scholarly journals Does health literacy affect the uptake of annual physical check-ups?: Results from the 2017 US health information national trends survey

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Hee Yun Lee ◽  
Sooyoung Kim ◽  
Jessica Neese ◽  
Mi Hwa Lee
Keyword(s):  
Health Literacy ◽  
Health Information ◽  
Age Groups ◽  
Behavioral Model ◽  
The United States ◽  
Health Services Use ◽  
Related Item ◽  
Study Results ◽  
National Trends

Abstract Background Little is known about how health literacy is linked to physical check-ups. This study aimed to examine the levels of physical check-ups (self-reported check-ups within the last year) by age group (those aged 18–59 years and those aged = ≥ 60 years) and the role of health literacy regarding physical check-ups in the United States. Methods Data for the study were obtained from the 2017 Health Information National Trends Survey. The original sample included 3,285 respondents, but only 3,146 surveys were used for this study. Andersen’s Behavioral Model of Health Services Use guided this study, and a binomial logistic regression model was conducted using Stata 12.0 software package. Results While 82.0 % of the older group had an annual check-up, 67.3 % of the younger group had one. Both groups had similar ratios for health literacy-related item reporting. Study results show that annual check-up was positively associated with confidence in getting health information, having health insurance, and having a primary doctor for both age groups. However, getting a regular check-up was negatively associated with frustration while searching for information among the younger group. In comparison, it was positively associated with difficulty understanding information for the older group. Conclusions To increase annual physical check-ups, health literacy-related interventions should be developed and address the barriers most associated with health check-ups. One way of addressing this barrier is to improve communication from healthcare professionals to consumers through the use of easy-to-understand explanations appropriate for the consumer.

scholarly journals Does Health Literacy Affect the Uptake of Annual Physical Check-Up?: The Varying Impact by Age Groups

2020 ◽  
Author(s):  
Hee Yun Lee ◽  
Sooyoung Kim ◽  
Jessica Neese ◽  
Mi Hwa Lee
Keyword(s):  
Health Literacy ◽  
Health Information ◽  
Healthcare Professionals ◽  
Age Groups ◽  
Behavioral Model ◽  
Health Services Use ◽  
Related Item ◽  
Study Results ◽  
National Trends

Abstract Introduction Little is known about how health literacy is linked to physical check-ups. This study aimed to examine the levels of physical check-ups by age group and the role of health literacy regarding physical check-ups. Methods Data for the study were obtained from the 2017 Health Information National Trends Survey. The original sample included 3,285 respondents, but only 3,146 surveys were used for this study. Andersen’s Behavioral Model of Health Services Use (Andersen, 1995) guided this study, and a binomial logistic regression model was conducted using Stata 12.0 software package. Results Annual check-ups were reported by 82.0% of the older group and 67.3% of the younger group. Both groups had similar ratios for health literacy-related item reporting. Study results show that annual check-up was positively associated with confidence in getting health information, having health insurance, and having a primary doctor for both age groups. However, getting a regular check-up was negatively associated with frustration while searching for information among the younger group while it was positively associated with difficulty understanding information for the older group. Conclusions To increase annual physical check-ups, health literacy-related interventions should be developed and address the barriers most associated with health check-ups. One way of addressing this barrier is to improve the line of communication from healthcare professionals to consumers through the use of easy-to-understand explanations appropriate for the consumer.

Health Literacy in Korean Adults and Korean American Immigrants: Implications for Achieving Health Equity

2020 ◽  
pp. 0272684X2097351
Author(s):  
Soondool Chung ◽  
Hee Yun Lee ◽  
Miwoo Lee ◽  
Semi Chung
Keyword(s):  
Health Literacy ◽  
Age Groups ◽  
Behavioral Model ◽  
The United States ◽  
Korean American ◽  
Cross Sectional Survey ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Korean Adults ◽  
Quota Sampling

Health literacy is necessary to understand health information and make appropriate decisions regarding one’s health. This study aims to investigate (1) the health literacy level of Korean citizens and Korean American (KA) immigrants in the United States and (2) factors that influence health literacy across three age groups. A quota sampling method was used to collect cross-sectional survey data from 404 Korean participants and 404 KA immigrants. Andersen’s behavioral model was used as the theoretical framework for this study. Overall, Korean participants had a higher mean score on health literacy than did the KA immigrants. Only one of predisposing and enabling factors were significant variables influencing health literacy in KA immigrants, while several predisposing, enabling and need factors were significantly associated with health literacy in Korean adults. Our findings indicate that both countries need to have a community-based health literacy educational program that is tailored to each age group.

