유방암 커뮤니케이션 채널과 유방암 검진 의향의 관계에 관한 연구 = Breast Cancer Communication and its Relationship with Breast Cancer Screening Intention

다국어 초록 (Multilingual Abstract)

Breast cancer has emerged as a serious health issue in Korea because of a wide-spreading Westernalized eating pattern and lifestyle in the past decade. Therefore, it seems a necessity to strengthen communication campaigns and activities about breast cancer to promote women`s health in society. Focusing on this situation, this research aims to explore breast cancer communication patterns and its impacts on breast cancer knowledge and screening intention. This research analyzed the survey result conducted by Korea`s National Cancer Institute in Kyunggi Province in 2008 to find out Korean women`s breast cancer knowledge and intention. First of all, television has the highest exposure rate among media channels while newspaper was the most influential on breast cancer knowledge. Television has no effect on screening intention while newspaper has a negative effect on it. In terms of interpersonal channels, healthcare providers, such as medical doctors or pharmacists, have the highest exposure rate and make significant effects on breast cancer knowledge as well as screening intention. Also, young age and high income level are positively related to screening intension. This study implies that it is important to develop tailored messages considering target audiences` characteristics and to utilize effective communication channels based on an audience analysis to make a campaign for more breast cancer knowledge and screening effective. It is also noted that it is useful to integrate appropriate interpersonal and media channels to disseminate breast cancer screening messages effectively.

참고문헌 (Reference)

1 Greene, K, 23 : 439-461, 2000

2 안서원, "유방암 환자의 치료결정과 의료커뮤니케이션 사례 연구" 2 : 146-154, 2007

3 조삼섭, "여성암 조기검진 촉진 캠페인의 설득효과 요인에 관한 연구" 한국광고홍보학회 11 (11): 249-276, 2009

4 이영휘, "국내여성과 미국이주 한국여성의 유방암에 대한 건강신념과 유방자가검진 비교" 한국간호과학회 34 (34): 11-314, 2004

5 한미정, "건강관련 커뮤니케이션 연구논문 내용분석" 7 : 210-232, 2006

6 Park, K, "Unwanted effects of risk notification for breast cancer regarding intention toward mammography utilization" 2009

7 Dutta, M. J, "Theoretical approaches to entertainment education campaigns: A subaltern critique" 20 : 221-231, 2006

8 Ratzan, S. C, "The status and scope of health communication" 1 : 25-41, 1996

9 David, C, "The social diffusion of influence among adolescents: Group interaction in a chat room environment about antidrug advertisements" 16 : 118-140, 2006

10 Krieger, J. L, "The role of perceived control in alcohol prevention campaigns" 23 (23): 239-249, 2006

11 Mackenzie, R, "The newsworthiness of cancer in Australian television news" 189 (189): 155-158, 2008

12 Braun, S, "The history of breast cancer advocacy" 9 (9): 101-103, 2003

13 Higgins, J. W, "The health buck stops where? Thematic framing of health discourse to understand the context for CVD prevention" 11 : 343-358, 2006

14 Gibson, T. A, "The existing media system may be toxic to your health: Health communication and the politics of media reform" 35 : 125-132, 2007

15 Sun, A, "The effectiveness in utilizing Chinese media to promote breast health among Chinese women" 12 : 157-171, 2007

16 Daniel, R, "The development of a local cancer awareness communications campaign" 1 : 408-421, 2008

17 Freimuth, V. S, "The contributions of health communication to eliminating health disparities" 94 : 2053-2055, 2004

18 Clarke, J. N, "The case of the missing person: Alzheimer's disease in mass print magazine 1991-2001" 19 : 269-276, 2006

19 Morgan, J, "The breast cancer prevention diet by Dr. Bob Arnot: Unscientific and deceptive-A disservice to American women" 4 : 235-248, 1999

20 Tulloch, J, "Television, AIDS, and risk: A cultural studies approach to health communication" Allen and Unwin 1997

21 Lemal, M, "Television news exposure is related to fear of breast cancer" 48 : 189-192, 2009

22 Andsager, J. L, "Social or economic concerns: How news and women's magazines frames breast cancer in the 1990s" 76 : 531-550, 1999

23 Corcoran, N, "Social and psychological factors in communication. in: Communicating Health: Strategies for health promotion" Sage Publications 32-52, 2007

24 Parra, D. L, "Scientifically correct racism: Health studies' unintended effects against minority groups" 7 : 152-162, 2007

25 McQueen, A, "Risk perceptions and worry about cancer: Does gender make a difference?" 13 : 56-79, 2008

26 Bush, A. J, "Rethinking the role of television advertising during health crises: A rhetorical analysis of the Federal AIDS campaigns" 20 : 28-37, 1991

27 Commers, M. J, "Represenations of preconditions for and determinants of health in the Dutch press" 15 : 321-332, 2000

28 Krishnatray, P. K, "Public communication campaigns in the destigmatization of leprosy: A comparative analysis of diffusion and participatory approach: A case study in Gwalior, India" 3 : 327-344, 1998

29 Ryu, E, "Predictors of mammography uptake in Korean women aged 40 years and over" 64 (64): 168-175, 2008

30 Campo, S, "Placing the burden on the individual: Overweight and obesity in African American and mainstream women's magazines" 22 : 229-240, 2007

31 Johnson, J. L, "Othering and being othered in the context of health care services" 16 : 253-271, 2004

32 Schwartz, L. M, "News media coverage of screening mammography for womem in their 40s and tamoxifen for primary prevention of breast cancer" 287 (287): 3136-3142, 2002

