What Caused the Narrowing of Black-White COVID-19 Vaccination Disparity in the US? A Test of 5 Hypotheses

Despite differential uptake of COVID-19 vaccination between Black and non-Hispanic White Americans early in the pandemic, the gap narrowed over time. We tested five hypotheses that could explain the reduction in the disparity. Using a national probability panel of over 1800 individuals surveyed from April 2021 to July 2022, we assessed receipt of recommended doses of COVID-19 vaccines along with (a) reported exposure to deaths due to COVID-19, (b) trust in US health authorities, such as the CDC, (c) knowledge about the safety and efficacy of COVID-19 vaccination, (d) media use as a source of information, and (e) access to COVID-19 vaccines. Only increases in knowledge about the safety and efficacy of COVID-19 vaccines uniquely mediated the increase in vaccination uptake among non-Hispanic Black compared to White, Asian and Hispanic panelists. While trust in CDC and exposure to COVID-19 deaths were related to vaccination acceptance at baseline, those factors were not associated with change in reported vaccination coverage. In addition, neither differential access nor media use explained the increase. Enhanced knowledge about the safety and efficacy of COVID-19 vaccination transmitted from within the Black community likely helped to increase vaccination relative to other racial-ethnic groups.

Factors Assessing Science's Self-Presentation model and their effect on conservatives' and liberals' support for funding science

A confirmatory factor analysis (CFA) of responses to 13 questions from a 2022 national probability sample of 1,154 US adults supported the existence of five factors that we argue assess perceptions of Factors Assessing Science's Self-Presentation (FASS). These factors also predict support for increasing federal funding of science and, separately, supporting federal funding of basic research. Each of the factors reflects perceptions of a key facet of scientists' self-presentation, science/scientists' adherence to professed norms, or science's benefits: specifically, that scientists are Credible, Prudent, and Unbiased and that science is Self-Correcting and Beneficial. The FASS model explained 40.6% of the variance in support for increasing federal funding for science and 33.7% in support for basic research. For both dependent variables, conservatives were less likely to be supportive when they perceived that science/scientists fail to overcome biases. The interactions between political ideology and both Prudence and Beneficial, however, were significant only when predicting Basic Research support. In that case, there were no differences between conservatives and liberals when perceptions of benefit were low, but when high, liberals' perception of benefit had a stronger association with support for funding than conservatives'. Among those perceiving that scientists lack prudence, liberals were more likely to support funding basic research than conservatives, but the difference disappeared when perceptions of prudence were very high. The factors could serve as across-time indicators of the public's assessment of the state of science.

Misinformation about vaccine safety and uptake of COVID-19 vaccines among adults and 5-11-year-olds in the United States

Despite increasing rates of vaccination for COVID-19 in the US, hesitancy continues to be a barrier to the full immunization of the eligible population. Hesitancy appears to be particularly pronounced among adults deciding whether to recommend that children be vaccinated against COVID-19. In this research, we tested whether embrace of misinformation about the safety of vaccination is associated with hesitancy to vaccinate oneself and to recommend vaccination of a 5-11-year-old child for COVID-19. In a national probability panel created in April 2021, we assessed belief in both general vaccination misinformation and misinformation about COVID-19 vaccines, in particular. As hypothesized, belief in general vaccination misinformation predicted the uptake in reported vaccination among adults through September 2021, and likelihood to recommend COVID-19 vaccination of children aged 5-11 in January 2022, three months after the approval of that vaccine. In addition, misinformation about COVID-19 vaccines that arose over time correlated highly with more general vaccination misinformation. For both outcomes, general vaccine misinformation predicted vaccination hesitancy beyond concerns about the health risks of contracting COVID-19 for one's family and children ages 5-11. The findings indicate that continued efforts are needed to bolster beliefs about the safety of authorized and approved vaccines of many types and not just those for COVID-19. Some strategies to achieve this objective are suggested.

