Minsun Shim

Cancer Information Scanning and Seeking Behavior is Associated with Knowledge, Lifestyle Choices, and Screening

Previous research on cancer information focused on active seeking, neglecting information gathered through routine media use or conversation (“scanning”). It is hypothesized that both scanning and active seeking influence knowledge, prevention, and screening decisions. This study uses Health Information National Trends Survey (HINTS, 2003) data to describe cancer-related scanning and seeking behavior (SSB) and assess its relationship with knowledge, lifestyle behavior, and screening. Scanning was operationalized as the amount of attention paid to health topics, and seeking was defined as looking for cancer information in the past year. The resulting typology included 41% low-scan/no-seekers; 30% high-scan/no-seekers; 10% low-scan/seekers, and 19% high-scan/seekers. Both scanning and seeking were significantly associated with knowledge about cancer (B=.36; B=.34) and lifestyle choices that may prevent cancer (B=.15; B=.16) in multivariate analyses. Both scanning and seeking were associated with colonoscopy (OR = 1.38, for scanning and OR=1.44, for seeking) and with prostate cancer screening (OR=4.53, scanning; OR=10.01, seeking). Scanning was significantly associated with recent mammography (OR=1.46), but seeking was not. Individuals who scan or seek cancer information are those who acquire knowledge, adopt healthy lifestyle behaviors, and get screened for cancer. Causal claims about these associations await further research.

Connecting internet use with gaps in cancer knowledge.

This study applies the knowledge gap hypothesis to the specific domain of Internet use for cancer information. In particular, this study examines disparities in online information seeking by education and ethnicity, and subsequent gaps in cancer knowledge. Perceived risk of cancer and ease of connection to the Internet are concerned as contingent factors influencing knowledge gaps. A subsample of the 2003 Health Information National Trends Survey—those who have ever been online—was analyzed. Data supported the hypothesis that high education groups and White Americans were more likely to use the Internet for cancer information than were their counterparts, and online information seeking enlarged to some degree the cancer knowledge gaps between education groups. Perceived cancer risk had a weak but significant three-way interaction effect with ethnicity and online seeking on cancer knowledge, which suggests the importance of motivation in attenuating the knowledge gaps. The moderating role of ease of connection to the Internet was not supported. Discussion about the findings and further suggestions are offered.

Outrage factors in government press releases of food risk and their influence on news media coverage

An appropriate level of risk perception should be a critical issue in modern “risk society.” There have been many studies on the influences on risk perception. This study investigates whether risk communication scholar Dr. Peter Sandmans outrage factors intensify journalistic attention to health risks from food consumption. A content analysis of a health institutions press releases was conducted to examine 15 outrage factors of food risks conveyed in the governmental risk communication. In addition, the news stories covering the food risks informed by the press releases were calculated to evaluate the relation between outrage factors of a risk and the number of news stories covering the risk. Results showed that controllability was the most salient outrage factor, followed by trust, voluntariness, familiarity, and human origin; the greater the outrage score of a risk, the more news stories of the risk. For individual outrage factors, a risk with an implication of catastrophic potential was associated with an increase of news stories. Food providers’ distrustful behaviors also influenced journalistic attention to the food risks. The implication of the findings to health message designers is discussed.

Cancer Risk Factors in Korean News Media: a Content Analysis

BACKGROUND Little is known about the news coverage of cancer risk factors in Korea. This study aimed to examine how the news media encompasses a wide array of content regarding cancer risk factors and related cancer sites, and investigate whether news coverage of cancer risk factors is congruent with the actual prevalence of the disease. MATERIALS AND METHODS A content analysis was conducted on 1,138 news stories covered during a 5-year period between 2008 and 2012. The news stories were selected from nationally representative media in Korea. Information was collected about cancer risk factors and cancer sites. RESULTS Of various cancer risk factors, occupational and environmental exposures appeared most frequently in the news. Breast cancer was mentioned the most in relation to cancer sites. Breast, cervical, prostate, and skin cancer were overrepresented in the media in comparison to incidence and mortality cases, whereas lung, thyroid, liver, and stomach cancer were underrepresented. CONCLUSIONS To our knowledge, this research is the first investigation dealing with news coverage about cancer risk factors in Korea. The study findings show occupational and environmental exposures are emphasized more than personal lifestyle factors; further, more prevalent cancers in developed countries have greater media coverage, not reflecting the realities of the disease. The findings may help health journalists and other health storytellers to develop effective ways to communicate cancer risk factors.

Familial Risk Cues in Direct-to-Consumer Prescription Drug Advertisements: Impacts on Intentions to Adopt Healthy Lifestyles and Pharmaceutical Choices

This study assessed the effects of cues of family history as a risk factor in direct-to-consumer advertisements. An experiment with a sample of 395 adults found significant impacts of familial risk cues on self-efficacy and behavioral intentions. Specifically, familial risk cues strengthened both intention to engage in healthy lifestyles and intention to seek advertised medications, partly through enhanced efficacy. Effects on perceived genetic risk for health conditions or belief in genetic determinism were not found. The findings suggest that familial risk cues incorporated in pharmaceutical appeals can enhance behavioral intentions in response to risk, without increasing a sense of fatalism. Theoretical and practical implications of the study are discussed.

