Effects of Mass and Interpersonal Communication on Breast Cancer Screening: Advancing Agenda-Setting Theory in Health Contexts

Drawing on components of agenda-setting theory and the two-step flow of information from mass media to news audiences, this study examines the effects of mass and interpersonal communication on breast cancer screening practices among college- and middle-aged women (n = 284). We theorized that screening behaviors among younger women would be influenced more by interpersonal sources of information while screening among middle-aged women would be more influenced by exposure to mass-mediated information. Findings supported anticipated patterns, revealing important and varying roles for both mass and interpersonal communication in the health behaviors of women. Implications for health practitioners and campaign planners, as well as recommendations for future research, are discussed.     

Hierarchical clustering of a Finnish newspaper article collection with graded relevance assessments

Search facilitated with agglomerative hierarchical clustering methods was studied in a collection of Finnish newspaper articles (N = 53,893). To allow quick experiments, clustering was applied to a sample (N = 5,000) that was reduced with principal components analysis. The dendrograms were heuristically cut to find an optimal partition, whose clusters were compared with each of the 30 queries to retrieve the best-matching cluster. The four-level relevance assessment was collapsed into a binary one by (A) considering all the relevant and (B) only the highly relevant documents relevant, respectively. Single linkage (SL) was the worst method. It created many tiny clusters, and, consequently, searches enabled with it had high precision and low recall. The complete linkage (CL), average linkage (AL), and Ward's methods (WM) returned reasonably-sized clusters typically of 18–32 documents. Their recall (A: 27–52%, B: 50–82%) and precision (A: 83–90%, B: 18–21%) was higher than and comparable to those of the SL clusters, respectively. The AL and WM clustering had 1–8% better effectiveness than nearest neighbor searching (NN), and SL and CL were 1–9% less efficient that NN. However, the differences were statistically insignificant. When evaluated with the liberal assessment A, the results suggest that the AL and WM clustering offer better retrieval ability than NN. Assessment B renders the AL and WM clustering better than NN, when recall is considered more important than precision. The results imply that collections in the highly inflectional and agglutinative languages, such as Finnish, may be clustered as the collections in English, provided that documents are appropriately preprocessed.