The association between the rise of gun violence in popular US primetime television dramas and homicides attributable to firearms, 2000-2018

Injuries and fatalities due to firearms are a major burden on public health in the US. The rise in gun violence in popular movies has been suggested as a potential cultural influence on this behavior. Nevertheless, homicide rates have not increased over recent decades in the US, suggesting that media portrayals have had little influence on gun violence. Here we challenge this interpretation by examining trends in the proportion of violence that are attributable to firearms, a measure that should be more sensitive to media violence. In addition, we examine trends in the portrayal of guns in popular television (TV) dramas, which are viewed more frequently than movies. We ask (a) whether gun violence has increased in these TV shows not only on an absolute basis but also as a proportion of violent scenes and (b) whether trends in gun portrayal on these shows are associated with corresponding trends in the proportion of real-world violence attributable to firearms in the US from 2000 to 2018. To answer these questions, we coded annual instances of violence, gun violence, and proportion of violence involving guns for each 5-minute segment of 33 popular TV dramas in the police, medical, and legal genres from 2000 to 2018. Trends in annual rates of violence, gun violence and proportion of violence involving guns were determined over the study period and were compared to annual rates of homicide attributable to firearms in three age groups: 15–24, 25–34 and 35 and older. Although violence on TV dramas peaked in 2011, gun use steadily increased over the study period both in absolute terms and in relation to other violent methods. The latter metric paralleled trends in homicides attributable to firearms for all three age groups, with the strongest relationship for youth ages 15–24 (R² = .40, P = .003). The positive relation between relative amount of TV violence involving guns and actual homicides due to firearms, especially among youth, is consistent with the hypothesis that entertainment media are contributing to the normative acceptance of guns for violent purposes. Future research is needed to study the influence of media violence on gun acquisition at the individual level.

Intersubject Synchronization of Late Adolescent Brain Responses to Violent Movies: A Virtue-Ethics Approach

Movies that involve violence increasingly attract large audiences, leading to concern that such entertainment will encourage imitation by youth, especially when the violence is seen as justified. To assess differences between brain responses to justified and unjustified film violence, we computed intersubject correlation (ISC) of fMRI BOLD time courses in a sample of late adolescents while they watched pairs of movie segments featuring violent characters prior to and during violent action. Based on a virtue-ethics approach that emphasizes motives in moral evaluation, we hypothesized significant ISC in lateral orbital frontal cortex (lOFC) and ventromedial prefrontal cortex (vmPFC) in response to unjustified and justified scenes of movie violence, respectively. Our predictions were confirmed. In addition, unjustified violence elicited greater intersubject synchrony in insular cortex, consistent with an empathic response to the pain experienced by victims of this kind of violence. The results provide evidence supporting the notion that lOFC and vmPFC play unique roles in moral evaluation of violence, with lOFC becoming more synchronous in response to unacceptable violence and vmPFC becoming more synchronous in response to virtuous forms of self-defense, thereby expanding the purview of current models that only focus on vmPFC. The results suggest that justified violence in popular movies is acceptable to youth who are accustomed to viewing such entertainment.

Media violence exposure and aggression in adolescents: A risk and resilience perspective

Media violence exposure (MVE) is associated with aggressive outcomes in adolescents. However, based on the differential susceptibility hypothesis, this risk is expected to vary based on the individual's unique risk and protective factors. Using survey data from 1,990 adolescents (Mean age = 15.6 ± 1.10 years; 48% female) and content analysis of U.S. top-grossing films and popular TV shows, we evaluated the effect of MVE in relation to both risk (i.e., family conflict, impulsivity, sensation seeking) and protective factors (i.e., parental monitoring, parental involvement, parental mediation). Relative weights analyses revealed that MVE was one of the strongest predictors of aggression, after impulsivity and family conflict. The cumulative risk score showed a linear and quadratic relation with the likelihood of aggression, with MVE and family conflict having an interactive relation in predicting aggression. Parental monitoring remained a significant protective factor even when all risk factors were accounted for. Targeted preventive interventions that reduce family conflict, promote parental monitoring, and reduce exposure to violent media may be effective in reducing aggressive tendencies and related negative outcomes.

Do you see what I see? A character analysis of health risk behaviors in television shows popular with Black adolescents in the US

Adolescents spend many hours per day watching television, and there are racial differences in time spent watching television and in show preferences. Prior research suggests there are also differential associations in how exposure to media content affects adolescent behavior. This study examines the demographic representation of main characters and health risk behaviors (i.e., sex, alcohol use, violence, bullying, and their combinations) portrayed in television content popular with Black and non-Black adolescents. A content analysis of television show characters (n=377) from the 2014-15 season was conducted on shows popular with 14-17 year old adolescent audiences in the United States. Group popularity was determined by Nielsen ratings segmented by Black and non-Black (primarily White) adolescents. Results suggest that character representation varies by whether shows were popular with Blacks or others, and that risk portrayals are common in all popular content with few group differences. Implications for adolescent behavior are discussed.

