We hypothesize that generic frames influence what news people share on Facebook and Twitter through three different routes: emotions, motivations, and psychological engagement. Using a mixed-methods design, a content analysis of a representative sample of articles published in six Chilean outlets was combined with in-depth interviews with digital journalists. After controlling for issue, newsworthiness, informational utility, valence, and other confounds, results show that-across platforms-a morality frame increases news sharing, whereas a conflict frame decreases it. Emphasizing economic consequences also decreases sharing, but only on Facebook. Surprisingly, the human interest angle has no noticeable effects. These results show that news frames can have behavioral consequences, and confirm the existence of a gap between preferred frames of journalists and users.
The aim of this article is to present results of programmatic introduction of HPV testing with cytologic triage among women 30 years and older in the province of Jujuy, Argentina, including description of the planning phase and results of program performance during the first year. We describe the project implementation process, and calculate key performance indicators using SITAM, the national screening information system. We also compare disease detection rates of HPV testing in 2012 with cytology as performed during the previous year. HPV testing with cytology triage was introduced through a consensusbuilding process. Key activities included establishment of algorithms and guidelines, creating the HPV laboratory, training of health professionals, information campaigns for women and designing the referral network. By the end of 2012, 100% (n 5 270) of public health care centers were offering HPV testing and 22,834 women had been HPV tested, 98.5% (n 5 22,515) were 301. HPV positivity among women over 30 was 12.7%, 807 women were HPV1 and had abnormal cytology, and 281 CIN21 were identified. CIN21 detection rates was 1.25 in 2012 and 0.62 in 2011 when the program was cytology based (p 5 0.0002). This project showed that effective introduction of HPV testing in programmatic contexts of low-middle income settings is feasible and detects more disease than cytology.Cervical cancer remains a serious public health problem in developing countries where almost 90% of cases occur 1 and where cytological screening has been ineffective, due to a complex interaction of lack of organized programs, embedded inequity in availability of human resources and services, and lack of coordination among health services and professionals. [2][3][4] In this context, cytology screening adds to the problem, as it requires frequent examinations and rigorous quality controls to compensate for its low negative predictive value. 5 Recently, HPV testing has changed the scenario. Processing and interpretation of the test is automated, reducing the need for cytotechnicians and quality controls. Also, its high sensitivity and negative predictive value allows extension of the screening interval, 6,7 which can facilitate screening and treatment coverage. Finally, it is more suitable where HPV vaccination has been introduced. 5 Thus, HPV testing is expected to become the preferred test for cervical cancer screening. 8 However, HPV testing will still need to be applied in health system contexts, where promotion activities are
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