De Brún Aoife, McCarthy Mary, McKenzie Kenneth, McGloin Aileen
a HRB Centre for Health & Diet Research , University College Cork and University College Dublin.
Health Commun. 2015;30(5):430-40. doi: 10.1080/10410236.2013.866390. Epub 2014 Jun 13.
This study examined the Irish media discourse on obesity by employing the Common Sense Model of Illness Representations. A media sample of 368 transcripts was compiled from newspaper articles (n = 346), radio discussions (n = 5), and online news articles (n = 17) on overweight and obesity from the years 2005, 2007, and 2009. Using the Common Sense Model and framing theory to guide the investigation, a thematic analysis was conducted on the media sample. Analysis revealed that the behavioral dimensions of diet and activity levels were the most commonly cited causes of and interventions in obesity. The advertising industry was blamed for obesity, and there were calls for increased government action to tackle the issue. Physical illness and psychological consequences of obesity were prevalent in the sample, and analysis revealed that the economy, regardless of its state, was blamed for obesity. These results are discussed in terms of expectations of audience understandings of the issue and the implications of these dominant portrayals and framings on public support for interventions. The article also outlines the value of a qualitative analytical framework that combines the Common Sense Model and framing theory in the investigation of illness narratives.
本研究采用疾病表征常识模型,对爱尔兰媒体关于肥胖问题的话语进行了考察。从2005年、2007年和2009年的报纸文章(n = 346)、广播讨论(n = 5)以及在线新闻文章(n = 17)中选取了368篇有关超重和肥胖的报道,组成了一个媒体样本。以疾病表征常识模型和框架理论为指导进行调查,对该媒体样本进行了主题分析。分析结果显示,饮食和活动水平的行为维度是肥胖问题最常被提及的成因和干预措施。广告行业被指责导致了肥胖,人们呼吁政府加大行动力度来解决这一问题。肥胖的身体疾病和心理后果在样本中普遍存在,分析还表明,无论经济状况如何,经济都被指责导致了肥胖。本文根据对受众对该问题理解的预期,以及这些主导性描述和框架对公众支持干预措施的影响,对这些结果进行了讨论。文章还概述了在疾病叙事研究中结合疾病表征常识模型和框架理论的定性分析框架的价值。