Evidence linking both active smoking and secondhand smoke exposure to premenopausal breast cancer makes the development of health messages specific to younger women a pressing priority. To determine how to communicate information about this modifiable breast cancer risk to young women, we analyzed a selection of 32 recent English-language breast cancer messages and campaigns that targeted young women. In addition, we obtained young women’s responses to three breast cancer campaign images during focus group discussions. A visual analysis of messages points to an explicitly gendered discourse within contemporary campaigns, one that entails conflicting messages regarding breast cancer, health, feminine beauty, and risk. Although the intent might be to educate and empower young women to “fight” against breast cancer, paradoxically, the messages employ imagery that sexually objectifies young women’s breasts and bodies. Recommendations are made for messaging about tobacco and breast cancer risk to avoid reproducing one-dimensional or stereotypical presentations of gender and femininity.
Amos, A., & Bostock, Y. ( 2007). Young people, smoking and gender-A qualitative exploration . Health Education Research, 22(6), 770-781.
2.
Atkin, C.K., Smith, S.W., McFeters, C., & Ferguson, V. ( 2008). A comprehensive analysis of breast cancer news coverage in leading media outlets focusing on environmental risks and prevention. Journal of Health Communication, 13(1), 3-19.
3.
Banerjee, S., Bueso-Ramos, C., & Aggarwal, B.B. (2002). Suppression of 7,12-dimethylbenz(a)anthracene-induced mammary carcinogenesis in rats by resveratrol: Role of nuclear factor-{kappa}B, cyclooxygenase 2, and matrix metalloprotease 9. Cancer Research , 62(17), 4945-4954.
4.
Barnoya, J., & Glantz, S.A. ( 2005). Cardiovascular effects of secondhand smoke: Nearly as large as smoking. Circulation, 111(20), 2684-2698.
5.
Bell, P., & Milic, M. ( 2002). Goffman’s gender advertisements revisited: Combining content analysis with semiotic analysis. Visual Communication , 1(2), 203-222.
6.
Boarding for Breast Cancer. (2006). Boarding for Breast Cancer & CCS want you to know (Online poster image) . Retrieved from http://www.b4bc.org/images/print/B4BC_CCS_FINAL.jpg
7.
Bottorff, J., Johnson, K., Brazier, A., Ferrence, R., Kaufman, P., Pope, M., . . . Okoli, C. ( 2006). Key informant consultation report: Passive and active smoking and breast cancer: Opportunities for tobacco control. Unpublished manuscript.
8.
Bottorff, J.L., Barclay McKeown, S., Carey, J., Haines, R.J., Okoli, C., Johnson, K.C., . . . Ptolemy, E. ( 2010). Young women’s responses to smoking and breast cancer risk information. Health Education Research. doi:10.1093/her/cyp067
9.
Brennan, P., Buffler, P., Reynolds, P., Wu, A.H., Wichmann, H.E., Agudo, A. . . . Boffetta, P. ( 2004). Secondhand smoke exposure in adulthood and risk of lung cancer among never smokers: A pooled analysis of two large studies. International Journal of Cancer, 109(1), 125-131.
10.
Burke, W., Olsen, A.H., Pinsky, L.E., Reynolds, S.E., & Press, N.A. ( 2001). Misleading presentation of breast cancer in popular magazines . Effective Clinical Practice, (March/ April), 1-8.
11.
California Environmental Protection Agency, Air Resources Board. (2005). Proposed identification of environmental tobacco smoke as a toxic air contaminant. Retrieved from http://repositories.cdlib.org/tc/surveys/CALEPA2005
12.
Collishaw, N.E., Boyd, N.F., Cantor, K.P., Hammond, S.K., Johnson, K.C., Millar, J., . . . Turcotte, F. ( 2009). Canadian expert panel on tobacco smoke and breast cancer risk. Toronto, ON, Canada: Ontario Tobacco Research Unit.
13.
