Framing preventive care messaging and cervical cancer screening in a health-insured population in South Africa: Implications for population-based communication?

J Health Psychol. 2017 Sep;22(11):1365-1375. doi: 10.1177/1359105316628735. Epub 2016 Feb 17.

Abstract

The impact of health message framing on cervical cancer screening uptake is poorly understood. In a prospective randomized control study with 748 females, aged 21-65 years with no Pap smear in the previous 3 years, they randomly received a loss-framed, gain-framed, or neutral health message (control) regarding cervical cancer screening by email. Screening rate in the control group was 9.58 percent (CI: 9.29%-9.87%), 5.71 percent (CI: 5.48%-6.98%) in the gain-framed group, and 8.53 percent (CI: 8.24%-8.81%) in the loss-framed group. Statistically there was no difference between the three screening rates. Framing of health messages may not be a significant consideration when communicating through emails.

Keywords: cervical cancer; framing health messages; screening.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Communication
  • Comprehension
  • Consumer Health Information / methods*
  • Early Detection of Cancer / psychology
  • Early Detection of Cancer / statistics & numerical data*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion / methods*
  • Humans
  • Insurance, Health
  • Longitudinal Studies
  • Middle Aged
  • Prospective Studies
  • South Africa
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / psychology
  • Young Adult