Cognitive and affective risk perceptions toward food safety outbreaks: mediating the relation between news use and food consumption intention

Much research on risk perception and health behavior has examined cognitive dimensions of risk but not affective dimensions. To address this gap, this study examines both cognitive risk perception (perceived risk of susceptibility and severity) and affective risk perception (worry) in the context of food safety risks in East Asia. We investigate their roles in independently and jointly predicting intention to consume outbreak-associated food products, as well as mediating the influences of news exposure and attention on intention. Data from a nationwide survey in South Korea (N = 1500) lent overall support for our hypotheses in both cases of processed food from China and seafood from Japan. Our findings show: (1) both perceived risk and worry were negatively associated with food consumption intention, and the association between perceived risk and intention was stronger among those higher in worry; (2) news attention had stronger associations with perceived risk and worry than news exposure, and attention moderated the relationship between news exposure and perceived risk; and (3) perceived risk and worry mediated the associations between news use and food consumption intention. Implications and limitations of the findings are discussed.

News Portrayal of Cancer: Content Analysis of Threat and Efficacy by Cancer Type and Comparison with Incidence and Mortality in Korea

How the news media cover cancer may have profound significance for cancer prevention and control; however, little is known about the actual content of cancer news coverage in Korea. This research thus aimed to examine news portrayal of specific cancer types with respect to threat and efficacy, and to investigate whether news portrayal corresponds to actual cancer statistics. A content analysis of 1,138 cancer news stories was conducted, using a representative sample from 23 news outlets (television, newspapers, and other news media) in Korea over a 5-year period from 2008 to 2012. Cancer incidence and mortality rates were obtained from the Korean Statistical Information Service. Results suggest that threat was most prominent in news stories on pancreatic cancer (with 87% of the articles containing threat information with specific details), followed by liver (80%) and lung cancers (70%), and least in stomach cancer (41%). Efficacy information with details was conveyed most often in articles on colorectal (54%), skin (54%), and liver (50%) cancers, and least in thyroid cancer (17%). In terms of discrepancies between news portrayal and actual statistics, the threat of pancreatic and liver cancers was overreported, whereas the threat of stomach and prostate cancers was underreported. Efficacy information regarding cervical and colorectal cancers was overrepresented in the news relative to cancer statistics; efficacy of lung and thyroid cancers was underreported. Findings provide important implications for medical professionals to understand news information about particular cancers as a basis for public (mis)perception, and to communicate effectively about cancer risk with the public and patients.

Communication Competence, Psychological Well-Being, and the Mediating Role of Coping Efforts Among Women With Breast Cancer: Cross-Sectional and Longitudinal Evidence

Despite existing research identifying psychological benefits of patients’ interpersonal competence in various contexts, little longitudinal research has addressed underlying mechanism(s). To address this limitation, we examined both the cross-sectional and longitudinal associations between cancer patients’ communication competence in close relationships and psychological well-being, as well as the mediating role of coping efforts. Data came from a larger project with women with breast cancer (N = 661), recruited from April 2005 to May 2007 at three large university-affiliated cancer centers in the U.S. to study the effects of an Internet-based system providing patients and families with a range of services. The present study focused on survey data at baseline, 6 weeks, and 12 weeks after the intervention (controlling for the possible effects of the intervention). Results from both cross-sectional and longitudinal analyses indicated that competence in open communication between patients and their close support persons had a positive association with patients’ psychological well-being and that approach coping efforts partially mediated this association. We discussed the implications and limitations of the study.

Factors Affecting the “Locus of Responsibility” in Cancer News: Focusing on the Role of Health Journalists’ Medical Expertise in South Korea

This study is to investigate the ways news articles portray the “locus of responsibility” (LOR) for cancer causes and solutions and to identify factors associated with the different LOR frames in cancer news. This study specifically focused on health journalists’ medical expertise. There were more cancer news with personal LOR frames; professional medical journalists were more likely than general journalists to write cancer stories with personal LOR frames in both cause and solution cancer news; and, however, news organizations without professional medical journalists used more personal LOR frames than those with professional medical journalists, particularly in cause-related cancer news.

What Factors Impact Consumer Perception of the Effectiveness of Health Information Sites? An Investigation of the Korean National Health Information Portal

Lay publics concerns around health and health information are increasing. In response, governments and government agencies are establishing websites to address such concerns and improve health literacy by providing better access to validated health information. Since 2011, the Korean government has constructed the National Health Information Portal (NHIP) website run in collaboration with the Korean Academy of Medical Sciences (KAMS). This study therefore aimed to 1) examine consumer use of NHIP, with respect to the usage patterns, evaluation on health information provided, and perceived effectiveness of the site; and 2) identify factors that may impact perceived effectiveness of the site. An online survey was conducted with 164 NHIP users, recruited through a popup window on the main screen of the portal website from October to November 2015. The significant predicting factors supported by the data include the relevance of health information on the site, the usefulness of information in making health decisions, and the effective visualization of information. These factors can inform future efforts to design more effective health information websites, possibly based on metadata systems, to further advance the lay publics information seeking and health literacy.