Wednesday, July 08, 2026

 

Social media influencers who match racial, ethnic identity of their audiences have a bigger—and unhealthy—impact




New study shows racial and ethnic minority youth pay greater attention to food influencers who look like them—and express stronger preference for influencer-promoted unhealthy foods





New York University






Food marketers increasingly use people for paid promotions who share the racial and ethnic identities of their target audiences because such “identity congruence” is seen as persuasive. This strategy has migrated to social media, where it can reach millions of users daily including youth who may be less likely to recognize it as advertising. 

However, while large numbers of consumers base their food purchases on influencer posts and adolescents are exposed to unprecedented levels of social media food marketing, little is known about the psychological mechanisms that make these messages persuasive, particularly among racial and ethnic minority youth. 

A new study by a team of psychology and health researchers addresses some of these questions. 

It found that racial and ethnic minority youth reported paying more attention to influencers who looked like them and shared their racial identity. Moreover, this heightened visual interest was associated with stronger engagement with social media posts and a stronger preference for unhealthy foods.

The results suggest that identity-based social media marketing may be a powerful mechanism in shaping adolescents’ eating behavior.

“Adolescence is a critical period for social modeling,” explains Emily Balcetis, an associate professor in New York University’s Department of Psychology and the lead author of the study, which appears in The Journal of Experimental Social Psychology. “When influencers share those identities, they grab attention, and as a result, signal what people like their followers do, value, and eat.”

“Who delivers the message matters,” adds Marie Bragg, an associate professor in the Department of Population Health at NYU Grossman School of Medicine and one of the paper’s authors. “Some minority adolescents are more influenced by unhealthy food marketing when it comes from influencers who share their racial or ethnic identity. They carry greater weight for teens in forming a sense of who they are.” 

The researchers examined this dynamic through two experiments. 

Experiment One: Testing Visual Interest and Impact of Influencers’ Posts

The researchers studied the impact of influencers’ visuals among both female and male Black and non-Hispanic White teenagers. The sample of more than 500 teens—aged 13 to 19—was shown images of a single adolescent or young adult promoter endorsing a product. The researchers manipulated the race of the promoter and the product included but kept other details identical so that across sets, the general look and feel of the image and surrounding details remained as similar as possible. Two sets included Black promoters and two sets included White promoters. In some sets, these promoters were depicted endorsing unhealthy foods (e.g., an Oreo snack pack) while in others they were shown endorsing a non-food product (e.g., a business card). Participants were randomly assigned to view only one version of any post.

To gauge food preferences of the study’s participants, the researchers created 20 pairs of snacks that appeared on the screen side by side. Each pair consisted of a less healthy, non-nutritious snack and a healthier snack. To create pairings, they selected foods that matched on visual features like color, shape, and size—for instance, a green popsicle with a cucumber.

The participants, who were randomly assigned to these experimental conditions, were asked to assess both how “cool, attractive, and interesting” the person in the post and the post itself were—along with how much the person in the post grabbed their attention or caught their eye. The participants, who reported the likelihood they would “like,” comment on, or share the post, also viewed pairs of snacks and reported which one they would like to eat right now by selecting one of two options within each pair of choices. 

The results showed the following:

  • The effect of promoter racial congruity on visual interest was significant for Black, but not for White, adolescents. Black participants found posts that included racially congruent promoters more interesting than ones that included incongruent promoters.

  • When posts included unhealthy foods, teens who reported greater visual interest—which occurred among Black teens more so than among White teens—also showed an increase in unhealthy foods they chose.

  • Overall, there were no differences among participants with respect to engagement with posts. However, Black, but not White, adolescents were more likely to engage with posts that they found visually interesting, regardless of the type of product endorsed. 

  • Among Black participants, seeing a racially congruent—compared to an incongruent— promoter strengthened visual interest in the post, which increased the likelihood of engaging with the post when that promoter endorsed unhealthy food products.

Experiment Two: Testing the Broader Impact of Race-Congruent Promoters

The second experiment aimed to understand if these messages affected other non-White racial groups in the same way. To do so, the researchers recruited nearly 900 teenage participants—a sample that included those who identified as Black, East Asian, Hispanic, or non-Hispanic White.

