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BMC Public Health

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Open Access 01-12-2015 | Research article

Coverage of skin cancer and recreational tanning in North American magazines before and after the landmark 2006 International Agency for Research on Cancer report

Authors: Jennifer E McWhirter, Laurie Hoffman-Goetz

Published in: BMC Public Health | Issue 1/2015

Abstract

Background

Skin cancer is an increasingly important global public health problem. Mass media is a key source of skin cancer information. We examined how media coverage of skin cancer has changed over time as a consequence of the release of a key public health report from the International Agency for Research on Cancer (IARC) in 2006, which linked ultraviolet (UV) radiation from indoor tanning and skin cancer.

Methods

A directed content analysis of skin cancer and tanning coverage in 29 popular North American magazines (2001–2012) examined reporting of skin cancer risk factors, UV behaviors, and early detection in article text (n = 761) and images (n = 1267). Chi-square and correlational analyses were used determine whether coverage changed in relation to the 2006 IARC report.

Results

The total volume of articles about skin cancer and tanning increased modestly after the IARC report (χ² = 4.57, df = 1, p < .05); however, key IARC report messages (e.g., avoid indoor tanning, UV as a risk factor) were no more likely to be reported after compared to before the report. There were virtually no changes in the percentage of coverage for both risk factors and early detection information over time. There were some changes in the percentage of coverage about UV behaviors after the IARC report, but these variables were not directly related to the report. Magazines were more likely to encourage sunscreen use (χ² = 11.55, df = 1, p < .01) and less likely to promote the tanned look as attractive (χ² = 9.72, df = 1, p < .01) after the IARC report. It also became less common for magazines to promote sun avoidance (χ² = 6.82, df = 1, p < .01) and use of sunless tanners (χ² = 7.46, df = 1, p < .01) after the report.

Conclusions

Despite a modest increase in volume of coverage post-IARC report, key messages from the report were not taken up by the media. While there have been some improvements in magazine reporting, there is a need for more effective dissemination of public health messages about skin cancer and tanning.

World Health Organization: Skin cancers. http://www.who.int/uv/faq/skincancer/en/index1.html.

American Cancer Society: What are the key statistics about melanoma skin cancer? http://www.cancer.org/cancer/skincancer-melanoma/detailedguide/melanoma-skin-cancer-key-statistics.

Canadian Cancer Society: Canadian Cancer Statistics. http://www.cancer.ca/en/cancer-information/cancer-101/canadian-cancer-statistics-publication/?region=on.

American Academy of Dermatology: How do I prevent skin cancer? http://www.aad.org/spot-skin-cancer/understanding-skin-cancer/how-do-i-prevent-skin-cancer.

Ries LAG, Melbert D, Krapcho M, Mariotto A, Miller BA, Feuer EJ, et al. SEER Cancer Statistics Review. 1975–2004. Bethesda: National Cancer Institute. http://seer.cancer.gov/csr/1975_2004/.

International Agency for Research on Cancer: IARC Working Group Reports Volume 1: Exposure to Artificial UV Radiation and Skin Cancer. Lyon: World Health Organization and IARC. 2006. http://www.iarc.fr/en/publications/pdfs-online/wrk/wrk1/ArtificialUVRad&SkinCancer.pdf.

Heckman CJ, Coups EJ, Manne SL. Prevalence and correlates of indoor tanning among US adults. J Am Acad Dermatol. 2008;58:769–80.CrossRefPubMedPubMedCentral

Wehner MR, Chren MM, Nameth D, Choudhry A, Gaskins M, Nead KT, et al. International prevalence of indoor tanning: a systematic review and meta-analysis. JAMA Dermatol. 2014;150:390–400.CrossRefPubMedPubMedCentral

Eadie D, MacAskill S. Results from an exploratory study of sun protection practice: implications for the design of health promotion messages. Health Educ. 2007;107:250–60.CrossRef

10.

Dixon H, Warne C, Scully M, Dobbinson S, Wakefield M. Agenda-setting effects of sun-related news coverage on public attitudes and beliefs about tanning and skin cancer. Health Commun. 2014;29:173–81.CrossRefPubMed

11.

Sinclair CA, Makin JK, Tang A, Brozek I, Rock V. The role of public health advocacy in achieving an outright ban on commercial tanning beds in Australia. Am J Public Health. 2014;104:e7.CrossRefPubMedPubMedCentral

12.

Cho H, Hall JG, Kosmoski C, Fox RL, Mastin T. Tanning, skin cancer risk, and prevention: a content analysis of eight popular magazines that target female readers: 1997–2006. Health Commun. 2010;25:1–10.CrossRefPubMedPubMedCentral

13.

Stryker JE, Solky BA, Emmons KM. A content analysis of news coverage of skin cancer prevention and detection, 1979 to 2003. JAMA Dermatol. 2005;141:491–6.CrossRef

14.

