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Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Correspondence

A Kenyan newspaper analysis of the limitations of voluntary medical male circumcision and the importance of sustained condom use

Authors: Charlene N Muzyka, Laura H Thompson, Andrea E Bombak, S Michelle Driedger, Robert Lorway

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Since the completion of three clinical trials indicating that voluntary medical male circumcision (VMMC) is an effective method to reduce men’s chances of acquiring HIV, use of the procedure has been advocated in Kenya. Media messages shape popular understandings of the benefits and limitations of male circumcision. The objectives of this study were to (1) investigate promotion messages in a popular online newspaper to determine how the limitations of male circumcision are represented, and whether condom use is still being promoted; and (2) gain insight into popular understandings of the limitations of this new procedure through newspaper reader comments.

Methods

A content analysis was conducted on 34 online media articles published by the Daily Nation between January 1, 2008 and December 31, 2010. Information about condom promotion, partial immunity, limitations and complications of the procedure, as well as emergent themes, were analyzed.

Results

Results demonstrated an irregular and occasionally misleading presentation of these topics and a perceived lack of objective information about the risks and limitations of VMMC.

Conclusions

There is a need for governmental and non-governmental public health organizations to engage with the media to improve risk messaging.
Appendix
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Literature
1.
go back to reference Joint United Nations Programme on HIV/AIDS (UNAIDS): AIDS scorecards: overview: UNAIDS report on the global AIDS epidemic 2010. 2010, 4- Joint United Nations Programme on HIV/AIDS (UNAIDS): AIDS scorecards: overview: UNAIDS report on the global AIDS epidemic 2010. 2010, 4-
2.
go back to reference Bailey RC, Moses S, Parker CB, Agot K, Maclean L, Krieger JN, Williams CF: Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomized controlled trial. Lancet. 2007, 269 (9562): 643-656.CrossRef Bailey RC, Moses S, Parker CB, Agot K, Maclean L, Krieger JN, Williams CF: Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomized controlled trial. Lancet. 2007, 269 (9562): 643-656.CrossRef
3.
go back to reference Auvert B, Taljiarred D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A: Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 Trial. PLoS Med. 2005, 2 (11): 1112-1122.CrossRef Auvert B, Taljiarred D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A: Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 Trial. PLoS Med. 2005, 2 (11): 1112-1122.CrossRef
4.
go back to reference Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S, Nalugoda F, Kiwanuka N, Moulton LH, Chaudhary MA, Chen MZ, Sewankambo NK, Wabwire-Mangen F, Bacon MC, Williams CFM, Opendi P, Reynolds S, Laeyendecker O, Quinn TC, Wawer MJ: Male circumcision for HIV prevention in Rakai, Uganda: A randomised trial. Lancet. 2007, 369 (9562): 658-666.CrossRef Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S, Nalugoda F, Kiwanuka N, Moulton LH, Chaudhary MA, Chen MZ, Sewankambo NK, Wabwire-Mangen F, Bacon MC, Williams CFM, Opendi P, Reynolds S, Laeyendecker O, Quinn TC, Wawer MJ: Male circumcision for HIV prevention in Rakai, Uganda: A randomised trial. Lancet. 2007, 369 (9562): 658-666.CrossRef
5.
go back to reference World Health Organization (WHO) Joint United Nations Programme on HIV/AIDS (UNAIDS): New data on male circumcision and HIV prevention: Policy and programme implications. 2007, 3-10. World Health Organization (WHO) Joint United Nations Programme on HIV/AIDS (UNAIDS): New data on male circumcision and HIV prevention: Policy and programme implications. 2007, 3-10.
6.
go back to reference Government of Kenya, Ministry of Public Health and Sanitation: National AIDS and STI Control Programme: Progress report on Kenya's voluntary medical male circumcision programme, 2008–2009: Summary. 2010, 1-14. Government of Kenya, Ministry of Public Health and Sanitation: National AIDS and STI Control Programme: Progress report on Kenya's voluntary medical male circumcision programme, 2008–2009: Summary. 2010, 1-14.
