Résumé
Objectif
Les dernières données pancanadiennes sur l’hypertension révélaient que seulement 33 % des hypertendus prenaient des médicaments et moins de la moitié d’entre eux contrôlaient leur pression artérielle. Une des causes importantes de cette difficulté à contrôler la pression artérielle est l’inobservance médicamenteuse. Par ailleurs, la couverture médiatique des faits de santé a un impact sur les croyances, les attitudes et les comportements de santé. Notre objectif est d’analyser les contenus des journaux sur les médicaments en lien avec l’hypertension.
Méthode
Nous avons effectué une analyse thématique du contenu des journaux traitant des médicaments en lien avec l’hypertension. Notre corpus comprend 104 articles tirés de 3 des plus importants journaux canadiens francophones: un journal de référence, un omnibus grand format et un tabloïde.
Résultats
Nous avons identifié 3 thèmes principaux: 1) les médicaments comme traitement efficace, 2) les cas problématiques particuliers et 3) les problèmes de l’approche pharmacologique en général. On note une gradation du positif au négatif au fur et à mesure qu’on passe du journal plus sérieux au plus populaire. Nous discutons la thèse de Fiske selon laquelle les tabloïdes sont le lieu d’une opposition populaire au discours des groupes détenteurs de pouvoir.
Conclusion
Dans le tabloïde, le journal le plus lu au Québec, le médicament est souvent présenté négativement dans les contenus sur l’hypertension. Cependant, d’autres études sont nécessaires afin de déterminer s’il existe un lien causal entre les discours médiatiques et le phénomène de l’inobservance médicamenteuse.
Abstract
Objective
The most recent country-wide Canadian data have revealed that only 33% of people with hypertension take medication and fewer than half of them have their blood pressure under control. One of the most important reasons for difficulty in controlling blood pressure is lack of drug treatment compliance. In addition, media coverage of health facts has an impact on beliefs, attitudes and behaviours related to health. Our goal was to analyze newspaper coverage of drugs related to hypertension.
Method
We conducted a thematic content analysis of newspapers covering medications related to hypertension. The study comprised 104 articles drawn from three of the most important francophone daily newspapers in Canada - a reference one, a general broadsheet and a tabloid.
Results
We identified three major themes:1) drugs as an effective treatment, 2) specific problematic cases, and 3) problems with the pharmacological approach in general. We noted a gradual change from positive to negative as we moved from the most serious newspaper to the most popular. We discuss the Fiske hypothesis which suggests that tabloid-format newspapers are a repository of popular opposition to the discourse of groups who hold power in society.
Conclusion
In the tabloid, the most widely-read newspaper in Québec, medications are often presented in negative fashion in articles on hypertension. However, further studies are required to determine if there is a causal association between media discourse and the phenomenon of lack of drug treatment compliance.
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Remerciement: Cette étude a été réalisée grâce à une subvention des Instituts de Recherche en Santé du Canada (IRSC/CIHR). Les auteurs remercient Daphnée Poirier pour sa contribution à cette étude.
Conflit d’intérêts: Aucun à déclarer.
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Collin, J., Hughes, D. Médicaments et hypertension dans les journaux. Can J Public Health 101, 181–185 (2010). https://doi.org/10.1007/BF03404368
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DOI: https://doi.org/10.1007/BF03404368