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.
Scull T, Dodson C, et al. • Journal of health communication • 2024
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
Results
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
Results
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)
Results
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
Results
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
Results
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
Results
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
Methods
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.
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