Ryan J. Hurley

Making Sense of Cancer News Coverage Trends: A Comparison of Three Comprehensive Content Analyses

Cancer stories (N = 5,327) in the top 50 U.S. newspapers were analyzed by a team of four coders and the results were compared with the earliest analyses of this type (from 1977 and 1980). Using cancer incidence rates as a comparison, three cancers were found to be consistently underreported (male reproductive, lymphatic/Hodgkins, and thyroid) and four cancers were found to be consistently overreported (breast, blood/Leukemia, pancreatic, and bone/muscle). In addition, cancer news coverage consistently has focused on treatment rather than on other aspects of the cancer continuum (e.g., prevention), portrayed lifestyle choices (e.g., diet, smoking) as the most common cancer risk factor, and rarely reported incidence or mortality data. Finally, the data were compatible with the idea that personalization bias (e.g., celebrity profiles, event coverage) may explain some news coverage distortions.

Conflicting stories about public scientific controversies: Effects of news convergence and divergence on scientists’ credibility

Surveys suggest that approximately one third of news consumers have encountered conflicting reports of the same information. News coverage of science is especially prone to conflict, but how news consumers perceive this situation is currently unknown. College students (N = 242) participated in a lab experiment where they were exposed to news coverage about one of two scientific controversies in the United States: dioxin in sewage sludge or the reintroduction of gray wolves to populated areas. Participants received (a) one news article (control), (b) two news articles that were consistent (convergent), or (c) two news articles that conflicted (divergent). The effects of divergence induced uncertainty differed by news story. Greater uncertainty was associated with increased scientists’ credibility ratings for those reading dioxin regulation articles and decreased scientists’ credibility ratings for those reading wolf reintroduction articles. Unlike other manifestations of uncertainty in scientific discourse, conflicting stories seem to generate effects that vary significantly by topic. Consistent with uncertainty management theory, uncertainty is embraced or rejected by situation.

Uncertain Terms: Message Features of Online Cancer News

About 113 million Americans have reported seeking health information online; however, little is known about the quality (or qualities) of the information being retrieved. Users have reported seeking information about health issues in an attempt to reduce negatively appraised uncertainties (Brashers, 2007), but less is known about the ability of the retrieved information to increase or produce unwanted uncertainty. A content analysis of online cancer news was conducted and suggests that 65% of Internet-based cancer news contains message features previously linked to the production of uncertainty (e.g., ambiguous or complex information). Though future research is required regarding uncertainty-related content and its effects, this project provides a foundation for such future endeavors.

Celebrity Influence and Identification: A Test of the Angelina Effect

Angelina Jolies announcement that she is a BRCA1 carrier and has had a prophylactic bilateral mastectomy was met with widespread support as well as speculation about its possible impact on the public. These speculations were the subject of a Time magazine cover story titled “The Angelina Effect” (Kluger et al., 2013). Although there is anecdotal evidence to support this hypothesized Angelina effect, empirical tests are lacking. To explore possible links between Angelinas announcement and public health, we surveyed 356 adults immediately after the announcement. Guided by a model of celebrity influence, the survey assessed participants’ demographics and health history, identification and parasocial interaction with Jolie, and genetic testing intentions. Results supported the models predictions and provided preliminary evidence of an Angelina effect.

Sources of the Uncertainty Experienced by Women With HPV

Women with genital human papillomavirus (HPV) experience considerable stress and uncertainty as a result of the diagnosis; however, little is known about the sources of uncertainty in HPV. Given that uncertainty creates stress, which might be linked to the pathogenesis of cervical cancer, research on these sources of uncertainty is warranted. To this end, we completed semistructured interviews with 25 women living with HPV, and identified seven sources of uncertainty: The meaning of the diagnosis, the potential for disease progression, finances, the source of the infection, disclosure, sex and reproduction, and the HPV vaccine. In the discussion we articulate the relevance and importance of study findings to research, theory, and practice.

Public Estimates of Cancer Frequency: Cancer Incidence Perceptions Mirror Distorted Media Depictions

Compared with incidence rates, certain cancers are over- or underrepresented in news coverage. Past content analytic research has consistently documented these news distortions, but no study has examined whether they are related to public perception of cancer incidence. Adults (N = 400) completed a survey with questions about perceived cancer incidence, news consumption, and attention to health news. Cancer incidence perceptions paralleled previously documented news distortions. Overrepresented cancers were overestimated (e.g., blood, head/brain) and underrepresented cancers were underestimated (e.g., male reproductive, lymphatic, thyroid, and bladder). Self-reported news consumption was related to perceptual distortions such that heavier consumers were more likely to demonstrate distorted perceptions of four cancers (bladder, blood, breast, and kidney). Distortions in risk perception and news coverage also mirrored discrepancies in federal funding for cancer research. Health care professionals, journalists, and the public should be educated about these distortions to reduce or mitigate potential negative effects on health behavior and decision making.

News Aggregation and Content Differences in Online Cancer News

Gatekeepers usually control news information. However, recent technological advancements might require rethinking previous gatekeeping hierarchies. Aggregation algorithms currently filter and present news information to millions of American Internet users daily. A content analysis demonstrates significant differences between health news content retrieved from Web sites that aggregate their articles from many sources (e.g., Google News), and those that focus on providing news from a limited number of sources (e.g., CNN.com). Explanations for these content differences are discussed, as are implications concerning health information seeking and Internet news consumption.

Online Cancer News: Trends Regarding Article Types, Specific Cancers, and the Cancer Continuum

The Internet is one of the fastest growing news sources for many worldwide (Pew Research Centers Project for Excellence in Journalism, 2011), and cancer news is one frequently consumed form of online health information (Google, Inc., 2007). This content analysis of online cancer news (n = 862) retrieved from the four most frequented news websites describes trends regarding specific cancers, stages in the cancer continuum, and types of news articles. In general, treatment information received the most attention in online cancer news. Breast cancer received the most attention of each specific cancer, followed by digestive and genitourinary cancers. Research reports and profiles of people (more than 60% of which were about celebrities) were the most common article types. Risk, uncertainty, and clinical trials were also present across several types of cancer news articles. Implications of content trends are discussed as relevant to consumers, producers, health campaign designers, and researchers alike.

An Exploration Into the Uses and Gratifications of Media for Transgender Individuals.

Transgender individuals, those whose gender presentation diverges from their biological sex, encounter unique obstacles to identity development and socialization. The present study examines how transgender individuals use both traditional and emerging media to better understand their own gender identities and their social worlds. A constructivist approach to the uses and gratifications perspective motivated interview questions about the role of media in the lives of transgender individuals. Forty-one transgender individuals participated in semistructured interviews. Results suggested media were instrumental for sensemaking. Participants used media to make sense of feelings, sexual relations, community, and transition options. Participants also used media to meet nonmediated goals or to initiate interpersonal negotiations. The potential impact of media on transgender audiences and the limitations of the uses and gratifications perspective are discussed in light of the findings.

The Information Management Processes of Women Living with HPV

The human papillomavirus (HPV) represents a significant public health burden because of its widespread prevalence, its links to genital warts and cancers, and the negative psychosocial impact of HPV infection and diagnosis. Scholars have attributed some of these negative effects to insufficient knowledge and information about HPV, prompting research on womens HPV information preferences; however, little is known about how women obtain, avoid, and use this information. To address this lacuna, we designed a study to trace the information management processes of women with HPV. Our analysis of interviews with 25 women living with HPV revealed a common sequence of emotional, cognitive, and behavioral responses to the HPV diagnosis. The authors review these findings and articulate their relevance and importance to research, theory, and practice in the discussion.