Double-standards in reporting of risk and responsibility for sexual health: a qualitative content analysis of negatively toned UK newsprint articles

BMC Public Health

Shona Hilton¹  Lisa M McDaid¹  Susan P Martin¹ 

[1] Medical Research Council/Chief Scientist Office, Social and Public Health Sciences Unit, University of Glasgow, 200 Renfield Street, Glasgow G2 3QB, Scotland

关键词: Prevention;    Sexual risk;    Gender;    Media analysis;    Sexual health;   

Others  :  1128802
DOI  :  10.1186/1471-2458-14-792

 received in 2014-02-07, accepted in 2014-07-29,  发布年份 2014

【 摘 要 】

Background

The need to challenge messages that reinforce harmful negative discourses around sexual risk and responsibility is a priority in improving sexual health. The mass media are an important source of information regularly alerting, updating and influencing public opinions and the way in which sexual health issues are framed may play a crucial role in shaping expectations of who is responsible for sexual health risks and healthy sexual practices.

Methods

We conducted an in-depth, qualitative analysis of 85 negatively toned newspaper articles reporting on sexual health topics to examine how risk and responsibility have been framed within these in relation to gender. Articles published in 2010 in seven UK and three Scottish national newspapers were included. A latent content analysis approach was taken, focusing on interpreting the underlying meaning of text.

Results

A key theme in the articles was men being framed as a risk to women’s sexual health, whilst it was part of a women’s role to “resist” men’s advances. Such discourses tended to portray a power imbalance in sexual relationships between women and men. A number of articles argued that it was women who needed to take more responsibility for sexual health. Articles repeatedly suggested that women and teenage girls in particular, lacked the skills and confidence to negotiate safer sex and sex education programmes were often presented as having failed. Men were frequently portrayed as being more promiscuous and engaging in more risky sexual health behaviours than women, yet just one article drew attention to the lack of focus on male responsibility for sexual health. Gay men were used as a bench mark against which rates were measured and framed as being a risk and at risk.

Conclusions

The framing of men as a risk to women, whilst women are presented at the same time as responsible for patrolling sexual encounters, organising contraception and preventing sexual ill health reinforces gender stereotypes and undermines efforts to promote a collective responsibility for sexual health. This has implications for sexual ill health prevention and could continue to reinforce a negative culture around sex, relationships and sexual health in the UK.

