Digital divide and Internet health information seeking among cancer survivors: A trend analysis from 2011 to 2017

2019 ◽  
Vol 29 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Shaohai Jiang ◽  
Piper Liping Liu
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S296-S296
Author(s):  
Eunjin Yang ◽  
Sun Ju Chang ◽  
Kyoung-eun Lee ◽  
Hyunju Ryu

Abstract Although the internet is helpful and considered a preferred channel to get health information, some vulnerable populations such as the elderly have a digital divide. The purpose of this study was to test the development and intervention of the eHealth program based on the Information-Motivation-Behavioral Skills (IMB) model for improving internet health information seeking, understanding and utilization behaviors in the elderly. This study was a single group pretest-posttest design, and the eleven elderly aged 67-87 (mean74.6, SD 6.9) participated in 5 session program at a senior welfare center from 25 January to 22 February 2019. Each theory-based constructs of IMB model such as computer/web knowledge (p<.01), attitude toward the internet health information usage (p<.01), and eHealth literacy (p<.01) was significantly improved at posttest than pretest. More than half of the participants (6 of 11) gave up on searching internet health information on pretest; however, all of the participants searched the internet health information accurately on the posttest. Regarding health information understanding, a significant difference was found (p=.03), and participants reported positive behavioral change after the program (6.54 ± 2.42). This pilot study indicated that the theory-based eHealth program might be an effective way to decrease a digital divide for the elderly. Therefore, the preliminary findings show promise for the use of the IMB model-based eHealth program as an intervention to improve internet health information seeking, understanding, and utilization behaviors in the elderly.


2005 ◽  
Author(s):  
Tamer El-Attar ◽  
Jarvis Gray ◽  
Sankaran N. Nair ◽  
Raymond Ownby ◽  
Sara J. Czaja

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 190-190 ◽  
Author(s):  
Enrique Soto Perez De Celis ◽  
Edgar Baltazar-Avalos ◽  
Lorena Ali Guadalupe Rocha-Rojo ◽  
Patricia Rojo-Castillo ◽  
Yanin Chavarri Guerra

190 Background: In order to improve the quality of the communication between the healthcare system and cancer survivors, it is fundamental to understand their preferred sources of health information. In low and middle-income countries (LMICs), little is known regarding which sources are used and trusted the most. This information is crucial to develop effective communication aimed at achieving high-quality equitable cancer care. Our objective was to explore the preferred sources of health information in Mexico, and to understand which factors influence these choices. Methods: We examined sources of health information among cancer survivors in Mexico City using questions from the Spanish Version of the Health Information National Trends Survey (HINTS). The characteristics of survivors who preferred the internet were compared with those who preferred other sources (doctors, printed materials, family members, organizations) using Fisher’s exact test. Logistic regression was used to assess the effects of patient characteristics on health information-seeking. Results: Of 148 participants, 82 (56%) had internet access. Of the 88 patients who had sought health information, 61 (69%) listed the internet as their preferred source. Those 65 and older were less likely to seek health information, regardless of the source (OR 0.17, p < 0.0001). Survivors who preferred the internet were more likely to be younger (p = 0.001), male (p = 0.003) and to have a higher educational level (p = 0.009). Comorbidities, stage, cancer type, and time from diagnosis had no effect on patient preferences. Doctors were the most trusted source of information (85%), followed by the internet (28%) and government agencies (23%). Conclusions: Mexican patients who seek health information online are more likely to be young educated males. Doctors represent the most trusted source of information, particularly for patients from vulnerable populations (such as older women with low educational levels). High-quality healthcare information programs in LMICs should be designed taking these behaviors into account, and patients should continue to receive health information via their most trusted sources.


2014 ◽  
Vol 36 (10) ◽  
pp. 1376-1377 ◽  
Author(s):  
Lenette M. Jones ◽  
Tiffany C. E. Veinot ◽  
Susan J. Pressler ◽  
Julia S. Seng ◽  
Alecia M. McCall ◽  
...  

2017 ◽  
Author(s):  
◽  
Chih-Chun Chuang

This study examined the influences of anxiety, health information seeking behavior, cross-cultural loss on satisfaction with life among 186 East Asian international students while studying abroad in the U.S. The results showed that general and health anxiety are both significantly associated with satisfaction with life, while there is a positive association between health anxiety and Internet health information seeking behaviors. Internet health information seeking behavior also mediated the link between health anxiety and satisfaction with life in the U.S. Cross-cultural loss did not moderate the relationship between Internet health information seeking behavior and satisfaction with life as predicted. Results of this study provide additional knowledge about East Asian international students' health, including the connection between general and health anxiety, Internet health information seeking behavior, and satisfaction with life. Findings from this study may have implications for higher education institutions serving international students.


2020 ◽  
Author(s):  
Xiaohui Wang ◽  
Jingyuan Shi ◽  
Kwan Min Lee

BACKGROUND Although recent developments in mobile health (mHealth) have elevated the importance of assessing the extent to which smartphones empower individuals to seek information online, research in Asian countries investigating the behavior of seeking health information on smartphones has been rare. OBJECTIVE The twofold goal of our study was to provide a comprehensive profile of mobile health information seekers in 10 Asian countries and to examine the individual- and country-level digital divide in mobile health information seeking in Asia. METHODS With survey data from 10 Asian countries (N = 9,086), we ran multilevel regression models to assess the effects of sociodemographic factors, technological factors, and country-level disparity on using smartphones to seek health information. RESULTS Respondents who were women (β = .14, p < .001), parents (β = .16, p < .001), employed (β = .07, p = .009), of higher social status (β = .10, p < .001), and/or from countries with less health expenditure (β = .20, p = .002) were more likely to use smartphones to seek health information. Technological factors, especially the technology innovativeness (β = .11, p < .001) and frequency of smartphone use (β = .41, p < .001), were important factors of such information-seeking behavior. CONCLUSIONS Among smartphone users in Asia, health information seeking varies according to individuals’ socioeconomic status, their concerns with the quality of online information, their innovativeness towards technology, and the government’s health-related expenditure in their respective countries. Although smartphones widen the digital divide among individuals with different socioeconomic status, they also bridge the divide between countries with varying health expenditures. Especially in developing areas, smartphones appear to be a particularly useful complement to seeking health-related information.


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