An Experimental Study Examining the Mechanisms Underlying the Impact of Media Literacy Education on Older adolescents' Cognitions About Risky Sexual Behaviors.
Tracy M Scull, Christina V Dodson, Kathryn Stump, Reina Evans-Paulson, Janis B Kupersmidt, Alexander M Schoemann
{"title":"An Experimental Study Examining the Mechanisms Underlying the Impact of Media Literacy Education on Older adolescents' Cognitions About Risky Sexual Behaviors.","authors":"Tracy M Scull, Christina V Dodson, Kathryn Stump, Reina Evans-Paulson, Janis B Kupersmidt, Alexander M Schoemann","doi":"10.1080/10810730.2026.2703174","DOIUrl":null,"url":null,"abstract":"<p><p>Sexual media exposure is related to poorer adolescent sexual health outcomes. To address the influence of media on adolescent sexual health, programs have been developed using a media literacy education (MLE) approach designed to strengthen critical thinking about media and enhance healthy sexual decision-making. These programs have been found to impact students' critical media cognitions and sexual health outcomes; however, little is known about the mechanisms through which MLE impacts sexual health. This study uses a tightly-controlled experimental design in which adolescents were randomly assigned to an MLE-based sexual health intervention or a replica sexual health intervention without MLE to isolate the effects of MLE on adolescent outcomes. Participants completed surveys before and after their assigned intervention to assess their attitudes and normative beliefs about risky sexual behaviors. MLE favorably impacted sexual health cognitions (e.g. descriptive normative beliefs about risky sexual behaviors) by enhancing students' critical media cognitions (i.e. perceived realism of media messages). Utilizing a highly rigorous design, this study highlights the role of critical media cognitions in adolescent sexual decision making and pinpoints the advantage that MLE-based sexual health interventions have over non-MLE programs in preparing adolescents to make sexual decisions in our increasingly digital world.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.9000,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Communication","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10810730.2026.2703174","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMMUNICATION","Score":null,"Total":0}
引用次数: 0
Abstract
Sexual media exposure is related to poorer adolescent sexual health outcomes. To address the influence of media on adolescent sexual health, programs have been developed using a media literacy education (MLE) approach designed to strengthen critical thinking about media and enhance healthy sexual decision-making. These programs have been found to impact students' critical media cognitions and sexual health outcomes; however, little is known about the mechanisms through which MLE impacts sexual health. This study uses a tightly-controlled experimental design in which adolescents were randomly assigned to an MLE-based sexual health intervention or a replica sexual health intervention without MLE to isolate the effects of MLE on adolescent outcomes. Participants completed surveys before and after their assigned intervention to assess their attitudes and normative beliefs about risky sexual behaviors. MLE favorably impacted sexual health cognitions (e.g. descriptive normative beliefs about risky sexual behaviors) by enhancing students' critical media cognitions (i.e. perceived realism of media messages). Utilizing a highly rigorous design, this study highlights the role of critical media cognitions in adolescent sexual decision making and pinpoints the advantage that MLE-based sexual health interventions have over non-MLE programs in preparing adolescents to make sexual decisions in our increasingly digital world.
期刊介绍:
Journal of Health Communication: International Perspectives is the leading journal covering the full breadth of a field that focuses on the communication of health information globally. Articles feature research on: • Developments in the field of health communication; • New media, m-health and interactive health communication; • Health Literacy; • Social marketing; • Global Health; • Shared decision making and ethics; • Interpersonal and mass media communication; • Advances in health diplomacy, psychology, government, policy and education; • Government, civil society and multi-stakeholder initiatives; • Public Private partnerships and • Public Health campaigns. Global in scope, the journal seeks to advance a synergistic relationship between research and practical information. With a focus on promoting the health literacy of the individual, caregiver, provider, community, and those in the health policy, the journal presents research, progress in areas of technology and public health, ethics, politics and policy, and the application of health communication principles. The journal is selective with the highest quality social scientific research including qualitative and quantitative studies.