Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts.
Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Am J Prev Med. 2017 Sep;53(3S1):S63-S72. doi: 10.1016/j.amepre.2017.03.025.
Young adulthood represents a time of myriad transitions, which leave young adults (YAs) more susceptible to the influences of cancer risk-promoting information. The tobacco, alcohol, indoor tanning, and food and beverage industries engage in aggressive marketing strategies through both traditional and social media to target this age group to consume their products, which have known links to cancer. Despite this barrage of messaging, detailed data are lacking on the communication behaviors of subgroups of this diverse age group, particularly those from low SES. This paper explores the available data on media usage among YAs and describes the cancer risk-promoting information environment, with a focus on communication inequalities and their implications for cancer research and control. Nationally representative data on media consumption patterns indicate that the majority of YAs access a diverse range of traditional and social media platforms, but these data do not fully describe differences at the intersection of age and important factors such as SES, gender, race/ethnicity, or urban/rural residence. Meanwhile, risk-promoting information is heavily marketed to YAs across media, with an increasing focus on using social media sites to normalize products and evade marketing restrictions. Gaps in the available data on YAs' media consumption behaviors, coupled with aggressive risk-promoting marketing strategies toward YAs, may impede cancer control efforts. Relationships between exposure to various cancer risk-promoting information, concurrent risk behaviors, SES disparities, and communication inequalities should be investigated to develop innovative and effective control programs and policies to promote cancer control in this important group.
成年早期是一个充满各种转变的时期，这使得年轻人更容易受到癌症风险促进信息的影响。烟草、酒精、室内晒黑、食品和饮料行业通过传统媒体和社交媒体采取积极的营销策略，针对这一年龄段的人群推销他们的产品，这些产品与癌症有已知的关联。尽管有大量的信息传递，但对于这个多样化年龄组的亚组的沟通行为，特别是那些来自低社会经济地位（SES）的亚组，详细数据仍然缺乏。本文探讨了关于年轻人媒体使用的现有数据，并描述了癌症风险促进信息环境，重点关注沟通不平等及其对癌症研究和控制的影响。关于媒体消费模式的全国代表性数据表明，大多数年轻人会使用各种传统和社交媒体平台，但这些数据并不能完全描述年龄和 SES、性别、种族/族裔或城乡居住等重要因素交叉点的差异。与此同时，风险促进信息在媒体上广泛针对年轻人进行营销，越来越注重利用社交媒体网站来使产品正常化，并规避营销限制。年轻人媒体消费行为的现有数据存在差距，再加上针对年轻人的积极风险促进营销策略，可能会阻碍癌症控制工作。应该调查接触各种癌症风险促进信息、同时存在的风险行为、SES 差距和沟通不平等之间的关系，以制定创新和有效的控制计划和政策，促进这一重要群体的癌症控制。
