Rebecca R. Ortiz

Designing Messages to Motivate Parents To Get Their Preteenage Sons Vaccinated Against Human Papillomavirus

CONTEXT Human papillomavirus (HPV) vaccine, licensed for use in 9--26-year-olds, is most effective when given before sexual activity begins. HPV causes genital warts, is associated with several cancers and disproportionately affects racial and ethnic minorities. Parents are typically unaware of male HPV vaccine; messages that might motivate them to get their preteenage sons vaccinated are unexplored. METHODS Messages promoting vaccination of preteenage boys were designed and tested in 2009 and 2010. Five focus groups were conducted with 29 black parents of 11-12-year-old boys, recruited through three churches and a middle school in North Carolina, and a racially diverse sample of 100 parents of 9-13-year-old boys in a university-based adolescent health clinic was interviewed. A constant comparison method was used to code transcripts and interpret themes. Chi-square and t tests or analyses of variance were used to assess differences in quantitative data. RESULTS Focus group parents knew little about HPV in males. Although concerned about safety and cost, parents supported vaccination for their sons. They wanted to see racial diversity and both parents in motivational materials. In interviews, 89% of parents reported never having heard of male HPV vaccine. The largest proportion said that a message stressing the prevalence and possible consequences of HPV infection was the most motivating (32%); the design favored by the largest proportion (43%) showed two parents. CONCLUSIONS Messages that may most motivate parents to get preteenage boys vaccinated against HPV focus on infection risk and include images of parents with their sons.

Partnering With Middle School Students to Design Text Messages About HPV Vaccination

Human papillomavirus (HPV) vaccination is routinely recommended for U.S. adolescents ages 11 to 12 years, yet vaccine coverage remains low. Text message HPV immunization reminders to parents have been effective with increasing uptake, but text messages directly to adolescents in order to increase HPV vaccination uptake are unknown. The purpose of this study was to examine the acceptability of text messages about HPV vaccination and message preferences among adolescents. Middle school students (n = 43) assisted in designing text messages to promote HPV vaccine among their peers. Through seven focus groups and two in-class surveys, we assessed students’ knowledge of HPV vaccine, use of texting, and preferences for text messages and sources. The average age of participants was 13 years, and all were White (17 males, 26 females) in this rural setting. More than 70% used text messaging with a cell phone. The text message with the best composite score (M = 2.33, SD = 0.72) for likeability, trustworthiness, and motivation to seek more information was a gain frame emphasizing reduction in HPV infection if vaccinated against HPV. Text messages with lower scores emphasized threats of disease if not vaccinated. Participants (68%) preferred doctors as their information source. Text messaging to adolescents may be a strategy to improve HPV knowledge and vaccination.

The Relation Between Norm Accessibility, Pornography Use, and Parental Mediation Among Emerging Adults

Widespread access to and use of pornography has led to concern about the potentially negative effects of exposure to pornography on emerging adults—its largest user group. Past research shows that salient social norms can influence subsequent behavior. This study, therefore, explored the relationship between salient pornography-related norms and pornography use among emerging adults, as well as the relationship between parental mediation of pornography during adolescence and emerging adults’ salient pornography-related norms. Results revealed that emerging adults are more likely to view pornography when they hold a salient belief (norm) that their peers both approve of viewing and regularly view pornography. The study also found that parents’ provision of rules about viewing pornography during adolescence may reduce future pornography use by instilling the salient belief that the parent disapproves of viewing pornography. These findings suggest that the effect of rules in the home about adolescents’ use of pornography may persist into emerging adulthood.

Getting What They Deserve? Consequences of Sexual Expression by Central Characters in Five Popular Television Teen Dramas in the United States

Exposure to sexual portrayals in the media can play a major role in the sexual socialization of adolescents. Adolescent viewers of popular television teen dramas may model the sexual attitudes and behaviors of characters with which they develop a parasocial relationship and perceive as similar to him or herself. This content analysis was thus conducted to examine the sexual portrayals of sixty-four central characters from the 2009 to 2010 season of five popular television teen dramas in the United States. Results indicate gender equality in the sexual portrayals of female and male characters, as both were equally likely to engage in sexual expression and experience positive and negative consequences. Consequences experienced were primarily emotional and social, though negative consequences were more frequent than positive. Sexual talk was associated with experiencing both negative and positive consequences; however, sexual behavior (light sexual behavior and implicit sex) was only associated with positive consequences. Implications for how exposure to such portrayals may impact the sexual behaviors of adolescent viewers are discussed.

Do Individual Perceptions Matter in Pornography Effects? How Perceived General Acceptance and Influence of Pornography May Impact Agreement With Sex-Role Attitudes

Pornography use is often associated with less-progressive sex-role attitudes, such as endorsement of a sexual double standard between heterosexual partners, but the process by which this relationship occurs is still largely unexamined. The present study was conducted to examine how perceptions about pornography may play a role in the relationship between pornography use and sex-role attitudes. Perceived general acceptance and perceived influence of pornography on most people partially mediated the relationship between pornography use and sex-role attitudes. The more participants reported using pornography, the more they believed pornography was generally accepted and had a positive influence; however, conversely to what was hypothesized, the more positive they perceived pornography’s influence, the less likely they were to report sex-role attitudes that endorse a sexual double standard.