Media exposure and tobacco product addiction beliefs: Findings from the 2015 Health Information National Trends Survey (HINTS–FDA 2015)

Abstract Significance US smokers of Natural American Spirit, a brand marketed as “organic” and “additive-free,” are more likely than other cigarette smokers to believe that their brand might be less harmful than other brands. This article (1) describes the prevalence of belief that “organic” and “additive-free” tobacco is less harmful than regular tobacco products in the US population and (2) describes the sociodemographic characteristics of adults who believe tobacco products with these descriptors are less harmful. Methods Data were drawn from the 2017 Health Information National Trends Survey (HINTS), a nationally representative survey of US adults. Logistic regression models were used to examine correlates of the belief that “organic” or “additive-free” tobacco products are less harmful than regular tobacco products. Results Overall, 26.7% of US adults and 45.3% of adult smokers believe that “organic” tobacco products are less harmful than regular tobacco products. Similarly, 35.2% of US adults and 47.1% of smokers believe that “additive-free” tobacco products are less harmful. When examining gender, age, education, race/ethnicity, sexual orientation, and smoking status, only age (adjusted odds ratio [aOR] ~0.98, 95% confidence interval [CI]: 0.97, 0.99 for both outcomes) and smoking status (current vs. never smokers, aOR ~1.78, 95% CI 1.03, 3.07 for both outcomes) were correlates of believing that “organic” or “additive-free” tobacco is less harmful than regular tobacco products. Conclusions Belief that “organic” and “additive-free” tobacco products are less harmful than other products is widespread. Younger adults and current smokers are most likely to be misinformed by “organic” or “additive-free” tobacco product descriptors. Implications Belief that “organic” and “additive-free” tobacco products are less harmful than other products is widespread among US adults and most prevalent among smokers. Removal of terms that incorrectly imply reduced harm may correct current and future consumers’ misperceptions about the brand.

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Item Development and Performance of Tobacco Product and Regulation Perception Items for the Health Information National Trends Survey

Nicotine & Tobacco Research ◽

10.1093/ntr/nty193 ◽

2018 ◽

Vol 21 (11) ◽

pp. 1565-1572 ◽

Cited By ~ 1

Author(s):

Emily B Peterson ◽

David B Portnoy ◽

Kelly D Blake ◽

Gordon Willis ◽

Katy Trundle ◽

...

Keyword(s):

Health Information ◽

Government Regulation ◽

Response Selection ◽

Population Level ◽

Tobacco Product ◽

Cognitive Interviewing ◽

Tobacco Products ◽

Response Option ◽

Item Development ◽

National Trends

Abstract Introduction Emerging tobacco products have become increasingly popular, and the US Food and Drug Administration extended its authority to all products meeting the definition of a tobacco product in 2016. These changes may lead to shifts in public perceptions about tobacco products and regulation, and national surveys are attempting to assess these perceptions at the population level. This article describes the item development and cognitive interviewing of the tobacco product and regulation perception items included in two tobacco-focused cycles of the Health Information National Trends Survey (HINTS-FDA), referred to as HINTS-FDA. Methods Cognitive interviewing was used to investigate how respondents comprehended and responded to tobacco product and regulation perception items. Adult participants (n = 20) were selected purposively to oversample current tobacco users and were interviewed in two iterative rounds. Weighted descriptive statistics from the fielded HINTS-FDA surveys (N = 5474) were also calculated. Results Items were generally interpreted as intended, and participants meaningfully discriminated between tobacco products when assessing addiction perceptions. Response selection issues involved inconsistent reporting among participants with little knowledge or ambivalent opinions about either government regulation or tobacco products and ingredients, which resolved when a “don’t know” response option was included in the survey. The fielded survey found that a non-negligible proportion of the population do not have clear perceptions of emerging tobacco products or government regulation. Conclusions A “don’t know” response option is helpful for items assessing many emerging tobacco products but presents several analytic challenges that should be carefully considered. Multiple items assessing specific tobacco product and regulation perception items are warranted in future surveys. Implications The findings from this study can serve as a foundation for future surveys that assess constructs related to emerging tobacco products, harm perceptions across multiple tobacco products, and tobacco-related government regulatory activities. The data provide unique insight into item-specific motivation for selecting a “don’t know” response option for tobacco survey items.

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Hints Brief: Health Information National Trends Survey for June 2008

PsycEXTRA Dataset ◽

10.1037/e457662008-001 ◽

2008 ◽

Keyword(s):

Health Information ◽

National Trends

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Cancer Communication: Health Information National Trends Survey

PsycEXTRA Dataset ◽

10.1037/e716102007-001 ◽

2007 ◽

Keyword(s):

Health Information ◽

Cancer Communication ◽

National Trends

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Health Disparities in Awareness of Physical Activity and Cancer Prevention: Findings from the National Cancer Institute's 2007 Health Information National Trends Survey (HINTS)

Journal of Health Communication ◽

10.1080/10810730.2010.522694 ◽

2010 ◽

Vol 15 (sup3) ◽

pp. 60-77 ◽

Cited By ~ 30

Author(s):

April Oh ◽

Abdul Shaikh ◽

Erika Waters ◽

Audie Atienza ◽

Richard P. Moser ◽

...

