Trusting Social Media as a Source of Health Information: Online Surveys Comparing the United States, Korea, and Hong Kong.
Trusting Social Media as a Source of Health Information: Online Surveys Comparing the United States, Korea, and Hong Kong.
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DOI：
10.2196/jmir.4193
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发表时间：
2016-03-14
影响因子：
7.4
通讯作者：
Jung JY
中科院分区：
文献类型：
--
作者：
Song H;Omori K;Kim J;Tenzek KE;Morey Hawkins J;Lin WY;Kim YC;Jung JY
互联网通过将个人与健康内容、专家和支持联系起来，日益成为受欢迎的健康信息来源。越来越多的人求助于社交媒体和互联网网站来分享健康信息和经验。尽管在线健康信息搜索在世界各地都有发生，但存在着有限的实证研究，考察了与基于专业知识的信息源相比，用户生成的基于经验的信息在认知上的跨文化差异。调查在线健康信息搜索模式是否存在文化差异，特别是在对在线健康信息源的认知上。研究假设，与美国人相比，韩国人和香港人更有可能信任和使用在社交媒体和在线支持小组等社交网站上分享的基于经验的知识。相反，与韩国人和香港人相比，美国人更看重由医生或专业医疗机构准备和批准的基于专业知识的知识。调查问卷先用英文编制，然后翻译成韩文和中文。回译的方法保证了问题的标准化。使用标准化的招聘战略和数据收集方法进行调查。共有来自美国(n=301)、韩国(n=179)和香港(n=337)大都市地区的826名参与者参与了这项研究。我们发现，在线健康信息在信息处理偏好上存在显著的文化差异。一项有计划的对比测试显示，韩国人和香港人比美国人更信任基于经验的健康信息来源(博客：t 451.50=11.21，P<；001；在线支持小组：t 455.71=9.30，P<；001；社交网站[SNS]：t 466.75=11.36，P<；.001)，而且报告称，韩国人和香港人使用博客(t 515.31=6.67，P<；.001)和社交网络(t 529.22=4.5，P<；.001)的频率也更高。与韩国人和香港人相比，美国人更倾向于使用基于专业知识的信息来源(如WebMD和CDC)(t 360.02=3.01，P=0.003)。对基于专业知识的信息来源的信任是普遍的，没有显示出文化差异(Brown-Forsythe F 2,654=1.82，P=.16)。文化也对代表家庭成员搜索信息的差异以及信息搜索的目标有重大贡献(t 480.38=5.99，P<；.001)。这项研究发现，在线健康信息在信息处理偏好上存在显著的文化差异。进一步讨论了在提供高质量健康信息方面的有效沟通策略。
The Internet has increasingly become a popular source of health information by connecting individuals with health content, experts, and support. More and more, individuals turn to social media and Internet sites to share health information and experiences. Although online health information seeking occurs worldwide, limited empirical studies exist examining cross-cultural differences in perceptions about user-generated, experience-based information compared to expertise-based information sources. To investigate if cultural variations exist in patterns of online health information seeking, specifically in perceptions of online health information sources. It was hypothesized that Koreans and Hongkongers, compared to Americans, would be more likely to trust and use experience-based knowledge shared in social Internet sites, such as social media and online support groups. Conversely, Americans, compared to Koreans and Hongkongers, would value expertise-based knowledge prepared and approved by doctors or professional health providers more. Survey questionnaires were developed in English first and then translated into Korean and Chinese. The back-translation method ensured the standardization of questions. Surveys were administered using a standardized recruitment strategy and data collection methods. A total of 826 participants living in metropolitan areas from the United States (n=301), Korea (n=179), and Hong Kong (n=337) participated in the study. We found significant cultural differences in information processing preferences for online health information. A planned contrast test revealed that Koreans and Hongkongers showed more trust in experience-based health information sources (blogs: t 451.50=11.21, P<.001; online support group: t 455.71=9.30, P<.001; social networking sites [SNS]: t 466.75=11.36, P<.001) and also reported using blogs (t 515.31=6.67, P<.001) and SNS (t 529.22=4.51, P<.001) more frequently than Americans. Americans showed a stronger preference for using expertise-based information sources (eg, WebMD and CDC) compared to Koreans and Hongkongers (t 360.02=3.01, P=.003). Trust in expertise-based information sources was universal, demonstrating no cultural differences (Brown-Forsythe F 2,654=1.82, P=.16). Culture also contributed significantly to differences in searching information on behalf of family members (t 480.38=5.99, P<.001) as well as to the goals of information searching. This research found significant cultural differences in information processing preferences for online health information. Further discussion is included regarding effective communication strategies in providing quality health information.