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AJPH First Look, published online ahead of print Oct 15, 2009
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American Journal of Public Health, 10.2105/AJPH.2009.161414

Framing Health Matters

The Polarizing Effect of News Media Messages About the Social Determinants of Health

Sarah E. Gollust 1*, Paula M. Lantz 2, Peter A. Ubel 2

1 University of Pennsylvania
2 University of Michigan

* To whom correspondence should be addressed. E-mail: sgollust{at}wharton.upenn.edu.


  Abstract

Framing health problems in terms of the social determinants of health aims to shift policy attention to nonmedical strategies to improve population health, yet little is known about how the public responds to these messages. We conducted an experiment to test the effect of a news article describing the social determinants of type 2 diabetes on the public’s support for diabetes prevention strategies. We found that exposure to the social determinants message led to a divergence between Republicans’ and Democrats’ opinions, relative to their opinions after viewing an article with no message about the causes of diabetes. These results signify that increasing public awareness of the social determinants of health may not uniformly increase public support for policy action.

Key Words: Health Policy, Media, Social Science, Socioeconomic Factors




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