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PubMedDate not supplied

Evaluation of accuracy of health studies reported in mass media.

OBJECTIVE: To evaluate communication of clinical research in the written media for completeness and accuracy. DESIGN: Observational assessment. SETTING: United States. PARTICIPANTS: Not applicable. INTERVENTIONS: Content of media articles discussing randomized controlled trials was assessed by three reviewers on the basis of the Consolidated Standards of Reporting Trials (CONSORT) criteria modified for the mass media. Reports from October 1 through December 31, 2002, published in the top two U.S. daily newspapers (USA Today and Wall Street Journal), weekly news magazines (Time and Newsweek), and daily news Web sources (CNN.com and MSNBC.com) and the corresponding published RCTs were analyzed. MAIN OUTCOME MEASURES: Total score and score in 10 specific content areas, leading to classification of coverage as poor, fair, or excellent. RESULTS: A total of 60 media reports discussing results of 25 RCTs appeared in these media during the study period. All reports were categorized as fair, and no content area was rated excellent. Several content areas received poor rankings in all and/or most media, including reporting of adverse effects, outcomes data, and statistical tests used. Media reports written by newswire services were rated more highly than were those prepared by nonnewswire services, but only 1 of 10 criteria had statistically significant differences. CONCLUSION: Mass media reports of RCTs are often incomplete. This type of reporting may misinform the lay public and may lead to questions about the applicability of the results to individual patients.

Health Services Research↗
PubMed2002

Herbal and nonherbal alternative medicine use in Northwest Ohio.

OBJECTIVE: To determine the prevalence and characteristics of herbal and nonherbal alternative medicine use among adults living in northwest Ohio. DESIGN: Cross-sectional survey. SETTING: Three grocery store intercepts in northwest Ohio. SUBJECTS: A consecutive sample of 326 English-speaking persons > or =18 years old. METHODS: A 26-item survey self-administered to participants over a 6-month period. OUTCOME MEASURES: Prevalence of herbal remedy use. RESULTS: Forty percent of respondents have used an herbal remedy during the last 12 months. The average number of herbs used was 2.3 per person. Herbal remedy use was not associated with specific sociodemographic variables. Desire to improve general health was the most common reason for use of an herbal remedy (16%). Herbal users cited "herbals are natural" as the most common benefit. Magazines (17%), health food stores (16%), and friends (14%) were the most common sources of herbal remedy information. Only 50% of the population informed their physician of such use. Forty-one percent used an herbal remedy sometimes to always to self-treat before seeking medical care from a physician. Fifteen percent of adults treated their children with herbs. Nearly all (86%) respondents believed the herb was helpful or very helpful. CONCLUSIONS: A significant number of the adults surveyed in the Toledo metropolitan area commonly used complementary and alternative medicine (CAM). There were no independent factors associated with herbal remedy use. It is important for healthcare providers to acknowledge this growing trend of CAM therapy use and begin to incorporate open discussion about CAM into the patient-provider relationship.

Adolescent↗
PubMed2006

Bringing the DERP to consumers: 'Consumer Reports Best Buy Drugs'.

Consumers Union, publisher of Consumer Reports magazine, has used the drug class reviews of the Drug Effectiveness Review Project (DERP) as one critical component of a free public information project on the comparative effectiveness, safety, and cost of prescription drugs. The project translates the DERP findings for consumers. Drawing on other sources and adding information on drug costs, the project chooses Best Buy drugs in each category it evaluates. This guidance can help consumers save up to thousands of dollars per year, and it has the potential to reduce overall drug spending.

Consumer Organizations↗
PubMed2005

Pornography: reactions and reality.

The Greek word porne (harlot) paired with graphe (picture or writing) has for centuries been used for depiction of sexual activity from cave paintings to contemporary internet depictions, movies, and videos. Playboy-type magazines are considered "tame" today. This brief discussion will update busy physicians of all specialties as to how their patients may be using or overusing available explicit materials and will also assess the impact on the patients' current work and home adjustment.

Adolescent↗
PubMed1997

Blood and nerves revisited: menopause and the privatization of the body in a Newfoundland postindustrial fishery.

Ethnographic data from a longitudinal, interpretive study of women's changing social and cultural constructions of menopause in a postindustrial, Newfoundland fishing village indicate that three major changes have taken place in the way women conceptualize female, reproductive life-cycle events and processes. First, folk idioms of nerves and blood that once linked soma, psyche, place, and tradition are now trivialized and have been superseded by biomedical models of menopause. Second, physicians, television, magazines, and school teachers have replaced the community's middle-aged women and the mutual communication of shared experience as major sources of information and advice on reproduction and aging. Third, women's bodies have become privatized, and bodily metaphors that once linked women in complex individual and collective assessments of shared, highly valued traditions and mutual judgment of moral character have lost their dominance in village life.

