Abstract

Although overall HIV rates have declined in the US over the past two decades, these declines have been accompanied by a steady growth in infection rates among African Americans, creating persistent racial disparities in HIV infection. News media have been instrumental in educating and informing the public about the epidemic. This content-analytic study examines the frequency and content of coverage of HIV/AIDS in national and local US daily newspapers from December 1992 through December 2007, with a focus on the presentation of risk by population subgroups. A computerised search term was used to identify HIV/AIDS-related news coverage from 24 daily US newspapers and one wire service across a 15-year period (N = 53 934 stories). Human and computerised coding methods were used to examine patterns in frequency and content in the sample. The results indicate a decline in coverage of the epidemic over the study period. There was also a marked shift in the portrayal of risk in the US, from a domestic to an international focus. When coverage did address HIV/AIDS among groups with disproportionately high risk in the US, it typically failed to provide context for the disparity beyond individual behavioural risk factors. The meta-message of news coverage of HIV during this period may have reduced the visibility of the impact of HIV/AIDS on Americans. The practice of reporting the racial disparity without providing context may have consequences for the general public's ability to interpret these disparities.

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