Williamson J M L, Jones I H, Hocken D B
Department of Surgery, The Great Western Hospital, Swindon, UK.
Ann R Coll Surg Engl. 2011 Jan;93(1):9-12. doi: 10.1308/003588411X12851639106954. Epub 2010 Oct 8.
Knowledge and understanding of disease can influence time to presentation and potentially, therefore, cancer survival rates. The media is one of the most important sources of public health information and it influences the awareness and perception of cancer. It is not known if the reportage of cancer by the media is representative to the true incidence of disease.
The top 10 UK daily newspapers were assessed over a 1-year period for the 10 most common UK cancers via their on-line search facilities.
Of the 5832 articles identified, there was marked over-representation of breast, kidney and stomach cancer with ratios of prevalence to reporting of 1.4, 1.9 and 3.2 to 1, respectively. Colorectal, non-Hodgkin lymphoma, bladder and oesophageal cancers are all markedly under-represented with ratios of 0.4, 0.2, 0.6 and 0.4 to 1, respectively.
A policy of media advocacy by health professionals could enhance the information provided by the media and thus reflect the true extent of disease. A partnership between health professionals and journalists could result in articles that are relevant to the population, informative and in a style and format that is easily comprehendible. Targeted public health information could highlight the 'red-flag' symptoms and break down any stigma associated with cancer. This enhanced awareness could improve the health-seeking behaviour of the general population and reduce the delay from symptoms to diagnosis.
对疾病的认知和理解会影响就诊时间,进而可能影响癌症生存率。媒体是公共卫生信息的最重要来源之一,它影响着人们对癌症的认识和看法。目前尚不清楚媒体对癌症的报道是否代表了疾病的真实发病率。
通过在线搜索功能,对英国排名前十的日报在一年时间内关于英国最常见的十种癌症的报道进行评估。
在识别出的5832篇文章中,乳腺癌、肾癌和胃癌的报道明显过多,其患病率与报道率之比分别为1.4、1.9和3.2比1。结直肠癌、非霍奇金淋巴瘤、膀胱癌和食管癌的报道均明显过少,其比率分别为0.4、0.2、0.6和0.4比1。
卫生专业人员的媒体宣传政策可以增加媒体提供的信息,从而反映疾病的真实程度。卫生专业人员和记者之间的合作可以产生与民众相关、信息丰富且风格和形式易于理解的文章。有针对性的公共卫生信息可以突出“警示”症状,并消除与癌症相关的任何污名。这种提高的认识可以改善普通民众的就医行为,并减少从出现症状到诊断的延迟。