Unfolding Media Source Characteristics Regarding Food Fraud: A Comparative Study of the Health Information National Trends Survey (HINTS) in China (Preprint)

2021 ◽  
Author(s):  
Angela Chang ◽  
Peter J. Schulz ◽  
Wen Jiao ◽  
Guoming Yu ◽  
Ya Yang

BACKGROUND The ongoing rumors and scandals regarding food fraud, adulteration, and contamination are highly visible. Health risk information circulating through media and interpersonal communication channels has made health crises an important research agenda. OBJECTIVE This study explores the issue of food fraud and the effect of rumors, scandals, and misinformation. Further, it studies whether and how these issues have impacted governmental efforts to mitigate food fraud. METHODS The Health Information National Trends Survey (HINTS) was adopted for use in China, after which a cross-sectional study with face-to-face interviews was performed. Participants from Beijing and Hefei were selected using multistage sampling of adults during May 2017. Based on four government surveillance reports on food rumors and safety scandals, a descriptive, correlation, and multivariate variance analysis was applied to the data. RESULTS A total of 3,090 results were gathered and analyzed. An average of 83.6% (n = 2,584) respondents heard at least one food rumor. Learning about food fraud is correlated with interpersonal connections (e.g., doctors or health specialists) for accessing food health information. Overall, Chinese citizens with a higher level of interpersonal connection were more likely to be concerned about food scandals with the statistical difference (p < .001). The Interpersonal connection was the highest frequency of communication sources (n = 698, 55.7%), followed by traditional media (n = 325, 25.9%) and Internet portal (n = 144, 11.5%). The respondents in Beijing were confronted more frequently by food rumors (range 346-1253) than those in Hefei (range 155-946). The urban dwellers in Beijing and their rural counterparts in Hefei also differ in terms of perceiving different levels of food risk from different media sources. The food scandal narratives examined the conspiracy belie finds that social media play a more important role in influencing attitude against scandals for users in Hefei, rather than in Beijing. CONCLUSIONS A media complementarity and food fraud information acquisition examined food fraud incidents with intent to harm, mainly done for economic gain. The HINTS China reports that around 73.6% of Chinese respondents prefer to go to their physicians for quarrying food health information first; however, when asked where they actually went, up to 36.6% of Beijing respondents and 55.6% of Hefei respondents reported going online first. Food fraud regarding food originating from Japan, Vietnam, and New Zealand implies that the information concerning food fraud in these countries negatively affects the valuation of importing country. This study extends beyond local food products to foreign countries that import conspiracy beliefs with the fake food. Nonetheless, in China, consumers have to be on guard not just against fake food, but also spreading fake information and news about food.

2019 ◽  
Author(s):  
Fatemah Alnofal ◽  
Rawabi Aljadani ◽  
Amani Alqahtani ◽  
Nasser BinDhim

BACKGROUND According to a Health Information National Trends Survey, people tend to go to the Internet rather than a physician as their first source of health information; although a vast amount of health information is available to empower and educate people, very few master the ability to use this information for their own benefit. OBJECTIVE The aim of this study was to investigate the levels and demographic determinants of e-health literacy among Saudi adults and to explore their behavior related to health information obtained through the Internet. METHODS A cross-sectional study was conducted in Saudi Arabia between (November 2017- July 2018) using an electronic questionnaire and including Arabic-speaking Saudi residents aged 18 years and above. The questionnaire included questions about socio-demographic characteristics, Internet and smartphone usage to obtain health information, participants’ behavior toward the obtained information, and eHEALS scores. RESULTS A total of 705 participants agreed to take the survey in different regions of Saudi Arabia; 59.4% (410/705) of them were 29 years old or younger, and 60.71% (428/705) of them were female. Majority of the participants 70.22% (441/705) trusted health information obtained from the Internet. Overall, mean e-health literacy was 28.9 ± 6.34, maximum and minimum scores found were 40 and 8, 44.4% (313/705) were found to have high e-health literacy levels. Older participants were more likely to have low e-health literacy levels (P = 0.001), while participants with higher education levels were more likely to have higher e-health literacy levels (P = 0.001). Over half of participants 52.2% (368/705) of the participants had downloaded a health application on their smartphone; sports and physical activity applications were the most-downloaded health applications 73.37% (270/368). CONCLUSIONS Considerably high e-health literacy levels were found among the Saudi population. We also found high trust levels in the health information obtained from the Internet. Younger adults and participants with higher education levels were more likely to have higher e-health literacy levels.


Author(s):  
Gizell Green ◽  
Riki Tesler ◽  
Cochava Sharon

The Internet and social media are crucial platforms for health information. Factors such as the efficiency of online health information, the outcomes of seeking online health information and the awareness of reliable sources have become increasingly important for the elderly during the COVID-19 pandemic. This study aimed to examine differences between elderly individuals’ income above and below the average monthly wage in relation to their online health information efficiency and the outcomes of seeking online health information; to evaluate types of online information sources with online health information efficiency and the outcomes of seeking online health information; and to explore online health information efficiency as a mediator between health status and awareness of online sources. A cross-sectional study design was conducted with 336 elderly participants age 65 or older. The participants volunteered to complete a questionnaire. No differences were found between the two groups regarding efficiency in retrieving health information from official online health sites and Google. Perceived efficiency mediated health status and awareness of online sources. In these challenging times, it is important to provide a tailor-made education strategy plan for reliable sources of online health information for the elderly, in order to enhance their technology safety skills. It is also important to explore other mediating variables between health status and awareness of online sources.


