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Journal of Health Communication: International Perspectives

ABSTRACTS

Volume 8, Supplement
June 2003


Vol. 8, Supplement: Contents | Editorial | Abstracts


Background on the Special Issue
    MAY G. KENNEDY A1

A1 Special Issue Guest Editor, Centers for Disease Control and Prevention, Office of Communication, Atlanta, Georgia, USA

This article does not have an abstract.

Best Practices in Public Health Risk and Crisis Communication
     VINCENT T. COVELLO A1

A1 Director, Center for Risk Communication, New York, New York, USA

This article does not have an abstract.

Electronic Journal Publishing in the Age of Bioterrorism: How Fast is Fast?
     POLYXENI POTTER A1

A1 Managing Editor, Emerging Infectious Diseases, Atlanta, Georgia, USA

This article does not have an abstract.

Communication Lessons Learned in the Emergency Operations Center During CDC's Anthrax Response: A Commentary
     MARSHA L. VANDERFORD A1

A1 Centers for Disease Control and Prevention, National Center for Environment Health, Office of Communication, Atlanta, Georgia, USA

This article does not have an abstract.

Communicating in Times of Uncertainty: The Need for Trust
     DAVID A. SHORE A1

A1 Associate Dean and Director, The Public's Health: A Matter of Trust Initiative, Harvard University, School of Public Health, Boston, Massachusetts, USA

This article does not have an abstract.

The Anthrax Attacks in New York City: The "Giuliani Press Conference Model" and Other Communication Strategies That Helped
     SANDRA MULLIN A1

A1 Associate Commissioner, Director of Communications, NYC Department of Health and Mental Hygiene, New York, New York, USA

This article does not have an abstract.

Uncertain Science and Certain Deadlines: CDC Responses to the Media During the Anthrax Attacks of 2001
     SUSAN J. ROBINSON A1, WENDY C. NEWSTETTER A1

A1 Georgia Institute of Technology, Atlanta, Georgia, USA

This paper presents a study in which communication personnel for the U.S. Centers for Disease Control and Prevention (CDC) provided first-hand accounts of the experience of responding to media inquiries during the 2001 anthrax attacks. In-depth interviews were conducted with 19 communication professionals who worked either at the CDC headquarters in Atlanta or at field locations in the U.S. where persons were exposed to anthrax. The interviews sought CDC staff viewpoints on how the CDC handled a historically unprecedented level of press activity in terms of work locations and equipment, information flow and clearance, and staff roles. Staff reported that the situation led to new work practices, tools for performing the work, and an enhanced understanding of what it takes to be prepared for and to handle communication work during a terrorism-related health crisis. The paper provides a discussion of implications of the findings for CDC and for other public health organizations developing systems for communication response during health-related crises.

Communication Monitoring: Shaping CDC's Emergency Risk Communication Efforts
     CHRISTINE E. PRUE A1 , CHERYL LACKEY A1 , LISA SWENARSKI A1 , JUDY M. GANTT A1

A1 Centers for Disease Control and Prevention, Atlanta, Georgia, USA

CDC develops and delivers health messages for a variety of audiences, including the public, health care professionals, public health researchers and practitioners, and policy makers. News media outlets--because of their broad reach and potential to influence knowledge, attitudes, and behaviors--are major channels for disseminating messages to these audiences. CDC has routinely monitored news outlets to identify message/information gaps and opportunities. The 9/11 terrorist attacks and the anthrax incidents that followed required CDC to transform its media monitoring system into a broader communication monitoring system, with both listening and telling functions, to support CDC's public health emergency response.

Communicating Anthrax in 2001: A Comparison of CDC Information and Print Media Accounts
     FELICIA MEBANE A1, SARAH TEMIN A1, CLAUDIA F. PARVANTA A2

A1 Department of Health Policy and Administration, University of North Carolina at Chapel Hill School of Public Health, Chapel Hill, North Carolina, USA
A2 Division of Health Communication, Office of Communication, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Information about anthrax released by news media from October 4 to December 3, 2001, was identified, sampled, coded, and compared with information released by CDC during that period using statistical analysis. In addition, communications about two anthrax-related issues were examined in depth. The quantitative analysis showed that, overall, CDC information releases and news coverage tracked fairly closely. When weight was defined as number of mentions, both sources gave the same weight to reports of risk for the population. The news sample gave roughly half the weight as CDC to who was exposed, how people were exposed, and what role antibiotics play in preventing anthrax. The samples were widely divergent (CDC high, news sample low) for public health precautions and other details. The in-depth, qualitative analysis showed that some reporters misinterpreted information provided by CDC, but they responded to requests to clarify the issue. The findings of this study suggest ways to improve future crisis communication efforts and demonstrate how differing methods of analysis can yield substantially different conclusions.

Using Opinion Surveys to Track the Public's Response to a Bioterrorist Attack
     ROBERT J. BLENDON A1, JOHN M. BENSON A1, CATHERINE M. DESROCHES A1, KATHLEEN J. WELDON A1

A1 Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA

To communicate effectively with the public during an emergency, health officials need to find out in real time what Americans know and believe, whom they trust, and what actions they are taking in response to the crisis. Short-duration surveys can provide vital information to guide public officials in their response to events and their communication efforts. Prior research has shown that such surveys, when statistically re-weighted, can offer timely results without unacceptable risk of bias. Using examples from public opinion surveys during the anthrax attacks of 2001, this article examines the role such surveys can play during a public health crisis.