Aging↗
PubMed2006

Alcohol, illegal drugs, violent crime, and traffic-related and other unintended injuries in U.S. local and national news.

OBJECTIVE: The present study seeks to establish the extent to which media coverage acknowledges alcohol's contribution to violent crime as well as to motor vehicle injuries and other injury incidents. METHOD: The study content-analyzes a unique sample, closely approximating national representativeness, of local and national television news, local newspapers, and national magazines randomly sampled during a 2-year period. RESULTS: Alcohol's role in violent crime and, to a lesser extent, in motor vehicle and other injury incidents is underreported relative to available estimates regarding alcohol-attributable fractions. Relative frequency of various news frames for coverage of alcohol and illegal drugs and differences in coverage of alcohol and illegal drugs as a function of the type of story and news medium are described. CONCLUSIONS: The underreporting in the United States of alcohol's contribution to serious and fatal injury from these causes may reduce public perceptions of alcohol-related risks, potentially influencing behavior, including public support of alcohol-control policies. This provides an opportunity for media-advocacy approaches to improve public health content of news coverage.

Accidents, Traffic↗
PubMed2000

Major factors influencing breastfeeding rates: Mother's perception of father's attitude and milk supply.

OBJECTIVE: To determine factors influencing feeding decisions, breastfeeding and/or bottle initiation rates, as well as breastfeeding duration. SETTING: A family medicine practice of a 530-bed community-based hospital in northwestern Pennsylvania. PARTICIPANTS: All mothers whose infants received well-child care from birth to 1 year of age. OUTCOME MEASURE: A survey of 28 simple questions was developed and mailed to 245 mothers. The survey assessed: 1) demographics, 2) prenatal and postnatal care, 3) sources of breastfeeding information, 4) timing of decision, 5) preference, 6) type of feeding selected, 7) duration of breastfeeding, 8) factors influencing decisions to breastfeed and/or to bottle-feed, and 9) factors that would have encouraged bottle-feeding mothers to breastfeed. RESULTS: The breastfeeding initiation rate was 44.3%. By the time the infant was 6 months old, only 13% of these were still breastfeeding. The decision to breastfeed or to bottle-feed was most often made before pregnancy or during the first trimester. The most common reasons mothers chose breastfeeding included: 1) benefits the infant's health, 2) naturalness, and 3) emotional bonding with the infant. The most common reasons bottle-feeding was chosen included: 1) mother's perception of father's attitude, 2) uncertainty regarding the quantity of breast milk, and 3) return to work. By self-report, factors that would have encouraged bottle-feeding mothers to breastfeed included: 1) more information in prenatal class; 2) more information from TV, magazines, and books; and 3) family support. CONCLUSIONS: To overcome obstacles, issues surrounding perceived barriers, such as father's attitude, quantity of milk, and time constraints, need to be discussed with each parent. To achieve the goal of 75% of breastfeeding mothers, extensive education regarding the benefits must be provided for both parents and optimally the grandmother by physicians, nurses, and the media before pregnancy or within the first trimester.

Adult↗
PubMed2003

Parental factors, mass media influences, and the onset of eating disorders in a prospective population-based cohort.

OBJECTIVE: To identify risk factors for eating disorders. METHODS: A community cohort study was conducted in Navarra, Spain. A region-wide representative sample of 2862 girls who were 12 to 21 years of age completed the Eating Attitudes Test (40-item version) and other questionnaires in 1997. Girls who scored high in the Eating Attitudes Test-40 were interviewed by a psychiatrist who applied Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria to diagnose prevalent cases of eating disorders. Girls who were free of any eating disorder in 1997 were reassessed after 18 months of follow-up using the same methods. RESULTS: Ninety new cases of eating disorders according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria were identified during the follow-up. In the multivariate logistic analysis, a higher risk of incident eating disorder was found for several exposures assessed at the beginning of follow-up, such as younger age, usually eating alone (odds ratio [OR]: 2.9; 95% confidence interval: 1.9-4.6), and frequently reading girls' magazines or listening to radio programs (OR: 2.1; 1.2-3.8 for those most frequently using both media). No independent association was found for television viewing or socioeconomic status. A marital status of parents different from "being married" was associated with a significantly higher risk in the multivariate analysis (OR: 2.0; 1.1-3.5). CONCLUSIONS: Our results support the role of mass media influences and parental marital status in the onset of eating disorders. The habit of eating alone should be considered as a warning sign of eating disorders.

