Abstract

Background

More than three billion adults use the internet worldwide for communication and 90% of them use it to access information. The internet and social media have become a vital source for seeking health information in the US. Using online sources to seek health information and manage chronic medical conditions remains unclear.

Purpose

The purpose of this study is to explore using electronic devices to seek health information by using variables conceptually aligned with the Health Belief Model and to examine associations between using social media for health-related purposes and individuals with certain chronic medical conditions.

Methodology

A secondary analysis of the Health Information Trends Survey (HINTS) of 2017 and 2018 was conducted, which is a nationally representative survey administered by the National Cancer Institute. Respondents were civilian, non-institutionalized adults aged 18 or older in the US. Chi-square and logistic regression tests were conducted to determine statistical significance.

Results

There were 6,697 respondents completing the survey, representing an estimated annual population of 245.8 million adults in the US. Of these, 76.5% used electronic devices to seek health information and 20% used social media for health-related purposes. Those with depression were 42% more likely to use electronics to seek health information. Those with higher perceived benefits because of their intent to track health-related goals were 2.4 times more likely to use electronics to seek health information (p< 0.0001) and those needing to make a decision about treating an illness were 6 times more likely to do so (p< 0.0001). Underweight respondents were 2.5 times more likely to share health information on social media (p=0.04). Respondents with depression or anxiety disorder were 1.7 times more likely to participate in online support groups (p=0.004).

Conclusion

Online health information is sought by distinct subgroups. Since these groups are vulnerable and the internet remains largely unregulated, health systems should use the internet by linking their patients to trustworthy online resources to ensure disseminating reliable online health information that may help in chronic disease management. Future research exploring who and why vulnerable sub-populations are using such programs is needed to optimize its delivery while assuring quality supporting content.

LLU Discipline

Health Policy and Leadership

School

School of Public Health

First Advisor

Jim E. Banta

Second Advisor

Jisoo Oh

Third Advisor

Susanne B. Montgomery

Degree Name

Doctor of Public Health (DrPH)

Degree Level

Ph.D.

Year Degree Awarded

2019

Date (Title Page)

6-2019

Language

English

Library of Congress/MESH Subject Headings

Health information seeking behavior; Social media in medicine; Chronic diseases; Health literacy; Health policy

Type

Dissertation

Page Count

xi, 174 p.

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

Included in

Health Policy Commons

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