Influence at the Intersection of Social Media and Celebrity

Background Celebrities can have substantial influence as medical advisors. However, their impact on public health is equivocal: depending on the advice’s validity and applicability, celebrity engagements can benefit or hinder efforts to educate patients on evidence-based practices and improve their health literacy. This meta-narrative analysis synthesizes multiple disciplinary insights explaining the influence celebrities have on people’s health-related behaviors. Methods Systematic searches of electronic databases BusinessSource Complete, Communication & Mass Media Complete, Humanities Abstracts, ProQuest Political Science, PsycINFO, PubMed, and Sociology Abstracts were conducted. Retrieved articles were used to inform a conceptual analysis of the possible processes accounting for the substantial influence celebrities may have as medical advisors. Results Fourteen mechanisms of celebrity influence were identified. According to the economics literature, celebrities distinguish endorsed items from competitors and can catalyze herd behavior. Marketing studies tell us that celebrities’ characteristics are transferred to endorsed products, and that the most successful celebrity advisors are those viewed as credible, a perception they can create with their success. Neuroscience research supports these explanations, finding that celebrity endorsements activate brain regions involved in making positive associations, building trust and encoding memories. The psychology literature tells us that celebrity advice conditions people to react positively toward it. People are also inclined to follow celebrities if the advice matches their self-conceptions or if not following it would generate cognitive dissonance. Sociology explains how celebrities’ advice spreads through social networks, how their influence is a manifestation of people’s desire to acquire celebrities’ social capital, and how they affect the ways people acquire and interpret health information. Conclusion There are clear and deeply rooted biological, psychological and social processes that explain how celebrities influence people’s health behaviors. With a better understanding of this phenomenon, medical professionals can work to ensure that it is harnessed for good rather than abused for harm. Physicians can discuss with their patients the validity of celebrity advice and share more credible sources of health information. Public health practitioners can debunk celebrities offering unsubstantiated advice or receiving inappropriate financial compensation, and should collaborate with well-meaning celebrities, leveraging their influence to disseminate medical practices of demonstrated benefit. Electronic supplementary material The online version of this article (doi:10.1186/2049-3258-73-3) contains supplementary material, which is available to authorized users.

While social media influencers are gleaning increasing trust and investment from brands, advertisers, and followers, insights on the role of influencers in adolescents’ relationship formation and consumption behaviors are still rare. Drawing on the literatures of influencer content value, influencer credibility, parental mediation, and parasocial relationship (PSR), this study proposed a conceptual model that expounds the appeal of influencers among adolescents. To test the model, we administered an online survey – recruited in proportion to demographic quotas (i.e., age, gender and ethnicity) – among 500 United States adolescents (aged 10- to 19-years old) via Qualtrics panel. Results revealed that, the entertainment value of influencer-generated content, influencer expertise, trustworthiness, attractiveness, and followers’ perceived similarity to their favorite influencers, are positively related to the perceived PSR between adolescent followers and their favorite influencers, which in turn, are associated with adolescents’ materialistic views and purchase intentions. We also explored the role of parental mediation of adolescents’ social media use in their PSR with influencers. Results indicate that, neither active mediation nor restrictive mediation is related to the PSR between adolescents and influencers. Active mediation is negatively associated with adolescents’ materialism, whereas restrictive mediation is positively related to adolescents’ purchase intentions toward influencer-promoted products. This study proposed and tested a comprehensive conceptual model that accounts for the role of influencers in adolescent followers’ materialism and purchase intentions. This study yields three major theoretical contributions. First, it adopts and applies the concept of PSR from the literature of media psychology to explicate influencers’ appeal among adolescents, which lays a theoretical foundation for future research on the impact of influencers. Second, it advances the current literature on social media influencers by specifying key contributing factors for the development of adolescents’ PSR with influencers. Lastly, it explores the roles of the two facets of parental mediation – active and restrictive mediation – in the appeal of influencers among adolescents, which offers directions for future research of parental mediation in the influencer context.