The presentation and analysis of the data have brought a lot of issues to the fore. Some of these issues support as well as mark a departure from existing literature and theory in health communication studies. The first hypothesis which stated, there is no significant relationship between exposure to media information and the level of knowledge of breast cancer was rejected. Correlation analysis on Table 4 a and b revealed there was a relationship between variables, but the relationship was a weak one. In other words, the results from the Correlation tests at the 5% alpha level of significance were significant enough to validate or support the hypothesis. Table 4b helps to determine the strength and direction between variables i.e. the approximate significance value has 0.00 in its column; one can infer there was a relationship between the variables. In addition, the value statistics helps to determine the strength or the direction of the relationship, it can range from -1 to 1 i.e. negative values indicate a negative relationship, and positive values indicate a positive relationship. From table 4b, the relationship between variables is a weak one.
This study confirmed that mass media channels constitute the primary sources of information and could significantly influence breast cancer knowledge. In other words, the mass media serve as veritable channels for breast cancer care among women. Also, the fact that mass media are important in promoting health messages cannot be ignored because they serve as primary carriers of health communication messages in the Nigerian society. It is not unlikely to say that mass media are indispensable tools of health communication for breast awareness campaigns.
Against the backdrop of the agenda setting theory, mass media experts could effectively frame issues of breast cancer by informing people of the need to prevent themselves from the disease. Also, the diffusion of innovation theory places communication at the centre of the process of innovation and change. Communication is conceived of as the process through which information is exchanged, meaning is constructed, and ambiguity is resolved (Rogers & Kincaid, 1981). According to this perspective, different communication channels make them differentially suited to satisfying individual needs for information, validation and uncertainty reduction. This theory also stipulates that media outlets are essential health communication tools used to create awareness.
The second hypothesis which tested, there is no significant relationship between the intense use of interpersonal channels and the level of knowledge of breast cancer was rejected. From the available data on table 5 a and b, the hypothesis was rejected because the asymmetrical values in the Correlation test were less than 0.05. Table 5 b reveals that the relationship between variables is a positive and strong relationship. This study has shown that exposure to interpersonal networks of communication has an impact on the knowledge of breast cancer. The use of interpersonal networks as information sources for breast cancer has been long acknowledged by academic authorities in health communication studies and other related line of research studies.
Interpersonal channels serve as vehicles for health promotion and advocacy for breast cancer information among women in the Nigerian society. Interpersonal channels have the potential to change and form attitudes of women towards ideas or practices. Just like the mass media, interpersonal sources serve as crucial information sources for creating awareness and knowledge of breast cancer in Nigeria. Furthermore, interpersonal channels could be used in forming and changing the attitudes of women to breast cancer and the practice of breast self examination.
The third hypothesis which tested, there is no significant relationship between the sources of awareness and the practice of breast self-examination among women was rejected. This study has revealed that the sources of awareness were significant and effective on the practice of breast self-examination. Awareness is an important element of communication. It has been widely accepted that the awareness of a disease is essential before any health communication intervention could occur. Thus, awareness could also be seen as an intervention factor for health promotion and advocacy for breast cancer information. This study has shown that the sources of awareness of breast cancer actually influence the practice of breast self-examination. In essence, the use of information sources in heath promotion and interventions cannot be ignored or negotiated. The results have shown that sources of awareness have tremendous influence on the practice of breast self-examination. These results are also in consonance with Yan’s (2001) study, in which mass media, such as newspaper, television and radio were identified as the major sources of awareness of breast cancer.
Conclusion
This study has brought to the fore the inherent features of the diffusion of the innovations’ theory. If women in the Nigerian society could seek information about breast cancer from health consultants, medical experts, then the content of this theory should be taken seriously. This study has proved that mass media and interpersonal networks of communication are essential in health interventions for breast cancer and other health related issues. Thus, the core postulations of the diffusion of innovation theory have to be considered in line with health education, advocacy and intervention for breast cancer in Nigeria and the wider world.
Importantly, mass media messages should be incorporated as key machineries in media awareness campaigns for improving breast cancer care among women. This is essential because mass media messages can produce positive changes or prevent negative changes in health-related behaviours of women in South-West Nigeria.
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