Adolescent↗
PubMed2005

Exposure to the mass media, body shape concerns, and use of supplements to improve weight and shape among male and female adolescents.

OBJECTIVE: To assess the prevalence and correlates of products used to improve weight and shape among male and female adolescents. METHODS: A cross-sectional study was conducted of 6212 girls and 4237 boys who were 12 to 18 years of age and enrolled in the ongoing Growing Up Today Study. The outcome measure was at least weekly use of any of the following products to improve appearance, muscle mass, or strength: protein powder or shakes, creatine, amino acids/hydroxy methylbutyrate (HMB), dehydroepiandrosterone, growth hormone, or anabolic/injectable steroids. RESULTS: Approximately 4.7% of the boys and 1.6% of the girls used protein powder or shakes, creatine, amino acids/HMB, dehydroepiandrosterone, growth hormone, or anabolic/injectable steroids at least weekly to improve appearance or strength. In multivariate models, boys and girls who thought a lot about wanting more defined muscles (boys: odds ratio [OR]: 1.6; 95% confidence interval [CI]: 1.1-2.2; girls: OR: 2.3; 95% CI: 1.2-3.2) or were trying to gain weight (boys: OR: 3.0; 95% CI: 2.0-4.6; girls: OR: 4.3; 95% CI: 1.6-11.4) were more likely than their peers to use these products. In addition, boys who read men's, fashion, or health/fitness magazines (OR: 2.3; 95% CI: 1.1-4.9) and girls who were trying to look like women in the media (OR: 2.9; 95% CI: 1.4-4.0) were significantly more likely than their peers to use products to improve appearance or strength, but hours per week watching television, watching sports on television, and participation in team sports were not independently associated with using products to improve appearance or muscle mass. CONCLUSIONS: Girls and boys who frequently thought about wanting toned or well-defined muscles were at increased risk for using potentially unhealthful products to enhance their physique. These results suggest that just as girls may resort to unhealthful means to achieve a low body weight, girls and boys may also resort to unhealthful means to achieve other desired physiques.

Adolescent↗
PubMed2006

Children, adolescents, and advertising.

Advertising is a pervasive influence on children and adolescents. Young people view more than 40,000 ads per year on television alone and increasingly are being exposed to advertising on the Internet, in magazines, and in schools. This exposure may contribute significantly to childhood and adolescent obesity, poor nutrition, and cigarette and alcohol use. Media education has been shown to be effective in mitigating some of the negative effects of advertising on children and adolescents.

Adolescent↗
PubMedDate not supplied

[Seventieth anniversary of the Brazilian Nursing Association].

The celebration of the Brazilian Nursing Association seventieth anniversary, former Brazilian Graduated Nurses Association, represents, in fact, seventy years of the history of Nursing in Brazil. We have certified, in a historical retrospective that the entity's creation, its organization which has been through several changes, adapting itself to the demands imposed by the conjunctures; the cultural landmarks, where the Brazilian Nursing Magazine, Brazilian Nursing Week, National Seminar of Research in Nursing, the Nursing Regional Meetings and the Brazilian Congress of Nursing are highlighted and are a demonstration of power and guts of this entity that survives from the struggle, conquests and achievements for the category. We also highlight the political advance these last two decades for the political and structural organization, the more democratic decisory process both internal and externally (ABEn's National Council); an autonomous social and political expression while civil society, better relationship with other national and international entities. Finally, we relate the challenges which appear to the entity's present management.

Anniversaries and Special Events↗
PubMedDate not supplied

[The life and work of Zaíra Cintra Vidal].

This is a social-historical study that aims at describing the trajectory of Zaíra Cintra Vidal, her participation in the Nursing School Rachel Haddock Lobo and in the Brazilian Association of Nursing (ABEn). The study is based on the concepts of symbolic power, habitus and symbolic struggle of Pierre Bourdieu. The primary sources are documents which were collected in the Documentation Center of Escola de Enfermagem Ana Neri (EEAN--Ana Neri School of Nursing) in the Federeal University of Rio de Janeiro (UFRJ) and at the Memory Center of the Faculty of Nursing (FENF) in the State University of Rio de Janeiro (UERJ). The data was collected between August 2000 and April 2001 by means of document analysis script. The outcomes showed that Zaíra Cintra Vidal was born on 5 May 1903; graduated from the Nursing School of the National Public Health Department in 1926; studied and post-graduated in the United States from 1927 until 1929 and returned to Brazil in 1943. Zaíra Cintra Vidal was the founder of the Nursing School Rachel Haddock Lobo and was its first director for nine years. She also and took part in ABEn's Direction Board and in the Revista Anais de Enfermagem (Nursing Magazine).

