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Unintended effects of emphasizing disparities in cancer communication to African-Americans.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nicholson, Robert A. Kreuter, Matthew W. Lapka, Christina Wellborn, Rachel Clark, Eddie M. Sanders-Thompson, Vetta Jacobsen, Heather M. Casey, Chris
Description	Country affiliation: United States Author Affiliation: Nicholson RA ( Health Communication Research Laboratory, School of Public Health, Saint Louis University, 3545 Lafayette Avenue, St. Louis, MO 63104, USA. nicholra@slu.edu)
Abstract	Little is known about how minority groups react to public information that highlights racial disparities in cancer. This double-blind randomized study compared emotional and behavioral reactions to four versions of the same colon cancer (CRC) information presented in mock news articles to a community sample of African-American adults (n = 300). Participants read one of four articles that varied in their framing and interpretation of race-specific CRC mortality data, emphasizing impact (CRC is an important problem for African-Americans), two dimensions of disparity (Blacks are doing worse than Whites and Blacks are improving, but less than Whites), or progress (Blacks are improving over time). Participants exposed to disparity articles reported more negative emotional reactions to the information and were less likely to want to be screened for CRC than those in other groups (both P < 0.001). In contrast, progress articles elicited more positive emotional reactions and participants were more likely to want to be screened. Moreover, negative emotional reaction seemed to mediate the influence of message type on individuals wanting to be screened for CRC. Overall, these results suggest that the way in which disparity research is reported in the medium can influence public attitudes and intentions, with reports about progress yielding a more positive effect on intention. This seems especially important among those with high levels of medical mistrust who are least likely to use the health care system and are thus the primary target of health promotion advertising.
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
DOI	10.1158/1055-9965.EPI-08-0101
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	11
Volume Number	17
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology African Americans Statistics & Numerical Data Colonic Neoplasms Ethnology Psychology Health Knowledge, Attitudes, Practice Healthcare Disparities Mortality Double-blind Method Newspapers Randomized Controlled Trial Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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