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Health Education Research, Vol. 11, No. 4, 479-486, 1996
© 1996 Oxford University Press

other

Changes in newspaper coverage of cardiovascular health issues in conjunction with a community-based intervention

Ross C. Brownson, Nilsa E. Mack1, I.Meegama Nileeni2, Michael Pratt3, Carol A. Brownson4, Cynthia Dean5, Sue Dabney1 and Douglas A. Luke

Department of Community Health and the Prevention Research Center, School of Public Health, St Louis University St Louis, MO 63108-3342
1Division of Chronic Disease Prevention and Health, Promotion, Missouri Department of Health Columbia, MO 65203
2Center for Advanced Social Research, University of Missouri School of Journalism Columbia, MO 65211
3Division of Chronic Disease Control and Community Intervention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention Atlanta, GA 30341
4Program in Occupational Therapy, School of Medicine, Washington University St Louis, MO63108
5Division of Chronic Disease Prevention and Health, Promotion, Missouri Department of Health Poplar Bluff, MO 63901, USA

Numerous community-based prevention projects, with significant media components, have been conducted over the past decade. Multiple evaluation strategies have been used to document the effectiveness of these interventions, including intermediate measures of community impact such as assessment of media coverage. As part of the evaluation of a community-based intervention (the Bootheel Heart Health Project), dissemination of information on cardiovascular disease (CVD) was measured through a media content analysis of newspapers. Data were analyzed from 23 newspapers in six rural counties in southeastern Missouri for the period October 1988 through August 1993. An increase was observed in CVD-related coverage in the pre-intervention period (mean articles per month = 31.5) compared with the post-intervention period (mean articles per month = 50.7) (F = 10.2; P = 0.003). In supporting data from a separate randomized risk factor survey of 1510 residents in the same area, respondents reported hearing of heart health coalitions primarily through local newspapers. The current study documents increasing print media coverage of cardiovascular health issues in a high-risk, rural area and shows that media content analysis can be a useful evaluation tool in community-based interventions.


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