News in the making: features and
changes in health coverage in
Portugal

                                 Felisbela Lopes
                                    Teresa Ruão
                                Sandra Marinho
                                     Rita Araújo

                            University of Minho
      Communication and Society Research Centre
Research Project
‘Disease in the News’, FCT 2010
Communication and Society Research Center
University of Minho

                               PROBLEM
            Portuguese media coverage on Health/Disease issues


 Content level of analysis
  • Themes, news angle, news genre, newsworthiness, news
    sources, intertextuality

 Production level of analysis
  • Journalists: perceptions, routines, values and rules related to health
   issues
  • News sources: their organization, perceptions, expectations on health
   news coverage
METHODOLOGY

News analysis of three national newspapers (different
periodicity and editorial criteria):


                   Weekly broadsheet:
                       Expresso

                    Daily broadsheet:
                         Público

                      Daily popular:
                    Jornal de Notícias
Analysis of 7 variables:
                           Presence/absence of news sources
                              Number of quoted sources
                                Geographical location
                                       Gender
                                    Identification
                                        Status
                               Medical area of expertise
THEORETICAL BACKGROUND




     Health Communication
     Health Journalism
     Health Media Relations
Health Communication

 “Is concerned with the powerful roles performed
   by human and mediated communication in
   health care delivery and health promotion”
   (Kreps et al., 1998).
Health Communication
 Its primary levels of analysis:
  intrapersonal, interpersonal, group, organizational
  and social communication;

 In our work, we emphasize social
  analysis, concerned with the health information
  dissemination process, including investigations that
  seek to understand the social construction of health
  in news texts.

 This level of analysis also looks into understanding
  media impact on health, providing a background for
  social interventions in the field (Kreps &
  Maibach, 2008).
THE RESEARCH

2008 to 2010: an overview
2008 to 2010:
4415 news articles analyzed

      “Público”
                   • 1914 news articles

         JN
                   • 2177 news articles

      “Expresso”
                   • 324 news articles
2008 to 2010
                                 2nd level of
      1st level of analysis    analysis/disease
                              coverage/variables

                                   Periodicity of
               Sources           newspapers: daily vs
                                      weekly


              Diseases
                                    Editorial line:
                                  broasheet vs popular

                                     Location of
          Newsworthiness             newsrooms:
                                     geographical


            Newsframing
RESULTS
2008 to 2010: Themes
 1261 news texts   • Health Politics
 1135 news texts   • General Overview
 727 news texts    • Risk/Alarm situations
 402 news texts    • Research
 346 news texts    • Clinical acts
 333 news texts    • Health Economics
 159 news texts    • Prevention
 50 news texts     • Others
2008: Dominant Themes
 Health Politics
Different communication strategies used by the
  Portuguese Health Ministry
• Health Minister Correia de Campos (until 29.01.08)
„The steward‟ (van Ruler, 2003)
Constant presence in the media, through direct
  contact with journalists
• Health Minister Ana Jorge (from 01.02.08
  onwards)
„The facilitator‟ (van Ruler, 2003)
Presence in the media through indirect contact
  (public relations, events…)
2009: Dominant Themes
2009/ THEMES
  Influenza A
 • 655 news articles
 • Half of the news is on „Risk/Alarm situations‟
   and „General Overviews‟
 • High media coverage
 • December/ 69 deaths by Influenza A in Portugal
 • A media pandemics
2010: Dominant Themes
• Various Themes

• Diversity of topics is low
                               General
                               Overview

                               Oncology
                               services

                                 Health
                               Economics
2008 to 2010: Diseases
                          236 news texts
 • 1/3 of news articles   • Cancer
   is about diseases      671 news texts
                          • Influenza A
                          110 news texts
                          • HIV-aids
 • Diseases media pay
                          68 news texts
   more attention to      • Ophtalmological diseases
                          61 news texts
                          • Obesity
                          55 news texts
                          • Transplants
                          38 news texts
                          • Diabetes
                          36 news texts
                          • Mental diseases
2008 to 2010: Diseases



  2008          2009          2010

  • Cancer      • Influenza   • Cancer
  • 81 news       A           • 78 news
    articles    • 588 news      articles
                  articles
2008 to 2010: Cancer in the news

 • Priority given to Research topics

 • News genre is the most used one

 • „Direct‟ and „straight forward‟ tone
2008 to 2010: News sources
    Sources                           Specialized
                   Sources Status
 Characteristics                       Sources


     Identified          Oficial         Doctors


                       Specialized
       Male                and         Researchers
                      institutional


      National
2008 to 2010: Place of the news

• National news
• When they don‟t refer to a particular place
  within „National‟:
- No place
- News depends on the newsrooms location

• International news:
- Mostly european and american continents
- Southern hemisphere is invisible
2008 to 2010: News Genre


        1st    • News


       2nd     • Report


        3rd    • Interview
2008 to 2010: Problems

a) Texts contain errors of precision
   (health/science topics)
b) Ambiguous titles
c) Sources identification often incomplete
d) Place of news often non-existent
e) News articles often give little information
2008 to 2010: Conclusions

On health news coverage in Portugal:
1. Predominance of political sources and themes
2. Interest in risk and alarm themes
3. Most highlighted disease is cancer
4. News tone is usually positive
5. Preference for organized news sources
6. Some silent margins: women, patients and their
   families, common citizen
Thank you
Felisbela Lopes, felisbela@ics.uminho.pt
Teresa Ruão, truao@ics.uminho.pt
Sandra Marinho, marinho@ics.uminho.pt
Rita Araújo, rita.manso.araujo@gmail.com

