The purpose of media advocacy is to promote public health goals by using the media to strategically apply pressure for policy change. It provides a framework for moving the public health discussion from a primary focus on the health behavior of individuals to the behavior of the policymakers whose decisions structure the environment in which people act. It addresses the power gap rather than just the information gap. Media advocacy focuses on public policy rather than personal behavior. This article uses two case studies to illustrate key aspects of media advocacy. The first is a 5-year statewide violence prevention initiative for young people in California. The second focuses on the activities of a mothers' group working to improve public housing. The "new public health," with its focus on participation, policy development, and political processes, could benefit from incorporating media advocacy.
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References
1.
Institute of Medicine Committee for the Study of the Future of Public Health: The Future of Public Health.Washington, DC, National Academy Press , 1988.
2.
Wallack L.: Media advocacy: A strategy for empowering people and communitiesJ Public Health Policy15:420-436, 1994.
3.
Beauchamp D. : Public health as social justiceInquiry12:3-14, 1978.
4.
Beauchamp D. : Lottery justiceJ Public Health Policy2:201-205, 1981.
5.
Beauchamp D.: The Health of the Republic.Philadelphia , Temple University Press, 1988 .
6.
Cohen B.: The Press and Foreign Policy.Princeton, NJ, Princeton University Press, 1963.
7.
Wallack L., Dorfman L., Jernigan D., Themba M.: Media Advocacy and Public Health: Power for Prevention.Newbury Park, CA, Sage, 1993.
8.
Rogers E., Storey J.: Communication campaigns, in Chaffee S, Berger C (eds.): Handbook of Communication Science.Newbury Park, CA, Sage, 1987.
9.
Rice R., Atkin C.: Public Communication Campaigns.Newbury Park, CA, Sage, 1990.
10.
Lefebve C. , Flora J.: Social marketing and public health interventionHealth Educ Q15:299-315, 1988.
11.
Kotler P., Roberto El: Social Marketing: Strategies for Changing the Future.New York, Free Press, 1989.
12.
Robertson A. , Minkler M.: The new health promotion movement: A critical examinationHealth Educ Q21:295-312, 1994.
13.
World Health Organization: Health Promotion: A Discussion on the Concept and Principles. Report of the Working Group on Concept and Principles of Health PromotionCopenhagen , WHO Europe, 1984.
14.
World Health Organization: A Call for Action: Promoting Health in Developing Countries. Summary Report of Working Group on Health Promotion in Developing CountriesGeneva, WHO Europe, 1990.
15.
Milio N.: Promoting Health Through Public Policy.Ottawa, Canadian Public Health Association, 1986.
16.
Ashton J., Grey P., Barnard K.: Healthy cities: WHO's new public health initiativeHealth Promotion1:319-324, 1986.
17.
Epp J.: National strategies for health promotionHealth Promotion1:233-238, 1986.
18.
Kickbusch I. : Action on Health Promotion: Approaches to Advocacy and Implementation.Copenhagen, World Health Organization, 1989.
19.
Green L., Raeburn J.: Health promotion: What is it? What will it become?Health Promotion3:151-159, 1988.
20.
World Health Organization: Alma-Alta 1978: Primary health care. In Health for All Series (No. 1Geneva, WHO, 1978.
21.
World Health Organization.Ottawa Charter for Health Promotion.Copenhagen , WHO, 1986.
22.
Duhl L.: The healthy city: Its function and its futureHealth Promotion1:341-351, 1986.
23.
Labonte R.: Social inequality and healthy public policyHealth Promotion1:341-351, 1986.
24.
McGinnis M. : Setting nationwide objectives in disease prevention and health promotion: The United States experience, in Conrad P, Kern R (eds.): Oxford Textbook of Public Health: Investigative Methods in Public Health (Vol. 3). New York, St. Martin, 1986, pp. 385-401.
25.
Knowles J. : The responsibility of the individual, in Conrad P, Kern R (eds.): Sociology of Health and Illness: Critical Perspectives (2nded.). New York , St. Martin, 1986, pp. 358-368.
26.
U.S. Department of Health and Human Services : Healthy People 2000: National Health Promotion and Disease Prevention Objectives.Washington, DC, U.S. Government Printing Office, 1991. (DHHS Pub. No. (PHS) 91-50212)
27.