Keyword(s):

Physical Activity ◽

Health Disparities ◽

Cancer Prevention ◽

Health Information ◽

National Trends

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Evaluation of Healthcare Avoidance Behavior Using the Healthcare National Trends Survey

American Journal of Health Studies ◽

10.47779/ajhs.2015.167 ◽

2020 ◽

Vol 30 (1) ◽

Author(s):

Yiu Ming Chan ◽

Clauda Laster

Keyword(s):

Health Information ◽

Information Overload ◽

Insurance Coverage ◽

Health Insurance Coverage ◽

Social Networking Site ◽

Personal Health Information ◽

Cancer Information ◽

Psychosocial Barriers ◽

National Trends ◽

Number Of Individuals

As online search engines have become increasingly popular for people to use to locate necessary health information, the number of individuals choosing to avoid visiting a doctor is dramatically increasing. This study analyzed 2007 Health Information National Trends Survey (HINTS) data and found that people who avoid visiting a doctor were more likely to be male, younger, and less educated than those who do not avoid seeing a doctor. Also, individuals who have less health insurance coverage, have serious psychological distress (SPD), and suffered cancer information overload were more likely to report psychosocial barriers to care. Furthermore, the levels of trust of doctors and visiting a social networking site were significant predictors of “doctor avoidance.” In addition, individuals who felt their personal health information was not being safely guarded by doctors were more likely to avoid visiting a doctor. These findings can help healthcare professionals better understand the characteristics of persons who avoid visiting a doctor and professionals can use these conclusions to provide more effective ways to deliver health information to change healthcare behavior.

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Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

American Journal of Public Health ◽

10.2105/ajph.2021.306282 ◽

2021 ◽

pp. e1-e4

Author(s):

Chelsea L. Ratcliff ◽

Melinda Krakow ◽

Alexandra Greenberg-Worisek ◽

Bradford W. Hesse

Keyword(s):

Public Health ◽

Health Information ◽

Health Care Providers ◽

Digital Health ◽

Smart Device ◽

P Value ◽

Care Providers ◽

Cross Sectional ◽

The Us ◽

National Trends

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )

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Prostate-specific antigen testing in the disabled population: A cross-sectional analysis of the Health Information National Trends Survey (HINTS).

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.e17000 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. e17000-e17000

Author(s):

Joon Yau Leong ◽

Ruben Pinkhasov ◽

Thenappan Chandrasekar ◽

Oleg Shapiro ◽

Michael Daneshvar ◽

...

Keyword(s):

Health Insurance ◽

Health Information ◽

Prostate Specific Antigen ◽

Healthcare Provider ◽

Specific Antigen ◽

Cross Sectional ◽

Psa Screening ◽

Psa Testing ◽

The Usa ◽

National Trends

e17000 Background: Disabled patients are a unique minority population that may have lower literacy levels and difficulty communicating with physicians. Furthermore, their knowledge for cancer prevention recommendations is unknown. Herein, we aim to compare prostate-specific antigen (PSA) testing rates and associated predictors among disabled men and non-disabled men in the USA. Methods: We performed a cross-sectional study utilizing the Health Information National Trends Survey (HINTS) to analyze factors predicting PSA testing rates in men with disabilities (disabled, deaf, blind). Multivariable logistic regression models were used to determine clinically significant predictors of PSA testing in men with disabilities compared to that of the healthy cohort. Results: A total of 782 (14.6%) disabled men were compared to 4,569 (85.4%) non-disabled men. Disabled men were older with a mean age of 65.0 ± 14.2 vs. 55.0 ± 15.9 years (p < 0.001). On multivariable analysis, after adjusting for all available confounders including race, age, geographical region, survey year, marital status, health insurance, healthcare provider, amongst others, men with any disability were less likely to undergo PSA screening (OR 0.772, 95% CI 0.623-0.956, p = 0.018). Variables associated with increased PSA screening rates included age, having a healthcare provider or health insurance, and living with a partner. Although prostate cancer detection rates were shown to be higher among disabled men, this did not reach statistical significance. Conclusions: Our data suggests that significant inequalities in PSA screening exist among men with disabilities in the USA, with disabled men, especially the deaf and the blind, being less likely to be offered PSA screening. There is a clear need to implement strategies to reduce existing gaps in the care of disabled men and strive to reach equality in PSA screening in this unique population.

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