The method was nearly identical to the first experiment. The primary difference was the addition of East Asian and Hispanic male and female promoters endorsing the same unhealthy food or non-food products as in the first experiment—while retaining the posts with Black and White promoters used previously.

The results were similar to those of the first experiment—most notably, the effect of promoter racial congruity on visual interest was significant for all non-White adolescent groups but not for White adolescents. Black, East Asian, and Hispanic participants found posts that included racially congruent promoters more interesting than ones which included incongruent promoters. And, crucially, visual interest again related to unhealthy food choices: as visual interest in the posts that promoted unhealthy foods (vs. non-food products) increased, adolescents selected unhealthy food over healthier options. 

“At a time when adolescents are exposed to social media food marketing on a daily basis, this research identifies visual interest as a key mechanism linking racially targeted marketing to unhealthy food preferences,” concludes Balcetis. 

The paper’s other authors were: Jordan Daley, an NYU research fellow at the time of the study*, Eunha Choi, an NYU graduate student, and Omni Cassidy, an assistant professor in the Department of Population Health at NYU Grossman School of Medicine.

The study was funded by the National Cancer Institute, part of the National Institutes of Health (R01CA248441).

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*Editor’s note: Jordan Daley will be a member of the faculty in the Department of Psychology at Loyola University of Chicago beginning in August 2026.

 

 


What does research reveal about transmasculine pregnancy?



Wiley






A recent review of published research provides some evidence that a small but noteworthy minority of transmasculine people (trans, nonbinary, and other gender expansive people who were assigned female at birth) have pregnancies (6%–9%) and children (4%–9%), including after transition. The systematic review published in Acta Obstetricia et Gynecologica Scandinavica also found possibly higher miscarriage rates and very little evidence on postnatal depression rates in transmasculine people who became pregnant.

Investigators identified 44 relevant studies for their review. Testosterone use before pregnancy seemed to be associated with fewer conceptions compared with never having taken it, but it was insufficient to rely upon as contraception. Pregnancy loss seemed to be higher in those exposed to testosterone before or during pregnancy. The authors noted that much more evidence would be needed before the full picture becomes clear.

“This comprehensive work has shown important gaps in knowledge on transmasculine pregnancies. It demonstrates the need for more trans-specific research that could be done by academics and research bodies working together with transmasculine people with lived experience,” said corresponding author Catherine Meads, MD, PhD, of Anglia Ruskin University, in the UK. “Transmasculine people can have contraceptive, abortion, pregnancy, maternity and gynecological needs, and must be treated with respect by health services.”

URL upon publication: https://onlinelibrary.wiley.com/doi/10.1111/aogs.70276

 

Additional Information
NOTE:
The information contained in this release is protected by copyright. Please include journal attribution in all coverage. For more information or to obtain a PDF of any study, please contact: Sara Henning-Stout, newsroom@wiley.com.

About the Journal
Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international women's health journal dedicated to providing the very latest information on the results of both clinical and research work from around the globe. The journal regularly publishes commentaries, reviews and original articles on a wide variety of topics, including obstetrics, gynecology, and female urology.

About Wiley      
Wiley is a global leader in authoritative content and research intelligence for the advancement of scientific discovery, innovation, and learning. With more than 200 years at the center of the scholarly ecosystem, Wiley combines trusted publishing heritage with AI-powered platforms to transform how knowledge is discovered, accessed, and applied. From individual researchers and students to Fortune 500 R&D teams, Wiley enables the transformation of scientific breakthroughs into real-world impact. From knowledge to impact—Wiley is redefining what's possible in science and learning. Visit us at Wiley.com and Investors.Wiley.com. Follow us on Facebook, X, LinkedIn and Instagram.

 

Do cancer screening rates differ across sexual orientation and gender identity?


Study reveals disparities and the need for equitable screening access




Wiley





New research has uncovered persistent disparities in preventive cancer care across different sexual orientation and gender identity (SOGI) populations. The study published by Wiley online in CANCER, a peer-reviewed journal of the American Cancer Society, found particular concern for cervical and breast cancer screening.