Author(s):  
Gede Benny Setia Wirawan ◽  
Putu Nandika Tungga Yudanti Mahardani ◽  
Made Ratna Komala Cahyani ◽  
Ni Luh Prema Shantika Putri Laksmi ◽  
Pande Putu Januraga

2021 ◽  
pp. e1-e4
Author(s):  
Chelsea L. Ratcliff ◽  
Melinda Krakow ◽  
Alexandra Greenberg-Worisek ◽  
Bradford W. Hesse

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e17000-e17000
Author(s):  
Joon Yau Leong ◽  
Ruben Pinkhasov ◽  
Thenappan Chandrasekar ◽  
Oleg Shapiro ◽  
Michael Daneshvar ◽  
...  

e17000 Background: Disabled patients are a unique minority population that may have lower literacy levels and difficulty communicating with physicians. Furthermore, their knowledge for cancer prevention recommendations is unknown. Herein, we aim to compare prostate-specific antigen (PSA) testing rates and associated predictors among disabled men and non-disabled men in the USA. Methods: We performed a cross-sectional study utilizing the Health Information National Trends Survey (HINTS) to analyze factors predicting PSA testing rates in men with disabilities (disabled, deaf, blind). Multivariable logistic regression models were used to determine clinically significant predictors of PSA testing in men with disabilities compared to that of the healthy cohort. Results: A total of 782 (14.6%) disabled men were compared to 4,569 (85.4%) non-disabled men. Disabled men were older with a mean age of 65.0 ± 14.2 vs. 55.0 ± 15.9 years (p < 0.001). On multivariable analysis, after adjusting for all available confounders including race, age, geographical region, survey year, marital status, health insurance, healthcare provider, amongst others, men with any disability were less likely to undergo PSA screening (OR 0.772, 95% CI 0.623-0.956, p = 0.018). Variables associated with increased PSA screening rates included age, having a healthcare provider or health insurance, and living with a partner. Although prostate cancer detection rates were shown to be higher among disabled men, this did not reach statistical significance. Conclusions: Our data suggests that significant inequalities in PSA screening exist among men with disabilities in the USA, with disabled men, especially the deaf and the blind, being less likely to be offered PSA screening. There is a clear need to implement strategies to reduce existing gaps in the care of disabled men and strive to reach equality in PSA screening in this unique population.


10.2196/14826 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e14826 ◽  
Author(s):  
Fuzhi Wang ◽  
Zhuoxin Wang ◽  
Weiwei Sun ◽  
Xiumu Yang ◽  
Zhiwei Bian ◽  
...  

Background As representatives of health information communication platforms accessed through mobile phones and mobile terminals, health-related WeChat public accounts (HWPAs) have a large consumer base in the Chinese-speaking world. However, there is still a lack of general understanding of the status quo of HWPAs and the quality of the articles they release. Objective The aims of this study were to assess the conformity of HWPAs to the Health on the Net Foundation Code of Conduct (HONcode) and to evaluate the suitability of articles disseminated by HWPAs. Methods The survey was conducted from April 23 to May 5, 2019. Based on the monthly (March 1-31, 2019) WeChat Index provided by Qingbo Big Data, the top 100 HWPAs were examined to evaluate their HONcode compliance. The first four articles published by each HWPA on the survey dates were selected as samples to evaluate their suitability. All materials were assessed by three raters. The materials were assessed using the HONcode checklist and the Suitability Assessment of Materials (SAM) score sheet. Data analysis was performed with SPSS version 17.0 (SPSS Inc, Chicago, IL, USA) and Excel version 2013 (Microsoft Inc, Washington DC, USA). Results A total of 93 HWPAs and 210 of their released articles were included in this study. For six of the eight principles, the 93 HWPAs nearly consistently did not meet the requirements of the HONcode. The HWPAs certified by Tencent Corporation (66/93, 71%) were generally slightly superior to those without such certification (27/93, 29%) in terms of compliance with HONcode principles. The mean SAM score for the 210 articles was 67.72 (SD 10.930), which indicated “adequate” suitability. There was no significant difference between the SAM scores of the articles published by certified and uncertified HWPAs (P=.07), except in the literacy requirements dimension (tdf=97=–2.418, P=.02). Conclusions The HWPAs had low HONcode conformity. Although the suitability of health information released by HWPAs was at a moderate level, there were still problems identified, such as difficulty in tracing information sources, excessive implicit advertisements, and irregular usage of charts. In addition, the low approval requirements of HWPAs were not conducive to improvement of their service quality.


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