Ten Years of Messaging about the Affordable Care Act in Advertising and News Media: Lessons for Policy and Politics
Ten Years of Messaging about the Affordable Care Act in Advertising and News Media: Lessons for Policy and Politics
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DOI：
10.1215/03616878-8543210
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发表时间：
2020-10-01
影响因子：
4.2
通讯作者：
Niederdeppe, Jeff
中科院分区：
文献类型：
--
作者：
Gollust, Sarah E.;Fowler, Erika Franklin;Niederdeppe, Jeff
关于《平价医疗法案》（ACA）的信息似乎产生了各种结果：数百万美国人获得了医疗保险，但大部分美国公众仍然对该法律的主要组成部分感到困惑，而且在支持该法律方面仍然存在明显而持久的政治分歧。我们对ACA相关媒体（包括广告和新闻）的数量和内容的分析有助于解释这些现象，并得出三个结论。首先，围绕ACA的信息环境是复杂和竞争性的，来自不同赞助商的信息具有多重目标。第二，新闻和政治广告中的党派暗示非常丰富，这可能导致了对法律的政治两极分化。第三，在过去十年中，政治广告中关于ACA的党派讨论在数量、方向和语气上都发生了变化，就哪一方对法律的成功（或失败）负责提出了不同的观点。我们从ACA信息的数量和内容的纵向分析中为这些结论提供了证据，还参考了将这些信息与态度和行为联系起来的研究。最后，我们对卫生传播，政治学和卫生改革的未来前景的影响。
Messaging about the Affordable Care Act (ACA) has seemingly produced a variety of outcomes: millions of Americans gained access to health insurance, yet much of the US public remains confused about major components of the law, and there remain stark and persistent political divides in support of the law. Our analysis of the volume and content of ACA-related media (including both ads and news) helps explain these phenomena, with three conclusions. First, the information environment around the ACA has been complex and competitive, with messaging originating from diverse sponsors with multiple objectives. Second, partisan cues in news and political ads are abundant, likely contributing to the crystallized politically polarized opinion about the law. Third, partisan discussions of the ACA in political ads have shifted in volume, direction, and tone over the decade, presenting divergent views regarding which party is accountable for the law's successes (or failures). We offer evidence for each of these conclusions from longitudinal analyses of the volume and content of ACA messaging, also referencing studies that have linked these messages to attitudes and behavior. We conclude with implications for health communication, political science, and the future outlook for health reform.