scholarly journals Characterizing the Digital Health Citizen: Mixed-Methods Study Deriving a New Typology (Preprint)

2018 ◽  
Author(s):  
John Powell ◽  
Ulrike Deetjen
Keyword(s):  
Cluster Analysis ◽  
Mixed Methods ◽  
Health Behavior ◽  
Health Information ◽  
Internet Use ◽  
The Internet ◽  
Online Health Information ◽  
Digital Inclusion ◽  
Internet Users ◽  
Health Related

BACKGROUND A key challenge for health systems harnessing digital tools and services is that of digital inclusion. Typically, digital inequalities are conceptualized in relation to unequal access or usage. However, these differences do not fully explain differences in health behavior as a result of health-related internet use. OBJECTIVE Our objective was to derive a new typology of health internet users based on their antecedent motivations and enablers, to explain how individuals’ different orientations influence their health behavior. METHODS We used a mixed-methods design using (1) qualitative data from 43 semistructured interviews about individuals’ general and health-related internet use, and how this influenced their health perception and their help-seeking decisions, and (2) quantitative data from the Oxford Internet Surveys (OxIS), a household survey of 2150 adults in England about their internet use and other characteristics. We used the interview data to identify constructs that described motivations and enablers affecting how internet use shaped respondents’ health perception and health service use. We then used these constructs to identify variables in OxIS, which provided a quantitative measure of these constructs. We then undertook a hierarchical cluster analysis of these constructs, using the numerical variables, to derive a proposed typology of health information seekers. RESULTS Both the qualitative findings and the subsequent cluster analysis suggested the existence of 6 types of individuals, categorized as learners, pragmatists, skeptics, worriers, delegators, and adigitals. Learners had a strong desire to understand health better. They used the internet to make decisions about whether they needed to see a professional and to learn about their and others’ health. Pragmatists primarily used the internet to decide whether seeing a doctor was worthwhile. Skeptics were skeptical of physicians and the medical system and valued the internet for solving health problems that doctors may not be able to deal with. Worriers found it difficult to interpret health information online, described health information seeking online as frightening, and reported a critical attitude toward online health information despite seeking it frequently. Delegators comprised nonusers and users valuing the internet as an information source, but not necessarily wanting or being able to use the internet themselves. Adigitals comprised many nonusers, but also users, who did not see the internet as a useful information tool and presented strong views on its low suitability for health care. CONCLUSIONS This research supports a shift in the understanding of the digital divide in health, away from only access and usage issues, toward also conceptualizing an outcomes divide, whereby different types of health behavior result from the differing orientations of internet users accessing online health information. This new typology can be used to inform digital inclusion policies in health systems.

scholarly journals Lifestyle Segmentation to Explain the Online Health Information–Seeking Behavior of Older Adults: Representative Telephone Survey

10.2196/15099 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e15099 ◽  
Author(s):  
Winja Weber ◽  
Anne Reinhardt ◽  
Constanze Rossmann
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
Information Seeking Behavior ◽  
The Internet ◽  
Online Health Information ◽  
Sociodemographic Variables ◽  
Seeking Behavior ◽  
Health Related

Background As a result of demographic changes, the number of people aged 60 years and older has been increasing steadily. Therefore, older adults have become more important as a target group for health communication efforts. Various studies show that online health information sources have gained importance among younger adults, but we know little about the health-related internet use of senior citizens in general and in particular about the variables explaining their online health-related information–seeking behavior. Media use studies indicate that in addition to sociodemographic variables, lifestyle factors might play a role in this context. Objective The aim of this study was to examine older people’s health-related internet use. Our study focused on the explanatory potential of lifestyle types over and above sociodemographic variables to predict older adults’ internet use for health information. Methods A telephone survey was conducted with a random sample of German adults aged 60 years and older (n=701) that was quota-allocated by gender, age, educational status, and degree of urbanity of their place of residence. Results The results revealed that participants used the internet infrequently (mean 1.82 [SD 1.07]), and medical personnel (mean 2.89 [SD 1.11]), family and friends (mean 2.86 [SD 1.21]), and health brochures (mean 2.85 [SD 1.21]) were their main sources of health information. A hierarchical cluster analysis based on values, interests, and leisure time activities revealed three different lifestyle types for adults aged over 60 years: the Sociable Adventurer, the Average Family Person, and the Uninterested Inactive. After adding these types as second-step predictors in a hierarchical regression model with sociodemographic variables (step 1), the explained variance increased significantly (R2=.02, P=.001), indicating that the Average Family Person and the Sociable Adventurer use the internet more often for health information than the Uninterested Inactive, over and above their sociodemographic attributes. Conclusions Our findings indicate that the internet still plays only a minor role in the health information–seeking behavior of older German adults. Nevertheless, there are subgroups including younger, more active, down-to-earth and family-oriented males that may be reached with online health information. Our findings suggest that lifestyle types should be taken into account when predicting health-related internet use behavior.

