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PubMed1996

Embedded anti-alcohol messages on commercial television: what teenagers perceive.

PURPOSE: Educators and producers should take advantage of television's potential for reaching audiences with health-related messages. This paper investigates adolescents' perceptions of an anti-alcohol message embedded in commercial television programming. METHODS: Over 900 8th and 9th graders from New York suburbs completed surveys measuring interest, knowledge, and credibility of either an episode of The Cosby Show or Family Matters. Both episodes had an anti-alcohol message embedded within their plots. RESULTS: Overall, students gave high rates of interest and credibility and received high scores for knowledge for both episodes. Girls and African-American students had higher scores, on average, for interest and credibility. White students had the highest knowledge scores. Students with different television viewing experiences did not differ in their perceptions of the episodes; however, students who had previously seen the episodes gave higher levels of interest and credibility. CONCLUSION: These data indicate that youngsters are receptive to antialcohol messages within commercial television episodes. The results also suggest that similarities and differences between a viewer and a televised character relate to differences in perception. However, much more research should be done in order to generalize these findings to other audiences, episodes, programs, and health-related messages.

Adolescent↗
PubMed2006

Associations between the metabolic syndrome and its components, watching television and physical activity.

OBJECTIVE: To examine the associations between watching television and physical activity with the metabolic syndrome and its components. STUDY DESIGN: Cross-sectional study. METHODS: This study was conducted among 358 subjects recruited from the Department of Health Management of Chang Gung Medical Centre in Linkou. After adjustment for gender, age and body mass index (BMI), the odds ratios (ORs) of the metabolic syndrome and its components were analysed for relative daily energy expenditure groups and time spent watching television categories. RESULTS: After adjustment for gender, age and BMI, the OR of the metabolic syndrome in the most active subjects compared with the least active subjects was 0.27 [95% confidence interval (CI)=0.08-0.88; P=0.030]. There was inconclusive evidence of an association between watching television for more than 20h/week and presence of the metabolic syndrome (OR=2.99; 95% CI=0.83-10.84; P=0.095). CONCLUSIONS: Physical activity was a significant protective factor for presence of the metabolic syndrome and low levels of high-density-lipoprotein cholesterol. Watching television was positively associated with greater odds of high levels of triglycerides and fasting glucose. This study emphasized the importance of reducing the time spent watching television and increasing the level of physical activity for prevention of the metabolic syndrome.

Adult↗
PubMed2000

Life supporting first aid (LSFA) teaching to Brazilians by television spots.

Accidents in developing countries are frequent and have high mortality and morbidity rates. In Brazil, in 1995-1996, the year of this study, life supporting first aid (LSFA), which includes cardiopulmonary resuscitation (CPR) basic life support (BLS) was not taught in schools. With the population of 165 million, the only way to teach the adult population on a large scale would be by television (TV), that is widely viewed. This study compares two groups of factory employees - 86 controls without TV exposure to LSFA and 116 exposed to brief LSFA skill demonstrations on TV. Their ability to acquire eight LSFA skills was evaluated: external hemorrhage control; immobilization of a suspected forearm fracture; treatment of a skin burn by cold flush; body alignment after a fall; positioning for shock and coma; airway control by backward tilt of the head; and CPR (steps A-B-C). Simulated skill performance on the evaluating nurse or manikin was tested at 1 week, 1 month, and 13 months. In the control group, 1-31% performed individual skills correctly; as compared to 9-96% of the television group (P<0.001). There was excellent retention over 13 months. Over 50% of the television group performed correctly five of the eight skills, including positioning and hemorrhage control. Television viewing increased correct airway control performance from 5 to 25% of trainees, while it remained at 3% in the control group. CPR-ABC performance, however, was very poor in both groups. We conclude that a significant proportion of factory workers can acquire simple LSFA skills through television viewing alone, except for the skill acquisition of CPR steps B (mouth-to-mouth ventilation) and C (external chest compressions) which need coached manikin practice.

Adult↗
PubMed2005

Content analysis of children's television advertising in relation to dental health.

