Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Moderating Effects of Media Exposure on Associations between Socioeconomic Position and Cancer Worry

  • Jung, Minsoo (Department of Health Science, Dongduk Women's University) ;
  • Chan, Carina Ka Yee (Jeffrey Cheah School of Medicine & Health Sciences, Monash University, Malaysia, Australian Catholic University) ;
  • Viswanath, Kasisomayajula (Center for Community-Based Research, Dana- Farber Cancer Institute)
  • Published : 2014.07.30
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Abstract

Reducing fear of cancer is significant in developing cancer screening interventions, but the levels of fear may vary depending on the degrees of media exposure as well as individuals' socioeconomic positions (SEP). However, few studies have examined how the SEP influences the fear of cancer under the moderating process of general and specific forms of media exposure. We investigated the moderating effect of media exposure on the relationship between SEP and the level of fear of cancer by assuming that cancer knowledge is a covariate between those two. In particular, this study examined how exposure to both general and specific media changes the series of processes from SEP to fear of cancer. We conducted path analyses with three types of media - television, radio and the Internet- using data from a health communication survey of 613 adults in Massachusetts in the United States. We found that SEP influences cancer knowledge directly and fear of cancer indirectly, as moderated by the level of media exposure. Health-specific exposure, however, had a more consistent effect than general media exposure in lowering the fear of cancer by increasing knowledge about cancer. A higher level of health-specific exposure and greater amount of cancer knowledge lessened the fear of cancer. In addition, the more people were exposed to health information on television and the Internet, the lower the level of fear of cancer as a result. These findings indicate a relationship between SEP and fear of cancer, as moderated by the level and type of media exposure. Furthermore, the findings suggest that for early detection or cancer prevention strategies, health communication approaches through mass media need to be considered.