scholarly journals Lifestyle Segmentation to Explain the Online Health Information–Seeking Behavior of Older Adults: Representative Telephone Survey (Preprint)

2019 ◽  
Author(s):  
Winja Weber ◽  
Anne Reinhardt ◽  
Constanze Rossmann
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
Information Seeking Behavior ◽  
The Internet ◽  
Online Health Information ◽  
Sociodemographic Variables ◽  
Seeking Behavior ◽  
Health Related

BACKGROUND As a result of demographic changes, the number of people aged 60 years and older has been increasing steadily. Therefore, older adults have become more important as a target group for health communication efforts. Various studies show that online health information sources have gained importance among younger adults, but we know little about the health-related internet use of senior citizens in general and in particular about the variables explaining their online health-related information–seeking behavior. Media use studies indicate that in addition to sociodemographic variables, lifestyle factors might play a role in this context. OBJECTIVE The aim of this study was to examine older people’s health-related internet use. Our study focused on the explanatory potential of lifestyle types over and above sociodemographic variables to predict older adults’ internet use for health information. METHODS A telephone survey was conducted with a random sample of German adults aged 60 years and older (n=701) that was quota-allocated by gender, age, educational status, and degree of urbanity of their place of residence. RESULTS The results revealed that participants used the internet infrequently (mean 1.82 [SD 1.07]), and medical personnel (mean 2.89 [SD 1.11]), family and friends (mean 2.86 [SD 1.21]), and health brochures (mean 2.85 [SD 1.21]) were their main sources of health information. A hierarchical cluster analysis based on values, interests, and leisure time activities revealed three different lifestyle types for adults aged over 60 years: the Sociable Adventurer, the Average Family Person, and the Uninterested Inactive. After adding these types as second-step predictors in a hierarchical regression model with sociodemographic variables (step 1), the explained variance increased significantly (<i>R</i><sup>2</sup>=.02, <i>P</i>=.001), indicating that the Average Family Person and the Sociable Adventurer use the internet more often for health information than the Uninterested Inactive, over and above their sociodemographic attributes. CONCLUSIONS Our findings indicate that the internet still plays only a minor role in the health information–seeking behavior of older German adults. Nevertheless, there are subgroups including younger, more active, down-to-earth and family-oriented males that may be reached with online health information. Our findings suggest that lifestyle types should be taken into account when predicting health-related internet use behavior.

scholarly journals Evolution of online health-related information seeking in France from 2010 to 2017: results from nationally representative surveys (Preprint)

2020 ◽  
Author(s):  
Pauline Ducrot ◽  
Ilaria Montagni ◽  
Viet Nguyen-Thanh ◽  
Anne-Juliette Serry ◽  
Jean-Baptiste Richard
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
The Internet ◽  
Online Health Information ◽  
Health Related ◽  
Nationally Representative ◽  
Source Of Information ◽  
Over Time ◽  
The Way

