C. Dunlap, Yu Lu, P. Dobbs, Nisha Khanal, Julia Oehlers, M. Cheney
{"title":"College Students’ Use of Social Media and E-Cigarettes: How Correctly Identifying Platform Type Influences Findings","authors":"C. Dunlap, Yu Lu, P. Dobbs, Nisha Khanal, Julia Oehlers, M. Cheney","doi":"10.4148/2572-1836.1090","DOIUrl":"https://doi.org/10.4148/2572-1836.1090","url":null,"abstract":"The purpose of this study was to examine how college students post or share JUUL-related content on social media. Using a sequential explanatory mixed-methods design, current JUUL users (n = 667) completed a cross-sectional survey in March of 2019, then 51 participants completed in-person follow-up interviews in April of 2019. Survey questions asked about JUUL-related social media postings and commenting history as well as demographic questions. Interview participants were asked to explain their survey responses and were then shown the survey results and asked for reasons why they and others did not post or comment about JUUL on social media. Qualitative data were coded independently by two coders using NVivo, and analyzed for themes. Survey participant (ages 18-24, mean age 20 years, 50.5% female, and 80.6% white) responses showed 81% had not posted a JUUL-focused comment on social media and had not posted a picture of themselves JUULing in the past year. However, interviewees reported they had continued to post about JUUL on social media but moved away from more public social media accounts (e.g., Facebook); private Instagram and Snapchat accounts were used to post both JUUL use and JUUL-focused content without risk of damaging their personal image to family or potential employers. How social media use questions are asked is critical for understanding college student promotion of JUULing and social norms. Young adults protect their social media presence by not including themselves in JUUL-focused content; thus, the spread of JUULing through private social media like Snapchat or Finstas may not be identified and young adults normalize JUUL use through memes or","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45894529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Keeping the Dream Alive: The Back Story","authors":"Elbert D. Glover","doi":"10.4148/2572-1836.1116","DOIUrl":"https://doi.org/10.4148/2572-1836.1116","url":null,"abstract":"","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48561660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Application of Social Marketing Theory to develop a social marketing campaign to address mental health literacy and help-seeking behavior among male college students","authors":"R. DeBate, Amy Gatto","doi":"10.4148/2572-1836.1095","DOIUrl":"https://doi.org/10.4148/2572-1836.1095","url":null,"abstract":"Male college students have been observed to have low mental health literacy and help-seeking behaviors. The purpose of this study was to apply social marketing theory to address mental health literacy among male undergraduate students in order to improve both mental health literacy and help-seeking behaviors. The current study employed qualitative methods involving key informant interviews among male undergraduate university students (n = 26). Participants were provided three vignettes representing a male college student presenting with anxiety, depression, or stress during the key informant interviews. The concepts from the key informant interviews were mapped onto the social marketing theory marketing mix (product, price, place, promotion). The social marketing mix identified methods to improve professional help-seeking behaviors (product) among male undergraduate students by reducing stigma, both perceived social stigma and self-stigma, as well as addressing masculine norms (price) in locations where students are comfortable, such as the university health center or the Internet (place), by connecting the physical signs and symptoms (promotion) to mental health concerns. Findings were translated into a targeted and tailored social marketing campaign implemented in male restrooms in the campus recreation center. Social marketing theory is a valuable tool for developing targeted and tailored social marketing programs for mental well-being among college students.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44234060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leveraging Health Behavior and Communication Theories to Support Adolescent and Young Adults: Conceptualizing Social Media Wellness in Relation to Disordered Eating","authors":"E. Claydon, K. Zullig, Mary M. Step","doi":"10.4148/2572-1836.1103","DOIUrl":"https://doi.org/10.4148/2572-1836.1103","url":null,"abstract":"Social media platforms like Instagram serve as an important mechanism for transmitting social information and influence. However, the nature and use of these platforms are known to perpetuate eating disorders (EDs) or further disorder eating symptoms. This concept paper proposes merging health behavior and communication theory to create a comprehensive and applicable framework for remediating pro-eating disorder social media content among people who have eating disorders. To this end, the Social Media Wellness Model, which is adapted from the Health Belief Model, the Uses and Gratifications approach, the MAIN model of media affordances, and media literacy training, is proposed. This paper shows how theoretical model components can be mapped back to behaviors typified by individuals with EDs, or those predisposed to developing EDs. Subsequently, we propose a training intervention to highlight salient literacy cues, and outline next steps for testing and developing this model with the ongoing support of a community advisory board (CAB). Creating a CAB with individuals who have lived experience of an ED or disordered eating, and who use social media, will be vital to testing the applicability of this conceptual Social Media Wellness Model for ED recovery.