Differences Between Races in Health Information Seeking and Trust Over Time: Evidence From a Cross-Sectional, Pooled Analyses of HINTS Data

2020 ◽  
Vol 35 (1) ◽  
pp. 84-92 ◽  
Author(s):  
Naleef Fareed ◽  
Christine M. Swoboda ◽  
Pallavi Jonnalagadda ◽  
Daniel M. Walker ◽  
Timothy R. Huerta
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Information Sources ◽  
Religious Organizations ◽  
Racial Groups ◽  
Health Information Seeking ◽  
High Confidence ◽  
Charitable Organizations ◽  
Cross Sectional Survey ◽  
Cross Sectional

Purpose: Assessed racial disparities in health information-seeking behavior and trust of information sources from 2007 to 2017. Design: Pooled cross-sectional survey data. Setting: Health Information National Trends Survey (HINTS). Participation: Data included 6 iterations of HINTS (pooled: N = 19 496; 2007: n = 3593; 2011: n = 3959; 2013: n = 3185; Food and Drug Administration [FDA] 2015: n = 3738; 2017: n = 3285; and FDA 2017: n = 1736). Measures: Outcome variables were health information seeking, high confidence, and high trust of health information from several sources. Independent variable was race group, controlling for other sociodemographic and socioeconomic variables. Analysis: Weighted descriptive and multivariate logistic regression for the pooled sample assessed associations by race. Fully interacted models with race–survey year interactions compared differences in outcomes between years. Results: Black respondents, relative to white, had greater odds of having high confidence in their ability to attain health information, trust of health information from newspapers and magazines, radio, internet, television, government, charitable organizations, and religious organizations. Hispanic respondents, relative to white, had lower odds of seeking health information and trusting health information from doctors. They had higher odds of trusting health information from the radio, the internet, television, charitable organizations, and religious organizations. Conclusion: Disparities between races in trust of information sources remained across time. Understanding optimal information media, their reach, and credibility among racial groups could enable more targeted approaches to developing interventions. Our analytical approach minimized limitations present in the HINTS.

Health information seeking in the postpartum period: A cross-sectional survey

2021 ◽  
Author(s):  
Justine Dol ◽  
Brianna Richardson ◽  
Megan Aston ◽  
Douglas McMillan ◽  
Gail Tomblin Murphy ◽  
...  
Keyword(s):  
Health Information ◽  
Postpartum Period ◽  
Information Seeking ◽  
Health Information Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional

Socioeconomic Factors Influence Health Information Seeking and Trust Over Time: Evidence From a Cross-Sectional, Pooled Analyses of HINTS Data

2021 ◽  
pp. 089011712110181
Author(s):  
Naleef Fareed ◽  
Pallavi Jonnalagadda ◽  
Christine M. Swoboda ◽  
Pranav Samineni ◽  
Tyler Griesenbrock ◽  
...  
Keyword(s):  
Socioeconomic Factors ◽  
Health Information ◽  
Information Seeking ◽  
Information Sources ◽  
Income Group ◽  
High Income Group ◽  
Health Information Seeking ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Over Time

Purpose: Assessed socioeconomic factors in health information seeking behavior and trust of information sources from 2007 to 2017. Design: Pooled cross-sectional survey data. Setting: Health Information National Trends Survey. Participation: Data included 6 iterations of U.S. adults (Pooled: N = 19,496; 2007: N = 3,593; 2011: N = 3,959; 2013: N = 3,185; FDA 2015: N = 3,738; 2017: N = 3,285; and FDA 2017: N = 1,736). Measures: Outcome variables were health information seeking, high confidence, and high trust of health information from several sources. Independent variables were education and income group, controlling for other sociodemographic variables. Analysis: Weighted descriptive and multivariate logistic regression for the pooled sample assessed associations by education and income. Fully interacted models with education/income-survey year interactions compared differences in outcomes between years. Results: We found information seeking, confidence, and trust were associated with income and education, which supported previously reported findings. Additionally, our findings indicated low-and medium-income groups had significantly lower odds of seeking health information compared to those in a high-income group. Regarding trust of information, a high school education was associated with higher odds of trust in family and friends. We also found that, over time, information seeking, confidence, and trust behavior differed by income and education, with some differences persisting. Conclusion: Disparities by income and education in trust of information sources remained across time. Understanding optimal information sources, their reach, and their credibility among groups could enable more targeted interventions and health messaging. We also describe the implications for our findings in the context of COVID-19.

scholarly journals EDUCATION, LITERACY, NUMERACY AND HEALTH INFORMATION SEEKING IN LATER LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S322-S322
Author(s):  
Takashi Yamashita ◽  
Anthony R Bardo ◽  
Roberto J Millar ◽  
Shalini Sahoo ◽  
Phyllis Cummins ◽  
...  
Keyword(s):  
Health Status ◽  
Health Literacy ◽  
Health Information ◽  
Information Seeking ◽  
Information Sources ◽  
Later Life ◽  
Health Information Seeking ◽  
Education And Health ◽  
Nationally Representative ◽  
Information Seeking Behaviors

