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The effectiveness of using entertainment education narratives to promote safer sexual behaviors of youth: A meta-analysis, 1985-2017

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  • Victor Orozco-Olvera
  • Fuyuan Shen
  • Lucie Cluver

Abstract

Background: Risky sexual behaviors are associated with the transmission of sexually transmitted infections (STIs) and unwanted pregnancies, both major health concerns for youth worldwide. This review studies the effectiveness of narrated mass media programs in promoting safer sexual practices among youth in developed and developing countries. Methods: Electronic and manual searches were conducted to identify experimental and quasi-experimental studies with robust counterfactual designs published between 1985 and the first quarter of 2017. Effect sizes were meta-analyzed using mixed-effects models. Results: Eight experimental and two quasi-experimental studies met our inclusion criteria. The aggregated sample size was 23,476 participants, with a median of 902 participants per study. Entertainment education narratives had small but significant effects for three sexual behaviors. It reduced the number of sexual partners [standardized mean difference, (SMD) = 0.17, 95% confidence interval (CI) = 0.02–0.33, three effect sizes], reduced unprotected sex (SMD = 0.08, 95% CI = 0.03–0.12, nine effect sizes), and increased testing and management for STIs (SMD = 0.29, 95% CI = 0.11–0.46, two effect sizes). The interventions were not effective in reducing inter-generational sex, measured through the age-gap with sexual partners (SMD = 0.06, 95% CI = -0.06–0.19, four effect sizes). Entertainment education had medium-size effects on knowledge outcomes (SMD = 0.67, 95% CI = 0.32–1.02, seven effect sizes), where a time-decay relationship is observed. No effects were found on attitudes. Conclusion: Although mass media entertainment had small effects in promoting safer sexual practices, its economies of scales over face-to-face interventions suggest its potential to be a cost-effective tool above an audience threshold. The use of study participants from the general youth population and the use of mostly effectiveness trials mitigate concerns regarding its scalability. The overall paucity of high-quality studies affirms the need for strengthening the evidence base of entertainment education. Future research should be undertaken to understand the moderator effects for different subgroups and intervention characteristics.

Suggested Citation

  • Victor Orozco-Olvera & Fuyuan Shen & Lucie Cluver, 2019. "The effectiveness of using entertainment education narratives to promote safer sexual behaviors of youth: A meta-analysis, 1985-2017," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    • Handle: RePEc:plo:pone00:0209969
    DOI: 10.1371/journal.pone.0209969
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    1. Virginia A Fonner & Kevin S Armstrong & Caitlin E Kennedy & Kevin R O'Reilly & Michael D Sweat, 2014. "School Based Sex Education and HIV Prevention in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-18, March.
    2. Wang, H. & Singhal, A., 2016. "East Los High:Transmedia edutainment to promote the sexual and reproductive health of young Latina/o Americans," American Journal of Public Health, American Public Health Association, vol. 106(6), pages 1002-1010.
    3. Paluck, Elizabeth Levy & Green, Donald P., 2009. "Deference, Dissent, and Dispute Resolution: An Experimental Intervention Using Mass Media to Change Norms and Behavior in Rwanda," American Political Science Review, Cambridge University Press, vol. 103(4), pages 622-644, November.
    4. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    5. Abhijit V. Banerjee & Esther Duflo, 2009. "The Experimental Approach to Development Economics," Annual Review of Economics, Annual Reviews, vol. 1(1), pages 151-178, May.
    6. La Ferrara, Eliana & DellaVigna, Stefano, 2015. "Economic and Social Impacts of the Media," CEPR Discussion Papers 10667, C.E.P.R. Discussion Papers.
    7. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    8. Cho,Yoonyoung & Kalomba, Davie & Mobarak,Ahmed Mushfiq & Orozco Olvera,Victor Hugo & Cho,Yoonyoung & Kalomba, Davie & Mobarak,Ahmed Mushfiq & Orozco Olvera,Victor Hugo, 2013. "Gender differences in the effects of vocational training : constraints on women and drop-out behavior," Policy Research Working Paper Series 6545, The World Bank.
    9. Eliana La Ferrara, 2016. "Mass Media and Social Change: Can We Use Television to Fight Poverty?," Journal of the European Economic Association, European Economic Association, vol. 14(4), pages 791-827.
    10. Legovini, Arianna & Di Maro, Vincenzo & Piza, Caio, 2015. "Impact evaluation helps deliver development projects," Policy Research Working Paper Series 7157, The World Bank.
    11. Baird, Sarah & Gong, Erick & McIntosh, Craig & Özler, Berk, 2014. "The heterogeneous effects of HIV testing," Journal of Health Economics, Elsevier, vol. 37(C), pages 98-112.
    12. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    13. de Walque, Damien & Dow, William H & Nathan, Rose & Abdul, Ramadhani & Abilahi, Faraji & Gong, Erick & Isdahl, Zachary & Jamison, Julian & Jullu, Boniphace & Krishnan, Suneeta & Majura, Albert & Migue, 2012. "Incentivising safe sex: a randomised trial of conditional cash transfers for HIV and sexually transmitted infection prevention in rural Tanzania," Department of Economics, Working Paper Series qt4vw984q0, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    14. Eliana La Ferrara, 2016. "Mass Media And Social Change: Can We Use Television To Fight Poverty?," Journal of the European Economic Association, European Economic Association, vol. 14(4), pages 791-827, August.
    15. Melissa S. Kearney & Phillip B. Levine, 2015. "Media Influences on Social Outcomes: The Impact of MTV's 16 and Pregnant on Teen Childbearing," American Economic Review, American Economic Association, vol. 105(12), pages 3597-3632, December.
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    2. Donati,Dante & Orozco Olvera,Victor Hugo & Rao,Nandan Mark, 2022. "Using Social Media to Change Gender Norms : An Experiment within Facebook Messenger in India," Policy Research Working Paper Series 10199, The World Bank.
    3. W. Douglas Evans & Bonnie N Young & Michael A Johnson & Kirstie A. Jagoe & Dana Charron & Madeleine Rossanese & K Lloyd Morgan & Patricia Gichinga & Julie Ipe, 2019. "The Shamba Chef Educational Entertainment Program to Promote Modern Cookstoves in Kenya: Outcomes and Dose–Response Analysis," IJERPH, MDPI, vol. 17(1), pages 1-14, December.

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