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

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.

10.2196/15099 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e15099 ◽  
Author(s):  
Winja Weber ◽  
Anne Reinhardt ◽  
Constanze Rossmann

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.


2019 ◽  
Author(s):  
Winja Weber ◽  
Anne Reinhardt ◽  
Constanze Rossmann

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.


2011 ◽  
Vol 20 (01) ◽  
pp. 142-145
Author(s):  
C. Boyer ◽  

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.


Author(s):  
Rose Calixte ◽  
Argelis Rivera ◽  
Olutobi Oridota ◽  
William Beauchamp ◽  
Marlene Camacho-Rivera

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.


2021 ◽  
Vol 2 (1) ◽  
pp. 29-55
Author(s):  
Elena Link ◽  
Eva Baumann ◽  
Annemiek Linn ◽  
Andreas Fahr ◽  
Peter Schulz ◽  
...  

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.


2020 ◽  
Author(s):  
Di Zhang ◽  
Hongchao Hu ◽  
Zhen Shi ◽  
Gang Han

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.


Author(s):  
Alina Catalina Duduciuc

How Internet is used by individuals from different age groups to keep their health in check has become one of the major issue of both academic researchers and policy makers. The topic derives mainly from 2000-2014 data which converge towards an Internet accessing pattern as source of information regarding health. Previous studies showed that teenagers are the main consumers of the Internet and they often start surfing for online health concerns on social media (Facebook, Twitter) and popular engines (Google, Yahoo). The current paper describes how Romanian teenagers (N=161, aged 14-19) browse for online topics to keep their health in check. Based on a questionnaire, the data revealed that the Internet is used to a certain extent by more than a third of the respondents for health topics and over half of them consider that the health related information helped them to achieve a good trim. Overall, the research outcomes showed that the adolescents seem less interested in using Internet for health information and sometimes challenge the credibility of online health content.


10.2196/23854 ◽  
2020 ◽  
Vol 8 (12) ◽  
pp. e23854
Author(s):  
Zahra Kavosi ◽  
Sara Vahedian ◽  
Razieh Montazeralfaraj ◽  
Arefeh Dehghani Tafti ◽  
Mohammad Amin Bahrami

Background Given the increasing availability of the internet, it has become a common source of health information. However, the effect of this increased access on health needs to be further studied. Objective This study aimed to investigate the correlation between online health information–seeking behavior and general health dimensions in a sample of high school students in Iran. Methods A cross-sectional study was conducted in 2019. A total of 295 female students participated in the study. The data were collected using two validated questionnaires: the e-Health Impact Questionnaire and the 36-Item Short Form Health Survey. The collected data were analyzed through descriptive statistics and Pearson correlation coefficients using SPSS version 23 (IBM Corp). Results The participants moderately used online information in their health-related decisions, and they thought that the internet helped people in health-related decision making. They also thought that the internet could be used to share health experiences with others. Participants had moderate confidence in online health information and stated that the information provided by health websites was moderately understandable and reliable and moderately encouraged and motivated them to play an active role in their health promotion. Nevertheless, the results showed that online health information–seeking experience had no significant correlation with health-related quality of life. Conclusions This study provides insights into the effect of using internet information on the health of adolescents. It has important implications for researchers and policy makers to build appropriate policies to maximize the benefit of internet access for health.


2018 ◽  
Author(s):  
John Powell ◽  
Ulrike Deetjen

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.


2020 ◽  
Author(s):  
Zahra Kavosi ◽  
Sara Vahedian ◽  
Razieh Montazeralfaraj ◽  
Arefeh Dehghani Tafti ◽  
Mohammad Amin Bahrami

BACKGROUND Given the increasing availability of the internet, it has become a common source of health information. However, the effect of this increased access on health needs to be further studied. OBJECTIVE This study aimed to investigate the correlation between online health information–seeking behavior and general health dimensions in a sample of high school students in Iran. METHODS A cross-sectional study was conducted in 2019. A total of 295 female students participated in the study. The data were collected using two validated questionnaires: the e-Health Impact Questionnaire and the 36-Item Short Form Health Survey. The collected data were analyzed through descriptive statistics and Pearson correlation coefficients using SPSS version 23 (IBM Corp). RESULTS The participants moderately used online information in their health-related decisions, and they thought that the internet helped people in health-related decision making. They also thought that the internet could be used to share health experiences with others. Participants had moderate confidence in online health information and stated that the information provided by health websites was moderately understandable and reliable and moderately encouraged and motivated them to play an active role in their health promotion. Nevertheless, the results showed that online health information–seeking experience had no significant correlation with health-related quality of life. CONCLUSIONS This study provides insights into the effect of using internet information on the health of adolescents. It has important implications for researchers and policy makers to build appropriate policies to maximize the benefit of internet access for health.


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