scholarly journals Predictors of Internet Health Information–Seeking Behaviors Among Young Adults Living With HIV Across the United States: Longitudinal Observational Study

10.2196/18309 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e18309
Author(s):  
Warren Scott Comulada ◽  
Mary Step ◽  
Jesse B Fletcher ◽  
Amanda E Tanner ◽  
Nadia L Dowshen ◽  
...  

Background Consistent with young adults’ penchant for digital communication, young adults living with HIV use digital communication media to seek out health information. Understanding the types of health information sought online and the characteristics of these information-seeking young adults is vital when designing digital health interventions for them. Objective This study aims to describe characteristics of young adults living with HIV who seek health information through the internet. Results will be relevant to digital health interventions and patient education. Methods Young adults with HIV (aged 18-34 years) self-reported internet use during an evaluation of digital HIV care interventions across 10 demonstration projects in the United States (N=716). Lasso (least absolute shrinkage and selection operator) models were used to select characteristics that predicted whether participants reported seeking general health and sexual and reproductive health (SRH) information on the internet during the past 6 months. Results Almost a third (211/716, 29.5%) and a fifth (155/716, 21.6%) of participants reported searching for general health and SRH information, respectively; 26.7% (36/135) of transgender young adults with HIV searched for gender-affirming care topics. Areas under the curve (>0.70) indicated success in building models to predict internet health information seeking. Consistent with prior studies, higher education and income predicted health information seeking. Higher self-reported antiretroviral therapy adherence, substance use, and not reporting transgender gender identity also predicted health information seeking. Reporting a sexual orientation other than gay, lesbian, bisexual, or straight predicted SRH information seeking. Conclusions Young adults living with HIV commonly seek both general health and SRH information online, particularly those exploring their sexual identity. Providers should discuss the most commonly sought SRH topics and the use of digital technology and be open to discussing information found online to better assist young adults with HIV in finding accurate information. Characteristics associated with health information–seeking behavior may also be used to develop and tailor digital health interventions for these young adults.

2020 ◽  
Author(s):  
Warren Scott Comulada ◽  
Mary Step ◽  
Jesse B Fletcher ◽  
Amanda E Tanner ◽  
Nadia L Dowshen ◽  
...  

BACKGROUND Consistent with young adults’ penchant for digital communication, young adults living with HIV use digital communication media to seek out health information. Understanding the types of health information sought online and the characteristics of these information-seeking young adults is vital when designing digital health interventions for them. OBJECTIVE This study aims to describe characteristics of young adults living with HIV who seek health information through the internet. Results will be relevant to digital health interventions and patient education. METHODS Young adults with HIV (aged 18-34 years) self-reported internet use during an evaluation of digital HIV care interventions across 10 demonstration projects in the United States (N=716). Lasso (least absolute shrinkage and selection operator) models were used to select characteristics that predicted whether participants reported seeking general health and sexual and reproductive health (SRH) information on the internet during the past 6 months. RESULTS Almost a third (211/716, 29.5%) and a fifth (155/716, 21.6%) of participants reported searching for general health and SRH information, respectively; 26.7% (36/135) of transgender young adults with HIV searched for gender-affirming care topics. Areas under the curve (>0.70) indicated success in building models to predict internet health information seeking. Consistent with prior studies, higher education and income predicted health information seeking. Higher self-reported antiretroviral therapy adherence, substance use, and not reporting transgender gender identity also predicted health information seeking. Reporting a sexual orientation other than gay, lesbian, bisexual, or straight predicted SRH information seeking. CONCLUSIONS Young adults living with HIV commonly seek both general health and SRH information online, particularly those exploring their sexual identity. Providers should discuss the most commonly sought SRH topics and the use of digital technology and be open to discussing information found online to better assist young adults with HIV in finding accurate information. Characteristics associated with health information–seeking behavior may also be used to develop and tailor digital health interventions for these young adults.