BACKGROUND Given the fast ongoing progression of the Internet and the increase in health information available from disparate sources, it is important to understand how these changes impact the online health information-seeking behavior of the population and the way of managing one’s health. OBJECTIVE This paper aims at describing the evolution of Internet use as a source of health information between 2010 and 2017, as well as the characteristics of online health information-seekers, the topics of interest, the sources of information, and the trust in this information and the potential impact on behavior. METHODS Data from French nationally-representative surveys Health Barometers were used (N=4,141 in 2010, 4,811 in 2014 and 6,255 in 2017.) Evolutions over time were assessed using chi-2 tests. Associations with sociodemographic characteristics and health status were evaluated using logistic regression models. RESULTS The use of the Internet as a source of health information rose between 2010 and 2014 (from 37.3% to 67.9%, P<.0001) but decreased significantly in 2017 (60.3%, P<.0001). Overall, the profile of health information-seekers compared to non-seekers did not change over time. They were more likely to be women, to be younger, to have a higher educational level, to have a higher household income and to be executives. Between 2014 and 2017, the proportion of those who did not pay attention to the source of information significantly increased to reach 39.7% (P<.0001). In 2017 as in 2014, health-related websites for general population remained the first source of information (38.6%) while institutional websites were the third (8.1%). If the credibility given to the online information is good for a large part of the information seekers since 2010 (more than 80%), it slightly decreased between 2014 and 2017 (P=.048). Above the individual characteristics, credibility was the main determinant of the way of managing one’s health (in 2017: OR=4.62; 95%CI=[3.35;6.36]). CONCLUSIONS After a rapid growth in the Internet use for seeking health information in the 2010-2014 period, a decrease was recorded in 2017 linked to a decreasing trust in the quality and reliability of information found online. These findings underlined the need for public health authorities to increase citizens’ eHealth literacy and/or to provide alternative trustworthy sources combining the popularity and accessibility of general health-information websites.

The association between Internet use and health outcomes in the population of older adults

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Szulc ◽  
M Duplaga
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Health Services ◽  
Health Outcomes ◽  
Internet Use ◽  
Health Behaviours ◽  
The Internet ◽  
Internet Users ◽  
Health Related ◽  
The Impact

Abstract Background The Internet has become one of the primary sources of health-related information. Less is known about the impact of Internet access and use on health-related outcomes in the older population, which frequently suffer from a digital divide. The main objective of this study was the assessment of the associations between Internet use and variables reflecting health status, the use of health services and health behaviours in the population at least 50 years old. Methods The analysis was carried out on the data set from the telephone-based survey in a sample of 1000 respondents representative for targeted age strata of Polish society. The effects of Internet use were assessed with logistic regression models after adjusting for key socioeconomic variables. Results Mean age (standard deviation) of respondents was 64.2 (9.6). In the study group, 51.1% respondents were Internet users, 19.4% - persons with disabilities, 21.2% were hospitalised at least once, and 51.0% visited health care facilities at least six times in preceding 12 months. The respondents being Internet users less frequently reported chronic diseases (OR, 95%CI: 0.21, 0.16-0.30), disability status (0.52, 0.37-0.72) and higher self-assessed health status (1.64, 1.24-2.16). They also less often used health services in the preceding 12 months (0.77, 0.60-0.99. Internet use was not associated with hospital admission in the preceding year (1.04, 0.76-1.41) and most of the health behaviours (smoking: 1.06, 0.77-1.45, physical activity: 0.85, 0.63-1.15, the consumption of fruits and vegetables: 0.73, 0.50-1.07). Interestingly, Internet users drunk more alcohol (1.52, 1.14-2.02). Conclusions In the population of older adults, the use of the Internet is associated with variables reflecting health status and the utilisation of health services. Higher health status and lower prevalence of chronic conditions among Internet users were found after adjusting for age and other socioeconomic factors. Key messages It was shown that Internet use may be related with more favourable health outcomes. The reported association should trigger further research on the impact of Internet in elderly persons.

scholarly journals Online health information in a rural residential population in Zhejiang Province, China: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026202 ◽  
Author(s):  
Yan Qiu ◽  
Wen Ren ◽  
Ying Liu ◽  
Pei Yin ◽  
Jingjing Ren
Keyword(s):  
Health Information ◽  
Associated Factors ◽  
Primary Outcome ◽  
Adult Population ◽  
Zhejiang Province ◽  
The Internet ◽  
Online Health Information ◽  
Cross Sectional ◽  
Internet Users ◽  
First Choice

ObjectiveTo determine the prevalence, degree of trust and usefulness of the online health information seeking source and identify associated factors in the adult population from the rural region of China.DesignA cross-sectional population-based study.SettingA self-designed questionnaire study was conducted between May and June 2015 in four districts of Zhejiang Province.Participants652 adults aged ≥18 years (response rate: 82.8%).Primary outcome measuresThe prevalence, degree of trust and usefulness of online health information was the primary outcome. The associated factors were investigated by χ2test.ResultsOnly 34.8% of participants had faith in online health information; they still tended to select and trust a doctor which is the first choice for sources of health information. 36.7% of participants, being called ‘Internet users’, indicated that they had ever used the internet during the last 1 year. Among 239 internet users, 40.6% of them reported having sought health information via the internet. And 103 internet users responded that online health information was useful. Inferential analysis demonstrated that younger adults, individuals with higher education, people with a service-based tertiary industry career and excellent health status used online health information more often and had more faith in it (p<0.001).ConclusionsUsing the internet to access health information is uncommon in the rural residential adult population in Zhejiang, China. They still tend to seek and trust health information from a doctor. Internet as a source of health information should be encouraged.

