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“神奇疗法”还是“液体手铐”:澳大利亚平面媒体对纳曲酮和美沙酮的报道

'Miracle cure' or 'liquid handcuffs': reporting on naltrexone and methadone in the Australian print media.

作者信息

Matthew-Simmons Francis, Ritter Alison

机构信息

Drug Policy Modelling Program, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.

出版信息

Drug Alcohol Rev. 2014 Sep;33(5):506-14. doi: 10.1111/dar.12134. Epub 2014 Mar 18.

Abstract

INTRODUCTION AND AIMS

The news media is an important source of information regarding new developments in medicine and public health interventions. Previous research has indicated that in many cases, reporting on new treatments can be inaccurate or sensationalist. This paper presents analysis of Australian print media reporting on two treatment options for heroin dependence (naltrexone and methadone). The aim of this study was to quantitatively compare the volume and content of Australian print media reporting on these two treatments, one of which had a long history of use in Australia, and the other which was comparatively newer.

DESIGN AND METHODS

The study constituted a quantitative content analysis of a sample of 859 Australian newspaper articles, published over a 10-year period (1997-2007). Each article paragraph was coded for positive outcomes/benefits of treatment, as well as negative outcomes associated with treatment.

RESULTS

The analysis revealed that during this period, the Australian print media was significantly more likely to report the potential positive outcomes of naltrexone treatment, compared with the negative outcomes. In contrast, reporting on methadone focused more on the negative outcomes and side effects.

DISCUSSION AND CONCLUSIONS

The relative frequency by which the benefits of naltrexone were mentioned in this sample of news content is somewhat at odds with the extant efficacy and effectiveness research evidence. The findings suggest that reporting on these treatments in the Australian print media has not been balanced. This type of reporting has potential implications for public attitudes, as well as policy decisions.

摘要

引言与目的

新闻媒体是获取医学和公共卫生干预新进展信息的重要来源。此前的研究表明,在许多情况下,关于新疗法的报道可能不准确或带有轰动性。本文对澳大利亚平面媒体关于海洛因依赖的两种治疗方法(纳曲酮和美沙酮)的报道进行了分析。本研究的目的是定量比较澳大利亚平面媒体对这两种治疗方法的报道数量和内容,其中一种在澳大利亚有长期使用历史,另一种相对较新。

设计与方法

该研究对1997年至2007年这10年间发表的859篇澳大利亚报纸文章样本进行了定量内容分析。每篇文章段落都针对治疗的积极结果/益处以及与治疗相关的消极结果进行编码。

结果

分析显示,在此期间,与消极结果相比,澳大利亚平面媒体更有可能报道纳曲酮治疗的潜在积极结果。相比之下,关于美沙酮的报道更多地关注消极结果和副作用。

讨论与结论

在这个新闻内容样本中提及纳曲酮益处的相对频率与现有的疗效和有效性研究证据有些不一致。研究结果表明,澳大利亚平面媒体对这些治疗方法的报道并不平衡。这种类型的报道对公众态度以及政策决策可能产生影响。

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