33 Corbett, J. B, "Medicine, media and celebrities: News coverage of breast cancer, 1960-1995" 2 : 229-249, 1999

34 Whiteman, M. K, "Media coverage of women's health issues: Is there a bias in the reporting of an association between hormone replacement therapy and breast cancer?" 10 : 571-577, 2001

35 Clarke, J, "Mass print media depictions of cancer and heart disease: community versus individualistic perspectives?" 16 : 96-103, 2008

36 Corcoran, N, "Mass media in health communication. in: Communicating Health: Strategies for health promotion" Sage 73-95, 2007

37 Walsh-Childers, K, "Mass media and health issues. in: History of the Mass Media in the United States: An encyclopedia"

38 Aldoory, L, "Making health communications meaningful for women: Factors that influence involvement" 13 : 163-185, 2001

39 Ulrey, K. L, "Intercultural communication between patients and health care providers: An exploration of intercultural communication effectiveness, cultural sensitivity, stress, and anxiety" 13 : 449-463, 2001

40 Talosig-Garcia, M, "Information-seeking behavior of minority breast cancer patients: An exploratory study" 10 : 53-64, 2005

41 Oetzel, J, "Hispanic women's preferences for breast health information: Subjective cultural influences on source, message, and channel" 21 : 223-233, 2007

42 Len-Rios, M. E, "Health news agenda building: Journalists perceptions of the role of public relations" 81 : 315-331, 2009

43 Thomas, S. B, "Health disparities: The importance of culture and health communication" 94 : 20-50, 2004

44 Schiavo, R, "Health Communication: From theory to practice" Jossey-Bass 2007

45 Brinol, P, "Fundamental processes leading to attitude change: Implications for cancer prevention communications" 56 : 81-104, 2006

46 Andsager, J. L, "Framing women's health with a sense-making approach: Magazine coverage of breast cancer and implants" 13 : 163-185, 2001

47 Haider, M, "Forty years of diffusion of innovation: Utility and value in public health" 9 : 3-11, 2004

48 Abdullah, ASM, "Factors associated with the use of breast and cervical screening services among Chinese women in Hong Kong" 115 : 212-217, 2001

49 Finney Rutten, L. J, "Factors associated with patients' perceptions of health care providers' communication behavior" 11 : 135-146, 2006

50 Donelle, L, "Ethnicity, genetics, and breast cancer: Media portrayal of disease identities" 10 : 185-197, 2005

51 Svenkerud, P. J, "Enhancing the effectiveness of HIV/AIDS programs targeted to unique population groups in Thailand: Lessons learned from applying concepts of diffusion of innovation and social marketing" 3 : 193-216, 1998

52 Jones, K. O, "Effects of mass and interpersonal communication on breast cancer screening: Advocating agenda-setting theory in health contexts" 34 : 94-113, 2006

53 Yanovitzky, I, "Effect of media coverage and physician advice on utilization of breast cancer screening by women 40 years and older" 5 : 117-134, 2000

54 Kline, K. N, "Cultural sensitivity and health promotion: Assessing breast cancer education pamphlets designed for African American women" 21 : 85-96, 2007

55 Jones, S. C, "Coverage of breast cancer in the Australian print media: Does advertising and editorial coverage reflect correct social marketing messages?" 9 : 309-325, 2004

56 Singhal, A, "Community organizing for health: A people-centered vision of health" 47-54, 2005

57 Bernhardt, J. M, "Communication at the core of effective public health" 94 : 2051-2053, 2004

58 Brunton, M, "Communicating screening mammography in New Zealand: Revealing dialogues of duty and distress" 5 : 1-16, 2004

59 Dutta, M. J, "Communicating about culture and health: Theorizing culture-centered and cultural sensitivity approaches" 17 : 304-328, 2007

60 Obregon, R, "Commentary: Communication from a human rights perspective: Responding to the HIV/AIDS pandemic in Eastern and Southern Africa" 8 : 613-614, 2003

61 Clarke, J. N, "Cancer, heart disease, and AIDS: What do the media tell us about the diseases?" 4 : 105-120, 1992

62 Niederdeppe, J, "Cancer news coverage and information seeking" 13 : 181-199, 2008

63 Viswanath, K, "Cancer knowledge and disparities in the Information Age" 11 : 1-17, 2006

64 American Cancer Society, "Cancer Prevention & Early Detection Facts & Figures"

65 Southwell, B. G, "Audience construction and AIDS education efforts: Exploring communication assumptions of public health interventions" 10 : 313-319, 2000

66 Swain, K. A, "Approaching the quarter-century mark: AIDS coverage and research decline as infection spreads" 22 : 258-262, 2005

67 Parrott, R, "Advocate or Adversary?: The self-reflexive roles of media messages for health" 13 : 266-278, 1996

68 Airhihenbuwa, C. O, "Acritical assessment of theories/models used in health communication for HIV/ADIS" 5 : 5-15, 2000

69 Bardhan, N, "Accounts from the field: A public relations perspective on global AIDS/HIV" 7 : 221-244, 2002

70 Atkin, C. K, "A comparative analysis of breast cancer news coverage in leading media outlets focusing on environmental risks and prevention" 13 : 3-19, 2008

71 보건복지가족부, "2006~2007년암발생률, 1993~2007년발생자의암생존율, 2007년암유병률통계공표"

72 보건복지가족부, "2003-2005년 국가 암발생률 및 1993-2005년 발생자의 5년 생존율"