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44277170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is Fitspiration Truly an Inspiration? Relationships between Fitspiration, Exercise, and Body Image","authors":"Anna K Bowles, Shana M. Walsh, Thomas L. Andre","doi":"10.4148/2572-1836.1101","DOIUrl":"https://doi.org/10.4148/2572-1836.1101","url":null,"abstract":"Young adults across the United States struggle to meet physical activity recommendations and consume healthy diets, and they often suffer from issues related to body image. Social media influencers dedicated to fitspiration (i.e., fitness inspiration) are purported to have a goal of inspiring others to lead healthier lifestyles. The purpose of this study was to explore the relationships between fitspiration and exercise and body image perceptions amongst college students. Participants (n = 361, mean age = 20.2 years, 78% female) completed surveys that included sociodemographic information, social media usage, fitspiration content engagement, exercise, and body satisfaction. An independent samples t-test assessed differences in exercise by fitspiration viewership, and a chi-square analysis determined relationships between fitspiration and body satisfaction. Participants were routinely active on social media (91% use it for > 1 hour per day), and 61.5% were exposed to fitspiration content. Approximately 41% of respondents have followed exercise advice from fitspiration influencers, though only 11% reported having purchased products. No relationships were reported between following fitspiration and days per week of exercise (M∆ = .02(.20), p = .91). Participants that followed fitspiration were more likely to be dissatisfied with their bodies, X2 (1, n = 316) =7.77, p = .005, compared to participants who did not. Findings demonstrate fitspiration was not related to exercise and was related to poorer body image perceptions among college students. These results are supported by previous findings and indicate a critical misalignment between the purported purpose of fitspiration and the outcome of its viewing.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47789027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Litt, Angeles Astorga, Kayla Tate, E. Thompson, Melissa A. Lewis
{"title":"Disentangling Associations Between Frequency of Specific Social Networking Site Platform Use, Normative Discrepancies, and Alcohol Use Among Adolescents and Underage Young Adults","authors":"D. Litt, Angeles Astorga, Kayla Tate, E. Thompson, Melissa A. Lewis","doi":"10.4148/2572-1836.1099","DOIUrl":"https://doi.org/10.4148/2572-1836.1099","url":null,"abstract":"Although there is a robust literature examining normative discrepancies for drinking, less is known related to normative discrepancies related to alcohol-posting behavior on social networking sites (SNS). Given that SNS are posited to be an important risk factor for adolescent and young adult alcohol use, the aims of the present study were to: (1) document descriptive and injunctive normative discrepancies for number of alcohol-related posts on SNS, (2) examine associations between frequency of using SNS platforms (Facebook, Instagram, Snapchat) and descriptive and injunctive normative discrepancies, and (3) to examine whether descriptive and injunctive normative discrepancies are associated with willingness to use alcohol and drinking among adolescents and young adults. Data were drawn from the baseline assessment of a larger longitudinal experimental study (N= 306, age 15-20). Overall, participants perceived that their peers are more approving of and post about alcohol use more often than they do themselves, thus indicating significant descriptive and injunctive normative discrepancies. More frequent use of Facebook was associated with having greater descriptive normative discrepancies, whereas frequency of both Facebook and Instagram use were associated with greater injunctive normative discrepancies. Results further indicated that controlling for frequency of SNS use, descriptive normative discrepancies, but not injunctive, were associated with greater willingness to drink and drinks per week. Results provide evidence that in particular, descriptive normative discrepancies for SNS use may be important to target when planning intervention programs to reduce the impact of SNS use on adolescent and young adult alcohol use.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"91 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41283820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of interdisciplinary frameworks in social media mining: An exploratory approach between Computational Informatics and Social Network Analysis (SNA)","authors":"Danny Valdez, Meg Patterson, Tyler Prochnow MEd","doi":"10.4148/2572-1836.1098","DOIUrl":"https://doi.org/10.4148/2572-1836.1098","url":null,"abstract":"Social media content is one of the most visible sources of big data and is often used in health studies to draw inferences about various behaviors. Though much can be gleaned from social media data and mining, the approaches used to collect and analyze data are generally strengthened when examined through established theoretical frameworks. Health behavior, a theory driven field, encourages interdisciplinary collaboration across fields and theories to help us draw robust conclusions about phenomena. This pilot study uses a combined computer informatics and SNA approach to analyze information spread about mask-wearing as a personal mitigation effort during the COVID-19 pandemic. We analyzed one week’s worth of Twitter data (n = 10,107 tweets across 4,289 users) by using at least one of four popular mask-support hashtags (e.g., #maskup). We calculated network-measures to assess structures and patterns present within the Twitter network, and used exponential random graph modeling (ERGM) to test factors related to the presence of retweets between users. The pro-mask Twitter network was largely fragmented, with a select few nodes occupying the most influential positions in the network. Verified accounts, accounts with more followers, and those who generated more tweets were more likely to be retweeted. Contrarily, verified accounts and those with more followers were less likely to retweet others. SNA revealed patterns and structures theoretically important to how information spreads across Twitter. We demonstrated the utility of an interdisciplinary collaboration between computer informatics and SNA to draw conclusions from social media data.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47291828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yexinyu Yang, K. Krupsky, Sarah Keim, R. McAdams, Kristin Roberts, Lara B McKenzie
