The impact of a television soap opera on the NHS Cervical Screening Programme in the North West of England
The impact of a television soap opera on the NHS Cervical Screening Programme in the North West of England
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DOI：
10.1093/pubmed/24.4.299
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发表时间：
2002-12-01
期刊：
影响因子：
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通讯作者：
Richardson, J
中科院分区：
文献类型：
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作者：
Howe, A;Owen-Smith, V;Richardson, J
背景 大众媒体干预可以影响医疗保健的利用，但电视虚构的疾病描述对国家筛查计划的影响尚不清楚。我们的目的是评估加冕街故事情节对国家卫生服务 (NHS) 宫颈筛查计划的影响，其中一名角色死于宫颈癌。 方法 这项研究对构成 NHS 西北地区兰开夏郡和大曼彻斯特地区的九个卫生当局的宫颈筛查数据库（“埃克塞特”计算机系统）中保存的信息进行了回顾性分析。将在包括故事情节在内的 6 个月期间，在社区中对 25 岁以上、之前的宫颈涂片检查结果正常且处于常规回忆状态的女性进行的宫颈涂片检查数量与上一年同期进行的宫颈涂片检查数量进行比较。比较了按筛查间隔“未安排”、“按时”、“逾期”或“以前没有进行涂片”分类的涂片比例。 结果 进行涂片检查的数量从 2000 年的 65 714 例增加到 2001 年的 79 712 例，增加了 13 998 例（21.3%；95% 置信区间 (CI)） 21.0-21.6%）在故事情节结束后的 19 周内。所有类别的筛查间隔中涂片数量均有所增加，其中“准时”参加的涂片数量增幅最大（26%）。 结论 我们已经证明肥皂剧故事情节对宫颈筛查计划产生了巨大影响，尽管其对健康的益处尚不清楚。进一步的研究将确定这个故事的长期影响。
Background Mass media interventions can influence health care utilization but the effect of televised fictional accounts of illness upon national screening programmes is unknown. Our aim was to evaluate the impact of a Coronation Street story line, in which one of the characters died from cervical cancer, on the National Health Service (NHS) Cervical Screening Programme.Methods The study involved a retrospective analysis of information held on cervical screening databases ('Exeter' computer systems) of the nine Health Authorities constituting the Lancashire and Greater Manchester zones of the North West Region of the NHS. The number of cervical smears performed in the community, in women over 25 years of age, whose previous smear was normal and who were on routine recall, during a 6 month period that included the story line, was compared with those taken over the same period in the previous year. The proportions of smears classified by a screening interval of 'unscheduled', 'on time', 'overdue' or 'no previous smear' were compared.Results The number of smears performed increased from 65 714 in 2000 to 79 712 in 2001, an increase of 13 998 (21.3 per cent; 95 per cent confidence interval (CI) 21.0-21.6 per cent) in the 19 weeks after the story line. The increase in the number of smears occurred in all categories of screening interval, with the largest increase seen in those attending 'on-time' (26 per cent).Conclusions We have demonstrated a large impact of a soap opera story line on the cervical screening programme although the benefit to health is not clear. Further research will determine the long-term effect of the story.