This paper provides some disturbing facts and figures about the amount of television being watched by children. In addition, it reports on the volume and type of television advertising aimed at young people, both in the United Kingdom and other developed countries. In view of recent public and professional concern as to the possible adverse effects of food advertising on children's health, this study set out to examine what proportion of television advertisements, directed at children, promoted products potentially harmful to dental health. Forty-one hours of children's television programming broadcast on ITV1, the main UK commercial channel, were recorded on to videotape for subsequent analysis. Almost 1,000 adverts were analysed; each was timed and broadly categorised as relating to a food/drink product or non food/drink product. Advertisements for food and drink were further subdivided according to their sugar and/or acid content. We found that, on average, 24 adverts were shown per broadcast hour, which accounted for 15.8% of the total schedule time. 34.8% of adverts related to food/drink products, and 95.3% of these promoted products that were deemed potentially cariogenic or erosive. The most frequently promoted food/drink products included breakfast cereals with added sugar (26.3%), confectionery (23.7%) and non-carbonated soft drinks (18.1%). It is very concerning that, despite recent specific codes of practice outlined by the Independent Television Commission for Children's Advertising, many food and drink products promoted during children's programming are potentially damaging to dental health.

Acids↗
PubMed2003

Duration of television watching is associated with increased body mass index.

OBJECTIVE: To assess the effect of television viewing on subsequent change in body mass index (BMI=kg/m(2)) percentiles (BMI%) in adolescence. STUDY DESIGN: Data were drawn from the California Teen Longitudinal Survey of adolescents 12 to 17 years old with baseline assessment in 1993 and follow-up in 1996. Self-reported height and weight were used to calculate BMI and derive age-specific and sex-specific BMI%. Hours of television watched per day were obtained at baseline (BTV). The relations of BTV and BMI percentiles both at baseline and after 3 years were assessed with linear regression modeling. RESULTS: Of 2223 adolescents (52% male, 68% white), 5.85% (n=130) were overweight (BMI > or =95th percentile) at baseline and 5.40% (n=120) at follow-up. Mean BTV was 2.85 (SD, 1.98). In adjusted models, with each additional hour of BTV, the baseline BMI% increased by.9, and the follow-up BMI% increased by.47. Adolescents who watched more than 2 hours of television a day were twice as likely to be overweight at follow-up as adolescents who watched < or =2 hours. CONCLUSIONS: Television viewing leads to a subsequent increase in BMI percentiles and overweight. Efforts to decrease overweight should consider interventions to reduce television time.

Adolescent↗
PubMedDate not supplied

Enhancing health knowledge, health beliefs, and health behavior in Poland through a health promoting television program series.

This study examined the impact of a health promoting television program series on health knowledge and the key factors of the health belief model (HBM) that have led people to engage in healthy behavior (exercising, losing weight, changing eating habits, and not smoking/quitting smoking). Using data from a posttest comparison field study with 15) viewers and 146 nonviewers in Poland, we found that hierarchical regression analysis showed stronger support for the HBM factors of efficacy, susceptibility, seriousness, and salience in their contribution toward health behavior among television viewers compared with nonviewers. Cues to action variables (including television viewing) and health knowledge boosted efficacy among viewers. Without the advantage of receiving health information from the television series, nonviewers relied on their basic disease fears on one hand, and interest in good health on the other to take steps toward becoming healthier. A health promoting television series can increase health knowledge and enhance health beliefs, which in turn contribute to healthy behaviors.

Adolescent↗
PubMed2005

Food advertising on Australian television: the extent of children's exposure.

The objective of this study was to investigate the extent and nature of food advertising during Australian children's television (TV) viewing hours and programs, and to determine whether confectionery and fast food restaurant advertisements were more likely to be broadcast during children's programs than during adults' programs on Sydney television stations. One week (390 h) of Australian advertising data broadcast during children's TV viewing hours over 15 television stations were analysed to determine the proportion of food advertisements and, in turn, the proportion of those advertisements promoting foods high in fat and/or sugar. One week (346 h) of confectionery and fast food restaurant advertisements broadcast over three Sydney television stations were analysed to determine whether these types of advertisements were more likely to be advertised during children's programs than adults' programs. Half of all food advertisements promoted foods high in fat and/or sugar. 'Confectionery' and 'fast food restaurants' were the most advertised food categories during children's TV viewing hours. Confectionery advertisements were three times as likely, and fast food restaurant advertisements twice as likely, to be broadcast during children's programs than adults' programs. It can be concluded that foods most advertised during children's viewing hours are not those foods that contribute to a healthy diet for children. Confectionery and fast food restaurant advertising appears to target children. Australian children need protection from the targeted promotion of unhealthy foods on television, but currently little exists.