Abstract Health information plays a critical role for health promotion and maintenance in later life. While health information seeking is primarily driven by need (e.g., health), significantly less is known about the roles of education and health-literacy. Thus, we examine complex pathways that link health information seeking behaviors with education and health literacy (decomposed into general literacy and numeracy), and how these pathways differ by health status among a nationally representative sample of Americans age 50 and older (n = 2,750). Data come from the 2012/2014 Program for International Assessment of Adult Competencies. Multi-group structural equation models were used to examine the use of eight health information sources (newspapers, magazines, internet, radio, TV, books, friends/family, and health professionals) by health status (good vs. poor). Findings showed that literacy and numeracy are significant mediators of the relationship between education and health professional as an information source. Additionally, the mediation effects on health professionals by literacy status [indirect-effect (good vs. poor health) = 0.48 vs. 2.13, p < 0.05] and numeracy [indirect-effect (good vs. poor health) = -0.47 vs. -1.81, p < 0.05] were significantly moderated by health. At the same time, no moderated mediation effect was observed in the use of any other information sources. This study provides some of the first nationally representative evidence regarding how education functions through health literacy components to shape health information seeking behaviors by health status. Explanations and implications for differing effects of education, literacy, and numeracy on health information seeking in later life were evaluated.

Cancer Information Seeking among Black and White Adults: Results from the 2003 and 2005 Health Information National Trends Surveys

2009 ◽  
Vol 15 (1_suppl) ◽  
pp. 16-29
Author(s):  
Jiali Ye ◽  
Zhiheng Xu ◽  
Bamidele Adesunloye
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Information Sources ◽  
Cancer Information ◽  
The Internet ◽  
Racial Groups ◽  
Black And White ◽  
National Trends ◽  
Cancer Information Seeking ◽  
White Adults

Information seeking has significant impact on improving cancer preventive activities and health decision making. This study sought to compare Black and White adults on cancer information seeking and the choice of primary information sources. Non-Hispanic Black and non-Hispanic White adults completed Health Information National Trends Surveys (HINTS) collected in 2003 and in 2005. The results of bivariate analyses showed that Whites were more likely than Blacks to be cancer information seekers for both years (2003: 49.0% vs. 40.8%, p < .001; 2005: 54.6% vs. 46.9%, p = .008). However, after controlling for sociodemographic variables, race was not significantly associated with cancer information seeking. Both racial groups increased their likelihood of cancer information seeking from 2003 to 2005, although the increase was only statistically significant for Whites ( p < .001). Health providers and the Internet were the top two most selected primary cancer information sources for both racial groups. These findings indicate that sociodemographic factors, such as gender, education, and cancer history, may shape the racial difference in health information seeking among the general population. Among all the information sources, health care providers and the Internet play the most important role in providing cancer-related information.

scholarly journals Use of information sources regarding medicine side effects among the general population: a cross-sectional survey

2019 ◽  
Vol 20 ◽  
Author(s):  
Bernadine O’Donovan ◽  
Ruth M. Rodgers ◽  
Anthony R. Cox ◽  
Janet Krska
Keyword(s):  
Side Effects ◽  
Information Seeking ◽  
Side Effect ◽  
Information Sources ◽  
Negative Impact ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Information Leaflets ◽  
Increased Risk ◽  
Use Of Information Sources

Abstract Aim: To determine the use and perceived value of different information sources that patients may use to support identification of medicine side effects; to explore associations between coping styles and use of information sources. Background: Side effects from medicines can have considerable negative impact on peoples’ daily lives. As a result of an ageing UK population and attendant multi-morbidity, an increasing number of medicines are being prescribed for patients, leading to increased risk of unintended side effects. Methods: A cross-sectional survey of patients who use medicine, recruited from community pharmacies. The survey sought views on attributes of various information sources, their predicted and actual use, incorporating a shortened Side Effects Coping Questionnaire (SECope) scale and the abbreviated Miller Behavioural Style Scale (MBSS). Findings: Of 935 questionnaires distributed, 230 (25.0%) were returned, 61.3% from females; 44.7% were retired and 84.6% used at least one medicine regularly. 69.6% had experienced a side effect, resulting in 57.5% of these stopping the medicine. Patient information leaflets (PILs) and GPs were both predicted and actually most widely used sources, despite GPs being judged as relatively less accessible and PILs less trustworthy, particularly by regular medicine users. Pharmacists, considered both easy to access and trustworthy, were used by few in practice, while the internet was considered easy to access, but less trustworthy and was also little used. SECope sub-scales for non-adherence and information seeking showed positive associations with stopping a medicine and seeking information from a health professional. More high monitors than low monitors stopped a medicine themselves, but there were no differences in use of information sources. Information seeking following a side effect is a common strategy, potentially predicted by the SECope, but not the MBSS. Limited GP accessibility could contribute to high internet use. Further research could determine how the trustworthiness of PILs can be improved.

scholarly journals Web-Based Health Information Seeking Among Students at Kuwait University: Cross-Sectional Survey Study

