Department of Pharmacy, University of Copenhagen, Universitetsparken 2, 2100, Copenhagen, Denmark.
Res Social Adm Pharm. 2018 Jul;14(7):638-644. doi: 10.1016/j.sapharm.2017.07.011. Epub 2017 Aug 2.
The news media has become a major source of health information for the public, and hence vital in the individuals' opinions and decisions about health topics. The first decrease in the usage of antidepressants in Denmark in over a decade happened alongside an intensive period of media coverage about antidepressants.
The aim of this study was to examine the Danish media's coverage of antidepressants during 2010-2011 in order to explore what influence it could have had on the change in the use of antidepressants.
Three media theoretical concepts, agenda-setting, priming and framing, were used to explain the media influence with regard to which subject the public should think about, which criteria the public should judge the subject by, and how the public should think about the subject. All articles about antidepressants in the main Danish Internet newspapers from 2010-2011 were analyzed via quantitative and qualitative content analyses. The quantitative analysis was used to determine agenda-setting (number of articles) and, by coding articles, how priming was used in the descriptions of antidepressants. In the qualitative analysis, all articles were analyzed and condensed to determine which frames were used.
Quantitative results: 271 articles were included. Agenda-setting was shown by a marked increase in the number of articles about antidepressants. Eight main codes were identified, with the negatively-associated side effects being the major one, thereby priming the public to use side effects as a criterion when judging antidepressants. Qualitative results: Two main frames were identified: 1) economic profits vs. medicine safety, and 2) the necessity of antidepressants. Both frames presented a critical view on antidepressants.
It is believed that the media's agenda-setting, priming and framing of antidepressants led the public to have a more skeptical view on antidepressants, which may have probably contributed to a decrease in the usage of antidepressants.
新闻媒体已成为公众获取健康信息的主要来源，因此对于个人对健康主题的看法和决策至关重要。丹麦十年来首次减少抗抑郁药的使用与媒体对抗抑郁药进行密集报道的时期相吻合。
本研究旨在考察丹麦媒体在 2010-2011 年期间对抗抑郁药的报道，以探讨其对抗抑郁药使用变化可能产生的影响。
使用议程设置、启动和框架三个媒体理论概念来解释媒体的影响力，即公众应该考虑哪些主题，公众应该用哪些标准来判断主题，以及公众应该如何看待主题。通过对 2010-2011 年丹麦主要网络报纸上的所有关于抗抑郁药的文章进行定量和定性内容分析。定量分析用于确定议程设置（文章数量），并通过对文章进行编码来确定抗抑郁药描述中如何使用启动。在定性分析中，对所有文章进行分析和浓缩，以确定使用了哪些框架。
定量结果：共纳入 271 篇文章。议程设置显示出关于抗抑郁药的文章数量显著增加。确定了 8 个主要的代码，其中与副作用相关的负面关联是主要的，从而启动公众使用副作用作为判断抗抑郁药的标准。定性结果：确定了两个主要框架：1）经济利润与药物安全的对比，2）抗抑郁药的必要性。这两个框架都对抗抑郁药提出了批判观点。
据信，媒体对抗抑郁药的议程设置、启动和框架使公众对抗抑郁药持更怀疑的态度，这可能导致抗抑郁药使用量的减少。