Wallack L. : Mass media and health promotion: Promise, problems, challenge, in Atkin C, Wallack L (eds.): Mass Communication and Public Health: Complexities and Conflicts.Newbury Park, CA, Sage, 1990, pp. 41-51.
28.
Wallack L.: Social marketing and media advocacy: Two approaches to health promotionWorld Forum11:143-154, 1990.
29.
Dorfman L., Wallack L.: Advertising health: The case for counter-adsPublic Health Reports108:716-726, 1993.
30.
Pierce Jp , Lee L., Gilpin Ea : Smoking initiation by adolescent girls, 1944 through 1988: An association with targeted advertisingJAMA271:608-611, 1994.
31.
Pierce Jp , Gilpin E., Bums Dm , Whalen E., Rosbrook B., Shopland D., Johnson M.: Does tobacco advertising target young people to start smoking? Evidence from CaliforniaJAMA266:3154-3158, 1991 .
32.
Warner Ke , Goldenhar Lm , McLauglin Cg : Cigarette advertising and magazine coverage of the hazards of smoking: A statistical analysisNew Engl J Med326:305-309, 1992.
33.
Woodruff Tj , Rosbrook B., Pierce J., Glantz Sa : Lower levels of cigarette consumption found in smoke-free workplaces in CaliforniaArch Int Med153:1485-1493, 1993 .
34.
Flewelling Rl , Kenney E., Elder Jp, Pierce J., Johnson M., Bal Dg: First year impact of the 1989 California cigarette tax increase on cigarette consumptionAm J Public Health82:867-869, 1992.
35.
Keeler Te , Hu Tw , Barnett Pg , Manning Wg : Taxation, regulation, and addiction: A demand function for cigarettes based on time-series evidenceJ Health Econ12:1-18, 1993.
36.
Traynor Mp , Begay Me , Glantz Sa : New tobacco industry strategy to prevent local tobacco controlJAMA270:479-486, 1993.
37.
Marcus Se , Emont Sl , Corcoran Rd , Giovino Ga , Pierce Jp , Waller Mn , Davis Rm : Public attitudes about cigarette smoking: Results from the 1990 Smoking Activity Volunteer Executed SurveyPublic Health Reports109:125-134, 1994.
38.
U.S. Department of Health and Human Services.Media Strategies for Smoking Control: GuidelinesWashington, DC, U.S. Government Printing Office, 1989. (NIH Pub. No. 89-3013)
39.
Tyndall Report, November, 1993 , pp. 3-4.
40.
Lieberman T. : Covering health care reform round oneColumbia Journalism Rev, October, 1993, pp. 33-35.
41.
Iyengar S. : Is Anyone Responsible? How Television Frames Political IssuesChicago, University of Chicago Press, 1989.
42.
Gamson Wa : News as framing: Comments on GraberAm Behav Sci33:157-161, 1989.
43.
Ryan C.: Prime Time Activism.Boston, South End, 1991.
44.
McKinlay J. : A case for refocusing upstream: The political economy of illness, in Conrad P, Kern R (eds.): The Sociology of Health and Illness.New York, St. Martin, 1986, pp. 484-500.
45.
Rogers E., Dearing J.: Agenda-setting research: Where has it been and where is it going, in Anderson JA (ed.): Communication Yearbook.Newbury Park, CA, Sage, 1988.
46.
Rogers E., Dearing J., Chang S.: AIDS in the 1980s: The agenda setting process for a public issueJournalism Monographs121:1-47, 1991.
47.
Dearing J. , Rogers E.: AIDS and the media agenda, in Edgar T, Fitzpatrick MA, Freimuth V (eds.): AIDS: A Communication Perspective.Hillsdale, NJ, Lawrence Erlbaum, 1992, pp. 173-194.
48.
Shaw D., McCombs M.: Dealing with illicit drugs: The power—and limits—of mass media agenda setting, in Shoemaker P (ed.): Communication Campaigns About Drugs: Government, Media, and the Public.Hillsdale, NJ, Lawrence Erlbaum, 1989, pp. 113-120.
49.