【 授权许可】

   
2014 Martin et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Department of Health: A framework for sexual health improvement in England. [https://www.gov.uk/government/publications/a-framework-for-sexual-health-improvement-in-england webcite] 2010. Accessed 07/13
• [2]Scottish Government: The sexual health and blood borne virus framework 2011–15. [http://www.scotland.gov.uk/Publications/2011/08/24085708/16 webcite] 2011. Accessed 07/13
• [3]Kline KN: Popular Media and Health: Images, Effects, and Institutions. In Handbook of Health Communication. Edited by Thompson TL, Dorsey AM, Miller KI, Parrott R. Mahway, NJ and London: Lawrence Erlbaum Associates; 2003:557-581.
• [4]Seale C: Health and media: an overview. Sociol Health Ill 2003, 25(6):513-531.
• [5]Entman RM: Framing: towards clarification of a fractured paradigm. J Commun 1993, 43(4):51-58.
• [6]McCombs ME, Shaw DL: The agenda-setting function of mass media. Public Opin Quart 1972, 36(2):176-187.
• [7]Iyengar S: Framing responsibility for political issues: the case of poverty. Polit Behav 1990, 12(1):19-40.
• [8]Pan Z, Kosicki G: Framing analysis: an approach to news discourse. Polit Commun 1993, 10(1):55-75.
• [9]Sutton MJ, Brown JD, Wilson KM, Klein JD: Shaking the Tree of Knowledge for Forbidden Fruit: Where Adolescents Learn About Sexuality and Contraception. In Sexual Teens, Sexual Media. Investigating Media’s Influence on Adolescent Sexuality. Edited by Brown JD, Steele JR, Walsh-Childers K. Mahway, NJ: Lawrence Erlbaum Associates; 2002:25-55.
• [10]L’Engle KL, Brown JD, Kenneavy K: The mass media are an important context for adolescents’ sexual behavior. J Adolesc Health 2006, 38(3):186-192.
• [11]Brown JD, L’Engle KL, Pardun CJ, Guo G, Kenneavy K, Jackson C: Sexy media matter: exposure to sexual content in music, movies, television, and magazines predicts black and white adolescents’ sexual behavior. Pediatrics 2006, 117(4):1018-1027.
• [12]Collins RL, Elliott MN, Berry SH, Kanouse DE, Kunkel D, Hunter SB, Miu A: Watching sex on television predicts adolescent initiation of sexual behavior. Pediatrics 2004, 114(3):280-289.
• [13]Bandura A: Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall; 1977.
• [14]Aubrey JS: Sex and punishment: an examination of sexual consequences and the sexual double standard in teen programming. Sex Roles 2004, 50(7–8):505-514.
• [15]Hilton S, Hunt K, Langan M, Bedford H, Petticrew M: Newsprint media representations of the introduction of the HPV vaccination programme for cervical cancer prevention in the UK (2005–2008). Soc Sci Med 2010, 70(6):942-950.
• [16]Bryant J, Zillmann D: Media effects: advances in theory and research. Laurence Elbaum Associates: Mahwah, NJ; 2004.
• [17]Burton G: Media and Society: Critical Perspectives. Maidenhead, England: Open University Press; 2005
• [18]Kline KN: A decade of research on health content in the media: the focus on health challenges and sociocultural context and attendant informational and ideological problems. J Health Commun 2006, 11:43-59.
• [19]Sharf BF, Freimuth VS: The construction of illness on entertainment television: coping with cancer on thirtysomething. Health Comm 1993, 5(3):141-160.
• [20]Kunkel D, Biely E, Eyal K, Cope-Farrar K, Donnerstein E, Fandrich R: Sex on TV 3: A biennial report of the Kaiser Family Foundation. Menlo Park, CA: Henry J. Kaiser Family Foundation; 2003
• [21]Fisher DA, Hill DL, Grube JW, Gruber EL: Sex on American television: an analysis across program genres and network types. J Broadcast Electron 2004, 48(4):529-553.
• [22]Batchelor SA, Kitzinger J, Burtney E: Representing young people’s sexuality in the ‘youth’ media. Health Educ Res 2004, 19(6):669-676.
• [23]Cantrell EA: No Angel: An Analysis of Media Coverage of Nadja Benaissa in the U.K., U.S. and Germany. Thesis, Georgia State University; 2011 http://scholarworks.gsu.edu/communication_theses/84/ webcite
• [24]Hust SJT, Brown JD, L’Engle KL: Boys will be boys and girls better be prepared: an analysis of the rare sexual health messages in young adolescents’ media. Mass Comunn Soc 2008, 11(1):3-23.
• [25]Quinlan MM, Bute JJ: ‘Where are all the men?’ A post-structural feminist analysis of a university’s sexual health seminar. Sex Educ 2013, 13(1):54-67.
• [26]Martin S, Hilton S, McDaid LM: United Kingdom newsprint media reporting on sexual health and blood-borne viruses in 2010. Sex Health 2013, 10(6):546-552.
• [27]Hilton S, Hunt K: UK newspapers’ representations of the 2009–10 outbreak of swine flu: one health scare not over-hyped by the media? J Epidemiol Community Health 2011, 65:941-946.
• [28]Downe-Wamboldt B: Content analysis: method, applications, and issues. Health Care Women Int 1992, 13(3):313-321.
• [29]Glaser BG, Strauss AL: The Discovery of Grounded Theory. Chicago, lL: Aldine; 1967.
