Anhang Rebecca, Stryker Jo Ellen, Wright Thomas C, Goldie Sue J
Harvard Center for Risk Analysis, Harvard School of Public Health, 718 Huntington Avenue, Suite 2, Boston, MA 02115-5924, USA.
Cancer. 2004 Jan 15;100(2):308-14. doi: 10.1002/cncr.20006.
Now that human papillomavirus (HPV) DNA testing is being incorporated into cervical cancer screening programs, salient and accurate media information about HPV will be crucial to inform women's screening choices and to manage psychosocial responses to HPV DNA test results.
The authors conducted a content analysis of 111 news stories about HPV from the 10 most circulated newspapers and from 3 major television networks for the period from January 1995 through July 2002. Stories were assessed for predominant theme (STD, cancer, or new tests); information about symptoms, transmission, prevention, and cancer-causing properties of HPV; screening test descriptions; and recommended screening guidelines.
Thirty-six percent of stories primarily were about new tests for HPV or cervical cancer, 30% of stories focused on cervical cancer or its link to HPV, and 27% of stories emphasized sexually transmitted diseases (STDs) or genital warts. Seventy-nine percent of stories mentioned that HPV is an STD, and 50% of stories reported that HPV is very common. Twenty-six percent of stories reported that most women with HPV will not develop cervical carcinoma. Of 81 stories that mentioned a screening test for HPV or cervical carcinoma, 38% reported the sensitivity of the test; 30% mentioned wrong, uncertain, or unnecessary test results; and 25% mentioned consequences of such results.
Media coverage of HPV could better fulfill women's educational needs by including information about low-risk and high-risk types of HPV and their differing links to cervical cancer; describing HPV prevention, transmission, and symptoms; explaining the benefits and consequences of HPV testing; and outlining the latest screening guidelines in every story.
鉴于人乳头瘤病毒(HPV)DNA检测已被纳入宫颈癌筛查项目,有关HPV的显著且准确的媒体信息对于告知女性的筛查选择以及应对HPV DNA检测结果的心理社会反应至关重要。
作者对1995年1月至2002年7月期间10家发行量最大的报纸和3家主要电视网络上的111篇关于HPV的新闻报道进行了内容分析。评估报道的主要主题(性传播疾病、癌症或新检测方法);关于HPV的症状、传播、预防和致癌特性的信息;筛查检测描述;以及推荐的筛查指南。
36%的报道主要是关于HPV或宫颈癌的新检测方法,30%的报道聚焦于宫颈癌或其与HPV的联系,27%的报道强调性传播疾病(STD)或尖锐湿疣。79%的报道提到HPV是一种性传播疾病,50%的报道称HPV非常常见。26%的报道称大多数感染HPV的女性不会患宫颈癌。在81篇提及HPV或宫颈癌筛查检测的报道中,38%报道了检测的敏感性;30%提到了错误、不确定或不必要的检测结果;25%提到了此类结果的后果。
媒体对HPV的报道可以通过在每个报道中纳入以下信息来更好地满足女性的教育需求:低风险和高风险HPV类型及其与宫颈癌的不同联系;描述HPV的预防、传播和症状;解释HPV检测的益处和后果;以及概述最新的筛查指南。