2018 ◽  
Vol 20 (2) ◽  
pp. 69-86
Author(s):  
Elena Ng ◽  
Rabiah Adawiah Abu Seman ◽  
Jing Ni Tee

The internet has been recognized as one of the common health-seeking platforms that widely used to maintain physical and mental wellness. Malaysian internet users make use of the connection to obtain as their fundamental basis for a lifestyle change and to meet the difference needs, especially young adults who grown up in this technology era. There are little or limited research conducted particularly on young adult’s health information seeking behavior. The objective of this study is to determine the underlying factors influencing the utilization of internet for information seeking in the context of health among young adults in Malaysia. A total of 370 private university young adults were chosen randomly to take part in this quantitative research via convenience sampling. The research objectives were examined with the theoretical support of Health Belief Model and Technology Acceptance Model. Four underlying variables behind the influences of internet usage for health information seeking were recognized. The major findings of this study indicate that perceived usefulness was appropriate to act as the main predictor which empowering young adults to possess digital health sources from the web. Limitations are taken into consideration; future researchers are encouraged to expand study to bigger demographic group and acquire in-depth information using qualitative method on other underlying factors to better comprehend young adults’ attitude towards the use of technology communication for health support. This study is appropriate to act as guidance which ease for health provider to determine the strategies to come out with health care websites best targeting on young adults. Malaysia government could then address these barriers and generate alternatives to minimize or eliminate the barriers to increase the prevalence of health information seeking activity among young adults.


2013 ◽  
Vol 7 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Joshua K Calvert ◽  
Angela A Aidala ◽  
Josh H West

Objective: The purpose of the study was to further elucidate proximal and distal demographic and social predictors of Internet Health Information Seeking Behavior (IHISB) among a cohort of HIV+ individuals through an ecological framework. Methods: The Community Health Advisory & Information Network (CHAIN) project is an ongoing prospective study of a representative sample of persons living with HIV/AIDS in New York City and the Tri-County region. The study sample was drawn from a two-stage randomized technique with the clients of 43 medical and social service organizations with 693 HIV+ participants. Bivariate correlations were computed between IHISB and independent demographic variables in ecological blocks. Multivariate hierarchical logistic regression was used to test association between blocks of variables and IHISB. Results: Among the surveyed respondents (n=645) 50.3% indicated that they used the Internet. Being above the poverty line, having less than a high school education, and having fewer neighbors were statistically significant predictors of IHISB related to HIV. Conclusions: The benefits of accessing the Internet may influence health behavior and may be considered a target for interventions that aim to increase access to health related information online. Coupled with increased access, is the need for increased patient education interventions, and creative managed care approaches to ensure that information gleaned from online sources is interpretable and accurate in order to benefit the lives of those living with HIV/AIDS.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Dratva ◽  
A Zysset

Abstract Background As societies and health systems are increasingly digitally transformed, many health information are provided digitally. Digital health information may reduce barriers to health systems known to be more common in persons with a migrant than native origin. We performed a scoping literature to evaluate evidence on digital information seeking by migrant populations. Methods In January 2020 we conducted a literature search (Web of Science, MEDLINE, CINAHL) using terms and synonyms for migrants, health, digital media and information seeking, limited to publications in English. Two researchers independently rated first titles and then abstracts for suitability, obtaining consensus at each step. Primary target group, health topic and related life phase, country, and primary study question were extracted from remaining manuscripts. Data on digital health information seeking will be extracted from full texts. Results After title and abstract screening 41 from 315 articles remained. 25 articles focused primarily on migrant populations, 16 ran analyses by migrant status or ethnicity. Dominant populations were Latinos, Hispanics and Asians. Studies were performed in North America (n = 32), Europe, Asia and Australia (each n = 3). Seven papers were on maternal and child health, four on child and adolescent and 30 on adult health. Use of digital technologies is very frequent in most migrant populations. Impact of digital health information vs. traditional information was seldom investigated. In Adults general health, HIV and Cancer were most frequent topics. Further data on impact, preferences, barriers, and context will be presented. Conclusions Studies indicate frequent use of digital health information both on general health and specific health topics. The many North American studies indicate an advanced digital transformation of health promotion and care. Full texts will further reveal potential and limitations of digital information seeking and services for migrants. Key messages Digital health information seeking is common in migrant populations. Data on digital health information seeking is as heterogenous as migrant populations themselves, current evidence is limited to allow recommendations on design and implementation of such services.


