Doctoral Dissertation Research: Medicalization Processes and Prescription Advertising: Effects for Consumers, Physicians and Society

博士论文研究：医疗化过程和处方广告：对消费者、医生和社会的影响

• 批准号: 0828582
• 负责人: Cecilia Menjivar
• 金额: $ 0.46万
• 依托单位: Arizona State University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=0828582&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Medicalization; Processes

PI and Co-PI: Cecilia Menjivar and Jennifer B. Arney Title: Doctoral Dissertation Research: Direct to consumer advertising of psychotropic medications: Effects for consumers, physicians, and society at largeSES - 0828582 ABSTRACTThis Doctoral Dissertation Research Support project examines the advertising of prescription medications toward consumer audiences, a practice referred to as direct-to-consumer advertising (DTCA). The primary goal of the study is to inform debates regarding current drug advertising regulations by providing insight into the benefits, consequences, and processes associated with DTCA of antidepressant medications. The doctoral student explores the effects of DTCA on consumers, attitudes and behaviors, their experiences with the institution of medicine, and the production and perpetuation of broader understandings of physical and emotional experiences. Inquiry is guided by the following research questions: How does DTCA affect consumers? interpretations of their physical and emotional experiences and their decisions about health care? How does DTCA affect consumers? experiences with the institution of medicine? Does DTCA facilitate the gendering of mood disorders? If so, how is this achieved? This project uses a multi-method, triangulated research design in order to combine qualitative and quantitative data. Data to be analyzed include 1) print advertisements for antidepressant drugs collected from the 1997-2006 issues of three female-directed magazines, three male-directed magazines, and four common readership magazines, 2) a total of 50 one-hour interviews with physicians, psychiatrists, and consumers residing in the southwestern U.S., and 3) the Attitudinal and Behavioral Effects of Direct-to-Consumer Promotion of Prescription Drugs patient and physician surveys (US FDA 2002). This holistic analysis is expected to advance understanding of how environmental factors, like advertisements, shape individuals? identities, their health care decisions, and their interactions with others. The project provides insight into one of the factors that shape public perceptions about mental illness and treatment. The study advances theories associated with DTCA and methods used in its analysis. Findings contribute to new understandings and applicability of sociological theories involving identity, self-labeling, physician-patient interactions, medicalization, social control, and gender roles and identities. The project is central to the training and education of the co-PI, and involves the mentoring and training of an undergraduate research assistant. Findings will be presented to the scientific community at several national and regional meetings and conferences, and the project is expected to render several publishable journal articles. At the broadest level, this investigation provides a point of departure for an assessment and critique of the current organization of the American health care system. Results help inform suggestions to improve the organization and delivery of health care in America, a very timely topic in policy circles.

Pi和Co-Pi：Cecilia Menjivar和Jennifer B.Arney标题：博士学位论文研究：直接面向消费者的精神药物广告：对消费者、医生和社会的影响SES-0828582摘要这个博士学位论文研究支持项目调查了面向消费者受众的处方药广告，这种做法被称为直接面向消费者的广告。这项研究的主要目的是通过深入了解与抗抑郁药物DTCA相关的益处、后果和过程，为有关当前药品广告法规的辩论提供信息。博士生探索DTCA对消费者、态度和行为的影响，他们与医疗机构的经验，以及对身体和情感经验的更广泛理解的产生和延续。调查由以下研究问题指导：DTCA如何影响消费者？对他们的身体和情感经历的解释以及他们对医疗保健的决定？DTCA对消费者有何影响？在医学机构工作的经历？DTCA是否促进情绪障碍的性别化？如果是这样，这是如何实现的？本项目采用多方法、三角研究设计，将定性数据与定量数据相结合。要分析的数据包括1)从三本女性指导的杂志、三本男性指导的杂志和四本普通读者杂志1997-2006期收集的抗抑郁药物的平面广告，2)对居住在美国西南部的医生、精神病学家和消费者进行的总共50次一小时的采访，以及3)处方药直接面向消费者推广的态度和行为影响患者和医生调查(US FDA 2002)。这一整体分析有望促进对环境因素(如广告)如何塑造个人的理解？身份，他们的医疗保健决定，以及他们与其他人的互动。该项目提供了对塑造公众对精神疾病和治疗的看法的因素之一的洞察。这项研究提出了与DTCA相关的理论和分析方法。这些发现有助于对社会学理论的新理解和适用性，涉及身份认同、自我标签、医患互动、医学化、社会控制以及性别角色和身份认同。该项目是合作者培训和教育的核心，涉及指导和培训一名本科生研究助理。研究结果将在几个国家和地区会议和会议上提交给科学界，该项目预计将发表几篇可供发表的期刊文章。在最广泛的层面上，这项调查为评估和批评美国医疗保健系统的当前组织提供了一个出发点。结果有助于为改善美国卫生保健的组织和提供提供建议，这在政策界是一个非常及时的话题。