A Media Literacy Education Approach to Sexual Health Promotion: Immediate Effects of Media Aware on the Sexual Health Cognitions of Young Adult Community College Students.

IF 3.1 2区 医学 Q1 COMMUNICATION Journal of Health Communication Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI:10.1080/10810730.2024.2433527
Tracy M Scull, Christina V Dodson, Janis B Kupersmidt, Reina Evans-Paulson, Kathryn N Stump, Liz C Reeder
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Abstract

This study evaluates the efficacy of Media Aware, a comprehensive sex education program with a media literacy education approach, for improving sexual health cognitions among 1139 U.S. community college students (ages 18-19) from 23 campuses. Students were randomized to condition (intervention or delayed-intervention control) and completed pretest and posttest questionnaires. Several main effects of the intervention were found at posttest, including reduced perceived realism of media messages, positive attitudes about risky sex, and descriptive normative beliefs about unprotected and risky sexual activity, and increased self-efficacy to use dental dams. Gender and pretest levels moderated some intervention effects. Women in the intervention group reported less identification with media messages compared to women in the control group. Students in the intervention group who reported lower pretest levels of self-efficacy to use dental dams and to refuse unprotected sex had higher posttest levels on those outcomes as compared with the control group. Students in the intervention group who reported higher pretest levels of normative beliefs about risky sexual activity had lower posttest levels on those outcomes as compared with the control group. Results suggest that Media Aware is a promising method to improve the sexual health of young adults attending community college.

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本研究评估了 "媒体意识"(Media Aware)这一采用媒体素养教育方法的综合性教育项目对改善来自 23 个校园的 1139 名美国社区大学学生(18-19 岁)的性健康认知的效果。学生们被随机分配到不同的条件下(干预或延迟干预对照),并完成了测试前和测试后的问卷调查。在测试后发现了干预的几个主要效果,包括降低了对媒体信息的现实感、对危险性行为的积极态度、对无保护和危险性行为的规范性信念的描述,以及提高了使用牙坝的自我效能。性别和预测试水平调节了一些干预效果。与对照组的女性相比,干预组的女性对媒体信息的认同度较低。与对照组相比,干预组中使用牙坝和拒绝无保护性行为的自我效能感较低的学生,在这些结果上的后测水平较高。与对照组相比,干预组中对危险性行为的规范性信念的前测水平较高的学生,在这些结果上的后测水平较低。结果表明,"媒体意识 "是一种很有前途的方法,可以改善就读于社区大学的年轻人的性健康。
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来源期刊
CiteScore
5.60
自引率
4.50%
发文量
63
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.
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