Tuesday, October 21, 2014

Fear, AIDS...and Ebola???


The recent increase in media coverage and concern about the possible spread of the Ebola virus in the United States raises many questions about the role of fear in health communication.  For years, health communicators have been using fear appeals to change behaviors and raise awareness of health issues like HIV/AIDS.  Even though fear appeals continue to be used in messaging, I think there are still many questions and conflicting views about their effectiveness.  When is fear an effective strategy?  When is it inappropriate to use fear to encourage the public to reduce risky  or undesirable behaviors? 
Green and Witte (2006) provide support for the effectiveness of fear appeals.  The study employed fear appeals to reduce risky behaviors associated with HIV/AIDS in Africa.  Interestingly, many experts were opposed to using the same messaging in United States due to a concern with causing reactance.  Green and Witte (2006) argued that, at that time, the use of fear appeals in HIV/AIDS messaging in the United States was discouraged due to concerns of the messages impeding on Americans beliefs about freedom and post-revolution sex values. 
Unlike Green and Witte (2006) which found fear appeals to be effective among individuals living in Africa, other studies like Muthusamy, Levine, and Weber (2009) argue against the use of fear appeals.  Muthusamy, Levine, and Weber (2009) claims that fear appeals are ill advised and ineffective in some situations.  The study employed fear appeals in HIV/AIDS messaging among individuals living in Namibia (Muthusamy, Levine, & Weber, 2009).  Findings suggest that the fear appeals were ineffective when individuals were already experiencing high fear before exposure to the experimental messages (Muthusamy, Levine, & Weber, 2009).
How does the past literature on fear appeals and HIV/AIDS inform decisions and perceptions on the use of fear to encourage individuals to reduce risky behaviors related to Ebola?  Some have gone as far as to draw parallels between the potential threat of Ebola and the global HIV/AIDS epidemic. One of the controversial topics currently being covered by the media is the need to implement travel restrictions for individuals living in the United States who have been exposed to the virus and those traveling from West Africa.  One of the main arguments against such restrictions is that they will increase fear among Americans and cause individuals to start hiding symptoms and not disclosing where they have traveled. 
Hopefully, the virus can be contained.  In the unfortunate, yet conceivable, chance that Ebola continues to spread, what approach should be applied to messaging?  I am sure the answer to this question is not simple.  The problem is complicated and challenging because if messaging does not induce some level of fear, individuals may not feel that they are susceptible.  If fear is heightened by isolating individuals and restricting certain known freedoms, stigmas and negative perceptions may be linked to the virus and individuals suffering from its symptoms.  In short, to be effectively managed, the Ebola threat requires a strategic communication plan that acknowledges all possible consequences and reactions. What are your thoughts?


3 comments:

  1. Fear is without a doubt something that is being used in the case of the Ebola outbreak. I have seen tons of news articles about the "atmosphere of fear" as they are calling it, and about the state of terror and anxiety that people around the United States (and even around the world) are living in. I think that a certain level of fear is necessary in order to have people comply with safe behaviors so that it doesn't become an even bigger problem or outbreak, but too much fear can create hysteria, which would not be beneficial in this case.

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  2. Fear can be very counter-productive too!! There is a substantial body of research in "unintended effects of communication" and fear appeals campaigns account for many unintended effects which are not necessarily good!

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  3. Can the "atmosphere of fear' contribute to positive behaviors? How about increased hand washing, for instance? Is it just America? How has the rest of the world reacted? What is the relationship between the media and public or individual opinion in those countries? Is this fear a U.S. thing? Or a human thing? Sorry, I like to play the devil's advocate-- is some fear or concern normal? Is it okay to be concerned about your safety? When does concern become stigmatization? When it constrains the agency of those stigmatized?

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