Connell, R.W. ( 1987). Gender and power. Stanford, CT: Stanford University Press.
14.
Conway, K., Edmiston, S.N., Cui L., Drouin, S., Pang, J., He, M., . . . Newman, B. ( 2002). Prevalence and spectrum of p53 mutations associated with smoking in breast cancer. Cancer Research, 62(7), 1987-1995.
15.
CTV News. (2009). MTV Canada host aims to ‘save the boobs.’ CTV News. Retrieved from http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20090925/rethink_090926/20090926
16.
Denissenko, M.F., Pao, A., Tang, M.S., & Pfeifer, G.P. ( 1996). Preferential formation of benzo[a]pyrene adducts at lung cancer mutational hotspots in p53. Science, 274(5286), 430-432.
17.
Denscombe, M. ( 2001). Peer group pressure, young people and smoking: New developments and policy implications. Drugs: Education, Prevention & Policy, 8(1), 7-32.
18.
Dillard, A.J., McCaul, K.D., Kelso, P.D. & Klein, W.M.P. ( 2006). Resisting good news: Reactions to breast cancer risk communication. Health Communication, 19(2), 115-123.
19.
Gill, E.A. & Babrow, A.S. ( 2007). To hope or to know: Coping with uncertainty and ambivalence in women’s magazine breast cancer articles. Journal of Applied Communication Research, 35(2), 133-155.
20.
Goffman, E. ( 1987). Gender advertisements. New York: Harper Row.
21.
Grant, J., & Hundley, H. ( 2008). Fighting the battle or running the race? Visual Communication Quarterly, 15(3), 180-195.
22.
Greaves, L. ( 1996). Smoke screen: Women’s smoking and social control . London: Scarlet University Press .
23.
Haines, R.J., Poland, B.D., & Johnson, J.L. ( 2009). Becoming a ‘real’ smoker-Cultural capital in young women’s accounts of substance use. Sociology of Health & Illness, 31(1), 66-80.
24.
Howell, K.A., Huelsman, K.M., Everett, J.N., & Hopkin, R.J. ( 2002). Breast cancer genetics education for college women: An evaluation of approaches. Journal of Cancer Education, 17(2), 74-77.
25.
Jaakkola, M., Plipari, R., Jaakkola, N., & Jaakkola, J. ( 2003). Environmental tobacco smoke and adult-onset asthma: A population-based incident case-control study. American Journal of Public Health, 93(12), 2055-2060.
26.
Jaakkola, M.S., Jaakkola, J.J.K., Becklake, M.R., & Ernst, P. ( 1996). Effect of passive smoking on the development of respiratory symptoms in young adults: An 8-year longitudinal study. Journal of Clinical Epidemiology, 49(5), 581-586.
27.
Janson, C., Chinn, S., Jarvis, D., Zock, J., Torén, K., & Burney, P. ( 2001). Effect of passive smoking on respiratory symptoms, bronchial responsiveness, lung function, and total serum IgE in the European Community Respiratory Health Survey: A cross-sectional study. Lancet , 358(9299), 2103-2109.
28.
Johnson, K.C. ( 2005). Accumulating evidence on passive and active smoking and breast cancer risk. International Journal of Cancer, 117(4), 619-628.
29.
Jones, S.C. ( 2004). Coverage of breast cancer in the Australian print media-Does advertising and editorial coverage reflect correct social marketing messages?Journal of Health Communication, 9(4), 309-325.
30.
Lacroix, C., & Auger, N. ( 2007). Beauté et tabagisme: L’utilisation des données probantes dans la prévention du tabagisme chez les jeunes [Beauty and smoking: The use of evidence in the prevention of youth smoking]. Revue Canadienne de Santé Publique, 98(5), 400-401.
31.
Lennon, A., Gallois, C., Owen, N., & McDermott, L. ( 2005). Young women as smokers and nonsmokers: A qualitative social identity approach. Qualitative Health Research, 15, 1345-1359.
32.
