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Direct-to-consumer advertising of prescription drugs (DTCA) is a multibillion-dollar industry in the United States, affecting the health-care landscape. DTCA has been controversial, since a major increase in this type of advertising resulted from re-interpretation of existing regulations in the late 20th century. Health and risk communication research can inform many of the controversial issues, assisting physicians, policymakers, and the public in understanding how consumers respond to DTCA. Prior research addresses four major topics: (1) the content of DTCA in different channels, (2) consumers’ perceptions of and responses to DTCA, (3) individual-level factors that affect how consumers respond to DTCA, and (4) message factors that impact consumers’ responses. Such research shows that the presentation of risk and benefits information is generally not balanced in DTCA, likely affecting consumers’ attitudes toward and comprehension of the risk information. In addition, despite consumers’ generally somewhat negative or neutral perceptions of DTCA, this advertising seems to affect their health information seeking and communication behaviors. Finally, a wide range of individual-level and message factors have been shown to have an impact on how consumers process and respond to DTCA. Consumers’ responses, including how they process the information, request prescription drugs from providers, and share information about prescription drugs, have an important impact on the effects of DTCA. The fields of health and risk communication therefore bring theories and methodologies that are essential to better understanding the impact of this advertising.

Article

Media users exercise control over their information and entertainment environments. Selective exposure to media allows individual to choose channels and messages that satisfy their interests and motivations. A variety of selective exposure studies have assessed selective exposure to messages about ingroup versus outgroup members. Relevant theoretical perspectives include information seeking, confirmation bias, informational utility, self and affect management, reinforcing spirals, boundary expansion, exemplification, and social comparison. Each of these theories of selective exposure identifies an attitudinal or self-conceptual basis for media use yet also allows for the role of social identity or beliefs about intergroup members and interactions. In addition, the distinction between selective exposure and selective avoidance is critical for understanding intergroup media contact, as is the distinction between positive and negative portrayals of relevant social groups. Applicable findings from survey and experimental studies illustrate that age identity, sex and gender identity, and race and ethnicity all produce patterns of selective exposure in which ingroups are generally favored. Information about outgroups is more likely to be selected if it suits the situational or dispositional needs of the individual. Partisan selective exposure is also examined from an intergroup perspective, as is selective exposure to information about aspirational future selves and self-expansion. Depictions of persons that exemplify social groups or allow for social comparison are also discussed, yet little direct evidence exists about exposure to outgroup members in these processes. Finally, interpersonal new media are considered with regard to intergroup contact. Immersive media such as virtual reality provide interactive contact with outgroups, and social identity plays an important role in the distribution of user-generated content, the cultivation of online social networks, and the ongoing convergence between mass and social media. Selective exposure researchers are increasingly considering intergroup contact as an important type of media content relevant to their theories, and intergroup contact researchers are increasingly accounting for the selectivity factor in media processing and effects. Integrating key findings and building a more programmatic approach to this topic will enhance the understanding of individuals’ self-selected exposure to media about (and produced by) outgroups. Indeed, for intergroup media contact to be successful in producing less stereotyping, more positive attitudes, and more intergroup harmony, media users must first choose to come into contact with messages about outgroup members, specifically messages that can convey and produce beneficial effects for intergroup relations.