Public Perceptions of Information Sources Concerning Bioterrorism Before and After Anthrax Attacks: An Analysis of National Survey Data
     WILLIAM E. POLLARD A1

A1 Centers for Disease Control and Prevention, Atlanta, Georgia, USA

This study examined data from six national surveys before and after the bioterrorist anthrax attacks in the fall of 2001. Public perceptions of information sources regarding bioterrorism were examined. The findings highlighted the importance of local television and radio and of cable and network news channels as information sources. The findings also showed the importance of national and local health officials as spokespersons in the event of bioterrorist incidents. Periodic surveys of public attitudes provide important, timely information for understanding audiences in communication planning.

Leave No One Behind: Improving Health and Risk Communication Through Attention to Literacy
     RIMA E. RUDD A1, JOHN P. COMINGS A2, JAMES N. HYDE A3

A1 Harvard School of Public Health, Boston, Massachusetts, USA
A2 Harvard Graduate School of Education, Cambridge, Massachusetts, USA
A3 Tufts University School of Medicine, Boston, Massachusetts, USA

Twice in recent times, the federal government mailed critical health-related information to every household in the United States. The mailings, the 1988 brochure Understanding AIDS and the 2001 postcard A Message to Americans, were designed to provide the general public with important information about needed action. This paper compares the development process undertaken for each mailing. The authors assess content and format in light of communication principles and the functional literacy skills of average adults. The authors, noting that the reading grade level of the postcard exceeds the reading ability of the average adult, recommend that plain language guidelines be combined with health and risk communication principles in all future efforts to alert the public.

Health Literacy: Essential for Health Communication
     RUTH M. PARKER A1, JULIE A. GAZMARARIAN A2

A1 Emory University School of Medicine, Atlanta, Georgia, USA
A2 Rollins School of Public Health, Emory University, Atlanta, Georgia, USA

This article does not have an abstract.

Elaborating a Definition of Health Literacy: A Commentary
     CHRISTINA ZARCADOOLAS A1, ANDREW PLEASANT A2, DAVID S. GREER A3

A1 Center for Environmental Studies, Brown University, USA
A2 Department of Communications, Cornell University, Ithaca, New York, USA
A3 Dean of Medicine Emeritus, Brown University School of Medicine, USA

This article does not have an abstract.

Questions About Hypotheticals and Details in Reporting on Anthrax
     KATHLEEN HALL JAMIESON A1, KELLI LAMMIE A1, CLARE WARDLE A1, SUSAN KRUTT A1

A1 University of Pennsylvania, Annenberg School, Philadelphia, Pennsylvania, USA

This article does not have an abstract.

Mass Media, Public Health, and Achieving Health Literacy
     J. GREGORY PAYNE A1, SKYE K. SCHULTE A2

A1 Director, Center for Ethics in Political and Health Communication, Emerson College, Boston, Massachusetts, USA
A2 Director of Lead Action, Tufts University, Boston, Massachusetts, USA

This article does not have an abstract.

Surviving a Public Health Crisis: Tips for Communicators
     KAY GOLAN A1

A1 Director, Centers for Disease Control and Prevention Media Relations, 1998-2002

This article does not have an abstract.

How the CDC is Meeting the Training Demands of Emergency Risk Communication
     JUDITH COURTNEY A1, GALEN COLE A1, BARBARA REYNOLDS A1

A1 Centers for Disease Control and Prevention, Office of Communication, Atlanta, Georgia, USA

This article does not have an abstract.

Optimistic Bias and Perceptions of Bioterrorism in Michigan Corporate Spokespersons, Fall 2001
     CHARLES T. SALMON A1, HYUN SOON PARK A1, BRENDA J. WRIGLEY A1

A1 College of Communication Arts and Sciences, Michigan State University, East Lansing, Michigan, USA

The notion that individuals believe that they are more likely than others to experience positive events and avoid negative ones is a well-documented phenomenon in the combined literatures of social psychology and health communication. The current study focuses on Michigan corporate spokespersons' perceptions of their company's risk and potential for optimistic bias. Beginning on September 10, 2001, and continuing through October 2001, telephone surveys were conducted by a professional survey research firm to assess spokespersons' awareness of and preparedness for a bioterrorism attack at their corporation, as well as to ascertain perceived self-risk relative to that of other, similar corporations. The results offer evidence of a robust optimistic bias, and provide an unusually timely snapshot of levels of corporate awareness of bioterrorism during a critical period of time in which the U.S. experienced its first anthrax attack.

Communication During Public Health Emergencies
     JEFFREY P. KOPLAN A1

A1 Emory University, USA

This article does not have an abstract.

Bioterrorism Risk Communication Policy
     PETER M. SANDMAN A1

A1 Risk Communication Consultant, Princeton, New Jersey, USA

This article does not have an abstract.

Epilogue to the Special Issue on Anthrax
    VICKI FREIMUTH A1

A1 Director, Centers for Disease Control and Prevention, Office of Communication, Atlanta, Georgia, USA.

This article does not have an abstract.