7.
go back to reference Sayles J, Macphail CL, Newman PA, Cunningham WE: Future vaccine acceptability among young adults in South Africa. Health Educ Behav. 2010, 37: 193-210. 10.1177/1090198109335654.CrossRefPubMed Sayles J, Macphail CL, Newman PA, Cunningham WE: Future vaccine acceptability among young adults in South Africa. Health Educ Behav. 2010, 37: 193-210. 10.1177/1090198109335654.CrossRefPubMed
8.
go back to reference Rennie S, Muula AS, Westreich D: Male circumcision and HIV prevention: Ethical, medical and public health tradeoffs in low-income countries. J Med Ethics. 2007, 33: 357-361. 10.1136/jme.2006.019901.CrossRefPubMedPubMedCentral Rennie S, Muula AS, Westreich D: Male circumcision and HIV prevention: Ethical, medical and public health tradeoffs in low-income countries. J Med Ethics. 2007, 33: 357-361. 10.1136/jme.2006.019901.CrossRefPubMedPubMedCentral
9.
go back to reference Government of Kenya, Ministry of Public Health and Sanitation: Voluntary Medical male circumcision (VMMC) communication guide for Nyanza Province. 2010 Government of Kenya, Ministry of Public Health and Sanitation: Voluntary Medical male circumcision (VMMC) communication guide for Nyanza Province. 2010
10.
go back to reference Slovic P, Fischhoff B, Lichtenstein S: Why study risk perceptions?. Risk Anal. 1982, 2: 83-93. 10.1111/j.1539-6924.1982.tb01369.x.CrossRef Slovic P, Fischhoff B, Lichtenstein S: Why study risk perceptions?. Risk Anal. 1982, 2: 83-93. 10.1111/j.1539-6924.1982.tb01369.x.CrossRef
11.
go back to reference Kahneman D, Tversky A: Choices, values, and frames. Am Psychol. 1984, 39 (4): 341-350.CrossRef Kahneman D, Tversky A: Choices, values, and frames. Am Psychol. 1984, 39 (4): 341-350.CrossRef
12.
go back to reference Entman RM: Framing: Toward clarification of a fractured paradigm. J Commun. 1993, 43 (4): 51-58. 10.1111/j.1460-2466.1993.tb01304.x.CrossRef Entman RM: Framing: Toward clarification of a fractured paradigm. J Commun. 1993, 43 (4): 51-58. 10.1111/j.1460-2466.1993.tb01304.x.CrossRef
13.
go back to reference Garcia-Retamero R, Galesic M: How to reduce the effect of framing on messages about health. J Gen Intern Med. 2010, 25 (12): 1323-1329. 10.1007/s11606-010-1484-9.CrossRefPubMedPubMedCentral Garcia-Retamero R, Galesic M: How to reduce the effect of framing on messages about health. J Gen Intern Med. 2010, 25 (12): 1323-1329. 10.1007/s11606-010-1484-9.CrossRefPubMedPubMedCentral
14.
go back to reference Ancker JS, Kaufman D: Rethinking health numeracy: A multidisciplinary literature review. J Am Med Inform Assn. 2007, 14: 713-721. 10.1197/jamia.M2464.CrossRef Ancker JS, Kaufman D: Rethinking health numeracy: A multidisciplinary literature review. J Am Med Inform Assn. 2007, 14: 713-721. 10.1197/jamia.M2464.CrossRef
15.
go back to reference Peters E, Hart S, Fraenkel L: Informing patients: The influence of numeracy, framing, and format of side effect information on risk perceptions. Med Decis Making. 2011, 31: 432-436. 10.1177/0272989X10391672.CrossRefPubMed Peters E, Hart S, Fraenkel L: Informing patients: The influence of numeracy, framing, and format of side effect information on risk perceptions. Med Decis Making. 2011, 31: 432-436. 10.1177/0272989X10391672.CrossRefPubMed
16.
go back to reference Peters E, Levin IP: Dissecting the risky-choice framing effect: Numeracy as an individual-difference factor in weighting risky and riskless options. Judgm Decis Mak. 2008, 3: 435-438. Peters E, Levin IP: Dissecting the risky-choice framing effect: Numeracy as an individual-difference factor in weighting risky and riskless options. Judgm Decis Mak. 2008, 3: 435-438.
17.
go back to reference Peters E, Västfjäll D, Slovic P, Mertz CK, Mazzocco K, Dickert S: Numeracy and decision making. Psychol Sci. 2006, 17: 407-413. 10.1111/j.1467-9280.2006.01720.x.CrossRefPubMed Peters E, Västfjäll D, Slovic P, Mertz CK, Mazzocco K, Dickert S: Numeracy and decision making. Psychol Sci. 2006, 17: 407-413. 10.1111/j.1467-9280.2006.01720.x.CrossRefPubMed
18.
go back to reference Wahlberg AA, Sjoberg L: Risk perception and the media. J Risk Res. 2000, 3 (1): 31-50. 10.1080/136698700376699.CrossRef Wahlberg AA, Sjoberg L: Risk perception and the media. J Risk Res. 2000, 3 (1): 31-50. 10.1080/136698700376699.CrossRef
