Abby Prestin

What Do People Like to “Share” About Obesity? A Content Analysis of Frequent Retweets About Obesity on Twitter

Twitter has been recognized as a useful channel for the sharing and dissemination of health information, owing in part to its “retweet” function. This study reports findings from a content analysis of frequently retweeted obesity-related tweets to identify the prevalent beliefs and attitudes about obesity on Twitter, as well as key message features that prompt retweeting behavior conducive to maximizing the reach of health messages on Twitter. The findings show that tweets that are emotionally evocative, humorous, and concern individual-level causes for obesity were more frequently retweeted than their counterparts. Specifically, tweets that evoke amusement were retweeted most frequently, followed by tweets evoking contentment, surprise, and anger. In regard to humor, derogatory jokes were more frequently retweeted than nonderogatory ones, and in terms of specific types of humor, weight-related puns, repartee, and parody were shared frequently. Consistent with extant literature about obesity, the findings demonstrated the predominance of the individual-level (e.g., problematic diet, lack of exercise) over social-level causes for obesity (e.g., availability of cheap and unhealthy food). Implications for designing social-media-based health campaign messages are discussed.

An Initial Investigation Into Naturally Occurring Loss- and Gain-Framed Memorable Breast Cancer Messages

Memorable message research examines interpersonal messages “ … remembered for extremely long periods of time and which people perceive as a major influence on the course of their lives” (Knapp, Stohl, & Reardon, 1981, p. 27). They can also guide actions, such as health behaviors. This exploratory research examined self-reported memorable messages about breast cancer to determine if they were framed, emphasizing either the benefits (gain-framed) or the costs (loss-framed) of a behavior. About one-fourth of the messages were framed, with most being gain-framed. The messages tended to emphasize early detection actions. Study limitations and implications for future research are discussed.

“Obesity is the New Major Cause of Cancer”: Connections Between Obesity and Cancer on Facebook and Twitter

Social media interactions can inform public health risk perceptions. While research has examined the risk relationships between obesity and cancer, public attitudes about their associations remain largely unknown. We explored how these constructs were discussed together on two social media platforms. Publicly accessible Facebook and Twitter posts from a 2-month period in 2012 containing references to obesity (“obese/obesity,” “overweight,” and “fat”) and cancer-related words were extracted (N = 3702 posts). Data cleaning yielded a final set of 1382 posts (Facebook: N = 291; Twitter: N = 1091). Using a mixed-methods approach, themes were inductively generated, and sentiment valence, structural elements, and epistemic stance were coded. Seven relational themes emerged: obesity is associated with cancer (n = 389), additional factors are associated with both obesity and cancer (n = 335), obesity causes cancer (n = 85), cancer causes obesity (n = 6), obesity is not linked to cancer (n = 13), co-occurrence (n = 492), and obesity is valued differently than cancer (n = 60). Fifty-nine percent of posts focused on an associative or causal link between obesity and cancer. Thirty-one percent of posts contained positive and/or negative sentiment. Facebook was more likely to contain any sentiment, but Twitter contained proportionately more negative sentiment. Concurrent qualitative analysis revealed a dominance of individual blame for overweight/obese persons and more support and empathy for cancer survivors. Our study reflects wide recognition of the evidence linking obesity to increased risk of cancer, a diverse set of factors perceived to be dually associated with both conditions and differing attribution of responsibility. We demonstrate that social media monitoring can provide an important gauge of public health risk perception.

Examining Determinants of Efficacy Judgments as Factors in Health Promotion Message Design

Self-efficacy is a predictor of behavioral performance across a range of health domains, and research suggests that media messages can effectively boost efficacy; however, much is unknown regarding determinants of self-efficacy, and the message features with the greatest potential to alter efficacy perceptions. The authors of this article examined skill and motivation as determinants of efficacy and tested their effectiveness as message variables. Study 1 identified health behaviors that young adults felt unable to perform, as well as behavior barriers and facilitators. Study 2 isolated one behavior, exercise, and tested messages targeting either skill or motivation as a determinant of self-efficacy to exercise. Matched messages engendered greater general self-efficacy than unmatched messages, though no differences emerged on self-efficacy magnitude and strength measures. Follow-up data indicated that participants low in motivation exercised more than those low in skill regardless of message condition. Implications of these findings for health promotion efforts are discussed.

Guilty Pleasure No More

Despite the substantial attention paid to stress management in the extant coping literature, media use has been surprisingly overlooked as a strategy worthy of close examination. Although media scholars have suggested media use may be driven by a need to relax, related research has been sporadic and, until recently, disconnected from the larger conversation about stress management. The present research aimed to determine the relative value of media use within the broader range of coping strategies. Based on surveys of both students and breast cancer patients, media use emerged as one of the most frequently selected strategies for managing stress across a range of personality and individual difference variables. Further, heavier television consumers and those with higher perceived stress were also more likely to use media for coping purposes. Finally, those who choose media for stress management reported it to be an effective tool, although perhaps not as effective as other popular strategies. This research not only documents the centrality of media use in the corpus of stress management techniques, thus highlighting the value of academic inquiry into media-based coping, but it also offers evidence supporting the positive role media use can play in promoting psychological well-being.