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 Citations (Scopus)

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

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Newspapers
Hormones
Population
Therapeutics
Women's Health
Progestins
Estrogens
Health Behavior
Mammography
Publications

Keywords

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

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

Cite this

Average household exposure to newspaper coverage about the harmful effects of hormone therapy and population-based declines in hormone therapy use. / Haas, Jennifer S.; Miglioretti, Diana L; Geller, Berta; Buist, Diana S M; Nelson, David E.; Kerlikowske, Karla; Carney, Patricia A.; Dash, Sarah; Breslau, Erica S.; Ballard-Barbash, Rachel.

In: Journal of General Internal Medicine, Vol. 22, No. 1, 01.2007, p. 68-73.

Research output: Contribution to journalArticle

Haas, Jennifer S. ; Miglioretti, Diana L ; Geller, Berta ; Buist, Diana S M ; Nelson, David E. ; Kerlikowske, Karla ; Carney, Patricia A. ; Dash, Sarah ; Breslau, Erica S. ; Ballard-Barbash, Rachel. / Average household exposure to newspaper coverage about the harmful effects of hormone therapy and population-based declines in hormone therapy use. In: Journal of General Internal Medicine. 2007 ; Vol. 22, No. 1. pp. 68-73.
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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.",
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AU - Nelson, David E.

AU - Kerlikowske, Karla

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