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Health Information-seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort.
In: Medical care, vol 57 Suppl 6 Suppl 2, iss 6 (2019)
Abstract: IntroductionIn order to address health disparities, it is important to understand how vulnerable individuals seek information. This study used an adapted version of the Health Information National Trends Survey (HINTS) administered in English, Spanish, and Chinese to describe the behaviors and preferences of a diverse group of vulnerable urban residents.MethodsWe administered a modified HINTS survey in English, Spanish, and Chinese and used purposive sampling to ensure 50% were non-English speakers evenly divided between Spanish and Chinese speakers, and 50% of English-speakers identified as Black. We used multivariable logistic regression to determine characteristics associated with sources used for health information and preferences for delivery of health information.ResultsAmong 1027survey respondents (514 English, 256 Spanish, 260 Chinese), 55% had adequate health literacy, and 50% reported household income <$20,000, but 77% reported owning a smartphone. A plurality sought health information on the Internet (39%) or from a health care provider (36%). In multivariable analyses, smartphone ownership predicted higher odds of seeking health information on the Internet [odds ratio, (OR) 2.98; 95% confidence interval (CI), 1.81-4.91]. Participants most preferred email (41%) and brochures (40%) for delivery of health information, but non-English survey respondents were less likely to prefer email: Spanish (OR, 0.30; 95% CI, 0.11-0.83) and Chinese (OR, 0.25; 95% CI, 0.09-0.71). Smartphone ownership predicted an email preference (OR, 2.19; 95% CI, 1.43-3.36).ConclusionsAmong vulnerable populations, smartphone ownership and language preferences impact preferences for seeking and receiving health information. These preferences need to be considered in designing health messages.
Keyword: Adult; Age Factors; Applied Economics; Cohort Studies; digital divide; Electronic Mail; Ethnic Groups; Female; Health Literacy; Health Policy & Services; Humans; Information Seeking Behavior; information-seeking behavior; Internet; Limited English Proficiency; Male; Middle Aged; Multilingualism; Public Health and Health Services; Surveys and Questionnaires; Translating; Urban Population; vulnerable populations
URL: https://escholarship.org/uc/item/12p2x67s
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Health Information-seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort.
In: Medical care, vol 57 Suppl 6 Suppl 2, iss 6 (2019)
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3
Using predicted Spanish preference to target bilingual mailings in a mail survey with telephone follow-up.
In: Health services research, vol 54, iss 1 (2019)
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