Sexual Health

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.

TL;DR

Media Aware, a comprehensive sex education program with a media literacy education approach, showed several significant improvements in sexual health cognitions among young adult community college students, suggesting it is 'a promising method to improve the sexual health of young adults attending community college.'

Key Findings

The Media Aware intervention reduced students' perceived realism of media messages about sex at posttest.

  • Study involved 1139 U.S. community college students ages 18-19 from 23 campuses
  • Students were randomized to intervention or delayed-intervention control condition
  • Students completed both pretest and posttest questionnaires
  • Reduced perceived realism was identified as a main effect of the intervention at posttest

The Media Aware intervention reduced students' positive attitudes about risky sex at posttest.

  • This was identified as a main effect of the intervention
  • Effect was observed at posttest following the intervention
  • Sample included 1139 community college students across 23 campuses
  • Students were randomized to condition (intervention or delayed-intervention control)

The Media Aware intervention reduced descriptive normative beliefs about unprotected and risky sexual activity.

  • Reduction in descriptive normative beliefs about both unprotected and risky sexual activity was found as a main effect
  • Students in the intervention group who reported higher pretest levels of normative beliefs about risky sexual activity had lower posttest levels on those outcomes compared with the control group
  • Higher pretest levels of normative beliefs moderated the intervention effect, suggesting stronger effects for those with initially higher beliefs

The Media Aware intervention increased self-efficacy to use dental dams among students.

  • Increased self-efficacy to use dental dams was identified as a main effect of the intervention at posttest
  • Students in the intervention group who reported lower pretest levels of self-efficacy to use dental dams had higher posttest levels compared with the control group
  • Lower pretest self-efficacy moderated the intervention effect, indicating greater benefit for those starting with lower self-efficacy

Students with lower pretest self-efficacy to refuse unprotected sex showed greater intervention benefits.

  • Pretest level of self-efficacy to refuse unprotected sex moderated the intervention effect
  • Students in the intervention group who reported lower pretest levels of self-efficacy to refuse unprotected sex had higher posttest levels compared with the control group
  • This moderation effect suggests the program was particularly effective for students who initially had less confidence in refusing unprotected sex

Gender moderated the intervention effect on identification with media messages, with women in the intervention group reporting less identification with media messages than women in the control group.

  • Gender was identified as a moderator of some intervention effects
  • The specific moderation effect applied to identification with media messages
  • Women in the intervention group reported less identification with media messages compared to women in the control group
  • This gender moderation effect was not reported for male participants

Media Aware is a comprehensive sex education program that uses a media literacy education approach delivered to community college students aged 18-19.

  • The program targeted young adults at 23 U.S. community college campuses
  • Total sample was 1139 students ages 18-19
  • A randomized controlled design was used with intervention and delayed-intervention control conditions
  • Both pretest and posttest questionnaires were administered to assess change in sexual health cognitions

What This Means

This research suggests that a sex education program called Media Aware, which teaches young adults how to critically analyze sexual content in media, can meaningfully change how community college students think about sex and sexual risk. The study tested the program across 23 college campuses with over 1,100 students aged 18-19, randomly assigning them to either receive the program or wait to receive it later. Students who went through Media Aware were less likely to believe that sexual portrayals in media reflect reality, held less favorable views toward risky sexual behavior, and felt more confident in their ability to use protective measures like dental dams compared to students who had not yet received the program. The research also found that the program worked especially well for certain groups of students. Those who started out with lower confidence in protecting themselves sexually benefited the most in terms of building that confidence. Students who initially held stronger beliefs that risky sexual behavior was normal among their peers showed the greatest reductions in those beliefs after the program. Additionally, women who received the program were less likely to personally identify with sexual media messages compared to women who had not yet received it. This research suggests that incorporating media literacy — teaching people to think critically about how sex is portrayed in movies, TV, and online — into sex education programs may be a useful strategy for helping young adults make safer decisions. Community colleges, which serve a broad and diverse population of young adults, may be an important setting for delivering this type of health education.

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Citation

Scull T, Dodson C, Kupersmidt J, Evans-Paulson R, Stump K, Reeder L. (2024). 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.. Journal of health communication. https://doi.org/10.1080/10810730.2024.2433527