Advertising↗
PubMed2006

Brief report: Television viewing and risk for attention problems in preschool children.

OBJECTIVES: This study examined whether high levels of television viewing are associated with attention problems and hyperactivity in preschool children. METHODS: Parent and teacher ratings of inattention, hyperactivity and impulsivity, objectively measured activity level, and parental estimation of early television exposure were collected for a sample of preschool children. Separate linear regression analyses were conducted with parent and teacher behavioral ratings and objectively assessed activity level as outcome variables. RESULTS: Results indicated that after controlling for demographic factors (i.e., age, sex, and SES), television exposure accounted for a significant proportion of the variance in teacher ratings of inattentive/hyperactive behaviors, as well as objectively measured activity level. CONCLUSIONS: These findings partially replicate those from a recent, highly publicized study indicating a correlation between television exposure and attention-deficit/hyperactivity disorder (ADHD)-associated behaviors. However, it remains unclear as to whether elevated levels of television viewing are the cause or result of ADHD symptoms.

Attention Deficit Disorder with Hyperactivity↗
PubMed1997

Associations among physical activity, television watching, and obesity in adult Pima Indians.

It has been suggested that television watching and physical activity are related to obesity. This association, however, has been investigated mainly in children. This study provided the opportunity to examine the relationship between television watching, physical activity, and body mass index in adult Pima Indians, a population with a high prevalence of obesity. Hours per day of television watched, past-year physical levels (MET-h/wk; leisure and occupational combined) and BMI (kg.m-2) were measured in 2452 men and women subjects 21-59 yr old. In adults between the ages of 21 and 39 yr, TV and physical activity levels were negatively correlated (r = -0.11 for men and -0.10 for women). Weaker associations were found between TV and BMI (r = 0.08 for men and 0.04 for women). There were no significant relationships among these variables in older adults (49-59 yr), possibly because of low reported levels of physical activity and TV. Multiple linear regression analysis revealed that physical activity and television watching in men and activity in women were significantly related to BMI. These data suggest that increasing activity levels and decreasing the time spent in sedentary behavior such as watching television should both be considered as potential intervention strategies in obesity prevention programs.

Adult↗
PubMed2004

Television images and probable posttraumatic stress disorder after September 11: the role of background characteristics, event exposures, and perievent panic.

Television viewing has been associated with posttraumatic stress disorder (PTSD) symptoms after disasters and traumas; we examined characteristics that may explain this association among New Yorkers after September 11, 2001. Among 2001 respondents to a random-digit dial telephone survey conducted 4 months after September 11, people who viewed more television images in the 7 days after September 11 had more probable PTSD. People in the highest third of viewing had a 2.32 times greater odds of probable PTSD after September 11 compared with people in the lowest third of viewing; after adjustment for explanatory variables, the relative odds of probable PTSD were 1.66. Adjustment for perievent panic accounted for 44% of the reduction in association between television and probable PTSD, suggesting that perievent emotional reactions may play an important role in the television and psychopathology association. Television may merit consideration as a potential exposure to a traumatic event.

Adolescent↗
PubMed2005

Do major televised events affect pediatric emergency department attendances or delay presentation of surgical conditions?

OBJECTIVE: To investigate whether major televised sporting events influence the level of attendance at a pediatric emergency department or reduce subsequent surgical admissions. METHODS: A retrospective analysis of the number of emergency department attendances and subsequent surgical admissions on nights of televised Champions League soccer games, a major pan-European soccer tournament, was made. These figures were compared with paired nights with no live soccer television broadcast. RESULTS: In total, 2560 children and their care providers attended the emergency department between 5 PM on nights of televised Champions League soccer games and 9 AM the next morning (mean 40.0 per night, standard deviation 6.3). Out of these children, only 85 were subsequently admitted to the pediatric surgical department (mean 1.3 per night, standard deviation 1.1). There was no significant difference between these figures and the levels of attendance or admission on paired nights without a live broadcast. CONCLUSIONS: We have demonstrated that the live broadcast of soccer games from a major sporting tournament does not significantly decrease emergency department workload. In addition, it does not reduce the number of children who require admission to a pediatric surgical department. This suggests that the staffing organization of a pediatric emergency department cannot be altered on the basis that a major sporting tournament is being televised.