Brazil↗
PubMedDate not supplied

[Preparing the awakening of Lilith: gender in nursing in articles of REBEn in th 80s and 90s].

This study presents an analysis of the conditions of women/nurses in the articles published by REBEn (Brazilian Journal of Nursing) in the 1980's and 1990's. Initially, the researcher intended to analyze specifically those articles which had some reference to gender. However, in the beginnings of the 1980's, some articles pointed in the direction of the social problems involving women and the implication of these problems to nurses, without making explicit reference to gender category. Thus, the author decided to evaluate abstracts and the content of different articles, in order to detect those which were related to the subject of investigation. Eleven articles and two thematic editorials selected show that REBEn, although timidly, is a magazine which is updated regarding decisive moments of women's worldwide movement.

Brazil↗
PubMedDate not supplied

[Tendencies of life quality in the scientific nursing production].

This study is characterized by bibliographical research of life quality, undertaken the BDENF and LILACS databases, at the BIREME Virtual Library. Nursing magazines rated as B and C international and B national were also researched by QUALIS/CAPES. The results obtained indicated that the production of knowledge on the topic being discussed is limited to situations of health problems, especially in specific groups. The production is still restricted to graduate courses, which limits the circulation among its peers.

Bibliometrics↗
PubMedDate not supplied

[The nurse's role as an educator toward people who care for BVA patients].

This article was written based on bibliographical research aiming at making a thematic analysis of the production of knowledge in newspapers and magazines about the nurse's role as an educator toward people who care for BVA (brain vascular accident) patients. The analysis gathered articles published in the 80's and 90's, from the Medline, Lilacs and Cinahl databases. Content analysis was the methodological background that allowed the organization of knowledge in two categories: educational intervention in the acute stage and the post-discharge support.

Caregivers↗
PubMed2006

[Leadership in the nursing context].

Leadership is one of the most indispensable tools for nursing work. This study is aimed at making a bibliographical survey about leadership in the nursing context and characterizing the scientific production on the topic based on year and place of publication and theme categorization. An online literature review, carried out using LILACS data, considered periodical material, dissertations and theses available in Portuguese and Spanish from the past twenty years. From the 31 selected works, 17 (54.8%) have been published in international nursing magazines, 10 (32.2%) have been published in Brazilian nursing periodicals, 3 (9.8%) were Master's Degree theses, and one (3.2%) was a teaching thesis, with publication concentrated between 1997 and 1998 (22.6%). When categorizing the references, the numbers were: 14 (45.2%) dealt with nurse leadership styles, 15 (48.5%) were reflections upon leadership, and 2 (6.4%) discussed leadership and communication.

Leadership↗
PubMed2006

[Leisure activities for the elderly during hospitalization].

This study intended to: 1. Identify the leisure activities available in the hospital and those in which the elderly participate; 2. Relate elderly hospitalization with their participation in leisure activities; 3. Assess the factors that motivate and inhibit elderly participation in leisure activities. This is a descriptive/exploratory study carried out with one hundred hospitalized elderly patients. Available leisure activities were television and magazines. Most participants (99%) said they participate in leisure activities such as family/ friends conversations and visits. Involvement in leisure activities decreases with associated diseases and increases with hospitalization time. Leisure was motivated by the elderly's personal characteristics, the reduction of the hospitalization's negative effects, and the benefits it brings to the health. Its limitation was associated to intrinsic aspects of the elderly and to the institutional context.

Aged↗
PubMed2003

[Social and political actors in the formulation of health reform in Spain].

An analysis of the participation of social and political actors in the process of formulating health policy allows one to understand the specific characteristics of the organization and operation of a health system. This study analyzes the drafting process for the General Health Act (LGS) in Spain with the purpose of establishing the relationship between social, political, and economic actors in both the formulation of the Act itself and the organization of the Spanish Health System. A case study was carried out from 1982 through 1986. Documentary parliamentary data, the medical press, national magazines and journals, and press reports by political, social, and public health actors were analyzed. The first version of the General Health Act presented by the Spanish Socialist Workers' Party (PSOE) proposed a health system with funding and public administration aimed at achieving universal health coverage, integrated care, community participation, and health education. This proposal was submitted to a complex negotiating process with business groups, unions, and health professionals. The General Health Act as finally approved excludes the principles of equity and incorporates private interests in health: "free choice of doctor and hospital", public funding and private administration of the health system, and the establishment of Social Security as the core of the entire health system.

English Abstract↗