Tong Allison, Chapman Simon, Sainsbury Peter, Craig Jonathan C
NHMRC Centre for Clinical Research Excellence in Renal Medicine, Centre for Kidney Research, Children's Hospital at Westmead, Westmead, NSW, Australia.
Am J Kidney Dis. 2008 Jul;52(1):159-70. doi: 10.1053/j.ajkd.2008.02.304. Epub 2008 May 12.
News media raise public awareness about health and can influence public policy agenda. Recently, nephrologists have sought to make prevention and early detection of chronic kidney disease (CKD) a health care priority. We assessed the extent and manner in which Australian television news and newspapers cover CKD prevention or early detection. Electronic news databases for print media and television programs were searched (May 2005 to March 2007) for items referring to CKD prevention or early detection. We analyzed all relevant items for spokespeople, main news frame, focus of responsibility, proposed solutions, and trigger/reason for publication. Of 2,439 newspaper articles and 10,430 television broadcasts retrieved, only 214 articles (8.77%) and 7 broadcasts (0.06%) were eligible. Kidney transplantation dominated CKD-related news. Lay person or high-profile advocates were virtually absent. Risks of cardiovascular disease and mortality conferred by CKD were not emphasized by news reports; instead, CKD received peripheral mention as a secondary consequence of diabetes or obesity. Few reports cited the economic consequences of CKD. The media focused on lifestyle causes and solutions, whereas nonlifestyle causes and screening and prevention strategies were rarely mentioned. Kidney health professionals need to actively engage with the media in efforts to amplify desired messages on CKD prevention or early detection. Medical journals, research institutions, universities, hospitals, and advocacy groups should issue press releases that highlight newsworthy aspects of this topic. Extending news media coverage can help exert an influence on health policies and agenda setting and increase public awareness to improve prevention and early detection of CKD.
新闻媒体提高了公众对健康的认识,并能影响公共政策议程。最近,肾病学家一直试图将慢性肾脏病(CKD)的预防和早期检测作为医疗保健的重点。我们评估了澳大利亚电视新闻和报纸报道CKD预防或早期检测的程度和方式。搜索了印刷媒体和电视节目的电子新闻数据库(2005年5月至2007年3月),以查找提及CKD预防或早期检测的条目。我们分析了所有相关条目的发言人、主要新闻框架、责任焦点、提出的解决方案以及发布的触发因素/原因。在检索到的2439篇报纸文章和10430次电视广播中,只有214篇文章(8.77%)和7次广播(0.06%)符合条件。肾移植在与CKD相关的新闻中占主导地位。几乎没有普通民众或知名倡导者。新闻报道没有强调CKD导致的心血管疾病风险和死亡率;相反,CKD只是作为糖尿病或肥胖的次要后果被顺带提及。很少有报道提及CKD的经济后果。媒体关注生活方式原因及解决办法,而非生活方式原因以及筛查和预防策略很少被提及。肾脏健康专业人员需要积极与媒体合作,努力扩大关于CKD预防或早期检测的预期信息。医学期刊、研究机构、大学、医院和倡导团体应发布新闻稿,突出该主题有新闻价值的方面。扩大新闻媒体报道有助于对健康政策和议程设定施加影响,并提高公众意识,以改善CKD的预防和早期检测。