Child↗
PubMed2006

Soap operas and talk shows on television are associated with poorer cognition in older women.

BACKGROUND: No information exists regarding whether a favorite television category choice affects attention, memory, or cognition among older women. METHODS: Cross-sectional data from a population-based community sample of 289 older cognitively and physically intact women who were surveyed about television use. The cognitive battery included measures of psychomotor speed, executive attention, immediate and delayed verbal memory, and global cognition. RESULTS: Talk shows (P < 0.05) or soap operas (P < 0.05) as a favorite television category were consistently associated with poorer scores on all cognitive outcomes in both unadjusted and adjusted analyses. Clinically significant cognitive impairment across domains were associated with watching talk shows (OR = 7.3; 95% CI = 1.9, 28.4) and soap operas (OR = 13.5; 95% CI = 3.7, 49.5). CONCLUSIONS: Clinical interviews can incorporate questions about television viewing habits. Endorsements of talk shows or soap operas as frequent and favored television programming may identify those at risk for cognitive impairment and targets for further cognitive screening.

Age Factors↗
PubMed1991

What are people like who respond to television offers of further information? The case of the Bodyshow series.

In some Western populations television is the principal source of health information. Such dependence on the media for health information is cause for concern when the reliability of health information is considered, and media promotion of 'unhealthy' products such as tobacco, alcohol and confectionery. The Australian Broadcasting Corporation television series Bodyshow, broadcast over 17 weeks in mid-1988, was the first general preventive health series screened on Australian television. This study aimed to assess the demographic profile of viewers of the Bodyshow series who responded to invitations for further information, the extent of exposure of these viewers to the series, and their perceptions of the series. The study involved a random sample survey of 500 people selected from 2080 New South Wales viewers who wrote to the ABC requesting further health information. A response rate of 79 per cent was achieved. Respondents were predominately female and married, aged 25 to 39 years, lived outside Sydney, and were well educated. Respondents had seen the majority of episodes and were overwhelmingly positive about the series. Popular aspects were the information provided, the 'human interest' segments and the nutrition information. Unpopular aspects were the Friday night time-slot and the artificially glamorous 'middle class' presentation. The study demonstrated that there is clearly an audience for a self-help preventive health television series. Television has considerable unrealised potential for education, particularly regarding nutrition.

Australia↗
PubMed1998

As seen on TV: observational study of cardiopulmonary resuscitation in British television medical dramas.

OBJECTIVE: To determine the frequency and accuracy with which cardiopulmonary resuscitation is portrayed in British television medical dramas. DESIGN: Observational study. SUBJECTS: 64 episodes of three major British television medical dramas: Casualty, Cardiac Arrest, and Medics. MAIN OUTCOME MEASURES: Frequency of cardiopulmonary resuscitation shown on television; age, sex, and diagnosis of the patients undergoing resuscitation; rate of survival through resuscitation. RESULTS: Overall 52 patients had a cardiorespiratory arrest on screen and 3 had a respiratory arrest alone, all the arrests occurring in 40 of the 64 episodes. Of the 52 patients having cardiorespiratory arrest, 32 (62%) underwent an attempt at cardiopulmonary resuscitation; 8 attempts were successful. All 3 of the patients having respiratory arrests alone received ventilatory support and survived. On 48% of occasions, victims of cardiac arrest seemed to be less than 35 years old. CONCLUSIONS: Cardiorespiratory resuscitation is often depicted in British television medical dramas. Patients portrayed receiving resuscitation are likely to be in a younger age group than in real life. Though the reasons for resuscitation are more varied and more often associated with trauma than in reality, the overall success rate is nevertheless realistic. Widespread overoptimism of patients for survival after resuscitation cannot necessarily be blamed on British television medical dramas.

Cardiopulmonary Resuscitation↗
PubMed2003

Generating Quitline calls during Australia's National Tobacco Campaign: effects of television advertisement execution and programme placement.

