MacKenzie Ross, Chapman Simon, Holding Simon, McGeechan Kevin
School of Public Health, University of Sydney 2006, Australia.
J R Soc Med. 2007 Nov;100(11):513-21. doi: 10.1177/014107680710001114.
Despite a near universal absence of evidence-based policies supporting population screening for prostate cancer, the prostate-specific antigen (PSA) test is aggressively promoted in the media as a life-saving form of screening. The objective of this study was to examine media coverage of prostate-cancer screening in Australia.
Frame analysis of all direct or attributed quotes about prostate cancer.
Australian capital city newspapers (February 2003-December 2006) and Sydney television news (January 2003-December 2006).
Quotes regarding prostate cancer screening: n=436 in newspapers and television news.
Seven rhetorical frames were identified. 86% of all quotes framed prostate screening and its outcomes as desirable, associating PSA testing as being consonant with other early-detection cancer-control messages. Adverse surgical sequelae to screening were often minimized, scientific progress highlighted and gender equity appeals appropriated. Those questioning screening were vilified, with epidemiology being framed as an inferior form of knowledge than clinical experience.
Australian men are exposed to unbalanced and often non-evidence-based appeals to seek PSA testing. There is a disturbing lack of effort to redress this imbalance.
尽管几乎普遍缺乏支持对前列腺癌进行人群筛查的循证政策，但前列腺特异性抗原（PSA）检测仍在媒体上被大力宣传为一种救命的筛查方式。本研究的目的是调查澳大利亚媒体对前列腺癌筛查的报道情况。
对所有关于前列腺癌的直接或引述言论进行框架分析。
澳大利亚首都城市报纸（2003年2月至2006年12月）和悉尼电视新闻（2003年1月至2006年12月）。
关于前列腺癌筛查的言论：报纸和电视新闻中n = 436条。
确定了七个修辞框架。所有言论中有86%将前列腺筛查及其结果描述为理想的，将PSA检测与其他癌症早期检测控制信息联系起来。筛查的不良手术后遗症常常被淡化，强调科学进展，并采用性别平等呼吁。质疑筛查的人受到诋毁，流行病学被构建为比临床经验低等的知识形式。
澳大利亚男性接触到的是寻求PSA检测的不平衡且往往无循证依据的呼吁。令人不安的是，在纠正这种不平衡方面缺乏努力。
