Average household exposure to newspaper coverage about the harmful effects of hormone therapy and population-based declines in hormone therapy use

Jennifer S. Haas, Diana L Miglioretti, Berta Geller, Diana S M Buist, David E. Nelson, Karla Kerlikowske, Patricia A. Carney, Sarah Dash, Erica S. Breslau, Rachel Ballard-Barbash

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

BACKGROUND: The news media facilitated the rapid dissemination of the findings from the estrogen plus progestin therapy arm of the Women's Health Initiative (EPT-WHI). OBJECTIVE: To examine the relationship between the potential exposure to newspaper coverage and subsequent hormone therapy (HT) use. DESIGN/POPULATION: Population-based cohort of women receiving mammography at 7 sites (327,144 postmenopausal women). MEASUREMENTS: The outcome was the monthly prevalence of self-reported HT use. Circulation data for local, regional, and national newspapers was used to create zip-code level measures of the estimated average household exposure to newspaper coverage that reported the harmful effects of HT in July 2002. RESULTS: Women had an average potential household exposure of 1.4 articles. There was substantial variation in the level of average household exposure to newspaper coverage; women from rural sites received less than women from urban sites. Use of HT declined for all average potential exposure groups after the publication of the EPT-WHI. HT prevalence among women who lived in areas where there was an average household exposure of at least 3 articles declined significantly more (45 to 27%) compared to women who lived in areas with <1 article (43 to 31%) during each of the subsequent 5 months (relative risks 0.86-0.92; p < .006 for all). CONCLUSIONS: Greater average household exposure to newspaper coverage about the harms associated with HT was associated with a large population-based decline in HT use. Further studies should examine whether media coverage directly influences the health behavior of individual women.

Original languageEnglish (US)
Pages (from-to)68-73
Number of pages6
JournalJournal of General Internal Medicine
Volume22
Issue number1
DOIs
StatePublished - Jan 2007
Externally publishedYes

Keywords

  • Health behavior
  • Hormone therapy
  • Mammography
  • Newspaper coverage
  • Women

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

Fingerprint Dive into the research topics of 'Average household exposure to newspaper coverage about the harmful effects of hormone therapy and population-based declines in hormone therapy use'. Together they form a unique fingerprint.

  • Cite this

    Haas, J. S., Miglioretti, D. L., Geller, B., Buist, D. S. M., Nelson, D. E., Kerlikowske, K., Carney, P. A., Dash, S., Breslau, E. S., & Ballard-Barbash, R. (2007). Average household exposure to newspaper coverage about the harmful effects of hormone therapy and population-based declines in hormone therapy use. Journal of General Internal Medicine, 22(1), 68-73. https://doi.org/10.1007/s11606-007-0122-7