{"title":"Online Health Information Seeking Behaviors and Infant Feeding Practices: A Social Cognitive Theory Perspective","authors":"Yexinyu Yang, K. Krupsky, Sarah Keim, R. McAdams, Kristin Roberts, Lara B McKenzie","doi":"10.4148/2572-1836.1102","DOIUrl":"https://doi.org/10.4148/2572-1836.1102","url":null,"abstract":"Abstract Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants (N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and logistic regression models were constructed. No online activities differed by infant feeding practices. Parents who pumped only had significantly lower eHealth literacy than parents who never breastfed (adjusted β = -2.63, 95% CI: -4.73, -0.53). Parents who used both methods had 1.78 times greater odds of considering online tools useful for making health-related decisions (95% CI: 0.96, 3.28) and 1.49 times greater odds of considering online tools important for accessing health information (95% Cl: 0.70, 3.15) than parents who never breastfed, though neither association was statistically significant. Understanding these associations between infant feeding practices and online HISB, as well as the two potential factors of parents’ self-efficacy and outcome expectations, may offer implications for tailoring online social media resources to promote breastfeeding outcomes. Abstract Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants ( N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and l","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45825982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. McAdams, Kristin J Roberts, E. Klein, J. Manganello, L. McKenzie
{"title":"Using social media to disseminate injury prevention content: Is a picture worth a thousand words?","authors":"R. McAdams, Kristin J Roberts, E. Klein, J. Manganello, L. McKenzie","doi":"10.4148/2572-1836.1096","DOIUrl":"https://doi.org/10.4148/2572-1836.1096","url":null,"abstract":"Social media (SM) offers an opportunity for injury professionals to disseminate reliable safety recommendations to parents, yet little is known about the reach and impact of SM messages on parental safety knowledge and safety behavior adoption. It is also unclear whether electronic health (eHealth) literacy level is associated with understanding of messages. Parents of children (< 7 years) were recruited from a nationally representative consumer panel to complete an online survey assessing their Internet and SM usage and eHealth literacy level using the eHealth Literacy Scale (eHEALS). Participants were shown three safety SM posts where images and text matched or did not match. A post-exposure survey captured participant understanding of SM post message. Five-hundred eighty parents completed the survey. A majority of participants were female (58.6%) with high eHealth literacy (84.5%). Compared to low eHealth literate parents, a larger proportion of high eHealth literate parents correctly identified the message in mismatched posts (safe sleep: p = .0081; poison prevention: p = .0052), while similar proportions of parents with high and low eHealth literacy correctly identified a matched post for bike safety (p = .7022). Within each eHealth literacy level, high eHealth literate parents were more often able to correctly identify SM post messaging when the photo and text matched. Parents are using SM to acquire safety, health, and parenting information; therefore, it is incumbent upon disseminators to create content with clear messages. SM posts should utilize matching text with imagery that illustrates the recommended safety behavior to facilitate parental understanding of safety recommendations, regardless of audience eHealth literacy level.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41430971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chengbo Zeng, Xiaoming Li, Hongfei Du, Yunyu Xiao, D. Lin
{"title":"Depression and Sexual Risk Behaviors among Rural-to-urban Migrants in China: The Moderating Roles of Acculturation and Social Capital","authors":"Chengbo Zeng, Xiaoming Li, Hongfei Du, Yunyu Xiao, D. Lin","doi":"10.4148/2572-1836.1104","DOIUrl":"https://doi.org/10.4148/2572-1836.1104","url":null,"abstract":"Previous studies have documented that depression is positively associated with sexual risk behaviors (SRB) among rural-to-urban migrants. Existing literature has also suggested that acculturation and social capital might moderate this positive relationship. However, data regarding the moderating effects of acculturation and social capital have been inconsistent. The current study aims to examine the relationship between depression and SRB, as well as the moderating roles of acculturation and social capital in this relationship. A sample of 641 young rural-to-urban migrants was recruited through a venuebased sampling approach in Beijing, China. Results indicated that depression was positively associated with SRB. Both acculturation and social capital moderated this relationship, but they showed different moderating effects. Specifically, the level of acculturation was protective against SRB among migrants with a higher level of depression but not among migrants with a lower level of depression. Social capital played a protective role among migrants with a lower level of depression but became a risk factor for those with a higher level of depression. These findings suggested that targeted interventions aiming to reduce depression, improve acculturation stress management skills, and utilize social capital are needed to reduce SRB among rural-to-urban migrants.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42626631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}