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呈现另一种视角:加拿大平面媒体中的癌症与补充替代医学

Presenting the alternative: cancer and complementary and alternative medicine in the Canadian print media.

作者信息

Weeks Laura, Verhoef Marja, Scott Catherine

机构信息

Department of Community Health Sciences, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, Canada.

出版信息

Support Care Cancer. 2007 Aug;15(8):931-8. doi: 10.1007/s00520-007-0290-3. Epub 2007 Jul 12.

DOI:10.1007/s00520-007-0290-3
PMID:17624558
Abstract

GOALS OF WORK

Cancer patients repeatedly identify the mass media as a primary information source to support their decisions to use complementary and alternative medicine (CAM). Accordingly, the objectives of this research are to describe: (1) what has been reported in the Canadian print media regarding CAM treatment for cancer between January 1, 1990 and December 31, 2005; (2) how that information was represented; and (3) trends in reporting frequency and reporting characteristics.

MATERIALS AND METHODS

Content analysis of all articles published in four Canadian newspapers and five magazines that discussed CAM treatment for cancer.

MAIN RESULTS

915 articles were identified: 760 newspaper articles and 155 magazine articles. The CAM therapies most commonly described in media reports were: natural health products, CAM therapies in general, special diets, spirituality, and meditation. CAM therapies were most often described in a positive fashion, and CAM use was most often described as a potential cure for cancer. The majority of articles did not present information on the risks, benefits, and costs of CAM use and few provided a recommendation to speak with a health care provider before use.

CONCLUSIONS

The results correspond with the commercial interests of media outlets, as coverage appears to be focused around entertainment rather than information provision. The media play a role in introducing a range of treatment options to cancer patients that may not be discussed by conventional health care providers; however, the information provided in media articles appears insufficient to assist patients with informed decision-making.

摘要

工作目标

癌症患者多次将大众媒体视为支持他们使用补充和替代医学(CAM)决策的主要信息来源。因此,本研究的目的是描述:(1)1990年1月1日至2005年12月31日期间加拿大平面媒体上关于癌症CAM治疗的报道内容;(2)这些信息是如何呈现的;(3)报道频率和报道特征的趋势。

材料与方法

对加拿大四家报纸和五家杂志上发表的所有讨论癌症CAM治疗的文章进行内容分析。

主要结果

共识别出915篇文章:760篇报纸文章和155篇杂志文章。媒体报道中最常描述的CAM疗法有:天然健康产品、一般CAM疗法、特殊饮食、灵性和冥想。CAM疗法大多以积极的方式被描述,使用CAM疗法大多被描述为癌症的一种潜在治愈方法。大多数文章没有提供关于使用CAM的风险、益处和成本的信息,很少有文章建议在使用前咨询医疗保健提供者。

结论

结果与媒体机构的商业利益相符,因为报道似乎围绕娱乐而非信息提供。媒体在向癌症患者介绍一系列传统医疗保健提供者可能未讨论的治疗选择方面发挥了作用;然而,媒体文章中提供的信息似乎不足以帮助患者做出明智的决策。

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Support Care Cancer. 2006 Sep;14(9):885-9. doi: 10.1007/s00520-006-0068-z. Epub 2006 May 16.
2
Primum non nocere: does the current research publication system (or the lay press) harm our patients?首要原则是不伤害:当前的研究出版系统(或大众媒体)是否会对我们的患者造成伤害?
Am J Respir Crit Care Med. 2005 May 1;171(9):937-8. doi: 10.1164/rccm.2501005.
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Anecdotal obsessions? A comment on the use of anecdotes by the general media to support claims in CAM.
BMC Public Health. 2010 Mar 12;10:128. doi: 10.1186/1471-2458-10-128.
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Trick or treat? Australian newspaper portrayal of complementary and alternative medicine for the treatment of cancer.不给糖就捣蛋?澳大利亚报纸对用于癌症治疗的补充和替代医学的描述。
Support Care Cancer. 2011 Jan;19(1):67-80. doi: 10.1007/s00520-009-0790-4. Epub 2009 Nov 27.
5
Herbal remedy clinical trials in the media: a comparison with the coverage of conventional pharmaceuticals.媒体对草药疗法临床试验的报道:与传统药物报道的比较。
BMC Med. 2008 Nov 26;6:35. doi: 10.1186/1741-7015-6-35.
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How the public is being misled about complementary/alternative medicine.公众是如何在补充和替代医学方面受到误导的。
J R Soc Med. 2008 Nov;101(11):528-30. doi: 10.1258/jrsm.2008.080233.
7
Patient decision-making about complementary and alternative medicine in cancer management: context and process.癌症管理中关于补充和替代医学的患者决策:背景与过程。
Curr Oncol. 2008 Aug;15 Suppl 2(Suppl 2):s94-s100. doi: 10.3747/co.v15i0.280.
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Comprehensive analysis of cancer coverage in important Chinese newspapers between 2000 and 2007.2000年至2007年间中国重要报纸癌症报道的综合分析。
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