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Do celebrity endorsements matter? Observational study of BRCA gene testing and mastectomy rates after Angelina Jolie’s New York Times editorial
Objective To examine the effect on BRCA testing and mastectomy rates of a widely viewed 2013 New York Times editorial by public figure Angelina Jolie that endorsed BRCA testing and announced Jolie’s decision to undergo preventive mastectomy.Design Observational study with difference-in-difference analysis.Setting Commercially insured US population.Participants Women aged 18-64 years with claims in the Truven MarketScan commercial claims database (n=9 532 836).Main outcome measures Changes in BRCA testing rates in the 15 business days before versus after 14 May 2013 (editorial date) compared with the change in the same period in 2012; mastectomy rates in the months before and after publication, both overall and within 60 days of BRCA testing among women who were tested; national estimates of incremental tests and expenditures associated with Jolie’s article in the 15 days after publication.Results Daily BRCA test rates increased immediately after the 2013 editorial, from 0.71 tests/100 000 women in the 15 business days before to 1.13 tests/100 000 women in the 15 business days after publication. In comparison, daily test rates were similar in the same period in 2012 (0.58/100 000 women in the 15 business days before 14 May versus 0.55/100 000 women in the 15 business days after), implying a difference-in-difference absolute daily increase of 0.45 tests/100 000 women or a 64% relative increase (P<0.001). The editorial was associated with an estimated increase of 4500 BRCA tests and $13.5m (£10.8m; €12.8) expenditure nationally among commercially insured adult women in those 15 days. Increased BRCA testing rates were sustained throughout 2013. Overall mastectomy rates remained unchanged in the months after publication, but 60 day mastectomy rates among women who had a BRCA test fell from 10% in the months before publication to 7% in the months after publication, suggesting that women who underwent tests as a result of to the editorial had a lower pre-test probability of having the BRCA mutation than women tested before the editorial.Conclusions Celebrity endorsements can have a large and immediate effect on use of health services. Such announcements can be a low cost means of reaching a broad audience quickly, but they may not effectively target the subpopulations that are most at risk for the relevant underlying condition.
Journal Article
Can scientists fill the science journalism void? Online public engagement with science stories authored by scientists
In many countries the public's main source of information about science and technology is the mass media. Unfortunately, in recent years traditional journalism has experienced a collapse, and science journalism has been a major casualty. One potential remedy is to encourage scientists to write for news media about science. On these general news platforms, scientists' stories would have to compete for attention with other news stories on hard (e.g. politics) and entertaining (e.g. celebrity news) topics written by professional writers. Do they stand a chance? This study aimed to quantitatively characterize audience interactions as an indicator of interest in science news stories authored by early career scientists (henceforth 'scientists') trained to function as science reporters, as compared to news items written by reporters and published in the same news outlets. To measure users' behavior, we collected data on the number of clicks, likes, comments and average time spent on page. The sample was composed of 150 science items written by 50 scientists trained to contribute popular science stories in the Davidson Institute of Science Education reporters' program and published on two major Israeli news websites-Mako and Ynet between July 2015 to January 2018. Each science item was paired with another item written by the website's organic reporter, and published on the same channel as the science story (e.g., tourism, health) and the same close time. Overall significant differences were not found in the public's engagement with the different items. Although, on one website there was a significant difference on two out of four engagement types, the second website did not have any difference, e.g., people did not click, like or comment more on items written by organic reporters than on the stories written by scientists. This creates an optimistic starting point for filling the science news void by scientists as science reporters.
Journal Article
Romantic Genius and the Literary Magazine
In early nineteenth-century Britain, there was unprecedented interest in the subject of genius, as well as in the personalities and private lives of creative artists. This was also a period in which literary magazines were powerful arbiters of taste, helping to shape the ideological consciousness of their middle-class readers. Romantic Genius and the Literary Magazine considers how these magazines debated the nature of genius and how and why they constructed particular creative artists as geniuses.
Romantic writers often imagined genius to be a force that transcended the realms of politics and economics. David Higgins, however, shows in this text that representations of genius played an important role in ideological and commercial conflicts within early nineteenth-century literary culture. Furthermore, Romantic Genius and the Literary Magazine bridges the gap between Romantic and Victorian literary history by considering the ways in which Romanticism was understood and sometimes challenged by writers in the 1830s. It not only discusses a wide range of canonical and non-canonical authors, but also examines the various structures in which these authors had to operate, making it an interesting and important book for anyone working on Romantic literature.
eBook
How Political Content in Us Weekly Can Reduce Polarized Affect Toward Elected Officials
Politicians invest a lot of energy into managing their image, with the hope that the public views them favorably. In sharing details about themselves, elected officials want to be seen as people, not just as politicians. Are these efforts successful? I explore this question using an experiment inspired by a column in the celebrity entertainment magazine Us Weekly. I find that politicians who share nonpolitical autobiographical details about themselves secure warmer evaluations from the public. Reading this type of personalizing information also can contribute to ratings of elected officials that are less polarized by partisanship. While personalizing information boosts favorability toward politicians across party lines, members of the opposing party are particularly likely to report warmer affect toward the politician about whom they read. This suggests that this type of soft news coverage has the potential to depolarize partisan evaluations of politicians.
Journal Article
Education and symbolic violence in contemporary Turkey
This article examines the perceptions of education in Turkey, which refer to a nebulous package of formal education and a cultured stance. Guided by the literature on symbolic violence, we argue that underprivileged groups misrecognize arbitrary hierarchies by considering them just and inevitable. Elite tastes have been internalized by other groups in a particular historical context of education and culture. We investigate the historical roots of this seemingly ahistorical constellation of power relations around education and then consider the implications for the neoliberal period. Then, we contextualize the responses to symbolic violence. Subordinate groups complicate the effects of symbolic violence by exhibiting diverse responses that range from outright submission to implicitly questioning cultural and moral boundaries, creating class and ethnic others in the process. This occurs by constructing cultural and moral boundaries, especially targeting the 'vulgar' culture of celebrities and Kurds.
Journal Article