Breaking the news or fueling the epidemic? Temporal association between news media report volume and opioid-related mortality.
Breaking the news or fueling the epidemic? Temporal association between news media report volume and opioid-related mortality.
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DOI：
10.1371/journal.pone.0007758
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发表时间：
2009-11-18
期刊：
影响因子：
3.7
通讯作者：
Brownstein JS
中科院分区：
文献类型：
--
作者：
Dasgupta N;Mandl KD;Brownstein JS
对新闻媒体的历史研究表明，报道与药物滥用增加之间存在联系。对于不同类别的法律的和非法物质，物质使用的时期效应已经被记录在案，怀疑媒体宣传可能在其出现中发挥了重要作用。以前的分析主要来自定性证据;媒体报道量和不良健康后果之间的时间关系尚未在全国范围内量化。我们开始探索我们是否可以找到关于处方阿片类药物滥用的媒体报道与这些药物相关的过量死亡率之间的定量关系。我们评估了新闻媒体报道的增加是发生在过量死亡增加之前还是之后。我们的生态学研究比较了1999年至2005年涉及短效处方阿片类药物的非故意中毒死亡的月度时间序列，使用国家卫生统计中心发布的多种死因数据，以及1999年至2005年从谷歌新闻档案中获得的处方阿片类药物的通用名和品牌名的英文新闻文章的月度计数。我们通过时滞回归分析估计了媒体量和死亡率之间的关系。在7年的研究期间，有24，272篇文章和30，916例死亡涉及处方阿片类药物。在全国范围内，从2001年初开始，随着对奥施康定非医疗用途的显著报道，提及处方阿片类药物的文章数量急剧增加。我们发现新闻报道与死亡之间存在显著关联，媒体报道在致命性阿片类药物中毒之前2至6个月，并解释了死亡率变化的88%（p<0.0001，df 78）。虽然可用性，结构和个人倾向是影响物质使用的关键因素，但新闻报道可能会提高精神活性物质的普及程度。尽管这是一个生态问题，但我们的发现表明，需要进一步评估新闻媒体对健康的影响。关于处方类阿片的报道符合关于其他精神活性物质的新闻报道的历史模式。
Historical studies of news media have suggested an association between reporting and increased drug abuse. Period effects for substance use have been documented for different classes of legal and illicit substances, with the suspicion that media publicity may have played major roles in their emergence. Previous analyses have drawn primarily from qualitative evidence; the temporal relationship between media reporting volume and adverse health consequences has not been quantified nationally. We set out to explore whether we could find a quantitative relationship between media reports about prescription opioid abuse and overdose mortality associated with these drugs. We assessed whether increases in news media reports occurred before or after increases in overdose deaths. Our ecological study compared a monthly time series of unintentional poisoning deaths involving short-acting prescription opioid substances, from 1999 to 2005 using multiple cause-of-death data published by the National Center for Health Statistics, to monthly counts of English-language news articles mentioning generic and branded names of prescription opioids obtained from Google News Archives from 1999 to 2005. We estimated the association between media volume and mortality rates by time-lagged regression analyses. There were 24,272 articles and 30,916 deaths involving prescription opioids during the seven-year study period. Nationally, the number of articles mentioning prescription opioids increased dramatically starting in early 2001, following prominent coverage about the nonmedical use of OxyContin. We found a significant association between news reports and deaths, with media reporting preceding fatal opioid poisonings by two to six months and explaining 88% (p<0.0001, df 78) of the variation in mortality. While availability, structural, and individual predispositions are key factors influencing substance use, news reporting may enhance the popularity of psychoactive substances. Albeit ecological in nature, our finding suggests the need for further evaluation of the influence of news media on health. Reporting on prescription opioids conforms to historical patterns of news reporting on other psychoactive substances.
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影响因子：
15.8
作者：
Brownstein JS;Freifeld CC;Reis BY;Mandl KD
通讯作者：
Mandl KD
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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作者：
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通讯作者：
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