McCombs M., Shaw D.: The agenda setting function of the mass mediaPublic Opinion Q36:176-187, 1972.
50.
Lippmann W. : Public Opinion.New York, Free Press, 1965.
51.
Lazarsfeld P. , Merton R.: Mass communication, popular taste, and organized social action, in Schramm W (ed.): Mass Communications.Urbana, University of Illinois Press, 1975, pp. 492-512.
52.
Olien Cn , Tichenor Pj , Donahue Ga : Media coverage in social movements, in Salmon C (ed.): Information Campaigns: Balancing Social Values and Social Change.Newbury Park, CA, Sage, 1990, pp. 139-163.
53.
Kaniss P.: Making Local News.Chicago, University of Chicago Press, 1991.
54.
Dorfman L. : News Operations: How Television Reports on Health. Doctoral dissertation , University of California , Berkeley , 1994.
55.
Rein M.: Social Science and Public Policy.New York , Penguin Books, 1976.
56.
Salmon C.: God understands when the cause is nobleGannet Center J , Spring, 1990, pp. 23-24.
57.
Mills C.: The Sociological Imagination.New York, Oxford University Press, 1959.
58.
Dorfman L. : Using the Media to Prevent Alcohol Promotion to Youth: A Case Study.Prepared for the Office of Substance Abuse Prevention, Alcohol, Drug Abuse, and Mental Health Administration, Washington, DC, 1989.
59.
Jernigan D, Wright P (eds.): Making News, Changing Policy: Case Studies of Media Advocacy on Alcohol and Tobacco Issues.Washington, DC, U.S. Department of Health and Human Services, 1994.
60.
Woodruff K. : Alcohol Advertising and Violence Against Women: AMedia Advocacy Case StudyHealth Ed Q23(3):329-344, 1996.
61.
Wallack L. , Sciandra R.: Media advocacy and public education in the community trial to reduce heavy smokingIntl Q Community Health Educ11:205-222, 1990-1991.
62.
Mercy J., Rosenberg M., Powell K., Broome C., Roper W.: Public health policy for preventing violenceHealth Affairs12(4 ):7-29 , 1993.
63.
The California Wellness Foundation.Violence Prevention Initiative ... a new direction for improving health and well-being in California.Woodland Hills, CA, TCWF, 1993.
64.
Kotlowitz, A. : There Are No Children Here.New York, Doubleday, 1991.
65.
Gerber, L. : Henry Horner Mothers Guild: Tenants Go Public on Public Housing. Draft report, Center for Substance Abuse Prevention , Rockville, MD, 1994.
66.
Pertschuk M. , Schatzel W.: The People Rising: The Campaign Against the Book Nomination.Newbury Park, CA, Sage, 1990.
67.
Schwartz T. : Media: The Second God.Garden City, NY, Anchor Press, 1983.
68.
EDK Associates, Inc.: Violence Prevention in California: A Qualitative and Quantitative Study of California Attitudes Towards Violence Prevention [poll]New York, EDK Associates, 1993.
69.
Seevak A.: Tapping the Hearts and Thinking of Everyday People: The City Wide Liquor Coalition's Fight to Ban Tobacco and Alcohol Billboards in Baltimore.San Rafael, CA, Marin Institute for the Prevention of Alcohol and Other Drug Problems, 1994.
70.
Mintz M.: No ifs, ands, or buttsWashington Monthly , July/August, 1990, pp. 30-37.
71.
Hacker G.: Taking Initiative: The 1990 Citizens' Movement to Raise California Alcohol Excise Taxes to Save Lives.Washington, DC , Advocacy Institute, 1992.
72.
Hamel V., Dufour S., Fortin D.: Case study methods. In Qualitative Research Methods (Series No. 32). Newbury Park, CA, Sage, 1993.
73.
Center for Science in the Public Interest:Study Shows Movie-Theater Popcorn "Astronomically High" in Saturated Fat. News release, CSPI, April 25, 1994.
74.
de la Torre R.: Students will help clear the airVallejo Times Herald, January 11, 1989 , p. A1.
75.
Clymer A.: Pizza Hut blocks group's ad about health insurance practicesNew York Times, July 16, 1994, p. A1.
