Correlates of knowledge of clinical trials among U.S. adults: Findings from the 2020 Health Information National Trends Survey

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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