At MTV's 20th annual Video Music Awards ceremony, Madonna showed she can still cause a stir and get people talking. Her onstage open-mouthed kiss with Britney Spears and then with Christina Aguilera dominated the next day's media coverage. While Madonna captured attention, not all reports were flattering. Several focused on either her age or the poor sales of her most recent musical efforts.Most frequent messages 1 Kiss earned a lot of publicity and buzz 2 The kiss was shocking 3 Madonna is getting older 4 It was a desperate act to salvage Madonna's ailing career 5 The kiss was sexy and cool Based on 45 North American newspaper and TV stories appearing August 29-September 1, 2003. Evaluation and analysis by CARMA International.