scholarly journals Factors Associated with Receipt of Mammogram among Caregivers: A Comparison with Non-Caregivers

2020 ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee
Keyword(s):  
Breast Cancer ◽  
Cancer Prevention ◽  
Secondary Analysis ◽  
Behavioral Model ◽  
Health Services Use ◽  
Prevention Interventions ◽  
Education And Care ◽  
National Trends ◽  
Cancer Beliefs

Abstract Background: caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers.Methods: the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results: caregivers who provided more caregiving hours per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram.Conclusions: to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.

scholarly journals Do Caregiving Hours Impact on Female Caregivers’ Receipt of Mammogram?: A Comparison with Non-Caregivers

2020 ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee
Keyword(s):  
Breast Cancer ◽  
Cancer Prevention ◽  
Secondary Analysis ◽  
Behavioral Model ◽  
Health Services Use ◽  
Prevention Interventions ◽  
Education And Care ◽  
National Trends ◽  
Cancer Beliefs

Abstract Background caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of Mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on Mammogram screening in caregivers and non-caregivers. Methods the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results caregivers who provided more hours of caregiving per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram. Conclusions to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. Development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.

scholarly journals Factors Associated with Receipt of Mammogram among Caregivers: A Comparison with Non-Caregivers

2020 ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee
Keyword(s):  
Breast Cancer ◽  
Cancer Prevention ◽  
Secondary Analysis ◽  
Behavioral Model ◽  
Health Services Use ◽  
Prevention Interventions ◽  
Education And Care ◽  
National Trends ◽  
Cancer Beliefs

Abstract Background: caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers.Methods: the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results: caregivers who provided more caregiving hours per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram.Conclusions: to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.

scholarly journals A Comparative Study of Internet Cancer Information Seeking among US and Chinese Publics: Perceived Needs versus Enabling Conditions (Preprint)

2020 ◽  
Author(s):  
Di Zhang ◽  
Hongchao Hu ◽  
Zhen Shi ◽  
Biao Li
Keyword(s):  
United States ◽  
Health Information ◽  
Information Seeking ◽  
Behavioral Model ◽  
The United States ◽  
Cancer Information ◽  
Health Information Seeking ◽  
Health Services Use ◽  
Perceived Needs ◽  
Cancer Information Seeking

BACKGROUND Since the rise of the internet, online health information seeking has attracted worldwide scholarly attention. However, most scholars conducted such studies in single countries. Some scholars did design comparative studies across countries, but they were normally based on small non-probability college student samples. Data-driven multi-country comparison makes it possible to better understand how cultural factors moderate the association between individual-level determinants and online health information seeking, which further helps practitioners evaluate the desirability of experiences and lessons in a given country being transferred and promoted in other countries. The results of this study can contribute to the health communication literature, particularly in the field of online cancer information seeking, by generating more reliable insights on country differences in internet cancer information seeking. OBJECTIVE The objective of the study is to examine the similarities and differences in determinants of internet cancer information seeking of US and Chinese general public (excluding cancer patients and survivors) under the framework of behavioral model of health services use. METHODS This study used the HINTS 2017 (US data) and HINTS-China data collected in 2017 to answer the research question. This study was only interested in people without cancer history and with internet access. For HINTS 2017, the sample size was 2,153; for HINTS-China 2017, the sample size was 2,358. To compare China and the United States, the researchers selected as predictors the same set of study variables in HINTS and HINTS-China 2017. Under the framework of behavioral model of health services use, these predictors included predisposing, need and enabling factors. RESULTS This study found that enabling conditions are more important in China, while perceived needs are more significant in the United States. Chinese online cancer information seekers are employed, have lower annual family income, see or hear their family members diagnosed with cancer and do not trust their family and friends as health information sources, but none of them can be used to describe their US counterparts, who are instead more associated with their perceptions of personal health status and fear of cancer. CONCLUSIONS Overall, under the framework of the behavioral model of health services use, the results reveal clear patterns of cross-country/cultural differences. Perceived needs of individuals may play bigger roles in influencing internet cancer information seeking behaviors in more individualistic cultures such as the United States. The importance of enabling conditions outweighs perceived needs in predicting internet health information seeking behaviors in more collectivistic countries such as China.