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References

  1. Ackerson LK, Viswanath K (2010). Media attention and public perceptions of cancer and eastern equine encephalitis. J Commun Health, 35, 409-16. https://doi.org/10.1007/s10900-010-9257-2
  2. Al-Sharbatti SS, Shaikh RB, Mathew E, Salman Al-Biate MA (2013). Breast self-examination practice and breast cancer risk perception among female university students in Ajman. Asian Pac J Cancer Prev, 14, 4919-23. https://doi.org/10.7314/APJCP.2013.14.8.4919
  3. Andersson H, Lundborg P (2007). Perception of own death risk. J Risk Uncertain, 34, 67-84. https://doi.org/10.1007/s11166-006-9004-3
  4. Brewer NT, Chapman GB, Gibbons FX et al (2007). Metaanalysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychology, 26, 136-45. https://doi.org/10.1037/0278-6133.26.2.136
  5. Cameron LD (2008). Illness risk representations and motivations to engage in protective behavior: The case of skin cancer risk. Psychology and Health, 23, 91-112. https://doi.org/10.1080/14768320701342383
  6. Dudo AD, Dahlstrom MF, Brossard D (2007). Reporting a potential pandemic-A risk-related assessment of avian influenza coverage in US newspapers. Science Communication, 28, 429-54. https://doi.org/10.1177/1075547007302211
  7. Frost K, Frank E, Maibach E (1997). Relative risk in the news media: A quantification of misrepresentation. Am J Pub Health, 87, 842-5. https://doi.org/10.2105/AJPH.87.5.842
  8. Galarce EM, Ramanadhan S, Weeks J, Schneider EC, Gray SW, Viswanath K. (2011). Class, race, ethnicity and information needs in post-treatment cancer patients. Patient Educ Counsel, 85, 432-9. https://doi.org/10.1016/j.pec.2011.01.030
  9. Gu C, Chan CW, He GP, Choi KC, Yang SB (2013). Chinese women's motivation to receive future screening: The role of social-demographic factors, knowledge and risk perception of cervical cancer. Eur J Oncol Nurs, 17, 154-61. https://doi.org/10.1016/j.ejon.2012.04.005
  10. Hay JL, Coups EJ, Ford JS (2006). Predictors of perceived risk for colon cancer in a national probability sample in the United States. J Health Commun, 11, 71-92. https://doi.org/10.1080/10810730600637376
  11. Hornik R (2002). Public health communication: Making sense of contradictory evidence. In R Hornik (Ed.), Public health communication: evidence for behavior change (pp. 1-19). New York, NY: Lawrence Erlbaum.
  12. Jung M (2014). Associations of self-rated health and socioeconomic status with information seeking and avoiding behavior among post- treatment cancer patients. Asian Pac J Cancer Prev, 15, 2231-8. https://doi.org/10.7314/APJCP.2014.15.5.2231
  13. Jung M (2013). Cancer control and the communication innovation in South Korea: implications for cancer disparities. Asian Pac J Cancer Prev, 14, 3411-7. https://doi.org/10.7314/APJCP.2013.14.6.3411
  14. Katapodi MC, Lee KA, Facione NC, Dodd MJ (2004). Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: a meta-analytic review. Preventive Medicine, 38, 388-402. https://doi.org/10.1016/j.ypmed.2003.11.012
  15. Kellens W, Zaalberg R, De Maeyer P (2012). The informed society: an analysis of the public's information-seeking behavior regarding coastal flood risks. Risk Analysis, 32, 1369-81. https://doi.org/10.1111/j.1539-6924.2011.01743.x
  16. Kim SH, Willis LA (2007). Talking about obesity: News framing of who is responsible for causing and fixing the problem. J Health Commun, 12, 359-76. https://doi.org/10.1080/10810730701326051
  17. Lemal M, Van den Bulck J (2009). Television news exposure is related to fear of breast cancer. Prev Med, 48, 189-92. https://doi.org/10.1016/j.ypmed.2008.11.011
  18. Lemal M, Van den Bulck J (2010). Television news coverage about cervical cancer: impact on female viewers' vulnerability perceptions and fear. Eur J Pub Health, 21, 381-6.
  19. McQueen A, Vernon SW, Meissner HI, Rakowski W (2008). Risk perceptions and worry about cancer: does gender make a difference? J Health Commun, 13, 56-79. https://doi.org/10.1080/10810730701807076
  20. Menashe CL, Siegel M (1998). The power of a frame: An analysis of newspaper coverage of tobacco issues-United States, 1985-1996. J Health Commun, 3, 307-25. https://doi.org/10.1080/108107398127139
  21. Montgomery GH, Erblich J, DiLorenzo T, Bovbjerg DH (2003). Family and friends with disease: their impact on perceived risk. Preventive Medicine, 37, 242-9. https://doi.org/10.1016/S0091-7435(03)00120-8
  22. Pribble JM, Goldstein KM, Fowler EF, Greenberg MJ, Noel SK, Howell JD (2006). Medical news for the public to use? What's on local TV news. Am J Managed Care, 12, 170-6.
  23. Ramanadhan S, Viswanath K (2006). Health and the information nonseeker: a profile. Health Communications, 20, 131-9. https://doi.org/10.1207/s15327027hc2002_4
  24. Reese SD, Gandy OH, Grant AE (Eds.). (2001). Framing public life: Perspectives on media and our understanding of the social world. Mahwah, NJ: Lawrence Erlbaum Associates.
  25. Rodgers S, Thorson E (2001). The reporting of crime and violence in the Los Angeles Times: Is there a public health perspective? J Health Commun, 6, 169-182. https://doi.org/10.1080/10810730120636
  26. Saleh A, Kong YH, Vengu N, Badrudeen H, Zain RB, Cheong SC (2014). Dentists' perception of the role they play in early detection of oral cancer. Asian Pac J Cancer Prev, 15, 229-37. https://doi.org/10.7314/APJCP.2014.15.1.229
  27. Scheufele DA (1999). Framing theory of media effects. J Commun, 49, 103-122. https://doi.org/10.1111/j.1460-2466.1999.tb02784.x
  28. Schnur JB, DiLorenzo TA, Montgomery GH, Erblich J, Winkel G, Hall SJ, Bovbjerg DH (2006). Perceived risk and worry about prostate cancer: a proposed conceptual model. Behav Med, 32, 89-96. https://doi.org/10.3200/BMED.32.3.89-96
  29. Schroy III PC, Glick JT, Robinson PA, Lydotes MA, Evans SR, Emmons KM (2008). Has the surge in media attention increased public awareness about colorectal cancer and screening? J Commun Health, 33, 1-9. https://doi.org/10.1007/s10900-007-9065-5
  30. Schwitzer G, Mudur G, Henry D, Wilson A, Simbra M, Sweet M et al. (2005). What are the roles and responsibilities of the media in disseminating health information? PLoS Medicine, 2, 215. https://doi.org/10.1371/journal.pmed.0020215
  31. Vernon SW, Vogel VG, Halabi S, Bondy ML (1993). Factors associated with perceived risk of breast cancer among women attending a screening program. Breast Cancer Res Treat, 28, 137-44. https://doi.org/10.1007/BF00666426
  32. Viswanath K (2005). The communications revolution and cancer control. Nature Reviews Cancer, 5, 828-35. https://doi.org/10.1038/nrc1718
  33. Viswanath K (2006). Public communications and its role in reducing and eliminating health disparities. In GE Thomson, F Mitchell, MB Williams (Eds.), Examining the health disparities research plan of the national institutes of health: unfinished business (pp. 215-53). Washington, DC: Institute of Medicine.
  34. Viswanath K, Finnegan JR (2002). Communication health campaigns and secular trends: insights from the Minnesota Heart Health Program and Community Trials in Heart Disease Prevention. In R Hornik (Ed.), Public health communication: evidence for behavior change. New York, NY: Lawrence Erlbaum.
  35. Viswanath K, Breen N, Meissner H, Moser RP, Hesse B, Steele WR et al. (2006). Cancer knowledge and disparities in the information age. J Health Commun, 11, 1-17.
  36. Viswanath K, Flynt-Wallington S, Blake KD (2009). Media effects and population health. In R Nabi, MB Oliver (Eds.), The SAGE Handbook of Media Processes And Effects (pp. 313-29). Thousand Oaks, CA: Sage.
  37. Viswanath K, Ramanadhan S, Kontos EZ (2007) Mass media and population health: a macrosocial view. In S Galea (Ed.), Macrosocial determinants of population health (pp. 275-94). New York, NY: Springer.
  38. Wakefield MA, Loken B, Hornkik RC (2010). Use of mass media campaigns to change health behavior. Lancet, 376, 1261-71. https://doi.org/10.1016/S0140-6736(10)60809-4
  39. Wilcox S, Stefanick ML (1999). Knowledge and perceived risk of major diseases in middle-aged and older women. Health Psychology, 18, 346-53. https://doi.org/10.1037/0278-6133.18.4.346
  40. Williams DR, Kontos EZ, Viswanath K, et al (2012). Integrating multiple social statuses in health disparities research: the case of lung cancer. Health Service Res, 47, 1255-77. https://doi.org/10.1111/j.1475-6773.2012.01404.x
  41. Witte K, Allen M (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Educ Behav, 27, 591-615. https://doi.org/10.1177/109019810002700506

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