OBJECTIVE: The study sought to measure the relative efficiency of different television advertisements and types of television programmes in which advertisements were placed, in generating calls to Australia's national Quitline. DESIGN: The study entailed an analysis of the number of calls generated to the Quitline relative to the weight of advertising exposure (in target audience rating points (TARPs) for particular television advertisements and for placement of these advertisements in particular types of television programmes. A total of 238 television advertisement placements and 1769 calls to the Quitline were analysed in Sydney and Melbourne. RESULTS: The more graphic "eye" advertisement conveying new information about the association between smoking and macular degeneration leading to blindness was more efficient in generating quitline calls than the "tar" advertisement, which reinforced the message of tar in a smoker's lungs. Combining the health effects advertisements with a quitline modelling advertisement tended to increase the efficiency of generating Quitline calls. Placing advertisements in lower involvement programmes appears to provide greater efficiency in generating Quitline calls than in higher involvement programmes. CONCLUSIONS: Tobacco control campaign planners can increase the number of calls to telephone quitlines by assessing the efficiency of particular advertisements to generate such calls. Pairing of health effect and quitline modelling advertisements can increase efficiency in generating calls. Placement of advertisements in lower involvement programme types may increase efficiency in generating Quitline calls.

Adolescent↗
PubMed2003

Television tipovers as a significant source of pediatric head injury.

OBJECTIVE: To highlight the rising number and nature of pediatric head injuries secondary to falling television sets and correlate this with the increasing number of home TVs sold per year. METHODS: National statistics for the past 10 years for the number of head traumas from falling television sets in children less than the age of 18 were obtained from the US Consumer Product Safety Commission. Statistics for the number of TV sales were obtained from the Consumer Electronic US Sales Report for the same time period. A retrospective chart review overlapping the same period of time was performed at our local institution. RESULTS: National statistics show a steady rise in the number of pediatric head injuries, from 31 in 1992 to 117 in 2001. The number of TVs sold by year increased from 20,384,000 to 23,776,000 in a 10-year period from 1990 to 2000. Six of the 7 patients in our series (average age 22 months, range 18-36 months) suffered a skull fracture; 2 of those 6 were basilar skull fractures. The average length of hospital stay was 5 days (range 1-13 days). CONCLUSION: The number of pediatric head injuries from falling televisions has been steadily increasing. A similar, yet more modest rise in the number of televisions manufactured and sold per year has also been noted. From our series, the most common type of pediatric head injury sustained from falling television sets was skull fracture, seen mostly in children less than 2 years of age.

Accidents, Home↗
PubMed2001

Externalizing behaviors and television viewing in children of low-income minority parents.

The parents of 151 children, ages 4-16 years, attending the pediatric outpatient clinic of an urban hospital were surveyed to determine if aggressive behavior among children of low literacy and low-income parents is related to excessive television viewing or to sociological variables such as ethnicity/race, education, occupation, and parents' marital status. The survey consisted of 22 questions about the ethnicity, marital status, education, and occupation of the parent, the television viewing behavior of the child, and the externalizing behavior scale of the Child Behavior Checklist of Achenbach (CBC). The television viewing habits of children in this study were not significantly different from viewing habits reported in national surveys of the US population. T scores in the aggression scale of CBC were unrelated to the hours of television watched by children and the control of viewing by the parent but were significantly associated with the employment and marital status of the mother. Children of unemployed and single mothers had higher externalizing-behavior scores, suggesting that family ecological variables may have more influence on children's behavior than the duration of television viewing.

Adolescent↗
PubMed2006

Childhood injuries caused by falling televisions.

OBJECTIVES: To obtain a detailed description of the injury scene in an attempt to identify methods for prevention and to describe the morbidity and mortality of children who present to an urban pediatric emergency department (ED) with an injury caused by a falling television. METHODS: A retrospective descriptive study from a prospectively created database was conducted over one year. All adults accompanying a child younger than 13 years of age who was injured by a falling television were directly interviewed, and the patient medical charts were reviewed. RESULTS: Twenty-eight children were eligible, and 26 children were analyzed. The median age was 40 months (25th and 75th quartiles: 31, 51 months). None of the televisions, or the furniture that they were placed on, were secured. Most parents (85%) reported that they were unaware that injuries could occur by this mechanism. Fourteen children suffered head injuries, and nine children injured an extremity. Nine children were hospitalized, including two patients admitted to the intensive care unit (ICU). CONCLUSIONS: Children may present to the ED with injuries caused by falling televisions. These injuries are usually not severe; however, the potential for severe injury exists, and some children may require ICU monitoring. Our data indicate a lack of parental awareness and an absence of primary prevention as a root cause for this problem. Thus, more aggressive education to warn parents about the risk of injury must be implemented so that more families will take the time to place their televisions safely.

Accidents, Home↗