19.
go back to reference Driedger SM: Creating shared realities through communication: Exploring the agenda-building role of the media and its sources in the E. coli contamination of a Canadian public drinking water supply. J Risk Res. 2008, 11 (1–2)): 23-40.CrossRef Driedger SM: Creating shared realities through communication: Exploring the agenda-building role of the media and its sources in the E. coli contamination of a Canadian public drinking water supply. J Risk Res. 2008, 11 (1–2)): 23-40.CrossRef
20.
go back to reference Palmgreen P, Noar SM, Zimmerman RS: Mass media campaigns as a tool for HIV prevention. Communication Perspectives on HIV/AIDS for the 21st Century. Edited by: Edgar T, Noar S, Freimuth VS. 2007, Routledge, New York, 221-252. 1 Palmgreen P, Noar SM, Zimmerman RS: Mass media campaigns as a tool for HIV prevention. Communication Perspectives on HIV/AIDS for the 21st Century. Edited by: Edgar T, Noar S, Freimuth VS. 2007, Routledge, New York, 221-252. 1
21.
go back to reference Benefo KD, Takyi BK: Mass media effects on AIDS knowledge and sexual behaviour in Africa with special reference to Ghana. Int J Sociol Soc Pol. 2002, 22 (4–6): 77-99.CrossRef Benefo KD, Takyi BK: Mass media effects on AIDS knowledge and sexual behaviour in Africa with special reference to Ghana. Int J Sociol Soc Pol. 2002, 22 (4–6): 77-99.CrossRef
22.
go back to reference Muthivhl E, Sodi T, Maunganidze L, Mudhovozi P: Knowledge, attitudes and perceptions of HIV and AIDS by rural South African secondary school learners. J Psychol Africa. 2011, 21: 4- Muthivhl E, Sodi T, Maunganidze L, Mudhovozi P: Knowledge, attitudes and perceptions of HIV and AIDS by rural South African secondary school learners. J Psychol Africa. 2011, 21: 4-
23.
go back to reference HSRC: South African national HIV prevalence, incidence, behaviour and communication Survey?. 2008, : Turning the tide among teenagers? HSRC: South African national HIV prevalence, incidence, behaviour and communication Survey?. 2008, : Turning the tide among teenagers?
24.
go back to reference Rerks-Ngarm S, Pitisuttithum P, Nitayaphan S, Kaewkungwal J, Chiu J: Vaccination with ALVAC and AIDSVAX to prevent HIV-1 infection in Thailand. New Engl J Med. 2009, 361: 2209-2220. 10.1056/NEJMoa0908492.CrossRefPubMed Rerks-Ngarm S, Pitisuttithum P, Nitayaphan S, Kaewkungwal J, Chiu J: Vaccination with ALVAC and AIDSVAX to prevent HIV-1 infection in Thailand. New Engl J Med. 2009, 361: 2209-2220. 10.1056/NEJMoa0908492.CrossRefPubMed
25.
go back to reference Wang AL, Duke W, Schmid GP: Print media reporting of male circumcision for preventing HIV infection in sub-Saharan Africa. B World Health Organ. 2009, 87: 8-10.2471/BLT.09.030109.CrossRef Wang AL, Duke W, Schmid GP: Print media reporting of male circumcision for preventing HIV infection in sub-Saharan Africa. B World Health Organ. 2009, 87: 8-10.2471/BLT.09.030109.CrossRef
27.
go back to reference Onyebadi U, Oyedeji T: Newspaper coverage of post political election violence in Africa: An assessment of the Kenyan example. Media, War & Conflict. 2011, 4 (3): 215-230. 10.1177/1750635211420768.CrossRef Onyebadi U, Oyedeji T: Newspaper coverage of post political election violence in Africa: An assessment of the Kenyan example. Media, War & Conflict. 2011, 4 (3): 215-230. 10.1177/1750635211420768.CrossRef
28.
go back to reference Mghendi T: Kenya internet users - which sites do they visit. TiEL ICT Blog. Mghendi T: Kenya internet users - which sites do they visit. TiEL ICT Blog.
29.
go back to reference Sampert J, Trimble L: Appendix: A primer on content and discourse analysis methodology. Mediating Canadian Politics. 2009, Pearson Education Canada, Toronto, 1 Sampert J, Trimble L: Appendix: A primer on content and discourse analysis methodology. Mediating Canadian Politics. 2009, Pearson Education Canada, Toronto, 1
30.
31.
go back to reference Entman RM: Framing bias: Media in the distribution of power. J Commun. 2007, 57: 163-173. 10.1111/j.1460-2466.2006.00336.x.CrossRef Entman RM: Framing bias: Media in the distribution of power. J Commun. 2007, 57: 163-173. 10.1111/j.1460-2466.2006.00336.x.CrossRef
32.