Parental Desensitization to Gun Violence in PG-13 Movies

: media-1vid110.1542/5745216462001PEDS-VA_2017-3491Video Abstract OBJECTIVE: To assess effects of justified versus unjustified screen violence on parents' willingness to allow children to view films that contain extensive gun violence.

METHODS

A national US sample of 610 parents with at least 1 child between ages 6 and 17 was randomly assigned to view a series of four 90-second video clips from popular films depicting violent gun use under either justified or unjustified conditions. Graphic consequences were removed to mimic the violence common in PG-13 movies. Parents reported their perceived justification for the violence, their emotional reaction while viewing it, the minimum age they would consider appropriate for viewing the film, and whether they would allow their own child to view it. Predictors included experimental condition, viewing order, child age, and recent moviegoing. Growth curve modeling determined the effects of the predictors on both intercepts and slopes of viewing order.

RESULTS

Parents were less emotionally upset and more accepting of child viewing for justified than unjustified gun violence, with perceptions of justification better predictors of parental restriction than emotion. Nevertheless, with the exception of parents with extensive moviegoing habits, parents viewed justified violence as appropriate for adolescents starting at age 15, older than the PG-13 rating suggests.

CONCLUSIONS

Parents are less restrictive of child viewing of gun violence in PG-13 movies when it features characters whose weapon use is seen as justified. The apparent acceptance of rising gun violence in PG-13 movies may be partly attributable to the perception that the violence in those films is justified.

Risky movies, risky behaviors, and ethnic identity among Black adolescents

PURPOSE

To investigate how exposure to sex, alcohol and violent content in mainstream and Black-oriented movies relates to corresponding adolescent behavior among Black youth from the United States and whether those relationships are moderated by ethnic identity.

METHODS

The present study uses survey data from an online sample of 1000 Black adolescents and content analysis ratings on top-grossing 2014 films and 2013/2014 Black-oriented films. Content-specific exposure measures for alcohol, sexual activity, and violence were calculated from self-reported exposure data and content analysis ratings. Regression analyses estimated the associations among exposures to risky health content in mainstream and Black-oriented films and adolescent behaviors as well as moderation by ethnic group identity.

RESULTS

Black adolescents were mostly unaffected by exposure to risk portrayals in mainstream films, but exposure to risk in Black-oriented films was related to their behavior in all three domains. Strong group identity strengthened the relationship between exposure to sex in Black-oriented and mainstream films depending on the sexual outcome.

CONCLUSION

The type of movie (i.e., mainstream or Black-oriented) through which Black adolescents are exposed to risky health portrayals is important for understanding its relationship to their behavior, and variations by ethnic identity were limited to sex content. Future research should identify the mechanisms through which risk content in Black-oriented films is associated with Black adolescents' risky behaviors to determine how media influence contributes to behavioral disparities among youth.

Counteracting the Influence of Peer Smoking on YouTube

YouTube, a popular online site for user-generated content, is emerging as a powerful source of peer modeling of smoking. Previous research suggests that in counteracting such influence, health messages may inadvertently increase the perceived prevalence of drug use (a descriptive norm) without reducing its acceptability (injunctive norm). This research tested the ability of health messages to reduce the social acceptability of peer smoking on YouTube despite enhancing its perceived prevalence. In an online experiment with 999 adolescents, participants were randomly assigned to view one of two videos: (a) a mosaic displaying a variety of YouTube videos of adolescents smoking followed by a message about the mortality risk to those smokers, or (b) a control video on a health topic unrelated to smoking. Although exposure to the adolescent YouTube smokers increased perceived prevalence among some participants, it simultaneously increased beliefs about smoking's adverse health outcomes and negative attitudes toward smoking, effects that were associated with reductions in injunctive norms of social acceptability. Interventions that communicate the severity and scope of health risks associated with smoking may undercut the descriptive normative effects of peer modeling of smoking on social media sites such as YouTube.

Parental desensitization to violence and sex in movies

OBJECTIVES

To assess desensitization in parents' repeated exposure to violence and sex in movies.

METHODS

A national US sample of 1000 parents living with at least 1 target child in 1 of 3 age groups (6 to 17 years old) viewed a random sequence of 3 pairs of short scenes with either violent or sexual content from popular movies that were unrestricted to youth audiences (rated PG-13 or unrated) or restricted to those under age 17 years without adult supervision (rated R). Parents indicated the minimum age they would consider appropriate to view each film. Predictors included order of presentation, parent and child characteristics, and parent movie viewing history.