• [30]Lincoln YS, Guba EG: Naturalistic Inquiry. Beverly Hill, CA: Sage; 1985.
• [31]Brown JD, Steele JR: Sex and the Mass Media. Menlo Park, CA: Kaiser Family Foundation; 1995.
• [32]Hedley M: The presentation of gendered conflict in popular movies: affective stereotypes, cultural sentiments, and men’s motivation. Sex Roles 1994, 31(11–12):721-741.
• [33]Vigorito AJ, Curry TJ: Marketing masculinity: gender identity and popular magazines. Sex Roles 1998, 39:135-153.
• [34]Sommers-Flanagan R, Sommers-Flanagan J, Davis B: What’s happening on music television - a gender-role content analysis. Sex Roles 1993, 28(11–12):745-753.
• [35]Kunkel D, Cope-Farrar K, Biely E, Maynard Farinola WJ, Donnerstein E: Sex on TV (2) A Biennial Report to the Kaiser Family Foundation. Menlo Park, CA: Kaiser Family Foundation; 2001.
• [36]Wray J, Steele JR: What It Means To Be A Girl: Teen Girl Magazines. In Sexual Teens, Sexual Media. Edited by Brown JD, Steele JR, Walsch-Childers K. Hillsdale, NJ: Erlbaum; 2001.
• [37]Tolman DL: Doing desire: adolescent girls’ struggles for/with sexuality. Gender Soc 1994, 8:324-342.
• [38]Tolman DL: Female Adolescent Sexuality in Relational Context: Beyond Sexual Decision-Making. In Beyond Appearance: A new Look at Adolescent Girls. Edited by Johnson NG, Roberts MC, Worell J. Washington, DC: American Psychological Association; 1999:227-246.
• [39]Carpenter LM: From girls into women: scripts for sexuality and romance in Seventeen magazine,1974–1994. J Sex Res 1998, 35:158-168.
• [40]Jessor SL, Jessor R: Transition from virginity to non-virginity among youth: a social–psychological study over time. Dev Psychol 1975, 11:473-484.
• [41]MacCorquodale P: Gender and Sexual Behavior. In Human Sexuality: The Societal and Interpersonal Context. Edited by McKinney K, Sprecher S. Norwood, NJ: Ablex; 1989:91-112.
• [42]Muehlenhard CL: “Nice women” don’t say yes and “real men” don’t say no: How miscommunication and the double standard can cause sexual problems. Women Ther 1988, 7(2/3):95-108.
• [43]Walsh-Childers K, Brown JD: Adolescents’ Acceptance of Sex-Role Stereotypes and Television Viewing. In Media, Sex, and the Adolescent. Edited by Greenberg BS, Brown JD, Buerkel-Rothfuss N. Cresskill, NJ: Hampton Press; 1993:117-133.
• [44]Bute JJ, Harter LM, Kirby EL, Thompson M: Politicizing Personal Choices? The Storying of Age-Related Infertility in Public Discourses. In Contemplating Maternity in an Era of Choice: Explorations into Discourses of Reproduction. Edited by Hayden S, O’Brien Hallstein DL. Lanham, MD: Lexington Books; 2010:49-69.
• [45]Tolman D, Hirschman C, Impett E: There’s More to the Story: The place of qualitative research on female adolescent sexuality in policy making. Sexuality Res Policy Stud 2005, 2(4):4-20.
• [46]Kingori P, Wellings K, French R, Kane R, Gerressu M, Stephenson J: Sex and relationship education and the media: an analysis of national and regional newspaper coverage in England. Sex Educ 2004, 4(2):111-124.
• [47]Forster A, Wardle J, Stephenson J, Waller J: Passport to promiscuity or lifesaver: press coverage of HPV vaccination and risky sexual behavior. J Health Commun 2010, 15(2):205-217.
• [48]Camp SL, Wilkerson DS, Raine TR: The benefits and risks of over-the-counter availability of levonorgestrel emergency contraception. Contraception 2003, 68(5):309-317.
• [49]Decarie M: Threatening Disaster, Promising Salvation: An Analysis of Discourses in Abstinence-Only Sex Education. San Francisco, CA: San Francisco State University Masters Thesis Collection; 2005.
• [50]Mercer CH, Fenton KA, Copas AJ, Wellings K, Erens B, McManus S, Nanchahal K, Macdowall W, Johnson AM: Increasing prevalence of male homosexual partnerships and practices in Britain 1990–2000: evidence from national probability surveys. AIDS 2004, 18:1453-1458.
• [51]Knussen C, Flowers P, McDaid LM, Hart GJ: HIV-related sexual risk behaviour between 1996 and 2008, according to age, among men who have sex with men (Scotland). Sex Transm Infect 2011, 87:257-259.
• [52]Speakman A, Rodger A, Phillips AN, Gilson R, Johnson M, Fisher M, Ed W, Anderson J, O’Connell R, Lascar M, Aderogba K, Edwards S, McDonnell J, Perry N, Sherr L, Collins S, Hart G, Johnson AM, Miners A, Elford J, Geretti AM, Burman WJ, Lampe FC: The ‘Antiretrovirals, Sexual Transmission Risk and Attitudes’ (ASTRA) Study. Design, methods and participant characteristics. PLoS One 2013, 8(10):e77230.
• [53]Kozal MJ, Amico KR, Chiarella J, Schreibman T, Cornman D, Fisher W, Fisher J, Friedland G: Antiretroviral resistance and high-risk transmission behavior among HIV-positive patients in clinical care. AIDS 2004, 18:2185-2189.
• [54]Schenk KD: Emergency contraception: lessons learned from the UK. J Fam Plann Reprod Health Care 2003, 29:35-40.
• [55]Cook RJ, Dicken BM: Access to emergency contraception. J Obstet Gynaecol Can 2003, 25:914-916.