10.2196/14327 ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. e14327 ◽  
Author(s):  
Hasan Ashkanani ◽  
Rabab Asery ◽  
Fajer Bokubar ◽  
Noor AlAli ◽  
Shahad Mubarak ◽  
...  
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Survey Study ◽  
The Internet ◽  
Health Information Seeking ◽  
Cross Sectional ◽  
Kuwait University ◽  
Web Based ◽  
Factors Associated ◽  
The Web

Background Owing to the revolution in technology, the internet has become an important aspect of people’s lives. Modern technology is enabling people from diverse educational backgrounds to use the internet for several purposes, one of which is health information seeking. Recently, Web-based health information has become more popular among patients all over the world and among the general public. Objective This study aimed to investigate the use of Web-based health resources among undergraduate students from different faculties at Kuwait University. Methods The study employed a cross-sectional design with students selected from 8 faculties of Kuwait University, 4 faculties of Literature and 4 faculties of Science. Data were collected using structured questionnaires, and analysis was done using a chi-square test and binary logistic regression to determine the factors associated with seeking health information on the Web. Results The sample size obtained was 1132 with a response rate of 90.27% (1132/1254). Overall, the prevalence of students seeking Web-based health information was 92.66%. (1049/1132) The most significant factors associated with seeking health information on the Web were age, gender, faculty, year of study, primary source of internet, and level of experience with internet use. In total, 90.0% (325/361) of students who were aged older than 21 years used Web-based health information compared with 82.8% (275/332) of those who were aged 18 years. In addition, female students showed a higher prevalence (829/934, 88.8%) of Web-based health information seeking than males (210/270, 77.8%). Students who majored in faculties of Science were more likely to seek health information than those who majored in faculties of Literature. All the differences found in the study were statistically significant (P<.05). Conclusions The study concluded that many people use the internet for seeking health information. Sociodemographic factors have a significant association with Web-based health information seeking. Therefore, doctors must educate the public about the health information websites that can be trusted.

scholarly journals How clinician-patient communication affects trust in health information sources: Temporal trends from a national cross-sectional survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247583
Author(s):  
Onur Asan ◽  
Zhongyuan Yu ◽  
Bradley H. Crotty
Keyword(s):  
Health Information ◽  
Communication Skills ◽  
Information Sources ◽  
Information Source ◽  
Temporal Trends ◽  
Healthcare Outcomes ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Health Information Sources

Background Understanding patients’ trust in health information sources is critical to designing work systems in healthcare. Patient-centered communication during the visit might be a major factor in shaping patients’ trust in information sources. Objective The purpose of this paper is to explore relationships between patient ratings of clinician communication during the visit and patient trust in health information sources. Methodology We conducted a secondary analysis of the nationally-representative Health Information National Trends Surveys; HINTS4 Cycle1 (2011), HINTS4 Cycle4 (2014), and HINTS5 Cycle1 (2017), and HINTS5 Cycle2 (2018). We created a composite score of patient-centered communication from five questions and dichotomized at the median. We created multivariable logistic regression models to see how patient-centered communication influenced trust in different information sources across cycles. Consecutively, we used hierarchical analysis for aggregated data. Results We analyzed data from 14,425 individuals. In the adjusted logistic models for each cycle and the hierarchical model, clinicians’ perceived patient-centered communication skills were significantly associated with increased trust in the clinicians as an information source. Conclusion Clinicians still represent an essential source of trustworthy information reinforced by patient-centered communication skills. Given that trust helps build healing relationships that lead to better healthcare outcomes, communication sets an essential foundation to establish necessary trust. Interpreting information from the internet sources for patients is likely to remain a vital clinician function.

scholarly journals Use of Digital Health Information for Health Information Seeking Among Men Living With Chronic Disease: Data From the Health Information National Trends Survey

2020 ◽  
Vol 14 (1) ◽  
pp. 155798832090137 ◽  
Author(s):  
Ledric D. Sherman ◽  
Megan S. Patterson ◽  
Aditi Tomar ◽  
Lisa T. Wigfall
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Help Seeking ◽  
Digital Health ◽  
Diabetes Education ◽  
Risk Groups ◽  
Future Research ◽  
Health Information Seeking ◽  
Cross Sectional ◽  
National Trends

Although diabetes education plays an important role in self-management for people living with diabetes, male health “help-seeking” lags far behind women. These gender-related “help-seeking” disparities often result in males being less engaged in their health care, which subsequently leads to poorer health outcomes among males. In this cross-sectional study, we used data from the 2017 Health Information National Trends Survey (HINTS) to identify factors that may contribute to communication inequalities between males and females. A hierarchical {linear/logistic} regression model was used to examine factors associated with online health information seeking among males living with diabetes. The results suggest that education, income, age, identifying as Hispanic, being a smoker, using a device to track progress toward a health-related goal, and using device to seek health information were all related to eHealth sum scores. Future research should consider testing applications among various at-risk groups to determine if the technology itself is becoming a barrier to eHealth.

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