Publications by authors named "Julia Applegate"

This research examines how gender expressions in health messages influence perceived message effectiveness (PME) for sexual and gender minority (SGM) young adults through perceived character similarity. In an online experiment, 1,113 SGM young adults were randomly assigned to view six anti-smoking messages portraying one of four gender expressions: feminine, masculine, gender expansive, or multiple gender. Findings indicated that messages with multiple gender expressions increased perceived character similarity among SGM young adults compared to messages showing masculine expressions; perceived character similarity mediated the relationship between message exposure and PME.

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Background: In the USA, lesbian, gay, bisexual, transgender and queer (LGBTQ+) people report higher rates of tobacco use than non-LGBTQ+ people due to diverse factors, from anti-LGBTQ stigma to targeted marketing by the tobacco industry. There is an opportunity to support behavioural changes by delivering evidence-based health communication campaigns through community-based organisations (CBOs), but an insufficient evidence base and organisational resource restrictions limit this potential. Our previous research with CBO staff and leaders serving LGBTQ+ communities identified gaps in evidence-based campaigns, such as insufficient centering of LGBTQ+ communities in campaign development and execution.

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Article Synopsis
  • - This study investigates how community-based organizations (CBOs) serving LGBTQ+ populations can effectively integrate evidence-based health communication campaigns (EBHCC) to tackle tobacco-related health disparities.
  • - Through qualitative interviews with 22 CBO staff members, researchers identified three main themes: the effectiveness of storytelling for community engagement, the benefit of researcher involvement in content creation, and the added value of these adaptations despite resource constraints.
  • - The findings highlight the importance of understanding and addressing the specific needs of CBOs, suggesting that tailored support strategies can enhance the implementation of EBHCCs for better health outcomes in LGBTQ+ communities.
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We conducted a longitudinal randomized controlled experiment between September 2021 and May 2022 to evaluate whether anti-tobacco industry beliefs and attitudes mediate the effect of culturally tailored anti-smoking messages on quit intentions among US young adult sexual minority women (SMW) ages 18-30 who smoke. Participants were randomized to view up to a total of 20 tailored versus non-tailored messages over one month. Outcomes were assessed at baseline and one-month follow-up.

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Article Synopsis
  • SGM (sexual and gender minority) youth vape more than other teens in the U.S., and social media could help discourage this, but the messages need to be tailored specifically for them.
  • Researchers interviewed 34 SGM youth to learn their thoughts on vaping and what anti-vaping messages they find effective, focusing on representation, facts, empowerment, and trustworthy sources.
  • The study showed that SGM youth want messages that include accurate representation of their community, relatable language, and involvement from LGBTQ+ influencers to make the messages more impactful.
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The number of individuals identifying as lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) has doubled over the past 10 years, and this figure continues to rise. The LGBTQ+ community is diverse, encompassing a vast array of differences in gender identity and sexual orientation. Additionally, it is inclusive of people from all races, ethnicities, religions, and socioeconomic backgrounds.

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Introduction: This study evaluated effects of exposure to culturally tailored anti-smoking ads versus control ads on quitting intentions, cigarette purchase intentions, and tobacco industry perceptions among young adult, cisgender and transgender, sexual minority women (SMW).

Study Design: An online randomized controlled experiment with 1-month longitudinal follow-up was conducted.

Setting And Participants: About 2,214 U.

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Purpose: Evidence-based health communication campaigns can support tobacco control and address tobacco-related inequities among lesbian, gay, bisexual, transgender, and queer (LGBTQ +) populations. Community organizations focused on LGBTQ + health (e.g.

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Introduction: This study explored the impact of health care (HC) bias and discrimination on lesbian, gay, bisexual, transgender, and queer (LGBTQ) parents and their children with developmental disabilities.

Method: We conducted a national online survey of LGBTQ parents of children with developmental disabilities using social media and professional networks. Descriptive statistics were compiled.

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Introduction: This study explored the impact of health care (HC) bias and discrimination on lesbian, gay, bisexual, transgender, and queer (LGBTQ) parents and their children with disabilities in the United States, including the timing of developmental screening and diagnosis.

Method: We conducted semistructured interviews with 16 LGBTQ parents of children with developmental concerns or disabilities recruited through a prior national survey. Interviews were transcribed and analyzed using a combined inductive and deductive approach.

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