Sophisticated societies are dependent on mass media to deliver health information. Marshall McLuhan calls media "extensions of man. " G. L. Kreps and B. C. Thornton believe media extend "people's ability to communicate, to speak to others far away, to hear messages, and to see images that would be unavailable without media" (1992, p. 144). It follows that employment of mass media to disseminate health news (or other matters) has, in effect, reduced the world's size. The value of health news is related to what gets reported and how it gets reported.
According to Ray Moynihan and colleagues: The news media are an important source of information about health and medical therapies, and there is widespread interest in the quality of reporting. Previous studies have identified inaccurate coverage of published scientific papers, overstatement of adverse effects or risks, and evidence of sensationalism
.... The media can also have a positive public health role, as they did in communicating simple warnings about the connection between Reye's syndrome and the use of aspirin in children (1999, p. 645). Despite the potential of news media to perform valuable health-education functions, Moynihan et al. conclude that media stories about medications continue to be incomplete in their coverage of benefits, risks, and costs of drugs, as well as in reporting financial ties between clinical trial investigators and pharmaceutical manufacturers. The mass media are capable of facilitating short-term, intermediate-term, and long-term effects on audiences.
Short-term objectives include exposing audiences to health concepts; creating awareness and knowledge; altering outdated or incorrect knowledge; and enhancing audience recall of particular advertisements or public service announcements (PSAs), promotions, or program names. Intermediate-ter
objectives include all of the above, as well as changes in attitudes, behaviors, and perceptions of social norms. Finally, long-term objectives incorporate all of the aforementioned tasks, in addition to focused restructuring of perceived social norms, and maintenance of behavior change.
Evidence of achieving these three tiers of objectives is useful in evaluating the effectiveness of mass media. Mass media performs three key functions: educating, shaping public relations, and advocating for a particular policy or point of view. As education tools, media not only impart knowledge, but can be part of larger efforts (e. g. , social marketing) to promote actions having social utility. As public relations tools, media assist organizations in achieving credibility and respect among public health opinion leaders, stakeholders, and other gatekeepers.
Finally, as advocacy tools, mass media assist leaders in setting a policy agenda, shaping debates about controversial issues, and gaining support for particular viewpoints. Television. Television is a powerful medium for appealing to mass audiences—it reaches people regardless of age, sex, income, or educational level. In addition, television offers sight and sound, and it makes dramatic and lifelike representations of people and products. Focused TV coverage of public health has been largely limited to crises.
However, for audiences of the late 1950s, the 1960s, and the 1970s, television presented or reinforced certain health messages through product marketing. Some of these messages were related to toothpaste, hand soaps, multiple vitamins, fortified breakfast cereals, and other items. Public health authorities have expressed concern about the indirect influence of television in promoting false norms about acts of violence, drinking, smoking, and sexual behavior. A hypothetical equation for viewers might be:
drinking plus smoking equals sex and a good time.
Safe sex practices are rarely portrayed on television. An additional public health concern is that TV viewing promotes sedentariness in a population already known for its multiple risk factors for cardiovascular disease and other chronic illnesses. A more focused coverage of health matters occurred in the 1990s as a result of two events: (1) an expansion of "health segments" on news broadcasts, which included the hiring of "health" reporters, and (2) the expansion and wider distribution of cable television (CATV) and satellite systems.
Television coverage of health issues reveals some of the medium's weaknesses as an educator, however. Health segments incorporated into news broadcasts are typically one to three minutes in length—the consumer receives only a brief report or "sound bite," while the broadcaster remains constrained by the fact that viewers expect the medium to be both visual and entertaining. Fortunately, with the advent and maturation of CATV, more selected audience targeting has become possible.
The Health Network is dedicated entirely to health matters, while other cable networks (e. g. , Discovery Channel) devote significant amounts of broadcast time to health. This narrowcasting allows the medium to reach particular market segments. However, the proliferation of cable channels decreases the volume of viewers for a given channel at any point in time. According to George and Michael Belch, even networks such as CNN, ESPN, and MTV draw only 1 to 2 percent of primetime viewers.
Although TV has the potential to deliver messages about HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome), smoking, cardiovascular disease, cancer, and so on, televised messages have the characteristic of
low audience involvement. The main consumer effect of messages occurs through repetition and brand familiarity. Most health messages do not have the exposure level that brands of toothpaste, soap, or antiperspirant receive, for public health groups rarely can sustain the cost of television, thereby limiting their message's penetration.
For all its potential strengths, TV suffers many shortcomings. The cost of placing health messages on TV is high, not only because of the expense of purchasing airtime, but because of production time for PSA creation. Televised messages are fleeting—airing in most instances for only 15 to 30 seconds. Belch and Belch point out that for 13 to 17 minutes of every hour viewers are bombarded with messages, creating a clutter that makes retention difficult.
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