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Journal of Health Communication: International Perspectives

ABSTRACTS

Volume 8, Number 4
July-August 2003


Vol. 8, Num. 4: Contents | Editorial | Up Front | Abstracts


Articles Media and Marijuana: A Longitudinal Analysis of News Media Effects on Adolescents' Marijuana Use and Related Outcomes, 1977-1999
    JO ELLEN STRYKER A1

A1 The Harvard School of Public Health and Dana-Farber Cancer Institute, Boston, Massachusetts, USA

This study examined how aggregate levels of news coverage about marijuana have impacted adolescents' marijuana behavior generally, and through the intervening variables of personal disapproval and perceived harmfulness of marijuana, two variables that existing research has identified as significant predictors of adolescent marijuana use at the aggregate level. It was hypothesized that news coverage of reasons why people should not use marijuana would cause increase in aggregate marijuana abstinence, perceived harmfulness, and personal disapproval. Conversely, news coverage of positive aspects of marijuana use would cause decreases in marijuana abstinence, perceived harmfulness, and personal disapproval. Results of distributed lagged time-series regression and non-linear modeling offered support for two of the three proposed hypotheses. Aggregate media coverage explained a significant portion of the variation in adolescents' abstinence from marijuana use over time. It also explained a significant portion of the variation in personal disapproval of marijuana. Personal disapproval was found to partially mediate the relationship between media coverage and marijuana abstinence. Implications for the conceptualization of media effects on health behaviors are discussed.

Health Related Content in Prime-Time Television Programming
     CAROL BYRD-BREDBENNER A1, MARY FINCKENOR A2, DARLENE GRASSO A3

A1 Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
A2 Montclair State University, Upper Montclair, New Jersey, USA
A3 Montclair State University, Upper Montclair, New Jersey, USA

This study identified, content analyzed, and described the health-related content (HRC) presented in the top-ranked prime-time network programs for the age 2 to 11 year-old category. The results reveal that viewers see one HRC-containing scene approximately every four minutes. Foods and alcoholic beverages are frequently shown and consumed. Smoking, drug abuse, and promiscuous sex are relatively uncommon. In most scenes, the HRC is not directly related to the main point of the scene. The characters involved in HRC-containing scenes tend to be slender white men. In addition, many of the HRC-containing scenes portray negative health behaviors.

Stigmatizing Smokers: Public Sentiment Toward Cigarette Smoking and Its Relationship to Smoking Behaviors
     SEI-HILL KIM A1, James Shanahan A2

A1 Department of Communication Studies, Saint Mary's College, Notre Dame, Indiana, USA
A2 Department of Communication, Cornell University, Ithaca, New York, USA

Public sentiment in the United States has been evolving against cigarette smoking. Providing support for stronger tobacco control legislation, unfavorable public sentiment has contributed to the decrease in the size of the smoking population in this country. The present study hypothesizes that the unfavorable public sentiment may also discourage cigarette smoking by creating an unfavorable "smoking climate" in which smoking is socially rejected as a deviant behavior. Analyses of several secondary data-sets provided evidence that smoking rates are lower in the states where the public holds relatively unfavorable sentiment toward cigarette smoking. The relationship between public sentiment and smoking rates was significant even after controlling for the effects of state-level tobacco control measures, such as cigarette taxes and smoking restrictions in private workplaces and restaurants. We also found that smokers who have experienced unfavorable public sentiment are more willing to quit smoking than those who have not, supporting the hypothesized effects of antismoking public sentiment on smoking behaviors.

Stroke Knowledge and Barriers to Stroke Prevention Among African Americans: Implications for Health Communication
     CHARLOTTE A. PRATT A1, LOUISA HA A2, STEVEN R. LEVINE A3, CORNELIUS B. PRATT A4

A1 National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA
A2 Bowling Green State University, Bowling Green, Ohio, USA
A3 Mount Sinai School of Medicine, New York University, New York, New York, USA
A4 Michigan State University, East Lansing, Michigan, USA

Stroke is a major cause of death and disability, especially among African Americans. Yet research on stroke knowledge and barriers to stroke prevention among African Americans is limited. This study used a 50-item questionnaire to conduct structured telephone interviews with 379 African American adults, 50 years or older. The questionnaire included questions on stroke knowledge, stroke risk behaviors, and barriers to stroke prevention. A stroke knowledge score was computed by assigning points for correct responses on knowledge items. The average stroke knowledge score of participants was 10.9, out of a maximum possible score of 27. Stroke knowledge was significantly related to the presence of hypertension, heart disease, diabetes, and family history of stroke. College education was significantly associated with older respondents' stroke knowledge. Younger college-educated respondents had more knowledge about the risky behaviors that lead to stroke than those with less education. Respondents preferred hospitals to churches or senior centers for receiving stroke information and for learning about stroke from their physicians. Stress and poor financialstatus were most frequently reported as barriers to stroke prevention. These findings have implications for developing more effective strategies for educating African Americans about stroke prevention.

Order from Chaos: Organizational Aspects of Information, Education, and Communication (a Case Study from Mali)
     KRISS BARKER A1

A1 Population Media Center, Shelburne, Vermont, USA

This article does not have an abstract.