To assess SOGI differences in cancer screening and prevalence, investigators analyzed data from the 2018–2022 Behavioral Risk Factor Surveillance System, a nationally representative annual telephone survey of US adults.

Among 663,924 respondents who were eligible for different cancer screening tests, sexual orientation minority (such as gay and bisexual) women were 8% and 16% less likely to receive screening tests for cervical cancer and breast cancer, respectively, compared with heterosexual women. In men, sexual orientation minorities had a 10% higher colorectal cancer screening rate that heterosexual men. Compared with cisgender status, gender identity minority (such as transgender) status was associated with a 42% and 76% lower likelihood of cervical cancer and breast cancer screening, respectively, with no differences for colorectal cancer screening. SOGI was not associated with meaningful differences in cancer prevalence.

“The current data highlight how sexual and gender minority populations, particularly transgender individuals, face significant disparities in accessing breast and cervical cancer screenings,” said senior author Timothy M. Pawlik, MD, MPH, PhD, of The Ohio State University Wexner Medical Center. “The study emphasizes the urgent need for targeted interventions, including improved training for providers and policy reform, to bridge these gaps and ensure equitable, inclusive care.”

 

Additional information
NOTE:
 The information contained in this release is protected by copyright. Please include journal attribution in all coverage. A free abstract of this article will be available via the CANCER Newsroom upon online publication. For more information or to obtain a PDF of any study, please contact: Sara Henning-Stout, newsroom@wiley.com

Full Citation:
“Sexual Orientation and Gender Identity Based Disparities in Colorectal, Cervical, and Breast Cancer Screening in the United States.” Lorenza Arena, Qaidar Alizai, Abdulaziz Elemosho, Odysseas P. Chatzipanagiotou, and Timothy M. Pawlik. CANCER; Published Online: July 6, 2026 (DOI: 10.1002/cncr.70462). 
URL Upon Publication: http://doi.wiley.com/10.1002/cncr.70462

Author Contact: Eileen Scahill, senior writer in The Ohio State University Wexner Medical Center’s Department of Marketing and Strategic Communications, at Eileen.Scahill@osumc.edu

About the Journal 
CANCER is a peer-reviewed publication of the American Cancer Society integrating scientific information from worldwide sources for all oncologic specialties. The objective of CANCER is to provide an interdisciplinary forum for the exchange of information among oncologic disciplines concerned with the etiology, course, and treatment of human cancer. CANCER is published on behalf of the American Cancer Society by Wiley and can be accessed online. Follow CANCER on X @JournalCancer, and stay up to date with the American Cancer Society Journals on Instagram, LinkedIn, and YouTube.

About Wiley
Wiley is a global leader in authoritative content and research intelligence for the advancement of scientific discovery, innovation, and learning. With more than 200 years at the center of the scholarly ecosystem, Wiley combines trusted publishing heritage with AI-powered platforms to transform how knowledge is discovered, accessed, and applied. From individual researchers and students to Fortune 500 R&D teams, Wiley enables the transformation of scientific breakthroughs into real-world impact. From knowledge to impact—Wiley is redefining what's possible in science and learning. Visit us at Wiley.com and Investors.Wiley.com. Follow us on Facebook, X, LinkedIn and Instagram.

 

One in five relatives of breast and ovarian cancer patients in Estonia carry dangerous cancer-linked genes, study shows




Increased screening of patients’ family members, including men, could help identify people at high risk and support targeted cancer prevention




Frontiers






In 2013, Angelina Jolie inspired a wave of testing for pathogenic variants of the gene BRCA1 by announcing that she carried a variant which left her at such high risk of breast cancer, she chose a preventive mastectomy. Many people with similar gene variants won’t need risk-reducing surgery, but knowing if you carry a dangerous variant could be lifesaving. Researchers reviewing the genetic testing results of healthy family members of breast and ovarian cancer patients in Estonia found that 19.7% of them carried variants which elevate their cancer risk. This included 34% of men tested.  