scholarly journals Consumer Informatics:

2011 ◽  
Vol 20 (01) ◽  
pp. 142-145
Author(s):  
C. Boyer ◽  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Negative Impact ◽  
Quality Standards ◽  
Health Information Systems ◽  
The Internet ◽  
Online Health Information ◽  
Health Related ◽  
Consumer Informatics ◽  
Source Of Information

SummaryTo explore how the Internet is being used as a source of information, but also as a source of consumption in certain health-related fields. Determine the negative and positive impacts of this trend, depending on the topic or quality standards of websites.Synopsis of the articles selected for the IMIA Yearbook 2011.Six papers from international peer reviewed journals have been selected for the section on health information systems.The articles selected discuss issues of major concern for online health information seekers, because of their positive or negative impact on health outputs.

scholarly journals Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey

2020 ◽  
Vol 17 (18) ◽  
pp. 6856 ◽  
Author(s):  
Rose Calixte ◽  
Argelis Rivera ◽  
Olutobi Oridota ◽  
William Beauchamp ◽  
Marlene Camacho-Rivera
Keyword(s):  
Social Media ◽  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
Secondary Data ◽  
The United States ◽  
The Internet ◽  
Health Related ◽  
Demographic Patterns ◽  
National Trends

National surveys of U.S. adults have observed significant increases in health-related internet use (HRIU), but there are documented disparities. The study aims to identify social and demographic patterns of health-related internet use among U.S. adults. Using data from the Health Information National Trends Survey (HINTS) 4 cycle 3 and HINTS 5 cycle 1, we examined HRIU across healthcare, health information seeking, and participation on social media. Primary predictors were gender, race/ethnicity, age, education, income, and nativity with adjustments for smoking and survey year. We used multivariable logistic regression with survey weights to identify independent predictors of HRIU. Of the 4817 respondents, 43% had used the internet to find a doctor; 80% had looked online for health information. Only 20% had used social media for a health issue; 7% participated in an online health support group. In multivariable models, older and low SES participants were significantly less likely to use the internet to look for a provider, use the internet to look for health information for themselves or someone else, and less likely to use social media for health issues. Use of the internet for health-related purposes is vast but varies significantly by demographics and intended use.

scholarly journals Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study

10.2196/14241 ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. e14241 ◽  
Author(s):  
Jacqueline L Bender ◽  
Deb Feldman-Stewart ◽  
Christine Tong ◽  
Karen Lee ◽  
Michael Brundage ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Information ◽  
Internet Use ◽  
Treatment Options ◽  
Cancer Information ◽  
The Internet ◽  
Care Needs ◽  
Broadband Internet ◽  
Health Decisions ◽  
Health Related

Background After a prostate cancer diagnosis, men want information about their disease and treatment options. The internet offers a convenient means to deliver health information to patients with prostate cancer. However, there are concerns about the use of the internet among this largely senior population. Objective This study aimed to determine the patterns and factors associated with the use of the internet as a source of health information among Canadian men with prostate cancer and the features and information required in a website. Methods Population surveys were conducted in four Canadian provinces (British Columbia, Alberta, Saskatchewan, and Ontario) in 2014-2015. Data analyses included descriptive, bivariable, and multivariable analyses. The Pearson Chi-square and univariable regression were used to examine associations between independent variables and health-related internet use. Correlates of health-related internet use were analyzed using multivariable logistic regression. Results A total of 1362 patients responded across the four provinces. The mean age of respondents was 69 years (SD 8.2). In addition, 82% (n=1071) were internet users and 71% (n=910) used the internet daily. Further, 65% (n=784) used the internet as a source of prostate cancer information, and 40% (n=521) were confident about using information obtained from the internet to make health decisions. Men who used the internet to obtain prostate cancer information were more likely to be active information seekers (odds ratio [OR]: 4.5, 95% CI 2.6-7.8), be confident using information from the internet to make health decisions (OR: 3.6, 95% CI 2.3-5.7), have broadband internet access (OR: 1.8, 95% CI 1.2-2.7), and have more unmet supportive care needs (OR: 1.05, 95% CI 1.0-1.1). Top features wanted in a website, reported by more than 50% of respondents, were a library of resources (n=893, 65.6%), tools to support treatment decision making (n=815, 59.8%), and tools to help navigate the prostate cancer journey (n=698, 51.2%). Top three topics of information wanted in such a website were treatment options (n=916, 67.3%), disease progression (n=904, 66.4%), and management of side effects (n=858, 63%). Conclusions Over two-thirds of Canadian patients with prostate cancer surveyed use the internet as a source of health information about prostate cancer, but over half did not feel confident using information from the internet to make health decisions. Being an active information seeker, having confidence in using information from the internet to make health decisions, having broadband internet, and having more unmet supportive care needs were significantly associated with health-related internet use. Future work should examine electronic health literacy interventions as a means to boost men’s confidence in using information from the internet and design websites that include information and features that help men navigate the prostate cancer journey and support treatment decision making and management of side effects.