2021 ◽  
Author(s):  
Eden Shaveet ◽  
Marissa Gallegos ◽  
Jonathan Castle ◽  
Alison Bryant ◽  
Lisa Gualtieri

Abstract— The pervasiveness of online mis/disinformation escalated during the COVID-19 pandemic. To address the proliferation of online mis/disinformation, it is critical to build safety into the tools older adults use to seek health information. On average, older adult populations demonstrate disproportionate susceptibility to false messages under the guise of informative authority and were the most engaged with false information about COVID-19 across online platforms when compared to other age-groups. In a design-thinking challenge posed by AARP to graduate students in a Digital Health course at Tufts University School of Medicine, students leveraged existing solutions to develop a health information platform that is responsive to both passive and active health information-seeking methods utilized by older adults in the United States. This paper details the design-thinking process employed, results of primary research, an overview of the prototyped platform, and insights relating to the design of effective health information-seeking platforms for older adults.


2021 ◽  
Author(s):  
Eden Shaveet ◽  
Marissa Gallegos ◽  
Jonathan Castle ◽  
Alison Bryant ◽  
Lisa Gualtieri

Abstract— The pervasiveness of online mis/disinformation escalated during the COVID-19 pandemic. To address the proliferation of online mis/disinformation, it is critical to build safety into the tools older adults use to seek health information. On average, older adult populations demonstrate disproportionate susceptibility to false messages under the guise of informative authority and were the most engaged with false information about COVID-19 across online platforms when compared to other age-groups. In a design-thinking challenge posed by AARP to graduate students in a Digital Health course at Tufts University School of Medicine, students leveraged existing solutions to develop a health information platform that is responsive to both passive and active health information-seeking methods utilized by older adults in the United States. This paper details the design-thinking process employed, results of primary research, an overview of the prototyped platform, and insights relating to the design of effective health information-seeking platforms for older adults.


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

10.2196/15817 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e15817 ◽  
Author(s):  
Zhaomeng Niu ◽  
Jessica Fitts Willoughby ◽  
Jing Mei ◽  
Shaochun Li ◽  
Pengwei Hu

Background Approximately 42.5 million adults have been affected by mental illness in the United States in 2013, and 173 million people have been affected by a diagnosable psychiatric disorder in China. An increasing number of people tend to seek health information on the Web, and it is important to understand the factors associated with individuals’ mental health information seeking. Identifying factors associated with mental health information seeking may influence the disease progression of potential patients. Objective This study aimed to test the planned risk information seeking model (PRISM) in China and the United States with a chronic disease, mental illness, and two additional factors, ie, media use and cultural identity, among college students. Methods Data were collected in both countries using the same online survey through a survey management program (Qualtrics). In China, college instructors distributed the survey link among university students, and it was also posted on a leading social media site called Sina Weibo. In the United States, the data were collected in a college-wide survey pool in a large Northwestern university. Results The final sample size was 235 for the Chinese sample and 241 for the US sample. Media use was significantly associated with mental health information–seeking intentions in the Chinese sample (P<.001), and cultural identity was significantly associated with intentions in both samples (China: P=.02; United States: P<.001). The extended PRISM had a better model fit than the original PRISM. Conclusions Cultural identity and media use should be considered when evaluating the process of mental health information seeking or when designing interventions to address mental health information seeking.


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