This research offers both qualitative and quantitative data about how health journalists approach health literacy practically and conceptually. Using interviews with 20 writers and editors for magazines and newspapers coupled with a national survey ( N = 396), this analysis uncovers journalistic techniques and tacit theories for making information understandable. The journalists evince a basic understanding of how health literacy can be enhanced through certain story elements (such as nontechnical word use), but they also maintain false ideas about appropriate comprehension aides (such as statistics). Findings show that journalists struggle to maintain scientific credibility while accommodating different audience literacy levels. Journalists’ definitions of health literacy strategically carve out a place for their work as translators.
Babbie, E. ( 2004). The practice of social research. Belmont, CA: Thomson/Wadsworth .
2.
Boyce, T. ( 2006). Journalism and expertise. Journalism Studies, 7, 889-906.
3.
Chew, F., Mandelbaum-Schmid, J., & Gao, S.K. ( 2006). Can health journalists bridge the state-of-the-science gap in mammography guidelines? Science Communication, 27, 331-351.
4.
Conrad, P. ( 1999). Uses of expertise: Sources, quotes, and voice in the reporting of genetics in the news. Public Understanding of Science, 8, 285-302.
5.
Creswell, J.W. ( 2003). Research design: Qualitative, quantitative, and mixed methods approaches. Thousand Oaks, CA: Sage.
6.
Davis, T. ( 2007, November). The American College of Physicians Foundation diabetes guide: How we did it and why it works. Paper presented at the American College of Physicians Foundation National Health Communication Conference, Washington, DC.
7.
Davis, T., Williams, M.V., Marin, E., Parker, R.M., & Glass, J. ( 2002). Health literacy and cancer communication. CA: A Cancer Journal for Clinicians, 52, 134-149.
8.
Dewerth-Pallmeyer, D. ( 1996). The audience in the news. Mahwah, NJ: Lawrence Erlbaum.
9.
Fahnestock, J. ( 1986). Accommodating science: The rhetorical life of scientific facts. Written Communication, 3, 275-296.
10.
Freimuth, V.S., Stein, J.A., & Kean, T.J. ( 1989). Searching for health information: The cancer information service model. Philadelphia: University of Pennsylvania Press.
11.
Gitlin, T. ( 2003). The whole world is watching: Mass media in the making & unmaking of the New Left. Berkeley: University of California Press.
12.
Glaser, B.G. ( 1965). The constant comparative method of qualitative analysis . Social Problems, 12, 436-445.
13.
Glaser, B.G., & Strauss, A. ( 1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.
14.
Gregory, J., & Miller, S. ( 1998). Science in public: Communication, culture, and credibility . Cambridge, MA: Basic Books.
15.
Hartz, J., & Chappell, R. ( 1997). Worlds apart: How the distance between science and journalism threatens America’s future. Nashville, TN: First Amendment Center.
16.
Institute of Medicine. (2004). Health literacy: A prescription to end confusion. Washington, DC: Author.
17.
Hibbard, J.H., Peters, E., Dixon, A., & Tusler, M. ( 2007). Consumer competencies and the use of comparative quality information: It isn’t just about literacy. Medical Care Research and Review, 64, 379-394.
18.
Hivon, M., Lehoux, P., Denis, J.-L., & Rock, M. (in press). Marginal voices in the media coverage of controversial health interventions: How do they contribute to the public understanding of science?Public Understanding of Science.
19.
Kirsch, I.S., Jungeblut, A., Jenkins, L., & Kolstad, A. ( 2002). Adult literacy in America: A first look at the findings of the National Adult Literacy Survey (3rd ed., Vol. 201). Washington, DC: National Center for Education, U.S. Department of Education.
20.
Kutner, M., Greenberg, E., Jin, Y., & Paulsen, C. ( 2006). The health literacy of America’s adults: Results from the 2003 National Assessment of Adult Literacy: National Center for Education Statistics.
21.
Lemert, J.B. ( 1981). Does mass communication change public opinion after all? A new approach to effects analysis. Chicago: Nelson-Hall.
22.
Levi, R. ( 2001). Medical journalism: Exposing fact, fiction, fraud. Ames: Iowa State University Press.
