Erika Franklin Fowler

Negative, Angry, and Ubiquitous: Political Advertising in 2012

Abstract Record amounts of money went to purchase television advertising during the 2012 election cycle, resulting in unprecedented volumes of advertising. This increase was due in part to the ease with which outside groups, such as super PACs, were able to raise and spend advertising dollars in the current, post-Citizens United, regulatory regime. Advertising in 2012 was also extremely negative, especially at the presidential level, and frequently evoked the emotion of anger. Yet whether 2012 marks the high point for spending on advertising – and whether the negativity will abate in the next presidential election – remain open questions.

Controversy Undermines Support For State Mandates On The Human Papillomavirus Vaccine

State actions requiring adolescent girls to receive the human papillomavirus (HPV) vaccine created controversy following the vaccines approval in 2006. Some health professionals worried that the controversy might dampen public support for those state policies and for other school immunizations in general. We fielded an experimental Internet survey to determine how controversy affects attitudes about vaccines. We discovered that public support for the HPV vaccine mandates wanes when the public is informed that the policies are controversial. However, the experimental survey also revealed that exposure to this policy controversy did not spill over and reduce public support for immunizations in general.

Local Television and Newspaper Coverage of Political Advertising

How often do the news media cover the advertising of political candidates? And how do the characteristics of the news outlet, the media market, the race, and the advertisements themselves influence the extent to which this ad amplification takes place? Examining Senate and gubernatorial campaign coverage by several newspapers and local television stations in five midwestern states in 2006, we find that coverage of advertising is quite extensive, most of it is low quality, and its volume depends both on the size of the market and the tone of the spots aired. Surprisingly, however, television stations were not more likely than newspapers to cover advertising, though television does appear to be more sensitive to negative advertising, consistent with our theory.

Issue Emergence, Evolution of Controversy, and Implications for Competitive Framing The Case of the HPV Vaccine

Although scholarship on competitive framing acknowledges that framing is a dynamic process in which the early stages may matter most, very little research has focused on the dynamics of issue emergence. In this article, we draw on several literatures to develop theories for how controversy related to new issues will emerge and expand in news coverage. Through a comprehensive content analysis of 101 local newspapers across the fifty U.S. states, we explore the dynamic and evolving process wherein a new issue—the HPV vaccine—emerged into public discourse and a legislative debate over school requirements for vaccination began. We find that coverage of controversy is a function of proximity, driven primarily by events within a state, although external events also influence local coverage. We also find that the legislative discussion in the media did not necessarily start out as controversial, but as the issue evolved, we observe a large increase in the proliferation of both actors taking positions and the types of arguments made to influence debate. The findings yield important insight into issue emergence with implications for how future research might test competing frames to better understand how the presentation of controversy in the mass media affects public opinion.

The Content and Effect of Politicized Health Controversies

Health issues are increasingly becoming politicized, but little is known about how politicization takes shape in the news and its effect on the public. We analyze the evolution of politicization in news coverage of two health controversies: the uproar over the 2009 mammography screening guidelines and the 2006–2007 debate over mandating the HPV vaccine as a requirement for middle school–aged girls. We then examine the public response to politicization in the HPV case, using original data from a survey-embedded experiment that was linked with news coverage in all fifty states. We find that real-world politicization is associated with decreases in support for HPV vaccine requirements, state immunization programs, and confidence in doctors and in government. In addition, among those less likely to have encountered real-world politicization, we find marginal evidence that exposure to political conflict decreases support for state immunization programs and clear evidence that politicization reduces confidence in doctors. We discuss the implications of these findings and suggest future avenues of research.

Content and Effects of News Stories About Uncertain Cancer Causes and Preventive Behaviors

This article presents findings from two studies that describe news portrayals of cancer causes and prevention in local TV and test the effects of typical aspects of this coverage on cancer-related fatalism and overload. Study 1 analyzed the content of stories focused on cancer causes and prevention from an October 2002 national sample of local TV and newspaper cancer coverage (n = 122 television stations; n = 60 newspapers). Informed by results from the content analysis, Study 2 describes results from a randomized experiment testing effects of the volume and content of news stories about cancer causes and prevention (n = 601). Study 1 indicates that local TV news stories describe cancer causes and prevention as comparatively more certain than newspapers but include less information about how to reduce cancer risk. Study 2 reveals that the combination of stories conveying an emerging cancer cause and prevention behavior as moderately certain leads to an increased sense of overload, while a short summary of well-established preventive behaviors mitigates these potentially harmful beliefs. We conclude with a series of recommendations for health communication and health journalism practice.

Political Advertising in 2016: The Presidential Election as Outlier?

Abstract The 2016 presidential campaign broke the mold when it comes to patterns of political advertising. Using data from the Wesleyan Media Project, we show the race featured far less advertising than the previous cycle, a huge imbalance in the number of ads across candidates and one candidate who almost ignored discussions of policy. This departure from past patterns, however, was not replicated at the congressional level. We draw some lessons about advertising from the 2016 campaign, suggesting that its seeming lack of effectiveness may owe to the unusual nature of the presidential campaign with one unconventional candidate and the other using an unconventional message strategy, among other non-advertising related factors.

Understanding the role of the news media in HPV vaccine uptake in the United States: Synthesis and commentary

ABSTRACT Vaccination rates for the human papillomavirus (HPV) vaccine fall below targets and only 2 states and the District of Columbia require the vaccine for middle school-age children. Messages conveyed through news media—to parents, providers, policymakers, and the general public—may contribute to sluggish vaccination rates and policy action. In this commentary, we review the findings from 13 published studies of news media coverage of the HPV vaccine in the United States since FDA licensure in 2006. We find 2 important themes in news coverage: a rising focus on political controversy and a consistent emphasis on the vaccine as for girls, even beyond the point when the vaccine was recommended for boys. These political and gendered messages have consequences for public understanding of the vaccine. Future research should continue to monitor news media depictions of the HPV vaccine to assess whether political controversy will remain a pronounced theme of coverage or whether the media ultimately depict the vaccine as a routine public health service.

Political Advertising in 2014: The Year of the Outside Group

Abstract The volume of televised political advertising plateaued in 2014, as did levels of negativity. Yet the most interesting story about this advertising was the extensive involvement of outside groups, many of which did not disclose their donors. In many of the most competitive Senate races, groups surpassed the parties – and sometimes even the candidates – as the primary sponsors of political advertising. We speculate on what these patterns from 2014 are likely to mean for advertising in 2016.

First Impressions: Geographic Variation in Media Messages during the First Phase of ACA Implementation

Many Americans will learn about the implementation of the Patient Protection and Affordable Care Act (ACA) through the mass media. We examined geographic variation in the volume and content of mass media during the initial two-week rollout of the new health insurance marketplaces in October 2013 across 210 US media markets, using data from the Wesleyan Media Project. We found substantial geographic variation in the volume and tone of insurance product advertisements, political advertisements, and news coverage of the ACA marketplaces. News coverage of the ACA airing in media markets located in states operating federal or partnership marketplaces was more negative than coverage airing in markets located in states running their own marketplaces. Intrastate variation in media volume and content was also substantial and appears distinguishable from the local political climate. Variation in exposure to media messages likely affects public sentiment regarding the ACA and could contribute to geographic differences in insurance enrollment and public perceptions of US health care options. Researchers and policy makers evaluating the implementation of the ACA-and insurance enrollment in the marketplaces in particular-should consider addressing media influences.