scholarly journals Influencing Factors of Online Health Information Seeking in Selected European Countries

2021 ◽  
Vol 2 (1) ◽  
pp. 29-55
Author(s):  
Elena Link ◽  
Eva Baumann ◽  
Annemiek Linn ◽  
Andreas Fahr ◽  
Peter Schulz ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information Seeking ◽  
European Countries ◽  
The Internet ◽  
Online Health Information ◽  
Personal Health ◽  
Health Information Seeking ◽  
Health Related ◽  
Online Health Information Seeking

Patients’ participation in healthcare requires comprehensive health knowledge and can benefit from online health information seeking behaviours (O-HISB). The internet is a particularly vital source for seeking health-related information in many regions of the world. Therefore, we take a European cross-country comparative perspective on O-HISB. We aim to compare the importance of personal, health(care)-related, and cognitive determinants of using the internet for health-related purposes in four European countries. We conducted online surveys among the German, Swiss, Dutch, and Austrian public and described patterns of health information seeking online. The internet seemed to be a widely used source of health information in the four selected European countries. The explanation patterns of personal, health(care)-related, and cognitive factors differ by country and between selecting the internet as a source of health information and the frequency of online use. Using online media appeared to be more common for women and for current health problems. Respondents’ willingness and competencies are essential for online health information seeking. To prevent the increase of social and health-related disparities, there is an urgent need to support underprivileged population groups and increase motivations and eHealth literacy to use the internet for health-related purposes.

scholarly journals Classification of Use of Online Health Information Channels and Variation in Motivations for Channel Selection: A Risk Information Seeking and Processing Perspective (Preprint)

2020 ◽  
Author(s):  
Di Zhang ◽  
Hongchao Hu ◽  
Zhen Shi ◽  
Gang Han
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
Risk Information ◽  
Subjective Norms ◽  
The Internet ◽  
Online Health Information ◽  
Information Channel ◽  
Health Information Seeking ◽  
Information Channels

BACKGROUND The existing health education and communication research routinely measures internet use as a whole by, for example, evaluating how frequently people use the “internet” to search for health information. This fails to capture the complexity and diversity of online channel use in health information seeking. Measurement of generic internet use may cause too much error, and lends no support for media planning in a public health promotion campaign and scholarly research involving internet use. OBJECTIVE This study intended to present a thorough picture of patterns of people’s online health information channel use, and classify people’s use of various types of online health information channels. Under the framework of risk information seeking and processing (RISP), this study also analyzed the differences in motivations behind to offer further evidence to validate the classification scheme. METHODS This study sampled 542 Chinese respondents in Beijing to survey the usage of 13 commonly used online health information channels, and various socio-psychological factors associated with online health information seeking. RESULTS This study derived three categories of online health information channels: searching, browsing and scanning channels. From the perspective of RISP, the study further analyzed people’s motivations to use three types of online health information channels. Use of online searching channels is affect-driven and characterized by stronger need for cognition. Use of browsing channels is directly influenced by informational subjective norms and perceived current knowledge. Use of scanning channels is mainly influenced by informational subjective norms. CONCLUSIONS The results of the study suggest that health communication practitioners and scholars are supposed to measure the “internet”, “new media” or “online media” more precisely instead of simply asking the public about the frequency of internet use in health information acquisition. Future scholarly or formative research may consider measuring usage of internet health information channel by utilizing the three-category scheme discovered by this study.

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