Nativity and language preference as drivers of health information seeking: examining differences and trends from a U.S. population-based survey.
Nativity and language preference as drivers of health information seeking: examining differences and trends from a U.S. population-based survey.
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DOI：
10.1080/13557858.2016.1244745
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发表时间：
2017-12
影响因子：
3.1
通讯作者：
Manganello J
中科院分区：
文献类型：
--
作者：
Massey PM;Langellier BA;Sentell T;Manganello J
为了检验美国出生人口和外国出生人口在健康信息寻求方面的差异，本研究使用了2008年至2014年健康信息全国趋势调查的数据（n = 15,249）。使用双变量分析、逻辑回归和预测概率来检查健康信息的寻求和健康信息的来源。调查结果表明，59.3%的西班牙裔外国出生人口报告寻找健康信息，比样本中的其他种族/族裔群体少。与非西班牙裔白人相比，非西班牙裔黑人（OR = 0.62）和西班牙裔外国出生的个人（OR = 0.31）最不可能将互联网作为健康信息的第一来源。语言偏好的调整在很大程度上解释了西班牙裔外国出生人口与白人在寻求健康信息方面的差异；控制出生因素，喜欢西班牙语的受访者将互联网作为健康信息的第一来源的几率是喜欢英语的受访者的0.25。外国出生和语言偏好是健康信息寻求的重要决定因素。需要进一步的研究来更好地了解信息寻求模式如何影响医疗保健的使用，并最终影响健康结果。为了更好地服务于不同种族和少数民族人群，卫生保健系统、卫生保健提供者和公共卫生专业人员必须提供文化上合格的卫生信息资源，以加强弱势群体的获取和使用，并确保所有人群都能从数字时代不断发展的卫生信息源中受益。
To examine differences in health information seeking between U.S.-born and foreign-born populations in the U.S. Data from 2008 to 2014 from the Health Information National Trends Survey were used in this study (n = 15,249). Bivariate analyses, logistic regression, and predicted probabilities were used to examine health information seeking and sources of health information. Findings demonstrate that 59.3% of the Hispanic foreign-born population reported looking for health information, fewer than other racial/ethnic groups in the sample. Compared with non-Hispanic White, non-Hispanic Black (OR = 0.62) and Hispanic foreign-born individuals (OR = 0.31) were the least likely to use the internet as a first source for health information. Adjustment for language preference explains much of the disparity in health information seeking between the Hispanic foreign-born population and Whites; controlling for nativity, respondents who prefer Spanish have 0.25 the odds of using the internet as a first source of health information compared to those who prefer English. Foreign-born nativity and language preference are significant determinants of health information seeking. Further research is needed to better understand how information seeking patterns can influence health care use, and ultimately health outcomes. To best serve diverse racial and ethnic minority populations, health care systems, health care providers, and public health professionals must provide culturally competent health information resources to strengthen access and use by vulnerable populations, and to ensure that all populations are able to benefit from evolving health information sources in the digital age.
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