A qualitative examination of affect and ideology within mass media interventions to increase HIV testing with gay men garnered from a systematic review

Langdridge, D., Flowers, P. , Riddell, J. , Boydell, N. , Teal, G., Coia, N. and McDaid, L. (2021) A qualitative examination of affect and ideology within mass media interventions to increase HIV testing with gay men garnered from a systematic review. British Journal of Health Psychology, 26(1), pp. 132-160. (doi: 10.1111/bjhp.12461) (PMID:32735366)

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Objectives: Increasing appropriate HIV testing among men who have sex with men (MSM) is crucial to HIV prevention. Mass media interventions are effective in promoting testing, but to date, there has been little examination of their active content. Design: We conducted a qualitative analysis of intervention materials (n = 69) derived from a systematic review of mass media interventions designed to improve testing with MSM. Methods: Visual data were analysed for their affective and ideological content using a novel method drawing on concepts from semiotics (i.e., broadly speaking, the analysis of signs). Results: Whilst affect was not explicitly theorized or examined in any of the studies, there are clearly identifiable affective elements implicitly at play in these interventions. Four thematic categories of affect/ideology were identified including (1) sexual desire and the ‘pornographication’ of the gay/bisexual male subject; (2) narratives of romance and love; (3) fear, threat, and regret; and (4) ‘flattened’ affect. Conclusions: This is the first study to examine and detail the affective and ideological aspects of intervention content in this field. Using analytic techniques such as those reported here, in addition to approaches that focus on the manner in which intervention content address more proximal determinants of behaviour, can provide a rich and potentially more useful evidence base to assist with future interventions.

Item Type:Articles
Glasgow Author(s) Enlighten ID:McDaid, Professor Lisa and Flowers, Professor Paul and Teal, Miss Gemma and Boydell, Dr Nicola and Riddell, Miss Julie
Authors: Langdridge, D., Flowers, P., Riddell, J., Boydell, N., Teal, G., Coia, N., and McDaid, L.
College/School:College of Arts > School of Culture and Creative Arts > History of Art
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:British Journal of Health Psychology
ISSN (Online):2044-8287
Published Online:31 July 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in British Journal of Health Psychology 26(1): 132-160
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727631SPHSU Core Renewal: Relationships & Health Improvement Research ProgrammeLisa McDaidMedical Research Council (MRC)MC_UU_12017/11IHW - MRC/CSO SPHU
Chief Scientist Office (CSO)SPHSU11
727641SPHSU Core Renewal: Setting and Health Improvement Research ProgrammeKathryn HuntMedical Research Council (MRC)MC_UU_12017/12IHW - MRC/CSO SPHU
Chief Scientist Office (CSO)SPHSU12