The University of Nottingham, UK.
De Montfort University, UK; Åbo Akademi University, Finland.
Health (London). 2018 Nov;22(6):521-540. doi: 10.1177/1363459317715777. Epub 2017 Jun 21.
The increase in infections resistant to the existing antimicrobial medicines has become a topic of concern for health professionals, policy makers and publics across the globe; however, among the public there is a sense that this is an issue beyond their control. Research has shown that the news media can have a significant role to play in the public's understanding of science and medicine. In this article, we respond to a call by research councils in the United Kingdom to study antibiotic or antimicrobial resistance as a social phenomenon by providing a linguistic analysis of reporting on this issue in the UK press. We combine transitivity analysis with a social representations framework to determine who and what the social actors are in discussions of antimicrobial resistance in the UK press (2010-2015), as well as which of those social actors are characterised as having agency in the processes around antimicrobial resistance. Findings show that antibiotics and the infections they are designed to treat are instilled with agency, that there is a tension between allocating responsibility to either doctors-as-prescribers or patients-as-users and collectivisation of the general public as an unspecified 'we': marginalising livestock farming and pharmaceutical industry responsibilities.
抗现有抗菌药物感染的增加已成为全球卫生专业人员、政策制定者和公众关注的话题;然而,公众有一种感觉,认为这是一个他们无法控制的问题。研究表明,新闻媒体可以在公众对科学和医学的理解中发挥重要作用。在本文中,我们回应了英国研究理事会的呼吁,将抗生素或抗微生物药物耐药性作为一种社会现象进行研究,通过对英国媒体对这一问题的报道进行语言学分析来进行回应。我们将及物性分析与社会表征框架相结合,以确定在英国媒体(2010-2015 年)对抗微生物药物耐药性的讨论中谁和什么是社会行为者,以及在抗微生物药物耐药性的过程中,哪些社会行为者被赋予了代理权。研究结果表明,抗生素及其设计用于治疗的感染被赋予了代理权,将责任分配给医生作为处方者或患者作为使用者之间存在紧张关系,将公众作为一个未具体说明的“我们”进行集体化:边缘化了畜牧业和制药业的责任。