scholarly journals Factors associated with receipt of mammogram among caregivers: a comparison with non-caregivers

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee
Keyword(s):  
Breast Cancer ◽  
Cancer Prevention ◽  
Secondary Analysis ◽  
Behavioral Model ◽  
Health Services Use ◽  
Prevention Interventions ◽  
Education And Care ◽  
National Trends ◽  
Cancer Beliefs

Abstract Background caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers. Methods the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results caregivers who provided more caregiving hours per week (OR = 0.749, 95% CI = 0.564–0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR = 0.673, 95% CI = 0.496–0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR = 1.490, 95% CI = 1.302–2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR = 1.158, 95% CI = 0.793–1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR = 0.825, 95% CI = 0.713–0.955) were less likely to use mammogram. Conclusions to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.

scholarly journals The Role of Health Information Technology in Care Coordination in the United States

Medical Care ◽  
2015 ◽  
Vol 53 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Chun-Ju Hsiao ◽  
Jennifer King ◽  
Esther Hing ◽  
Alan E. Simon
Keyword(s):  
United States ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
The United States

Diverticulitis in California from 1995 to 2006: Increased Rates of Treatment for Younger Patients

2009 ◽  
Vol 75 (10) ◽  
pp. 981-985 ◽  
Author(s):  
David A. Etzioni ◽  
Rebecca R. Cannom ◽  
Glenn T. Ault ◽  
Robert W. Beart ◽  
Andreas M. Kaiser
Keyword(s):  
Health Planning ◽  
Acute Diverticulitis ◽  
Age Groups ◽  
Surgical Care ◽  
The United States ◽  
Colon Resection ◽  
Younger Patients ◽  
Younger Age ◽  
National Trends ◽  
Procedure Codes

Colonic diverticular disease is responsible for over 300,000 admissions and expenditures exceeding $2.7 billion/year. There is recent evidence that rates of treatment for diverticulitis have increased in the United States over the last decade. We hypothesize that these national trends of increasing rates of hospitalizations for diverticulitis would be found in an analysis of a single-state discharge database. Data from the Office of Statewide Health Planning and Development were used to analyze treatment for diverticulitis in California from 1995 to 2006. For each hospitalization, surgical care was determined based on procedure codes for left colon resection and/or colostomy. Overall numbers of admissions for acute diverticulitis increased throughout the 12-year study period with an estimated annual percentage of change (EAPC) of 2.1 per cent (P < 0.001). Rates of admissions increased most rapidly in patients 20 to 34-years-old (EAPC = 8.6%, P < 0.001) and 35 to 49 years old (EAPC = 5.7%, P < 0.001). Elective colectomies had an EAPC of 2.1 per cent (P < 0.001), which was also most dramatic in younger age groups. Between 1995 and 2006 we found significant increases in both the rates of hospitalization for diverticulitis and rates of elective surgical treatment in California. These increases are entirely due to higher rates of care for younger patients.

Is Social Support From Family Associated With PSA Testing? An Exploratory Analysis Using the Health Information National Trends Survey (HINTS) 2005

2008 ◽  
Vol 4 (1) ◽  
pp. 50-59 ◽  
Author(s):  
Kamilah B. Thomas ◽  
Sean L. Simpson ◽  
Will L. Tarver ◽  
Clement K. Gwede
Keyword(s):  
Prostate Cancer ◽  
Social Support ◽  
Health Information ◽  
Specific Antigen ◽  
White Men ◽  
The United States ◽  
Social Contexts ◽  
Psa Testing ◽  
Instrumental Social Support ◽  
National Trends

African American and White men have the highest rates of prostate cancer in the United States. Families represent important social contexts within which illness occurs.The purpose of this study is to explore whether prostate-specific antigen (PSA) testing is associated with instrumental and informational social support from family members among a sample of Black and White men aged 45 and older. Data from the 2005 Health Information National Trends Survey were analyzed using logistic regression. The dependent variable was having a PSA test within the past year or less. The independent variables consisted of selected demographic and family informational and instrumental social support variables. The statistically significant variables included age and having a family member with cancer. Additional studies to elucidate the mechanisms of social support from family for prostate cancer are needed.

Sign in / Sign up

Export Citation Format

Share Document