Dangerous Liaisons
Could the marriage of disease magazines and drug advertisers be hazardous to your health?
March/April 1999
Andy Steiner Utne Reader
Weight-lifting magazines bulk up on ads for supplements. Beauty
magazines keep up their looks with messages from makeup
manufacturers. Cooking magazines gorge on ads for the choicest
ingredients. Whatever their subject matter, special-interest
magazines are often financially dependent on advertisers from the
very industries they aim to cover.
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It's no secret that this chumminess can affect a magazine's
editorial content. Questionable claims about the best brand of eye
shadow or olive oil may not be such a big deal, but what happens
when a magazine focuses on much more complicated, life-and-death
issues? Take the case of a publication targeted toward people with
AIDS-and full of pharmaceutical ads for AIDS-fighting drugs. How
well are readers served when advertisers have a vested interest in
seeing the illness treated in a specific way?
The question is not an idle one: The number of
large-circulation, disease-specific magazines is on the rise. The
trend began less than a decade ago with POZ, A&U, and
later HIV Plus-national magazines that set out to serve the
HIV-AIDS community by profiling activists, sharing personal
stories, and providing news on the latest medical treatments.
Several cancer-specific titles can now be found on the news- stand
as well.
The earliest ventures were not designed to rely solely on drug
ads. Publishers first tried promoting the affluent 'gay
demographic,' hoping to secure long-term contracts with
high-profile general-interest advertisers; but mainstream clients
quickly faded away when the audience proved more diverse-and less
prosperous-than predicted.
The magazines survived in part by featuring more
direct-to-consumer (DTC) ads placed by drug companies, promotions
touting the health benefits of certain drug therapies. You've seen
them: high-gloss shots of active, beaming patients followed by a
page of government-mandated microscopic 'mouse print' that details,
among other things, the drug's potentially nasty side effects. At
first, the models featured in the ads were more somber and
thoughtful, but as public understanding of HIV and AIDS has
increased, so has the vitality of the people the ads depict.
Today, the vast majority of the ads in leading HIV-AIDS
publications come from pharmaceutical manufacturers. From a
financial standpoint, the switchover has been positive-one-to-
three-page ads now plump up the magazines-but many readers wonder
if these publications can continue to provide unbiased health
information.
'I view POZ as a commercial venture,' says Bob Tracy,
director of community affairs and education for the Minnesota AIDS
Project. 'It's more about entertaining than informing me. If I'm
looking for news, I'll go to one of the few publications that don't
take advertising. I'm not saying I'll never look at POZ,
because I do on a regular basis, but I do so with an understanding
of the way publishing works. Sure, most of the advertising has no
effect on content, but it may have an effect on 5 percent-and I
don't know which 5 percent. It might be information that could
affect my health.'
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