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      Public relations and public health: The importance of leadership and other lessons learned from “Understanding AIDS” in the 1980s

      research-article
      Public Relations Review
      Elsevier Inc.
      Media advocacy, Framing, Health communication, Government, Historical research

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          Abstract

          Public Relations Quarterly recognized Surgeon General C. Everett Koop as "Communicator of the Year" in 1988 for his work to inform the public about HIV/AIDS and reframe a then politically charged issue to focus on public health and education. Using a historical perspective, this study examines Koop's communication about AIDS during the 1980s, including press conference remarks, reminiscence notes, and an unprecedented mailing sent to all U.S. households. This study also explores media coverage at the time and framing throughout these materials to determine what lessons can be learned for today’s communication efforts. Two lessons relate to the importance of leadership in media advocacy and prioritizing public health over politics. Parallels are drawn between public relations and health and science communication practice and scholarship, and future research is suggested related to recent government communication surrounding the COVID-19 pandemic.

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          Most cited references35

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          Framing: Toward Clarification of a Fractured Paradigm

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            First- and Second-Level Agenda-Building and Agenda-Setting Effects: Exploring the Linkages Among Candidate News Releases, Media Coverage, and Public Opinion During the 2002 Florida Gubernatorial Election

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              Media advocacy, tobacco control policy change and teen smoking in Florida.

              To assess whether media advocacy activities implemented by the Florida Tobacco Control Program contributed to increased news coverage, policy changes and reductions in youth smoking. A content analysis of news coverage appearing in Florida newspapers between 22 April 1998 and 31 December 2001 was conducted, and patterns of coverage before and after the implementation of media advocacy efforts to promote tobacco product placement ordinances were compared. Event history analysis was used to assess whether news coverage increased the probability of enacting these ordinances in 23 of 67 Florida counties and ordinary least square (OLS) regression was used to gauge the effect of these policies on changes in youth smoking prevalence. The volume of programme-related news coverage decreased after the onset of media advocacy efforts, but the ratio of coverage about Students Working Against Tobacco (the Florida Tobacco Control Program's youth advocacy organisation) relative to other topics increased. News coverage contributed to the passage of tobacco product placement ordinances in Florida counties, but these ordinances did not lead to reduced youth smoking. This study adds to the growing literature supporting the use of media advocacy as a tool to change health-related policies. However, results suggest caution in choosing policy goals that may or may not influence health behaviour.
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                Author and article information

                Journal
                Public Relat Rev
                Public Relat Rev
                Public Relations Review
                Elsevier Inc.
                0363-8111
                1873-4537
                18 December 2020
                March 2021
                18 December 2020
                : 47
                : 1
                : 102007
                Affiliations
                [0005]School of Journalism and Mass Communications, University of South Carolina, 800 Sumter Street, Columbia, SC 29208, United States
                Article
                S0363-8111(20)30134-X 102007
                10.1016/j.pubrev.2020.102007
                9183458
                472173e1-8906-4766-b580-7c166c44b79f
                © 2020 Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 1 June 2020
                : 3 December 2020
                : 8 December 2020
                Categories
                Full Length Article

                media advocacy,framing,health communication,government,historical research

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