Seale C
School of Social Sciences and Law, Brunel University, Uxbridge, Middlesex, UK.
Eur J Cancer Care (Engl). 2005 May;14(2):171-4. doi: 10.1111/j.1365-2354.2005.00544.x.
The objective of this study was to describe the messages about treatment decision-making on popular cancer web sites, with particular reference to gender differences. The two most popular UK based web sites for breast and prostate cancer were chosen. Qualitative and quantitative comparative content analysis of the two case study web sites were performed. Web site portrayals of treatment decision-making by men with prostate cancer emphasize the obligation to be decisive, using information derived from medical sources, with minimal consultation with families and friends. Portrayals of treatment decision-making by women with breast cancer emphasize their family obligations, their need to make decisions about matters other than treatment, their right to opt out of decision-making, to take time, sometimes change their minds, consult with families and friends, and thereby take non-medical factors into account. This study will help health care practitioners understand the different factors that men and women feel obliged to consider when making decisions about their cancer treatments, and the role of the Internet in reinforcing gender differences.
本研究的目的是描述热门癌症网站上有关治疗决策的信息,尤其关注性别差异。我们选择了英国最受欢迎的两个乳腺癌和前列腺癌网站。对这两个案例研究网站进行了定性和定量的比较内容分析。前列腺癌男性患者治疗决策的网站描述强调,要利用来自医学来源的信息果断决策,尽量少与家人和朋友商量。乳腺癌女性患者治疗决策的描述则强调她们的家庭责任、她们对治疗以外事项做决策的必要性、她们有权不参与决策、有权慢慢来、有时可以改变主意、与家人和朋友商量,从而将非医疗因素考虑在内。本研究将有助于医疗从业者了解男性和女性在决定癌症治疗方案时觉得必须考虑的不同因素,以及互联网在强化性别差异方面所起的作用。