Sources of health information among U.S. cancer survivors: results from the health information national trends survey (HINTS)
Sources of health information among U.S. cancer survivors: results from the health information national trends survey (HINTS)
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DOI：
10.3934/publichealth.2020031
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发表时间：
2020-01-01
影响因子：
3.3
通讯作者：
Chido-Amajuoyi, Onyema G.
中科院分区：
文献类型：
--
作者：
Jackson, Inimfon;Osaghae, Ikponmwosa;Chido-Amajuoyi, Onyema G.
背景：健康信息对于癌症幸存者保持健康和维持健康习惯至关重要。本研究探讨癌症幸存者和无癌症史者选择健康信息源的来源和相关因素。研究方法：我们使用健康信息全国趋势调查（HINTS）检查了2011-2014年和2017-2018年癌症史使用的健康信息来源。寻求健康信息的相关因素进行了检查，使用多项逻辑回归。将HINTS 4，周期1-4（2011-2014）和HINTS 5，周期1-2（2017-2018）的数据合并并用于所有分析。HINTS-FDA，周期1-2（2015-2017）从本研究中排除，因为未询问癌症史问题。结果：半数以上的癌症幸存者（52.7%）和无癌症史者（60.9%）通过媒体获得健康信息。在癌症幸存者中，与通过媒体或人际沟通寻求健康信息相关的因素相对于不寻求信息的因素是年龄，性别，教育水平，收入，婚姻状况和定期医疗保健提供者。男性幸存者从媒体寻求健康信息的可能性降低了39%（aOR：0.61; 95%CI：0.38-0.99），而那些有定期健康提供者的人通过人际交流寻求健康信息的可能性显著更高（aOR：1.92; 95%CI：1.09-3.38）。此外，丧偶的癌症幸存者从人际交流（aOR：0.28; 95%CI：0.13-0.60）或媒体（aOR：0.30; 95%CI：0.13-0.69）中寻求健康信息的几率较低。在没有癌症史的研究人群中，与非西班牙裔白人相比，非西班牙裔黑人，西班牙裔和非西班牙裔其他类别的人从媒体寻求健康信息的可能性显着降低，而不是不寻求健康信息。结论：社会经济状况、婚姻状况、性别和年龄是美国癌症幸存者选择健康信息来源的重要相关因素。这些因素可能有助于指导针对不同癌症幸存人群的干预措施，以确保他们改善寻求健康的行为。
Background: Health information is crucial for preservation of health and maintenance of healthy practices among cancer survivors. This study examines the sources and factors associated with choice of health information source among cancer survivors and those without a cancer history. Methods: We examined health information sources utilized by cancer history between 2011-2014 and 2017-2018 using the Health Information National Trends Survey (HINTS). Factors associated with seeking health information were examined using multinomial logistic regression. Data from HINTS 4, cycles 1-4 (2011-2014) and HINTS 5, cycles 1-2 (2017-2018) were combined and used for all analyses. HINTS-FDA, cycles 1-2 (2015-2017) were excluded from this study because the question about a cancer history was not asked. Results: Over half of cancer survivors (52.7%) and those without a cancer history (60.9%) obtained their health information through the media. Among cancer survivors, factors associated with health information seeking either through the media or interpersonal communication relative to not seeking information were age, gender, level of education, income, marital status and having a regular healthcare provider. Male survivors were 39% less likely to seek health information from the media (aOR: 0.61; 95% CI: 0.38-0.99) while those with a regular health provider had significantly higher odds of seeking health information via interpersonal communication (aOR: 1.92; 95% CI: 1.09-3.38). In addition, widowed cancer survivors had lower odds of seeking health information from either interpersonal communication (aOR: 0.28; 95% CI: 0.13-0.60) or the media (aOR: 0.30; 95% CI: 0.13-0.69). In the study population without a cancer history, compared to non-Hispanic whites, non-Hispanic blacks, Hispanics and non-Hispanic other categories were significantly less likely to seek health information from the media rather than not seek health information. Conclusion: Socioeconomic status, marital status, gender and age are important correlates of choice of health information source among cancer survivors in the US. These factors may be useful in guiding interventions aimed at various groups of cancer surviving populations to ensure that they improve their health seeking behaviors.