Coventry 2011 presentation

  • 1.
    News in themaking: features and changes in health coverage in Portugal Felisbela Lopes Teresa Ruão Sandra Marinho Rita Araújo University of Minho Communication and Society Research Centre
  • 2.
    Research Project ‘Disease inthe News’, FCT 2010 Communication and Society Research Center University of Minho PROBLEM Portuguese media coverage on Health/Disease issues Content level of analysis • Themes, news angle, news genre, newsworthiness, news sources, intertextuality Production level of analysis • Journalists: perceptions, routines, values and rules related to health issues • News sources: their organization, perceptions, expectations on health news coverage
  • 3.
    METHODOLOGY News analysis ofthree national newspapers (different periodicity and editorial criteria): Weekly broadsheet: Expresso Daily broadsheet: Público Daily popular: Jornal de Notícias
  • 4.
    Analysis of 7variables: Presence/absence of news sources Number of quoted sources Geographical location Gender Identification Status Medical area of expertise
  • 5.
    THEORETICAL BACKGROUND Health Communication Health Journalism Health Media Relations
  • 6.
    Health Communication “Isconcerned with the powerful roles performed by human and mediated communication in health care delivery and health promotion” (Kreps et al., 1998).
  • 7.
    Health Communication Itsprimary levels of analysis: intrapersonal, interpersonal, group, organizational and social communication; In our work, we emphasize social analysis, concerned with the health information dissemination process, including investigations that seek to understand the social construction of health in news texts. This level of analysis also looks into understanding media impact on health, providing a background for social interventions in the field (Kreps & Maibach, 2008).
  • 8.
    THE RESEARCH 2008 to2010: an overview
  • 9.
    2008 to 2010: 4415news articles analyzed “Público” • 1914 news articles JN • 2177 news articles “Expresso” • 324 news articles
  • 10.
    2008 to 2010 2nd level of 1st level of analysis analysis/disease coverage/variables Periodicity of Sources newspapers: daily vs weekly Diseases Editorial line: broasheet vs popular Location of Newsworthiness newsrooms: geographical Newsframing
  • 11.
  • 12.
    2008 to 2010:Themes 1261 news texts • Health Politics 1135 news texts • General Overview 727 news texts • Risk/Alarm situations 402 news texts • Research 346 news texts • Clinical acts 333 news texts • Health Economics 159 news texts • Prevention 50 news texts • Others
  • 13.
    2008: Dominant Themes Health Politics Different communication strategies used by the Portuguese Health Ministry • Health Minister Correia de Campos (until 29.01.08) „The steward‟ (van Ruler, 2003) Constant presence in the media, through direct contact with journalists • Health Minister Ana Jorge (from 01.02.08 onwards) „The facilitator‟ (van Ruler, 2003) Presence in the media through indirect contact (public relations, events…)
  • 14.
    2009: Dominant Themes 2009/THEMES Influenza A • 655 news articles • Half of the news is on „Risk/Alarm situations‟ and „General Overviews‟ • High media coverage • December/ 69 deaths by Influenza A in Portugal • A media pandemics
  • 15.
    2010: Dominant Themes •Various Themes • Diversity of topics is low General Overview Oncology services Health Economics
  • 16.
    2008 to 2010:Diseases 236 news texts • 1/3 of news articles • Cancer is about diseases 671 news texts • Influenza A 110 news texts • HIV-aids • Diseases media pay 68 news texts more attention to • Ophtalmological diseases 61 news texts • Obesity 55 news texts • Transplants 38 news texts • Diabetes 36 news texts • Mental diseases
  • 17.
    2008 to 2010:Diseases 2008 2009 2010 • Cancer • Influenza • Cancer • 81 news A • 78 news articles • 588 news articles articles
  • 18.
    2008 to 2010:Cancer in the news • Priority given to Research topics • News genre is the most used one • „Direct‟ and „straight forward‟ tone
  • 19.
    2008 to 2010:News sources Sources Specialized Sources Status Characteristics Sources Identified Oficial Doctors Specialized Male and Researchers institutional National
  • 20.
    2008 to 2010:Place of the news • National news • When they don‟t refer to a particular place within „National‟: - No place - News depends on the newsrooms location • International news: - Mostly european and american continents - Southern hemisphere is invisible
  • 21.
    2008 to 2010:News Genre 1st • News 2nd • Report 3rd • Interview
  • 22.
    2008 to 2010:Problems a) Texts contain errors of precision (health/science topics) b) Ambiguous titles c) Sources identification often incomplete d) Place of news often non-existent e) News articles often give little information
  • 23.
    2008 to 2010:Conclusions On health news coverage in Portugal: 1. Predominance of political sources and themes 2. Interest in risk and alarm themes 3. Most highlighted disease is cancer 4. News tone is usually positive 5. Preference for organized news sources 6. Some silent margins: women, patients and their families, common citizen
  • 24.
    Thank you Felisbela Lopes,felisbela@ics.uminho.pt Teresa Ruão, truao@ics.uminho.pt Sandra Marinho, marinho@ics.uminho.pt Rita Araújo, rita.manso.araujo@gmail.com