Preferences in trust regarding the provision of cancer information among adults.
Preferences in trust regarding the provision of cancer information among adults.
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DOI：
10.1016/j.jnma.2021.03.003
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发表时间：
2021-08
影响因子：
3.3
通讯作者：
Egede LE
中科院分区：
文献类型：
--
作者：
Williams JS;Fong-Gurzinsky J;Nagavally S;Walker RJ;Asan O;Ozieh MN;Egede LE
与对健康信息的信任相关的差异存在，因此有必要进行研究，评估成年人之间的这种关系。因此，这项研究的目的是评估美国成年人对癌症信息的信任。分析使用的是2011-2014年间健康信息全国趋势调查(HINTS)的237,670,167名成年人的加权样本。因变量是关于个人是否信任来自家人/朋友、互联网或医生的信息的二分法答案。自变量包括年龄、性别、地区、种族和癌症诊断，以调查人口统计因素和信任差异之间的关联。采用R调查软件包进行Logistic回归分析。基于种族/民族、年龄和癌症诊断的信任度有统计学上的差异。少数族裔不太可能相信医生的信息，西班牙裔更有可能相信互联网上的信息(OR=1.8(95%CI 1.36，2.43))，非西班牙裔黑人信任家人和朋友的信息(OR=1.5(95%CI 1.06，2.13))。45岁的成年人≥不太可能信任医生(45岁-：OR=0.6(95%CI为0.50，0.83)；65岁以上的OR=0.7(95%CI为0.54，0.92))，但更有可能不信任家人朋友或互联网上的信息。癌症患者更有可能“大量”信任医生提供的信息(78%；p=0.01)。不同的社会人口学特征对癌症信息信任度的偏好有显著差异。这些发现表明，针对特定的人群亚群，从他们信任的来源获得信息，可能有助于减少信任差异。
Disparities associated with trust in health information exist warranting a need for research assessing this relationship among adults. Therefore, the aim of this study was to assess trust of cancer information among U.S. adults. A weighted sample of 237,670,167 adults from the Health Information National Trends Survey (HINTS) from 2011–2014 was used for the analyses. Dependent variables were dichotomized answers to whether individuals trusted information from family/friends, the internet, or a doctor. Independent variables included age, sex, region, race/ethnicity, and cancer diagnosis to investigate associations between demographic factors and differences in trust. Logistic regression was run using R survey package. There were statistically significant differences in trust based on race/ethnicity, age, and cancer diagnosis. Minorities were less likely to trust information from a doctor, with Hispanics more likely to trust information from the internet (OR=1.8 (95% CI 1.36,2.43)), and Non-Hispanic Blacks trusting information from family and friends (OR=1.5 (95% CI 1.06, 2.13)). Adults ≥45 years of age were less likely to trust the doctor ‘a lot’ (45–64 years: OR=0.6 (95% CI 0.50, 0.83); 65+ years (OR=0.7 (95% CI 0.54, 0.92)), but more likely to not trust information from family and friends or the internet. Patients with cancer were more likely to trust information from a doctor ‘a lot’ (78%; p=0.01). Significant differences in preferences regarding trust in cancer information occurred based on sociodemographic characteristics. These finding suggest targeting specific population subgroups for information from sources they trust could be helpful in reducing disparities in trust.
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影响因子：
4.2
作者：
Kobayashi, Lindsay C.;Smith, Samuel G.
通讯作者：
Smith, Samuel G.
影响因子：
3.9
作者：
Niederdeppe, Jeff;Hornik, Robert C.;Schwartz, J. Sanford
通讯作者：
Schwartz, J. Sanford
影响因子：
12.7
作者：
Musa, Donald;Schulz, Richard;Thomas, Stephen B.
通讯作者：
Thomas, Stephen B.
影响因子：
4.4
作者：
Nguyen GT;Shungu NP;Niederdeppe J;Barg FK;Holmes JH;Armstrong K;Hornik RC
通讯作者：
Hornik RC
影响因子：
10.3
作者：
Mariotto, Angela B.;Yabroff, K. Robin;Brown, Martin L.
通讯作者：
Brown, Martin L.