School of Journalism and Mass Communications, University of South Carolina, 800 Sumter Street, Columbia, SC, 29208, USA.
J Racial Ethn Health Disparities. 2020 Dec;7(6):1059-1070. doi: 10.1007/s40615-020-00729-3. Epub 2020 Mar 20.
Prior research suggests that cancer information obtained from Korean American community media, which are the primary health information sources among the population, does not connect to Korean Americans' increased cancer knowledge or cancer protective/detective behavior. We aim to identify the reason by analyzing cancer type, cancer control continuum, and cancer topic presented in Korean American community newspapers. The nationality of news source, US and Korea, and its association with the cancer coverage were examined. We found that among articles that cited any source, nearly one third used a source from Korea. The source nationality was associated with cancer coverage. In particular, cancer risk factors and screening were more likely to be discussed when a US source was cited as compared to when no source was cited. Korean sources were never or rarely observed in articles focusing on a few cancer sites (e.g., breast and prostate, which Korean Americans have higher risks compared to native Koreans), cancer preventive behaviors (diet, physical activity, no smoking), and specific cancer detection methods (mammogram, pap-smear). We suggest Korean American media to reflect the cancer priority and information needs among Korean Americans, which are varied from native Koreans, and to acknowledge the differences in cancer prevention and detection guidelines between the U.S. and Korean healthcare system. Also, the U.S. government should disseminate cancer screening and prevention guidelines, customized to racial/ethnic groups' cancer prevalence and communication preference.
先前的研究表明，美国韩国人社区媒体（这是该人群主要的健康信息来源）提供的癌症信息与美国韩国人癌症知识的增加或癌症预防/检测行为并无关联。我们旨在通过分析美国韩国人社区报纸中呈现的癌症类型、癌症控制连续体和癌症主题来找出原因。我们研究了新闻来源的国籍（美国和韩国）及其与癌症报道的关联。我们发现，在所引用的文章中，近三分之一的文章引用了来自韩国的消息来源。消息来源的国籍与癌症报道有关。特别是，当引用美国来源时，更有可能讨论癌症风险因素和筛查，而当没有引用来源时则不太可能。在聚焦于少数几个癌症部位（例如乳腺癌和前列腺癌，美国韩国人患这些癌症的风险高于韩国本土人）、癌症预防行为（饮食、体育活动、不吸烟）和特定癌症检测方法（乳房 X 光检查、巴氏涂片检查）的文章中，从未或很少观察到来自韩国的消息来源。我们建议美国韩国人媒体反映美国韩国人不同的癌症优先事项和信息需求，这些需求与韩国本土人不同，同时承认美国和韩国医疗体系在癌症预防和检测指南方面的差异。此外，美国政府应针对不同种族/族裔群体的癌症发病率和沟通偏好，传播定制的癌症筛查和预防指南。