Lowe, P., Powell, J., Griffiths, F., Thorogood, M., & Locock, L. ( 2009). "Making it all normal": The role of the Internet in problematic pregnancy. Qualitative Health Research, 19, 1476-1484.
33.
McMenamin, M., Barry, H., Lennon, A.M., Purcell, H., Baum, M., Keegan, D., . . . Mulcahy, H. ( 2005). A survey of breast cancer awareness and knowledge in a Western population: Lots of light but little illumination. European Journal of Cancer, 41(3), 393-397.
34.
Michel, L., & Amos, A. ( 1997). Girls, pecking order and smoking. Social Science and Medicine, 44(12), 1861-1869.
35.
Moffat, B.M., & Johnson, J.L. ( 2001). Through the haze of cigarettes: Teenage girls’ stories about cigarette addiction. Qualitative Health Research , 11, 668-681.
36.
Parent Action on Drugs. (2006). Check it out: An assessment of young women’s interest in and knowledge of the impact of alcohol, nutrition, and physical activity on breast health . Toronto, ON, Canada: Canadian Breast Cancer Foundation, Ontario Chapter.
37.
Parent Action on Drugs. (2008). Hook up to breast cancer prevention! (Caring Women’s Brochure). Retrieved from http://www.pinktulip.ca/wp-content/uploads/2008/10/caring_women_brochure_pdf_final12.pdf
38.
Peacey, V., Steptoe, A., Davidsdóttir, S., Baban, A., & Wardle, J. ( 2006). Low levels of breast cancer risk awareness in young women: An international survey. European Journal of Cancer, 42(15), 2585-2589.
39.
Pitsavos, C., Panagiotakos, D.B., Chrysohoou, C., Skoumas, J., Tzioumis, K., Stefanadis, C., & Toutouzas, P. ( 2002). Association between exposure to environmental tobacco smoke and the development of acute coronary syndromes: The CARDIO2000 case-control study. Tobacco Control, 11(3), 220-225.
40.
Radin, P. ( 2006). "To me, it’s my life:" Medical communication, trust, and activism in cyberspace. Social Science & Medicine , 62(3), 591-601.
41.
Rethink Breast Cancer. (2008). Booby wall press release. Retrieved from http://www.rethinkbreastcancer.com/documents/Final%20press%20release-Jan-10-08.pdf
42.
Seguire, M., & Chalmers, K. ( 2000). Addressing the "costs of quitting" smoking: A health promotion issue for adolescent girls in Canada. Health Promotion International, 15(3), 227-235.
43.
Silk, K., Bigsby, E., Volkman, J., Kingsley, C., Atkin, C., Ferrara, M., & Goins, L. ( 2006). Formative research on adolescent and adult perceptions of risk factors for breast cancer. Social Science & Medicine , 63(12), 3124-3136.
44.
Simonian, K., Brown, S.E., Sanders, D.B., Kidd, C.Y., Murillo, V.E., Garcia, R., & Marks, S. ( 2004). Breast health information: Messages that appeal to young women and older women of colour. Journal of Cancer Education , 19(4), 232-236.
45.
Thun-Battersby, S., Mevissen, M., & Loscher, W. ( 1999). Exposure of sprague-dawley rats to a 50-hertz, 100-{micro}tesla magnetic field for 27 weeks facilitates mammary tumorigenesis in the 7,12-dimethylbenz[a]-anthracene model of breast cancer. Cancer Research, 59(15), 3627-3633.
46.
U.S. Department of Health and Human Services. ( 2006). The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
47.
Watts, T., Merrell, J., Murphy, F., & Williams, A. ( 2004). Breast health information needs of women from minority ethnic groups. Journal of Advanced Nursing, 47(5), 526-535.
48.
Zhong, L., Goldberg, M.S., Parent, M.-E., & Hanley, J.A. ( 2000). Exposure to environmental tobacco smoke and the risk of lung cancer: A meta-analysis. Lung Cancer, 27(1), 3-18.
