Hesse Bradford W, Moser Richard P, Rutten Lila J Finney, Kreps Gary L
National Cancer Institute, Bethesda, Maryland, USA.
J Health Commun. 2006;11 Suppl 1:vii-xvi. doi: 10.1080/10810730600692553.
The decades surrounding the turn of the millennium will be remembered as a time of extraordinary opportunity in cancer communication. In 1990, the number of age-adjusted deaths due to cancer in the U.S. population began a slow steady decline after a century of disparaging increase. Reasons for this decline have been attributed to long-awaited successes in primary prevention, especially related to tobacco, and early detection for cervical, breast, prostate, and colorectal cancers, as well as advances in treatment. This was also a time of unparalleled change in the cancer communication environment. Scientific health discoveries escalated with the completion of the Human Genome project in 2003, and penetration of the Internet made health information available directly to consumers. To seize the opportunity afforded by these changes, the National Cancer Institute (NCI) launched the Health Information National Trends Survey (HINTS). Fielded for the first time in 2003, the HINTS is a nationally representative, general population survey of noninstitutionalized adults in the United States 18 years and older. This supplement contains a compilation of original research conducted using the data generated by the first administration of the HINTS telephone interviews. Covering topics in cancer knowledge, cancer cognition, risk perception, and information seeking, the articles represent an interdisciplinary view of cancer communication at the turn of the millennium and offer insight into the road ahead.
千年之交前后的几十年将被铭记为癌症传播领域机遇非凡的时期。1990年,在美国人口中,经过年龄调整的癌症死亡人数在经历了一个世纪令人沮丧的增长之后开始缓慢而稳定地下降。这种下降的原因被归因于一级预防方面期待已久的成功,尤其是与烟草相关的预防,以及宫颈癌、乳腺癌、前列腺癌和结直肠癌的早期检测,还有治疗方面的进展。这也是癌症传播环境发生空前变化的时期。随着2003年人类基因组计划的完成,科学健康发现急剧增加,互联网的普及使健康信息能够直接提供给消费者。为了抓住这些变化带来的机遇,美国国家癌症研究所(NCI)发起了健康信息国家趋势调查(HINTS)。HINTS于2003年首次开展,是一项针对美国18岁及以上非机构化成年人的具有全国代表性的普通人群调查。本增刊汇集了利用HINTS首次电话访谈所产生的数据进行的原创研究。这些文章涵盖了癌症知识、癌症认知、风险感知和信息寻求等主题,代表了千年之交癌症传播的跨学科观点,并为未来的道路提供了见解。