The role of powerful audiences in health information avoidance

Information Avoidance: Past Perspectives and Future Directions

In the present age of unprecedented access to information, it is important to understand how and why people avoid information. Multiple definitions of "information avoidance" exist, and key aspects of these definitions deserve attention, such as distinguishing information avoidance from (lack of) information seeking, considering the intentionality and temporal nature of information avoidance, and considering the personal relevance of the information. In this review, we provide a cross-disciplinary historical account of theories and empirical research on information avoidance and seeking, drawing from research in multiple fields. We provide a framework of antecedents of information avoidance, categorized into beliefs about the information (e.g., risk perceptions), beliefs about oneself (e.g., coping resources), and social and situational factors (e.g., social norms), noting that constructs across categories overlap and are intertwined. We suggest that research is needed on both positive and negative consequences of information avoidance and on interventions to reduce information avoidance (when appropriate). Research is also needed to better understand temporal dynamics of information avoidance and how it manifests in everyday life. Finally, comprehensive theoretical models are needed that differentiate avoidance from seeking. Research on information avoidance is quickly expanding, and the topic will only grow in importance.

Self-Reported Health Care Avoidance Behavior in U.S. Military Pilots Related to Fear for Loss of Flying Status

INTRODUCTION

U.S. military pilots are required to meet certain medical standards in order to maintain an active flying status. Military pilots face potential temporary or permanent loss of flying privileges in the setting of a new condition or symptom that does not meet required standards, which could result in negative social and occupational repercussions for the pilot. For this reason, it has been proposed that U.S. military pilots participate in health care avoidance behavior, but little evidence exists to characterize such a trend in this population.

MATERIALS AND METHODS

We conducted a non-probabilistic Internet survey of the general population of U.S. pilots from November 1, 2019 through August 1, 2021. The current study is a sub-analysis of military pilots.

RESULTS

A total of 4,320 pilots answered the informed consent question, and 264 selected one military pilot type and were included in this sub-analysis. There were 72% of military pilots who reported a history of health care avoidance behavior (n = 190), and no statistical difference was found between age groups, gender, and military pilot types. There were 55.5% of pilots who reported a history of seeking informal medical care (n = 147), 33.7% of pilots who have flown despite a new symptom they felt required medical evaluation, 42.5% of pilots who reported withholding information on aeromedical screening (n = 111), and 11.4% of pilots who reported a history of undisclosed prescription medication use (n = 30).

CONCLUSIONS

U.S. military pilots may participate in health care avoidance behavior because of fear for loss of flying status.

Selective exposure to COVID-19 vaccination information: the influence of prior attitude, perceived threat level and information limit

Purpose

The massive amount of available information and functionality of the Internet makes selective information seeking effortless. This paper aims to understand the selective exposure to information during a health decision-making task.

Design/methodology/approach

This study conducted an experiment with a sample of 36 students to examine the influence of prior attitude, perceived threat level and information limit on users’ selective exposure to and recall of coronavirus disease 2019 (COVID-19) vaccination information. Participants were assigned to two conditions with or without an upper limit of the number of articles to be examined, and this study collected the number of articles read, the number of articles included in the report and recall score of the articles after one day of the experiment.

Findings

This study found that (1) participants with a negative attitude were more inclined to view attitude-consistent information and recalled attitude-consistent information more accurately, while participants with a positive attitude viewed more balanced information; (2) participants perceiving higher health threat level recalled attitude-consistent information more accurately; and (3) an upper limit on the number of articles to be viewed does not have any impact on selective exposure.

Research limitations/implications

The findings of this paper pinpoint the disparity of influence of positive and negative attitudes on selective exposure to and selective recall of health information, which was not previously recognized.

Practical implications

Vaccination campaigns should focus on reaching people with negative attitudes who are more prone to selective exposure to encourage them to seek more balanced information.

Originality/value

This is the first paper to explore selective exposure to COVID-19 vaccination information. This study found that people with a negative attitude and a higher level of perceived health threat are more prone to selective exposure, which was not found in previous research.

Strategic ignorance of health risk: its causes and policy consequences

We examine the causes and policy implications of strategic (willful) ignorance of risk as an excuse to over-engage in risky health behavior. In an experiment on Copenhagen adults, we allow subjects to choose whether to learn the calorie content of a meal before consuming it and then measure their subsequent calorie intake. Consistent with previous studies, we find strong evidence of strategic ignorance: 46% of subjects choose to ignore calorie information, and these subjects subsequently consume more calories on average than they would have had they been informed. While previous studies have focused on self-control as the motivating factor for strategic ignorance of calorie information, we find that ignorance in our study is instead motivated by optimal expectations – subjects choose ignorance so that they can downplay the probability of their preferred meal being high-calorie. We discuss how the motivation matters to policy. Further, we find that the prevalence of strategic ignorance largely negates the effects of calorie information provision: on average, subjects who have the option to ignore calorie information consume the same number of calories as subjects who are provided no information.

The moderating effects of information overload and academic procrastination on the information avoidance behavior among Filipino undergraduate thesis writers

Information avoidance is a behavior that could either prevent or delay consumption of information. While information avoidance has been documented in various fields of interest, its overall dynamics in the context of library and information science remains a research blankspot. The overall intent of this paper is to develop a model that examines the moderating effect of information overload and academic procrastination on the information avoidance behavior among Filipino undergraduate thesis writers. Capitalizing on Structural Equation Modeling (SEM) design, a total of 215 Filipino undergraduate thesis writers participated in the study. A multi-aspect questionnaire was used to measure the following variables: information overload, academic procrastination and information avoidance. Descriptive and inferential statistics were used to analyze the data. Results show that when students have a positive attitude towards reading, the more likely they are to employ better reading strategies and the less likely they are to exhibit information avoidance. On the other hand, the more reading strategies are used, the lower is information avoidance. Additionally, the tendency to procrastinate has less effect on the relationship between reading strategies and information avoidance and the tendency to procrastinate and acquire excessive information has less effect on the relationship between reading attitudes and information avoidance. Implications for university settings are also discussed in this paper.

Powerful audiences are linked to health information avoidance: Results from two surveys

OBJECTIVE

We examined the extent to which community members avoid medical information that they may very much want, yet fear that others may use to harm them.

METHODS

In two online studies, we surveyed participants (N = 659) about their experiences with insurer and employer harm, past avoidance of medical information, intentions to avoid medical information, and reasons for avoiding medical information. Study 2 was a conceptual replication of Study 1 with some minor variations.

RESULTS

Several key findings emerged. 1) Although reports of past audience harm were relatively rare, reports of past avoidance were common, both for audience reasons and resource reasons. 2) Participants who were younger and who reported avoiding medical tests in the past (for audience or resource reasons) generally reported greater intentions to avoid health information in the future. 3) Participants reported that receiving unfavorable medical test results would elicit more harm from financially powerful audiences (health insurers and employers) than from interpersonally powerful audiences (close friends/family and others). 4) Participants indicated that the prospect of harm from an audience (i.e., negative effects on insurance coverage) rather than the prospect of bad news would dissuade them from seeking a medical test. Finally, 5) Participants reported that they were most inclined to avoid testing for medical conditions that were untreatable, unimportant, embarrassing/stigmatizing, or expensive.

CONCLUSIONS

Findings demonstrate that people are concerned with audience perceptions of their health and these concerns may adversely affect decision making and behavior.