Heneghan MK, Hazan C, Halpern AC, Oliveria SA. Skin cancer coverage in a national newspaper: a teachable moment. J Cancer Educ. 2007;22:99–104.CrossRefPubMed

15.

Scully M, Makin J, Maloney S, Wakefield M. Changes in coverage of sun protection in the news: threats and opportunities for emerging issues. Health Educ Res. 2014;29:378–87.CrossRefPubMed

16.

Boniol M, Autier P, Boyle P, Gandini S. Cutaneous melanoma attributable to sunbed use: review and meta-analysis. BMJ. 2012;345:e4757.CrossRefPubMedPubMedCentral

17.

Pierce JP, Gilpin EA. News media coverage of smoking and health is associated with changes in population rates of smoking cessation but not initiation. Tob Control. 2001;10:145–3.CrossRefPubMedPubMedCentral

18.

Houts PS, Doak CC, Doak LG, Loscalzo MJ. The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherence. Patient Educ Couns. 2006;61:173–90.CrossRefPubMed

19.

McWhirter JE, Hoffman-Goetz L. Systematic review of population based studies on the impact of images on UV attitudes and behaviours. Health Promot Int. 2013. doi:10.1093/heapro/dat031.PubMed

20.

McWhirter JE, Hoffman-Goetz L. Visual images for patient skin self-examination and melanoma detection: A systematic review of published studies. J Am Acad Dermatol. 2013;69:47–55.CrossRefPubMed

21.

Riffe D, Lacy S, Fico F. Analyzing Media Messages: Using Quantitative Content Analysis in Research. 3rd ed. New York: Routledge; 2013.

22.

Downs A. Up and down with ecology: the issue attention cycle. Public Interest. 1972;28:38–40.

23.

Vainio H, Bianchini F. Handbook of cancer prevention. International Agency for Research on Cancer: Lyon; 2001.

24.

Warner KE, Goldenhar LM, McLaughlin CG. Cigarette advertising and magazine coverage of the hazards of smoking. A statistical analysis. N Engl J Med. 1992;326:305–9.CrossRefPubMed

25.

Messaris P, Abraham L. The role of images in framing news stories. In: Reese S, Gandy O, Grant A, editors. Framing Public Life. Mahwah: Erlbaum; 2001. p. 215–26.

26.

Dixon HG, Warne CD, Scully ML, Wakefield MA, Dobbinson SJ. Does the portrayal of tanning in Australian women’s magazines relate to real women's tanning beliefs and behavior? Health Educ Behav. 2011;38:132–42.CrossRefPubMed

27.

Lovejoy J, Riffe D, Lovejoy TI. An examination of indirect effects of exposure and attention to health media on intentions to avoid unprotected sun exposure. Health Commun. 2015;30:261–70.CrossRefPubMed

28.

U.S. Department of Health, Education, and Welfare: Smoking and Health: Report of the Advisory Committee of the Surgeon General of the Public Health Service. Washington: Public Health Service, U.S. Government Print Office. 1964. http://www.surgeongeneral.gov/library/reports/index.html.

29.

Alamar B, Glantz S. Effect of increase social unacceptability of cigarette smoking on reduction in cigarette consumption. Am J Public Health. 2006;96:1359–62.CrossRefPubMedPubMedCentral

30.

Hunt Y, Augustson E, Rutten L, Moser R, Yaroch A. History And Culture Of Tanning In The United States. In Shedding Light On Indoor Tanning. Edited By Heckman CJ, Manne SL. New York. Springer Science+Business Media; 2012. http://www.springer.com/biomed/cancer/book/978-94-007-2047-3.

31.

Group ITW. Report of the Indoor Tanning Working Group. Vancouver: British Columbia Ministry of Health; 2011 [http://www.health.gov.bc.ca/library/publications/year/2011/ITWG-Report.pdf]

32.

U.S. Department of Health and Human Services: The Surgeon General’s Call to Action to Prevent Skin Cancer. Washington: U.S. Department of Health and Human Services, Office of the Surgeon General. 2014. http://www.surgeongeneral.gov/library/calls/prevent-skin-cancer/call-to-action-prevent-skin-cancer.pdf.

33.

IARC Press Release 171: Sunbed use in youth unequivocally associated with skin cancer. http://www.iarc.fr/en/media-centre/pr/2006/pr171.html.

34.

Chapman S, Marks R, King M. Trends in tans and skin protection in Australian fashion magazines, 1982 through 1991. Am J Public Health. 1992;82:1677–80.CrossRefPubMedPubMedCentral

Title: Coverage of skin cancer and recreational tanning in North American magazines before and after the landmark 2006 International Agency for Research on Cancer report
Authors: Jennifer E McWhirter
Laurie Hoffman-Goetz
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-015-1511-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Coverage of skin cancer and recreational tanning in North American magazines before and after the landmark 2006 International Agency for Research on Cancer report

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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