Measuring Sexual Orientation: A Review and Critique of U.S. Data Collection Efforts and Implications for Health Policy

The U.S. Department of Health and Human Services’ (HHS) Healthy People 2020 goals sought to improve health outcomes among sexual minorities; HHS acknowledged that a dearth of sexual orientation items in federal and state health surveys obscured a broad understanding of sexual minority–related health disparities. The HHS 2011 data progression plan aimed to advance sexual orientation data collection efforts at the national level. Sexual orientation is a complex, multidimensional construct often composed of sexual identity, sexual attraction, and sexual behavior, thus posing challenges to its quantitative and practical measurement and analysis. In this review, we (a) present existing sexual orientation constructs; (b) evaluate current HHS sexual orientation data collection efforts; (c) review post-2011 data progression plan research on sexual minority health disparities, drawing on HHS survey data; (d) highlight the importance of and (e) identify obstacles to multidimensional sexual orientation measurement and analysis; and (f) discuss methods for multidimensional sexual orientation analysis and propose a matrix for addressing discordance/branchedness within these analyses. Multidimensional sexual orientation data collection and analysis would elucidate sexual minority–related health disparities, guide related health policies, and enhance population-based estimates of sexual minority individuals to steer health care practices.     

Disentangling social media influence in crises: Testing a four-factor model of social media influence with large data

Social media empower publics by providing a platform for their voices during crises. Digital-enabled platforms allow individuals to become influentials by sharing their insights and expertise with others. Confronted with the fast-paced and complex dynamics of crises, we lack a systematic conceptualization and a valid measure of social media influence in the crisis context. By integrating diverse perspectives on influence, we propose a new framework that theorizes different dimensions of social media influence based on publics’ communicative behaviors during crises. This integrated framework offers a refined conceptualization and measurement of social media influence in crises by incorporating the network perspective. We tested the framework with large-scale Twitter data from four crises. Results from multigroup CFA on Twitter influencers suggest that social media influence is composed of four factors: output, reactive outtake, proactive outtake, and network positioning. Each factor is associated with a distinct set of users’ behavioral indicators (e.g., retweet). Implications for crisis communication and public relations are discussed.     

Using Child Services: The Importance of the Mother–Child Relationship and Maternal Social Support

Gaps between children’s need for clinical services and receipt of services create a risk for negative child outcomes, therefore, it is important to identify factors that bolster parental use of child services. Attachment theory lends support to potential power of both parent–child relationship quality and the social support received by the parent in promoting service utilization and ultimately child outcomes. Study 1 uses a sample of 8-year-old children and their mothers to examine the roles of service use as a mechanism linking maternal social support and child behavioral outcomes. Study 2 uses a sample of 12-year-olds and mothers to more closely examine deficits between service need and the role of mother–child relationship quality in explaining the link between maternal social support and service deficits. Overall, this study highlights the importance of maternal social support and the parent–child relationship in predicting child service utilization, with nuanced results.     

Gauging the public's preparedness for mobile public relations: The “Text for Haiti” campaign

The technology acceptance model was created to measure the public's attitudes toward and acceptance of new technologies. Text messaging has been used in the public relations domain for crisis communication alerts, but there have been few attempts to use it in other domains. Through an electronic survey of previous American Red Cross donors, donors to the “Text for Haiti” campaign had more favorable attitudes than those who did not donate via text messaging. However, the survey participants did not completely reflect the technology acceptance model. Although they perceived that text message campaigns were easy to participate in, the path analysis revealed that these thoughts resulted in less desirable attitudes toward participating in the campaigns.     

Beyond image repair: Suggestions for crisis communication theory development

This commentary explores whether and how crisis communication theory needs to be adapted to account for the rise of social media. Through a review of existing theory, we offer recommendations for future research in the evolving media landscape.     

What remains of Abu Ghraib?: digital photography and cultural memory

Ten years on, the photographs from the US-operated Iraqi prison Abu Ghraib have become synonymous with the war on terror for highlighting an unseemly combat culture. This article focuses on the ongoing functions of these viral photos as objects of cultural memory and also highlights their use as war trophies. Drawing on theories of digital photography, emotional and gestural communication, visual semiotics, and cultural memory, this article examines six of the circulated images. Focusing on the symbolic, the visual contents of the photos are contrasted with the rhetorical account from criminal investigator Brent Pack in the documentary Standard Operating Procedure. While Pack concludes that these images are in fact abusive, he nevertheless dismisses the relevancy of the emoting individuals within the photographs. The arguments here take a particular shape: the pictorial display of emotion is not only relevant, but is essential to the communication of group identity and the perpetuation of cultural memory, which is reinforced by the role that digital photographic technology plays in aiding the circulation of this cultural memory.     

Identifying Promising Messages to Increase Hurricane Mitigation Among Coastal Homeowners in the United States

Hurricanes threaten the physical and financial well-being of coastal residents throughout the United States. Though hurricane-related losses are largely avoidable through property mitigation (e.g., structural modifications to existing homes), few homeowners invest in mitigation. Communication campaigns, which have influenced risk-related behaviors in other domains, hold promise for persuading coastal residents to engage in hurricane mitigation. The development of successful campaign messages relies, in part, on formative research to assess the potential influence of candidate message strategies. We present results from mixed-methods, theory-driven research to identify promising beliefs for persuading homeowners in coastal/coastal-adjacent regions of Alabama and Florida to install a high wind–resistant (HWR) roof. In Study 1, we elicited homeowners’ (n = 74) salient behavioral, normative, and control beliefs about installing an HWR roof. Using established procedures, we content analyzed open-ended responses and categorized them by thematic content. In Study 2, we surveyed another sample of homeowners (n = 533) to examine the extent to which salient beliefs/themes about installing an HWR roof (elicited in Study 1) are promising targets for a communication campaign, given their associations with homeowners’ intentions to retrofit. Results demonstrate that across elicited beliefs, common themes include the protection and property resilience reroofing affords, and anticipated expenses and financial barriers associated with reroofing. The most promising beliefs include behavioral beliefs that installing an HWR roof will protect oneself and one's family, and normative beliefs about the likelihood that one's family and community will install an HWR roof. We discuss the implications of findings for the development of hurricane mitigation messaging.     

Examining the impact of social media on mood and body dissatisfaction using ecological momentary assessment

Abstract

Objective: To assess the effects of social media consumption on body dissatisfaction and negative affect using ecological momentary assessment, a method of assessment over time in the participants’ naturalistic environment. Participants: Woman college students (N?=?30) from a large public university participated in the study in Fall 2015. Methods: Participants were contacted via their smartphones five times per day for five days and asked to complete a battery of measures which assessed social media use, body dissatisfaction, and negative affect. Results: Results demonstrated that the number of social media sites visited was a significant predictor of body dissatisfaction while time spent using social media was not. The number of sites visited and time spent on social media were both significant predictors of general negative affect, sadness, and guilt. Conclusions: Results demonstrate the negative impact that social media use can have on body dissatisfaction and negative affect.