Cabral A. Bigman

As the number of designated organ donors continues to lag behind the number of waiting list patients, teenagers remain a promising demographic of potential organ donors. The current study enlisted Michigan and Ohio driver education students to participate in an online digital learning intervention, License to Save Lives (LTSL). Students were randomly assigned to either an interactive or noninteractive LTSL intervention. Across both states, the pretest‐posttest design revealed greater knowledge among students following exposure to either the interactive or noninteractive LTSL program. No attitudinal or behavioral differences emerged between the interactive and noninteractive conditions. Michigan (39.82%) and Ohio (58.10%) students registered to be organ donors at a respectable rate. The results are discussed with an emphasis on feasibility and sustainability as well as the promise for digital games to promote organ donation knowledge, attitude, and registration among teenagers.

Digital technologies facilitate the existence of online spaces where understandings about race and racial inequality are co-created and contested as part of social networks and within the context of existing power relations and social identities. This project qualitatively explores US college students’ exposure to and experiences with content on social media that they consider to be related to race and racial discrimination. Based on analysis of focus groups, we highlight the role of digital documentation, mediated spillover, and platform collapse as key processes in propagation and communication visibility of racial discourses. We begin by delineating first level-digital documentation that digitally captures local campus and national events from second-level digital documentation – the copying of already digitized content (e.g., via screenshotting). We then introduce the concept of ‘platform collapse’ – second-level digital documentation that enables mediated spillover of content in ways that disrupt discourse architectures, affordances, and audience contexts. Platform collapse emerged in student discussions of how content was documented and moved from relatively private to more public spaces to call attention to racist events, messages, and behavior, and to spur conversations and action. This extended reach and frequency, and also changed the context of racial discourses. Conversely, there was also evidence of platform collapse where content was moved from public to more private spaces to address social groundlessness and avoid masspersonal engagement on social media. We conclude by discussing implications of digital documentation and platform collapse for communication theory and methods.

Teenagers represent a promising target population for organ donor registration efforts, as in the US teenagers age 15–17 may register their intent for organ donation, which later translates to consent at age 18. However, teenagers constitute a relatively understudied population in the organ donation literature. A sample of teenagers (N = 466) ranging in age from 13 to 19 was recruited from driver's education schools in Ohio and Michigan in order to learn more about their perceived reasons for and against registering as an organ donor. A coding scheme was developed, and responses were coded by two trained coders. In line with previous work in adult samples, our results revealed the three most common reasons for registering were prosocial benefits, rational arguments, and personal experience. In contrast to previous work among adults, the two most common reasons for not registering were bodily integrity and religious reasons. Several novel beliefs among teenagers that were both supportive and non‐supportive of organ donor registration were identified. Findings from the current study are discussed with an emphasis on implications for practitioners working to promote organ donor registration among teenage audiences.

Background & purpose. Research indicates a positive relationship between sharing alcohol references on social media and drinking behavior. The current study extends that line of research by assessing the interaction of risk-related personality traits with alcohol-related social media use, to examine if social media can be used to identify individuals at risk for heavy drinking behavior. Methods & results. The results of a cross-sectional survey among a sample of 638 emerging adults (age 18-25) find that the positive association between sharing alcohol references on social media and drinking intention was strongest for individuals with low levels of sensation seeking and sensitivity to peer pressure, and high levels of self-control, and non-significant for those on the other end of these personality traits. Conclusions. These findings indicate that the relationship between sharing alcohol references and drinking intentions is not uniform for all individuals, and that risk-related individual differences should be considered in future research and interventions.

Preconception health (PCH) focuses on taking steps before a pregnancy to safeguard the health of the woman and future baby. Although recommendations to improve PCH target all people of reproductive age, research shows most interventions and messages focus primarily on women, which may contribute to existing normative beliefs that women are more responsible for protecting children’s health. In this study, we explore society’s gendered expectations of responsibility for engaging in recommended PCH behaviors (i.e., avoiding smoking, drinking, and environmental toxins). An applied thematic analysis of online survey responses from U.S. men and women (N = 573) identified five main themes and related subthemes: body and health, shared responsibility, choice and moral obligation, gender stereotypes, and doubt and uncertainty. Both men and women frequently referenced biological connections between prospective parents and offspring as justification for PCH behaviors. When challenging PCH recommendations, respondents mentioned excessive control of women and men’s secondary role in reproduction. Overall, gender stereotypes were more commonly expressed in relation to men yet reflected both traditional and contemporary male roles (i.e., as supporters, co-parents). When judging personal responsibility, women commonly viewed PCH behaviors as the ‘duty of a good mother’. Implications for PCH communication research and practice are discussed.

Medical mistrust is associated with a decreased likelihood of engaging in various health behaviors, including health utilization and preventive screening. Despite calls for research to address medical mistrust, few studies have explicitly delved into antecedents to medical mistrust. The current study a) examines the relationship between discrimination experiences and medical mistrust and b) experimentally tests the influence of mediated vicarious discrimination on reported levels of medical mistrust. Participants (N = 198) were randomly assigned to view news stories in one of four experimental conditions: no exposure, no discrimination control, implicit racial discrimination, and explicit racial discrimination. Results indicated prior personal and vicarious discrimination experiences were related to medical mistrust. Furthermore, exposure to mediated discrimination influenced medical mistrust in different ways for Black and White participants. Among Black participants, medical mistrust was significantly higher for those exposed to the implicit racial discrimination condition than the control condition. Marginal differences were found for White participants such that those exposed to both explicit and implicit racial discrimination conditions reported higher medical mistrust than those exposed to the control condition. Our findings are discussed in terms of the theoretical and practical implications for health communication scholars seeking to examine and influence health behaviors.

Approximately one-quarter of US youth were exposed to secondhand electronic cigarette (e-cigarette) aerosols between 2015 and 2017.¹ Given the rapid increase in vaping and the popularity of pod-based e-cigarettes among youth,² this survey study examines trends in and factors associated with exposure to secondhand smoke (SHS) from combusted tobacco and secondhand aerosol (SHA) from e-cigarettes among US youth.

This study is among the first to cross-culturally compare the associations between social media use and emerging adults’ drinking behavior in an accepting (Belgium) and comparatively restricted (USA) Western drinking culture. A cross-sectional survey was administered among 770 college students ( n_USA = 253, 24% male; n_Belgium = 487, 34% male) aged 18–20 years. Structural equation modeling was used and demonstrated that the association between exposure to others’ alcohol-related content on social media and drinking intentions operated similarly via more positive descriptive and injunctive norms for both populations, whereas the association between self-sharing and drinking intentions operated similarly via more positive attitudes. However, only among Belgian students was sharing alcohol references also related to drinking intentions through descriptive norms. Overall, this study points to the generalizability of attitudes and social norms as mechanisms of alcohol-related social media (self-)effects among emerging adult college students across Western drinking cultures.

Theoretical and empirical evidence suggests disparate racial impact frames may lead to selective sharing on social media and result in differential retransmission rates across racial groups. In this online study, we (1) examined reported exposure to and sharing of content about race on social media among Black, White, and “Other” race/ethnicity college students (N = 150); (2) experimentally tested how exposure to news story previews with control, implicit, or explicit disparate racial impact frames affected subsequent sharing intentions; and (3) explored reasons students provided for their intentions to share/not share the stories. Black students reported more exposure to and sharing of content about race on social media. Few participants cited discrimination in open-ended responses explaining sharing/non-sharing intentions. Nevertheless, despite holding story topic and source constant, disparate racial impact frames resulted in differences in sharing intentions among Black and White students, demonstrating these frames can influence selective sharing intentions.