Webster Karielle, Knight Holly, Morling Joanne R
Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK.
NIHR Nottingham Biomedical Research Centre (BRC), Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham NG7 2UH, UK.
J Public Health (Oxf). 2025 May 29;47(2):309-316. doi: 10.1093/pubmed/fdae314.
Alcohol misuse is linked to numerous health and socioeconomic harms. Edutainment and docutainment television programmes can act as health promotion tools, influencing health perceptions and behaviours. Inaccurate portrayals can engender misinformation. Limited research has assessed alcohol-related illnesses and prevention in edutainment/docutainment, with none examining British medical documentaries.
A quantitative content analysis assessed the portrayal of alcohol-related attendances (ARAs), behaviours, and prevention in the series 24 hours in A&E. Main series episodes broadcast 2011-2022, depicting ARAs, were coded. Descriptive statistics and a Fisher's exact were then undertaken.
ARAs featured 38 patients in 23 episodes (8.3% episodes total). Significantly more ARA episodes were broadcast from 2011 to 2016 than 2017-2022 (P = 0.002). ARAs were mainly portrayed in males (63.2%), young adults (73.7%) and White ethnic groups (78.9%). Binge drinking and pubs/bar/nightclubs/'nights out' were the main behaviours and settings depicted. ARAs encompassed predominantly accidents/injuries (72.7%). Prevention featured infrequently (15.8% patients) and involved secondary (50.0%) or tertiary prevention (50.0%) for alcohol-use disorders (AUDs).
ARAs were under-portrayed. While prevention portrayals and demographics were largely consistent with reality, ethnic minority groups, AUDs and chronic alcohol-related illnesses were underrepresented. Binge drinking and night-time economy settings were over-portrayed. Inaccurate depictions could lead to misperceptions of alcohol-related health harms.
酒精滥用与众多健康和社会经济危害相关。教育娱乐和纪实娱乐电视节目可作为健康促进工具，影响健康认知和行为。不准确的描述可能产生错误信息。关于教育娱乐/纪实娱乐中酒精相关疾病及预防的研究有限，且尚无研究考察英国医学纪录片。
一项定量内容分析评估了《急症室的24小时》系列节目中酒精相关就诊情况（ARA）、行为及预防的呈现。对2011年至2022年播出的主要系列剧集中描绘ARA的情节进行编码。然后进行描述性统计和费舍尔精确检验。
23集节目中有38例患者出现ARA（占总集数的8.3%）。2011年至2016年播出的ARA情节显著多于2017年至2022年（P = 0.002）。ARA主要出现在男性（63.2%）、年轻人（73.7%）和白人种族群体（78.9%）中。酗酒以及酒吧/夜店/外出狂欢是主要描绘的行为和场景。ARA主要包括事故/伤害（72.7%）。预防措施很少出现（15.8%的患者），且涉及酒精使用障碍（AUD）的二级预防（50.0%）或三级预防（50.0%）。
ARA的呈现不足。虽然预防措施的呈现和人口统计学特征在很大程度上与现实相符，但少数族裔群体、AUD和慢性酒精相关疾病的呈现不足。酗酒和夜间经济场景的呈现过多。不准确的描述可能导致对酒精相关健康危害的误解。
