Noar Seth M, Willoughby Jessica Fitts, Myrick Jessica Gall, Brown Jennifer
a School of Journalism and Mass Communication , University of North Carolina at Chapel Hill.
Health Commun. 2014;29(5):445-61. doi: 10.1080/10410236.2013.764781. Epub 2013 Jul 11.
Announcements by public figures and celebrities about cancer diagnosis or death represent significant events in public life. But what are the substantive effects of such events, if any? The purpose of this article is to systematically review studies that examined the impact of public figure cancer announcements on cancer-oriented outcomes. Using comprehensive search procedures, we identified k = 19 studies that examined 11 distinct public figures. The most commonly studied public figures were Jade Goody, Kylie Minogue, Nancy Reagan, and Steve Jobs, with the most common cancers studied being breast (53%), cervical (21%), and pancreatic (21%) cancer. Most studies assessed multiple outcome variables, including behavioral outcomes (k = 15), media coverage (k = 10), information seeking (k = 8), cancer incidence (k = 3), and interpersonal communication (k = 2). Results fairly consistently indicated that cancer announcements from public figures had meaningful effects on many, if not most, of these outcome variables. While such events essentially act as naturally occurring interventions, the effects tend to be relatively short term. Gaps in this literature include few contemporary studies of high-profile public figures in the United States and a general lack of theory-based research. Directions for future research as well as implications for cancer communication and prevention are discussed.
公众人物和名人宣布患癌或去世是公众生活中的重大事件。但此类事件若有实质影响,具体是什么呢?本文旨在系统回顾研究公众人物患癌宣布对癌症相关结果影响的研究。通过全面的检索程序,我们确定了19项研究,这些研究涉及11位不同的公众人物。研究最多的公众人物是杰德·古迪、凯莉·米洛、南希·里根和史蒂夫·乔布斯,研究最多的癌症类型是乳腺癌(53%)、宫颈癌(21%)和胰腺癌(21%)。大多数研究评估了多个结果变量,包括行为结果(15项)、媒体报道(10项)、信息寻求(8项)、癌症发病率(3项)和人际沟通(2项)。结果相当一致地表明,公众人物的患癌宣布对许多(即便不是大多数)这些结果变量都有显著影响。虽然此类事件本质上相当于自然发生的干预措施,但其影响往往相对较为短暂。该文献存在的不足包括美国对知名公众人物的当代研究较少,以及普遍缺乏基于理论的研究。本文还讨论了未来研究方向以及对癌症传播与预防的启示。