gender differences.     

Attitudes of Mothers in Da Nang, Vietnam toward a Human Papillomavirus Vaccine

PurposeTo describe attitudes and acceptability toward a human papillomavirus (HPV) vaccine among mothers in Da Nang, Vietnam and examine factors that may influence HPV vaccine uptake.MethodsWomen who were the primary caregiver of a girl 10–18 years old (“mothers”) were eligible to participate. Mothers were recruited face-to-face from Da Nang General Hospital. Participants completed a survey addressing general vaccine attitudes, attitudes toward an HPV vaccine, beliefs about sexuality, recommendations from others, and likelihood of having their daughter vaccinated against HPV. A total of 194 surveys were returned; 181 (93%) contained analyzable data.ResultsEleven percent of mothers were aware of an HPV vaccine. Ninety-four percent believed that the HPV vaccine will be effective and 90% disagreed that their daughter would have sex early if she was vaccinated. Beliefs regarding premarital sex, such as “girls who have sex before marriage are not respected” and “it would be hard to find a husband” were held by 76% and 62% of mothers, respectively. Despite this, over 90% were in favor of their daughter receiving the HPV vaccine. Ninety-five percent indicated that a recommendation from their doctor would be very important in their decision-making, and 78% indicated that the media would be very important.ConclusionsInitial responses to the HPV vaccine for girls in Vietnam appear favorable. Beliefs regarding negative social consequences for girls who engage in premarital sex are prevalent but unassociated with HPV vaccine acceptability. Accurate and consistent recommendations from doctors and media sources will be important for vaccination efforts.     

Children,the media,and the epistemic imperative of embodied vulnerability

Abstract

The world over, very young children are navigating the hazards of war, criminal activity, terrorism, torture, natural disasters, disease, hunger, and poverty. In media studies, the trends of the past decade or so have focused on children’s agency and empowerment—but many scholars of children tend to elide embodiment in their epistemological approaches. I argue in this essay that children inhabit what Ulrich Beck termed a “risk society”, and that they experience societal risks as embodied beings. Foregrounding children’s embodiment reorients us to the realities of the connections between the vulnerability of human embodiment and the precarious nature of social institutions. Using Beck’s theory of risk as a starting point, I offer a reparative reading of vulnerability as guiding us toward an activist program of research on corporeality and embodiment that needs to be taken up by children’s media scholars.     

Social media use and vaccine hesitancy in the European Union

Vaccine hesitancy can hinder the successful roll-out of vaccines. This paper examines COVID-19 vaccine hesitancy in the European Union, drawing from a large-scale cross-national survey covering all 27 EU Member States, carried out between February and March 2021 (n = 29,755). We study the determinants of vaccine hesitancy, focusing on the role of social media use. In multivariate regression models, we find statistically significant (p < 0.05) impacts on vaccine hesitancy of heavy use of social media and using social media as a main source of news. However, the effect of social media and the drivers of vaccine hesitancy vary depending on the reason for hesitancy. Most notably, hesitancy due to health concerns is mainly driven by physical health status and less by social media use, while views that COVID-19 risks are exaggerated (or that COVID-19 does not exist) are more common among men, people in good health, and those using social media as their main source of news.     

Rebelling against the brain: public engagement with the 'neurological adolescent'

The adolescent brain has become a flourishing project for cognitive neuroscience. In the mid 1990s, MRI studies mapped out extended neuro-development in several cortical regions beyond childhood, and during adolescence. In the last ten years, numerous functional MRI studies have suggested that functions associated with these brain regions, such as cognitive control and social cognition undergo a period of development. These changes have been anecdotally and clinically used to account for behavioural changes during adolescence. The interpretation of these data that the "teen brain" is different has gained increasing visibility outside the neuroscience community, among policy makers and in the media, resonating strongly with current cultural conceptions of teenagers in Western societies. In the last two years, a new impetus has been placed on public engagement activities in science and in the popular science genre of the media that specifically attempts to educate children and teenagers about emerging models of the developing brain. In this article, we draw on data from an adolescent focus group and a questionnaire completed by 85 teenage students at a UK school, to show how teens may hold ambivalent and sometimes resistant views of cognitive neuroscience's teen brain model in terms of their own self-understandings. Our findings indicate that new "neuro"-identity formations are more fractured, resisted and incomplete than some of the current social science literature on neuro-subjectivities seem to suggest and that the effects of public policy and popular education initiatives in this domain will be more uneven and complex than currently imagined.