RESULTS

As exposure to successive clips progressed, parents supported younger ages of appropriate exposure, starting at age 16.9 years (95% confidence interval [CI], 16.8 to 17.0) for violence and age 17.2 years (95% CI, 17.0 to 17.4) for sex, and declining to age 13.9 years (95% CI, 13.7 to 14.1) for violence and 14.0 years (95% CI, 13.7 to 14.3) for sex. Parents also reported increasing willingness to allow their target child to view the movies as exposures progressed. Desensitization was observed across parent and child characteristics, violence toward both human and non-human victims, and movie rating. Those who frequently watched movies were more readily desensitized to violence.

CONCLUSIONS

Parents become desensitized to both violence and sex in movies, which may contribute to the increasing acceptance of both types of content by both parents and the raters employed by the film industry.

Portrayal of tobacco use in prime-time TV dramas: trends and associations with adult cigarette consumption--USA, 1955-2010

OBJECTIVE

Although portrayal of television (TV) and movie tobacco use has been linked with initiation of cigarette smoking in adolescents, its association with smoking in adults has not been assessed. Therefore, we examined long-term and annual changes in tobacco portrayal in popular US TV dramas and their associations with comparable trends in national adult cigarette consumption.

METHODS

Tobacco use in 1838 h of popular US TV dramas was coded from 1955-2010. The long-term trend and annual deviations from trend were studied in relation to comparable trends in adult per capita cigarette consumption using correlational and time-series methods that controlled for other potential predictors.

RESULTS

TV tobacco portrayal has trended downward since 1955 in line with the historical trend in cigarette consumption. Controlling for changes in cigarette prices and other factors, annual changes of one tobacco instance per episode hour across 2 years of programming were associated with annual change of 38.5 cigarettes per US adult. The decline in TV tobacco portrayal was associated with nearly half the effect of increases in cigarette prices over the study period.

CONCLUSIONS

The correlation between tobacco portrayal in TV dramas and adult cigarette consumption is consistent with well-established effects of exposure to tobacco cues that create craving for cigarettes in adult smokers. Although tobacco use in TV dramas along with movies has declined over time, portrayal of smoking on screen media should be a focus for future adult tobacco control research and policy.

Violent film characters' portrayal of alcohol, sex, and tobacco-related behaviors

OBJECTIVE

To determine the extent to which movies popular with adolescents feature characters who jointly engage in violence and other risk behaviors. We hypothesized that violent characters engage in other risk behaviors equally often in films rated appropriate for children over 12 (PG-13) and Restricted (R)-rated films.

METHODS

Content analysis of a sample of top-grossing movies from 1985 to 2010 (n = 390). We coded movies for the presence of at least 1 main character who was involved in violence and either sex, tobacco, or alcohol use within a 5-minute movie segment and throughout a film.

RESULTS

Approximately 90% of the movies contained a segment with a main character involved in violence, and ~77% of the films had the same character engaging in at least 1 other risk behavior. A violent character was portrayed most often partaking in alcohol-related and sexual behaviors. G and PG movies had less co-occurrence than PG-13 or R-rated movies, but there was no statistical difference between PG-13 and R-rated movies with regards to violence co-occurring with other risk behaviors. These trends did not vary over time.

CONCLUSIONS

Popular films that contain violent characters also show those characters engaging in other risk behaviors. Similar rates of co-occurrence between PG-13 and R-rated films suggest that the Motion Picture Association of America ratings system is not sensitive to the joint portrayal of violence and alcohol, sex, and tobacco-related risk behaviors. The on-screen clustering of violence with other risk behaviors is cause for concern and worthy of additional research.

Gun violence trends in movies

BACKGROUND

Many scientific studies have shown that the mere presence of guns can increase aggression, an effect dubbed the "weapons effect." The current research examines a potential source of the weapons effect: guns depicted in top-selling films.

METHODS

Trained coders identified the presence of violence in each 5-minute film segment for one-half of the top 30 films since 1950 and the presence of guns in violent segments since 1985, the first full year the PG-13 rating (age 13+) was used. PG-13-rated films are among the top-selling films and are especially attractive to youth.

RESULTS

Results found that violence in films has more than doubled since 1950, and gun violence in PG-13-rated films has more than tripled since 1985. When the PG-13 rating was introduced, these films contained about as much gun violence as G (general audiences) and PG (parental guidance suggested for young children) films. Since 2009, PG-13-rated films have contained as much or more violence as R-rated films (age 17+) films.

