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为乳腺 X 光筛查设定年龄门槛的正当性:语用-辩证论证理论的应用。

Justifying age thresholds for mammographic screening: an application of pragma-dialectical argumentation theory.

机构信息

Institute of Communication and Health, University of Lugano, Switzerland.

出版信息

Health Commun. 2012;27(2):167-78. doi: 10.1080/10410236.2011.571758. Epub 2011 Aug 8.

DOI:10.1080/10410236.2011.571758
PMID:21823968
Abstract

Information campaigns on breast cancer screening in the Netherlands need to convince women above 50 years of age to have biannual mammography, and women below 50 years of age that regular mammograms are not recommended for them. This article reports the results of two experiments in which the construction of the persuasive messages was informed by argumentation-theoretical insights. No differences were found between either statistical and anecdotal evidence or gain- and loss-framing in the attempt to convince women under 50 that they normally do not need regular mammography. A striking contrast emerged, however, between the overwhelming acceptance of breast cancer screening for women above 50 and the relative restraint and reluctance to consent that mammography is usually not recommended for women under 50. The reluctance to accept that regular mammography is not recommended for women under 50 is traced back to ego involvement.

摘要

荷兰的乳腺癌筛查信息宣传活动需要说服 50 岁以上的女性每两年进行一次乳房 X 光检查,说服 50 岁以下的女性定期乳房 X 光检查不适合她们。本文报告了两项实验的结果,这些实验的说服性信息的构建是基于论证理论的见解。在试图说服 50 岁以下的女性,她们通常不需要定期进行乳房 X 光检查时,无论是使用统计证据和轶事证据还是采用收益和损失框架,都没有发现差异。然而,50 岁以上的女性压倒性地接受乳腺癌筛查,而相对地,50 岁以下的女性对接受不建议常规进行乳房 X 光检查的态度则表现出犹豫和不情愿,这两者之间形成了鲜明的对比。这种不情愿接受不建议 50 岁以下女性进行常规乳房 X 光检查的态度,可以追溯到自我卷入。

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Justifying age thresholds for mammographic screening: an application of pragma-dialectical argumentation theory.为乳腺 X 光筛查设定年龄门槛的正当性:语用-辩证论证理论的应用。
Health Commun. 2012;27(2):167-78. doi: 10.1080/10410236.2011.571758. Epub 2011 Aug 8.
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Investigating young women's motivations to engage in early mammography screening in Switzerland: results of a cross-sectional study.调查瑞士年轻女性进行早期乳房X光检查的动机:一项横断面研究的结果。
BMC Cancer. 2017 Mar 21;17(1):209. doi: 10.1186/s12885-017-3180-1.
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The promise and prospects of argumentation for public health communication.公共卫生传播中论证的前景与展望。
J Public Health Res. 2015 Apr 2;4(1):547. doi: 10.4081/jphr.2015.547. eCollection 2015 Feb 20.