“Hereditary cancer risk is both more common and more actionable than often assumed,” said Dr Mikk Tooming of the Institute of Clinical Medicine in Tartu, Estonia, lead author of the article in Frontiers in Genetics. “People with a family history of breast or ovarian cancer — especially those with multiple affected relatives or early-onset cases — should strongly consider genetic counselling and, where appropriate, genetic testing. Our data show that a substantial proportion of pathogenic variant carriers are identified before the typical screening age, suggesting that relying solely on standard population screening may delay detection of elevated risk.  

“Our study also highlights that men should not be overlooked. Male carriers of pathogenic variants, particularly in BRCA2, face increased risks for prostate and other cancers, and may benefit from earlier and more targeted screening.” 

Knowledge is power 

To understand how common these genes are in affected families, the scientists collected data on 3,472 people who had undergone testing in Estonia between 2007 and 2023. Most of these people had been referred because their family members had breast or ovarian cancer, and doctors suspected a possible hereditary link.  

“Early identification of carriers allows individuals to access tailored risk management strategies,” explained Tooming. “These include enhanced surveillance, such as earlier and more frequent breast imaging, and in some cases, consideration of risk-reducing options. For high-risk variants such as BRCA1 and BRCA2, this may involve prophylactic surgery. However, such decisions are highly individual and should always be made in the context of genetic counselling, taking into account personal risk, age, and preferences.” 

Of the 3,472 people who received testing, 87.6% were women, and 12.4% were men. The mean age at testing was 41, ten years younger than Estonia’s standard cancer screening age, but 78.6% of people tested were even younger. Alarmingly, people under 30 were most likely to test positive for pathogenic variants. However, the detection of dangerous variants in people over 71, when standard screening usually ends, indicates that continued attention is necessary for older patients too. 

19.7% of the participants tested positive for pathogenic variants, a much larger proportion than would be expected in the general population. 23 different variants were identified, but almost 59% of those detected were accounted for by BRCA1 or BRCA2 variants.  

Just under a third of the participants had a family member carrying a known variant, and of this group, 41.8% carried a relevant variant themselves. Among the remaining two-thirds, 8% carried pathogenic variants. Male participants were unlikely to get tested if there were no known pathogenic variants in the family, but a third of them tested positive for at least one. 

“The results support earlier genetic risk assessment rather than simply lowering screening age thresholds,” said Tooming. “They also strongly support broader and more systematic genetic testing among relatives, particularly when a familial pathogenic variant is identified. The relatively high detection rate we observed, including among individuals without a previously known familial variant, suggests that broader access to multigene panel testing could improve identification of at-risk individuals.” 

Known unknowns 

The scientists point out that changes in the quality and accessibility of testing over time could affect their findings. Only three people were tested in 2007, while 731 underwent testing in 2023. An analysis of the data also showed that more pathogenic variants were identified after 2015, when next-generation sequencing became readily available. This means that many patients whose variants would be identified today may have been missed in earlier years. More research is also needed to understand the prevalence of high-risk variants in other populations. 

“Genetic testing and earlier risk assessment in families affected by breast and ovarian cancer can inform healthcare policy and guide the implementation of preventive programs,” said Tooming. “In the future, we would like to see population-based screening approaches beyond family-history criteria, strategies to improve male participation in genetic testing, and experimental work aimed at understanding the biological and clinical impact of less common or moderate-risk pathogenic variants.” 

 

Violence against women brings forward the onset of the menopause and exacerbates its symptoms



University of Granada

Nicolás Mendoza 

image: 

Nicolás Mendoza, Professor of Obstetrics and Gynaecology at the University of Granada and principal investigator of the study.

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Credit: University Of Granada






The research, published in the journal Maturitas, links trauma experienced to the onset of the menopause up to 20 months earlier and an increase in hot flushes, depression and cardiometabolic health problems

A study by the Department of Obstetrics and Gynaecology at the University of Granada has revealed that exposure to violence against women throughout life has lasting effects that extend into middle age. The research, published in Maturitas, the journal with the highest impact in this field, shows that women who have experienced violence suffer more severe menopausal symptoms and may reach the menopause up to 20 months earlier than those without such a history. The study notes that for every woman who dies as a result of violence, more than 400 suffer serious disabilities, the after-effects of which are often confused with or exacerbated by the menopause.