CONCLUSIONS

Even if youth do not use guns, these findings suggest that they are exposed to increasing gun violence in top-selling films. By including guns in violent scenes, film producers may be strengthening the weapons effect and providing youth with scripts for using guns. These findings are concerning because many scientific studies have shown that violent films can increase aggression. Violent films are also now easily accessible to youth (e.g., on the Internet and cable). This research suggests that the presence of weapons in films might amplify the effects of violent films on aggression.

Trends of sexual and violent content by gender in top-grossing U.S. films, 1950-2006

PURPOSE

Because popular media such as movies can both reflect and contribute to changes in cultural norms and values, we examined gender differences and trends in the portrayal of sexual and violent content in top-grossing films from 1950 to 2006.

METHODS

The sample included 855 of the top-grossing films released over 57 years, from 1950 to 2006. The number of female and male main characters and their involvement in sexual and violent behavior were coded and analyzed over time. The relationships between sexual and violent behavior within films were also assessed.

RESULTS

The average number of male and female main characters in films has remained stable over time, with male characters outnumbering female characters by more than two to one. Female characters were twice as likely as male characters to be involved in sex, with differences in more explicit sex growing over time. Violence has steadily increased for both male and female characters.

CONCLUSIONS

Although women continue to be underrepresented in films, their disproportionate portrayal in more explicit sexual content has grown over time. Their portrayal in violent roles has also grown, but at the same rate as men. Implications of exposure to these trends among young movie-going men and women are discussed.

The effectiveness of the motion picture association of America's rating system in screening explicit violence and sex in top-ranked movies from 1950 to 2006

CONTEXT

Youth exposure to explicit film violence and sex is linked to adverse health outcomes and is a serious public health concern. The Motion Picture Association of America's (MPAA's) rating system's effectiveness in reducing youth exposure to harmful content has been questioned.

PURPOSE

To determine the MPAA's rating system's effectiveness in screening explicit violence and sex since the system's initiation (1968) and the introduction of the PG-13 category (1984). Also, to examine evidence of less restrictive ratings over time ("ratings creep").

DESIGN

Top-grossing movies from 1950 to 2006 (N = 855) were coded for explicitness of violent and sexual content. Trends in rating assignments and in the content of different rating categories since 1968 were assessed.

RESULTS

The explicitness of violent and sexual content significantly increased following the rating system's initiation. The system did not differentiate violent content as well as sexual content, and ratings creep was only evident for violent films. Explicit violence in R-rated films increased, while films that would previously have been rated R were increasingly assigned to PG-13. This pattern was not evident for sex; only R-rated films exhibited higher levels of explicit sex compared to preratings period.

CONCLUSIONS

While relatively effective for screening explicit sex, the rating system has allowed increasingly violent content into PG-13 films, thereby increasing youth access to more harmful content. Assignment of films in the current rating system should be more sensitive to the link between violent media exposure and youth violence.

Trends in US movie tobacco portrayal since 1950: a historical analysis

OBJECTIVE

Portrayal of tobacco use in films has been causally linked to youth smoking initiation. However, findings regarding trends in portrayal in US films since 1950 are inconsistent, potentially due to differences in sampling densities, intercoder reliabilities and time periods covered. The present study was designed to overcome these inconsistencies with a common sampling frame and methodology.

METHODS

A half sample of the 30 top-grossing US films per year from 1950 to 2006 (N=855) was coded in 5-min segments for total tobacco-related content and main character tobacco use. Film tobacco trends were identified using linear regression and compared to national per capita cigarette consumption and historically significant tobacco control events.

RESULTS

Tobacco content declined considerably since 1950. Total tobacco-related content peaked around 1961, while the decline in portrayal of main character use was already underway in 1950. Cigarette consumption peaked around 1966 with a trend that closely paralleled total tobacco content and that coincided with major tobacco control events.

CONCLUSIONS

This study, which had high reliability, dense sampling and covered a long time period, indicates that tobacco content has declined in top-ranked US movies since 1950 with a trend in total tobacco content that closely paralleled the drop in per capita cigarette consumption and the increase in significant tobacco control efforts. Despite the inability to draw causal conclusions, tobacco portrayal in films may serve as barometer of societal support for the habit and thus efforts should continue to limit exposure to such content.

