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This heterogeneity contributed to large confidence intervals for our estimated rate ratios.
Together, this approach led to a more valid estimation of the rate
of tobacco and alcohol portrayals adolescent males are exposed to per hour of
television watching than would have been achieved through older methods of television show
sampling. Similarly, a sample of adolescent girls would
likely produce a somewhat different sample of shows displaying potentially different rates
of tobacco and alcohol use. Additionally, shows appeared in our
sample that air on cable and are not included in broadcast
ratings (eg, SpongeBob SquarePants). That’s no easy task to accomplish as men and
women are just constructed differently no matter how complex we try to fight it.
Furthermore, adolescent males who identify strongly with characters on television are more likely to learn from the behaviors
modeled by those characters (21,22). Thus, the
fact that our subjects were largely watching characters who looked like them portraying
tobacco and alcohol use suggests that these exposures may be particularly
persuasive. First, the present results pertain to adolescent males
in Ohio and may not generalize to other samples. Indeed, although 11 of the top 20 shows in our sample were the
most-watched among both urban and rural participants in our study, re-drawing the
sample of television shows after stratifying on urban/rural status
would have led to different samples of shows.
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