Socioeconomic Factors Influence Health Information Seeking and Trust Over Time: Evidence From a Cross-Sectional, Pooled Analyses of HINTS Data
Socioeconomic Factors Influence Health Information Seeking and Trust Over Time: Evidence From a Cross-Sectional, Pooled Analyses of HINTS Data
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DOI：
10.1177/08901171211018135
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发表时间：
2021-05-19
影响因子：
2.7
通讯作者：
Huerta, Timothy
中科院分区：
文献类型：
--
作者：
Fareed, Naleef;Jonnalagadda, Pallavi;Huerta, Timothy
目的：评估2007-2017年间健康信息寻求行为和信息来源信任的社会经济因素。设计：汇总横断面调查数据。设置：健康信息全国趋势调查。参与：数据包括6次重复的美国成年人(汇集：n=19,496；2007：n=3,593；2011：n=3,959；2013：n=3,185；FDA 2015：n=3,738；2017：n=3,285；和FDA 2017：n=1,736)。自变量为教育程度和收入组，控制其他社会人口学变量。分析：对合并样本进行加权描述性和多变量Logistic回归分析，评估受教育程度和收入之间的关系。结果：我们发现信息寻求、信心和信任与收入和教育有关，这支持了先前报道的结果。此外，我们的发现表明，与高收入组相比，低收入和中等收入组寻求健康信息的几率明显较低。在信息信任方面，高中教育程度与信任家人和朋友的几率更高有关。我们还发现，随着时间的推移，信息寻求、信心和信任行为会因收入和教育程度的不同而不同，但仍存在一些差异。结论：不同收入和教育程度在信任信息来源方面的差异仍然存在。了解最佳信息来源、其覆盖范围及其在群体中的可信度，可以实现更有针对性的干预和卫生宣传。我们还在新冠肺炎的背景下描述了对我们发现的影响。
Purpose:Assessed socioeconomic factors in health information seeking behavior and trust of information sources from 2007 to 2017.Design:Pooled cross-sectional survey data.Setting:Health Information National Trends Survey.Participation:Data included 6 iterations of U.S. adults (Pooled: N = 19,496; 2007: N = 3,593; 2011: N = 3,959; 2013: N = 3,185; FDA 2015: N = 3,738; 2017: N = 3,285; and FDA 2017: N = 1,736).Measures:Outcome variables were health information seeking, high confidence, and high trust of health information from several sources. Independent variables were education and income group, controlling for other sociodemographic variables.Analysis:Weighted descriptive and multivariate logistic regression for the pooled sample assessed associations by education and income. Fully interacted models with education/income-survey year interactions compared differences in outcomes between years.Results:We found information seeking, confidence, and trust were associated with income and education, which supported previously reported findings. Additionally, our findings indicated low-and medium-income groups had significantly lower odds of seeking health information compared to those in a high-income group. Regarding trust of information, a high school education was associated with higher odds of trust in family and friends. We also found that, over time, information seeking, confidence, and trust behavior differed by income and education, with some differences persisting.Conclusion:Disparities by income and education in trust of information sources remained across time. Understanding optimal information sources, their reach, and their credibility among groups could enable more targeted interventions and health messaging. We also describe the implications for our findings in the context of COVID-19.