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Public Support for Regulating the Public                           259

               measured by congressional hearings). Whether there is or is not a direct
               link, in all likelihood, depends on the issue. Obviously, if the public does
               not care about an issue, then little public pressure exists to prompt legisla-
               tive  action.  Also,  an  upstream  remedy  that  provides  small  benefits  for
               many at the cost of a few is unlikely to see the light of day (Wilson, 1980).

                  Influencing What the Public Believes

                  The second goal of media advocacy is to influence how people think
               about an issue (Figure 9.1, Link “f”). This is typically labeled as either sec-
               ond-level agenda setting or framing. Two different approaches are typically
               used to influence how people think about an issue: specific attribute mes-
               sages and general issue framing. First, attention may be drawn to specific
               attributes about a social issue and away from other attributes (McCombs et
               al., 1997; Weaver, 2007). The intention of focusing on specific attributes is
               to educate the public about important, persuasive characteristics that can
               influence beliefs about an issue. For example, second-level agenda setting
               might emphasize the compassionate characteristics of street-level drug us-
               ers (e.g., poor, undereducated, children of addicts) in order to shape prefer-
               ences for addict reform rather than punishment.
                  Another approach often used to influence public beliefs about a social
               change issue is to focus on a central theme or frame. The frame is used to
               organize the information individuals have about an issue or object, giving
               it a simple meaning (McCombs, 2005). Rather than focus on specific at-
               tributes of the issue, a more general framing is used as a rallying call to
               take action. For example, the “truth” campaign focused antismoking ef-
               forts on the theme of ending corporate lies and manipulation. The cam-
               paign used some specific health attribute messages but did so within the
               empowering framing of ending the manipulation and taking control.
               These communicated meanings are then intertwined with a person’s exist-
               ing attitude toward the social change issue related to the upstream
               remedy.
                  Empirical experiments and survey evidence in the agenda-setting litera-
               ture suggest that if individuals are exposed to stimuli (such as mass media)
               that emphasize specific issue attributes, they will place more importance
               on those attributes. The survey evidence shows correlations between the
               attributes reported in the media and the attributes that are most salient to
               media consumers (McCombs et al., 1997). In the experiments, subjects
               exposed to media stories emphasizing specific issue attributes assigned
               greater importance to those items (Rill & Davis, 2008). In the public-
               health media advocacy literature, there is a strong belief, based on case
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