go back to reference Scheufele DA, Tewksbury D: Framing, agenda setting, and priming: The evolution of three media effects models. J Commun. 2007, 57: 9-20. Scheufele DA, Tewksbury D: Framing, agenda setting, and priming: The evolution of three media effects models. J Commun. 2007, 57: 9-20.
33.
go back to reference Henrich N, Holmes B: What the public was saying about the H1N1 vaccine: Perceptions and issues discussed in on-line comments during the 2009 H1N1 pandemic. PLoS One. 2011, 6 (4): e18479-10.1371/journal.pone.0018479.CrossRefPubMedPubMedCentral Henrich N, Holmes B: What the public was saying about the H1N1 vaccine: Perceptions and issues discussed in on-line comments during the 2009 H1N1 pandemic. PLoS One. 2011, 6 (4): e18479-10.1371/journal.pone.0018479.CrossRefPubMedPubMedCentral
34.
go back to reference Altheide DL: Creating fear: News and the construction of a crisis: New York. 2002, Aldine De Gruyter, NY Altheide DL: Creating fear: News and the construction of a crisis: New York. 2002, Aldine De Gruyter, NY
35.
go back to reference Driedger SM, Jardine C, Boyd A, Bhavnita M: Do the first 10 days equal a year? Comparing two Canadian public health risk events using the national media. Health Risk Soc. 2009, 11 (1): 39-53.CrossRef Driedger SM, Jardine C, Boyd A, Bhavnita M: Do the first 10 days equal a year? Comparing two Canadian public health risk events using the national media. Health Risk Soc. 2009, 11 (1): 39-53.CrossRef
36.
go back to reference Roch JP, Muskavitch MAT: Limited precision in print media communication of West Nile virus risks. Sci Commun. 2003, 24 (3): 353-365. 10.1177/1075547002250300.CrossRef Roch JP, Muskavitch MAT: Limited precision in print media communication of West Nile virus risks. Sci Commun. 2003, 24 (3): 353-365. 10.1177/1075547002250300.CrossRef
37.
go back to reference Ndiwane AN: Community health, media, and policy in Sub-Saharan Africa: A primary prevention approach to the AIDS crisis. ABNF J. 2000, 11 (4): 83-87.PubMed Ndiwane AN: Community health, media, and policy in Sub-Saharan Africa: A primary prevention approach to the AIDS crisis. ABNF J. 2000, 11 (4): 83-87.PubMed
38.
go back to reference Rothman AJ, Salvoey P: Shaping perceptions to motivate health behavior: The role of message framing. Psychol Bull. 1997, 121 (1): 3-19.CrossRefPubMed Rothman AJ, Salvoey P: Shaping perceptions to motivate health behavior: The role of message framing. Psychol Bull. 1997, 121 (1): 3-19.CrossRefPubMed
39.
go back to reference Fagerlin A, Zikmund-Fisher BJ, Ubel PA: Helping patients decide: Ten steps to better risk communication. JNCI. 2011, 103 (19): 1436-1443. 10.1093/jnci/djr318.CrossRefPubMedPubMedCentral Fagerlin A, Zikmund-Fisher BJ, Ubel PA: Helping patients decide: Ten steps to better risk communication. JNCI. 2011, 103 (19): 1436-1443. 10.1093/jnci/djr318.CrossRefPubMedPubMedCentral
40.
go back to reference Visschers VHM, Meertens RM, Passchier WWF, de Vries NNK: Probability information in risk communication: A review of the research literature. Risk Anal. 2009, 29 (2): 267-287. 10.1111/j.1539-6924.2008.01137.x.CrossRefPubMed Visschers VHM, Meertens RM, Passchier WWF, de Vries NNK: Probability information in risk communication: A review of the research literature. Risk Anal. 2009, 29 (2): 267-287. 10.1111/j.1539-6924.2008.01137.x.CrossRefPubMed
41.
go back to reference Dieckmann NF, Slovic P, Peters E: The use of narrative evidence and explicit likelihood by decision makers varying in numeracy. Risk Anal. 2009, 10: 1473-1488.CrossRef Dieckmann NF, Slovic P, Peters E: The use of narrative evidence and explicit likelihood by decision makers varying in numeracy. Risk Anal. 2009, 10: 1473-1488.CrossRef
42.
go back to reference Reyna VF, Nelson WL, Han PK, Dieckmann NF: How numeracy influences risk comprehension and medical decision making. Psychol Bull. 2009, 135 (6): 943-973.CrossRefPubMedPubMedCentral Reyna VF, Nelson WL, Han PK, Dieckmann NF: How numeracy influences risk comprehension and medical decision making. Psychol Bull. 2009, 135 (6): 943-973.CrossRefPubMedPubMedCentral
Metadata
Title
A Kenyan newspaper analysis of the limitations of voluntary medical male circumcision and the importance of sustained condom use
Authors
Charlene N Muzyka
Laura H Thompson
Andrea E Bombak
S Michelle Driedger
Robert Lorway
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-465

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