23.
Lewenstein, B.V. ( 1995). From fax to facts: Communication in the cold fusion saga . Social Studies of Science, 25, 403-436.
24.
Lewenstein, B.V. ( 2005). Introduction: Nanotechnology and the public. Science Communication, 27, 169-174.
25.
Logan, R. ( 1991). Popularization versus secularization: Media coverage of health. In L. Wilkins & P. Patterson (Eds.), Risky business: Communicating issues of science, risk, and public policy (pp. 43-60). New York: Greenwood.
26.
MacDonald, S.P. ( 2005). The language of journalism in treatments of hormone replacement news. Written Communication, 22, 275-297.
27.
McCracken, G.D. ( 1988). The long interview. Newbury Park, CA: Sage.
28.
Miller, J.D. ( 2004). Public understanding of, and attitudes toward, scientific research: What we know and what we need to know. Public Understanding of Science, 13, 273-294.
29.
Miller, J.D., & Kimmel, L.G. ( 2001). Biomedical Communications. San Diego , CA: Academic Press.
30.
National Cancer Institute. (1994). Clear & simple: Developing effective print materials for low-literate readers. Bethesda, MD: Author.
31.
Nelkin, D. ( 1995). Selling science: How the press covers science and technology . New York: W. H. Freeman.
32.
Parker, R.M., Ratzan, S.C., Lurie, N. ( 2003). Health literacy: A policy challenge for advancing high-quality health care. Health Affairs, 22, 147-154.
33.
Pellechia, M.G. ( 1997). Trends in science coverage: A content analysis of three US newspapers. Public Understanding of Science, 6, 49-68.
34.
Peters, E., Dieckmann, N., Dixon, A., Hibbard, J.H., & Mertz, C.K. ( 2007). Less is more in presenting quality information to consumers . Medical Care Research and Review, 64, 169-190.
35.
Polanyi, M. ( 1958). Personal knowledge: Towards a post-critical philosophy . London: Routledge.
36.
Priest, S.H. ( 2001). A grain of truth: The media, the public and biotechnology . Lanham, MD: Rowman & Littlefield .
37.
Ransohoff, D.F., & Ransohoff, R.M. (2001). Sensationalism in the media: When scientists and journalists may be complicit collaborators. Effective Clinical Practices, 4, 185-188.
38.
Ratzan, S., & Parker, R.M. ( 2006). Health literacy: Identification and response. Journal of Health Communication, 11, 713-715.
39.
Reed, R. ( 2001). (Un-)Professional discourse? Journalism , 2, 279-298.
40.
Selden, C.R., Zorn, M., Ratzan, S., & Parker, R.M. ( 2000). Current bibliographies in medicine: Health literacy. Retrieved April 6, 2009, from http://www.nlm.nih.gov/archive/20061214/pubs/cbm/hliteracy.html
41.
Shuchman, M. ( 2002). Journalists as change agents in medicine and health care . Journal of the American Medical Association, 287, 776.
42.
Simonds, S.K. ( 1974). Health education as social policy. Health Education Monograph, 2, 1-25.
43.
Tanner, A.H. ( 2004). Agenda building, source selection, and health news at local television stations. Science Communication, 25, 350-363.
44.
Tashakkori, A., & Teddlie, C. ( 1998). Mixed methodology: Combining qualitative and quantitative approaches. Thousand Oaks, CA: Sage.
45.
Tuchman, G. ( 1973). Making news by doing work: Routinizing the unexpected . American Journal of Sociology, 79, 110-131.
46.
Weiss, R.S. ( 1995). Learning from strangers. New York : Free Press.
47.
Williams, M.V. ( 2002). Recognizing and overcoming inadequate health literacy, a barrier to care. Cleveland Clinic Journal of Medicine, 69, 415-418.
48.
Williams, M.V., Davis, T., Parker, R.M., & Weiss, B.D. ( 2002). The role of health literacy in patient-physician communication . Family Medicine, 34, 383-389.
49.
Zarcadoolas, C., Pleasant, A., & Greer, D.S. ( 2005). Understanding health literacy: An expanded model. Health Promotion International, 20, 195-203.