Teen driver crash risk and associations with smoking and drowsy driving

Motor vehicle crashes are the leading cause of death for young people in the United States. The goal of this study was to identify risk factor profiles of teen and young adult drivers involved in crashes. General demographic and behavioral as well as driving-related factors were considered. Analysis of a nationally representative telephone survey of U.S. young drivers ages 14 to 22 (N=900) conducted in 2005 was restricted to 506 licensed drivers (learners excluded). Statistically significant univariate associations between factors of interest and the primary outcome, crash involvement (ever) as a driver, were identified and included within a multivariate logistic regression model, controlling for potential demographic confounders. Aside from length of licensure, only driving alone while drowsy and being a current smoker were associated with having been in a crash. Gaining a better understanding of these behaviors could enhance the development of more customized interventions for new drivers.

Unrealistic fatalism in U.S. youth ages 14 to 22: prevalence and characteristics

PURPOSE

To estimate the proportion of U.S. youth that exhibits unrealistic fatalism about its future (not expecting to live past age 30), and to test predictions about risk factors for this expectation.

METHODS

Four waves of a nationally representative telephone survey from 2002 to 2005 with youth ages 14 to 22 (N = 4201) were analyzed using logistic regression to identify correlates and predictors of unrealistic fatalism.

RESULTS

Approximately 1 out of every 15 youth interviewed (6.7%, 95% confidence interval [CI] = 5.9%, 7.5%) responded that they agreed they would not live much past the age of 30. Compared to other youth, fatalists were significantly more likely to be older, male, to identify as Hispanic, and have completed the interview in Spanish. As predicted, recent experience of hopelessness was a strong predictor of fatalism. In addition, nonwhite youth who had experienced hopelessness reported increasing rates of fatalism as they aged. Fatalistic youth engaged in greater suicidal planning, had more accepting attitudes toward suicide, were less attached to religion, and were more impulsive than other youth. Approximately 43% of fatalists forecast a likely death by suicide, whereas the rest anticipated death by an outside source. Fatalists were also more likely not to stay in school.

CONCLUSIONS

Because youth exhibiting fatalism are at risk for not staying in school and suicidal planning, they should be identified at an early age for referral to programs that are effective in treating youth with hopelessness and suicidal tendencies.

Suicide acceptability is related to suicide planning in U.S. adolescents and young adults

The association between adolescents' and young adults' attitudes toward suicide and their own suicidality across five racial-ethnic classifications was studied in a nationally representative sample of 3,301 youth ages 14 to 22 years from the National Annenberg Risk Survey of Youth. Results indicate that adolescents and young adults who most strongly believe that it is acceptable to end one's life are more than fourteen times more likely to make a plan to kill themselves as those who do not have such beliefs (p < .001). Future behavioral prevention and intervention research should take into consideration adolescents' and young adults' approval of suicide as a risk factor for taking their own lives.

The role of parents' health in their offspring's intentions to quit smoking

BACKGROUND

Motivating cessation among young smokers is an important challenge for smoking reduction programs. This research examines the role of perceived illness in smoking parents as a motivator for cessation in young smokers.

METHODS

Two nationally representative samples of young U.S. smokers (ages 14 to 22 and 18 to 25 in 2002) assessed perceptions of parent health, quit intentions, risk perceptions and affective expectations for smoking to test the hypothesis that perceived illness in smoking parents motivates quitting by linking unfavorable emotional reactions to the smoking experience.

RESULTS

Approximately 88% of young smokers reported that parents who smoked were in less than very good health compared to 54% of smokers whose parents did not smoke. Unlike young smokers whose parents did not smoke, the quit intentions of those whose parents smoked were directly related to the perceived ill health of their parents. Affective expectations rather than perceived risk of smoking appeared to mediate these relations.

CONCLUSION

Youth smoking cessation programs could benefit from targeting smokers whose parents smoke and are likely to show the long-term effects of smoking-related illness.

Do films about mentally disturbed characters promote ineffective coping in vulnerable youth?

Suicidal youth tend to doubt the effectiveness of professional mental health treatment. This study examined whether exposure to films about suicidal and mentally disturbed persons supports this lack of belief. Exposure to three popular films featuring suicides or the mentally ill was compared to films that featured a heroic suicide unrelated to mental illness as well as to films with violent and comedic content in a nationally representative survey of youth ages 14-22 (N=900). Exposure to films about mental disturbance among "vulnerable" respondents who had experienced recent depressive and suicidal symptoms (24% of sample) was compared to those without these symptoms. Increasing exposure to films with mentally disturbed characters was related to belief in the treatment inefficacy of mental disorders. The findings suggest that exposure to fictional depictions of characters failing to get help for mental disorders may have long-term effects on depressed and suicidal youth.