Analysis of the scientific evidence consistently indicates that women who are victims of any form of violence experience more pronounced menopausal symptoms. These include more intense and frequent hot flushes and night sweats (vasomotor symptoms), as well as a higher prevalence of anxiety, depression, insomnia and post-traumatic stress disorder (PTSD) in terms of psychological health. In the sexual and urogenital sphere, there is an increase in vaginal dryness, pain during sexual intercourse (dyspareunia) and urinary problems, particularly following episodes of sexual violence.

An advance of up to 20 months

One of the study’s most notable findings is the link between violence and an earlier onset of the menopause. Women exposed to trauma may reach this stage up to 20 months earlier than those without such a history, which increases the risk of premature ovarian failure (POF).

A history of violence is also associated with systemic health problems in later life. In the cardiometabolic sphere, the risk of hypertension, diabetes and metabolic syndrome increases, mediated by chronic stress and inflammatory processes. In terms of bone health, the risk of osteoporosis and fractures rises. There are also greater reports of memory problems and difficulties with attention in cognitive health, linked to dysregulation of the stress axis and neuroinflammation.

Biological mechanisms and the hidden burden of morbidity

The research indicates that the mechanisms behind these effects include dysregulation of the hypothalamic-pituitary-adrenal axis and epigenetic changes caused by traumatic stress. These factors contribute to a lower quality of life in postmenopausal women across the somatic, psychological and sexual domains, creating a ‘hidden burden’ of morbidity.

The authors note that ‘violence against women is a critical public health issue whose effects persist for decades after the assault’, and therefore emphasise the urgent need to implement a trauma-informed care model in clinics specialising in midlife and menopause. This involves ensuring privacy, carrying out proactive screening for sexually transmitted infections and cervical cancer, and creating integrated care pathways linking gynaecology with mental health, internal medicine and pelvic floor physiotherapy.

 

e-BOCCHI: A school-based program to reduce loneliness and improve help-seeking among adolescents




University of Tsukuba






Tsukuba, Japan—Adolescents experiencing social isolation or loneliness are at increased risk of developing mental health problems, highlighting the need for preventive interventions before these challenges worsen. However, relatively few psychoeducational programs specifically address isolation and loneliness among adolescents, with most existing interventions focusing on individualized support.

To address this gap, the researchers developed e-BOCCHI, a school-based psychoeducational program designed to increase awareness of the diverse experiences of "being alone" while preventing social isolation and loneliness. Following implementation among second-year junior high school students, participants demonstrated statistically significant reductions in depressive symptoms and improvements in help-seeking skills compared with baseline. Although mean loneliness and self-esteem scores showed modest improvement, these changes were not statistically significant. Overall, the findings suggest that e-BOCCHI may promote cognitive reframing of "being alone," often viewed negatively, and strengthen adaptive interpersonal skills and help-seeking behaviors.

The findings also suggest that the program may encourage both individual cognitive and behavioral change but also collective reflection on attitudes toward "being alone." Future studies using more rigorous experimental designs are needed to establish the program's causal effects and long-term effectiveness.

###
This work was supported by JST RISTEX "SOLVE for SDGs: Preventing Social Isolation & Loneliness and Creating Diversified Social Networks," Japan [grant number JPMJRX21K2].

 

Original Paper

Title of original paper:
Preliminary evaluation of a psychoeducational program for adolescents targeting loneliness and social isolation

Journal:
Journal of Behavioral and Cognitive Therapy

DOI:
10.1016/j.jbct.2026.100614

Correspondence

Visiting Professor TACHIKAWA, Hirokazu
Institute of Medicine, University of Tsukuba

Assistant Professor KUSHIBIKI, Natsuho
Graduate School of Health Sciences, Hirosaki University

Professor AIBA, Miyuki
Faculty of Human Sciences, Toyo Gakuen University

Related Link

Institute of Medicine