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Wojcicki JM, Escobar M, Mendez AD, Martinez SM. Household and social characteristics associated with COVID-19 vaccine intent among Latino families in the San Francisco Bay Area. BMC Infect Dis 2022; 22:527. [PMID: 35672658 PMCID: PMC9171483 DOI: 10.1186/s12879-022-07467-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 05/13/2022] [Indexed: 11/10/2022] Open
Abstract
Background Latinos have had higher case counts, hospitalization rates and deaths during the COVID-19 pandemic nationally and in the state of California. Meanwhile, Latino vaccination rates remain lower than those of non-Hispanic Whites. COVID-19 vaccine nonintent, defined as intent to not vaccinate against COVID-19, among Latino individuals continues to be an issue in the state of California. Methods Families from three Latino longitudinal mother–child cohorts previously recruited in the San Francisco Bay Area were surveyed telephonically from February to June 2021 to assess attitudes towards vaccination against COVID-19 and prior vaccination, in general, for themselves and their children. Risk for vaccine nonintent was assessed using the Mann–Whitney rank sum non-parametric test for continuous predictors and chi-squared tests for categorical ones. Results Three hundred and nineteen families were surveyed from the Telomere at Birth (TAB), Hispanic Eating and Nutrition (HEN) and Latino Eating and Diabetes Cohort (LEAD). Approximately 36% from TAB and 28% from HEN/LEAD indicated COVID-19 vaccine nonintent for themselves and/or their children. Risk factors for vaccine nonintent included lower maternal age (p = 0.01), concern about vaccine side effects (p < 0.01) and prior history of a household members being infected with SARS-CoV-2 (p < 0.01) and indexes of household crowding including number of people sharing a bathroom (p = 0.048). Vaccine intent was also associated with receiving vaccine input from friends (p = 0.03), family (p < 0.01) and/or coworkers (p = 0.02) compared with those who were not planning on getting vaccinated against COVID-19. Conclusions Latino families living in crowded living situations who may not have received any COVID-19 advice from family, coworkers or friends are at particular risk for nonintent for vaccinatation against COVID-19. Community-based grassroots or promotor/a based interventions centered on trusted individuals with close community ties and counseling concerning vaccination against COVID-19 could help boost vaccination rates in this population group.
Supplementary Information The online version contains supplementary material available at 10.1186/s12879-022-07467-3.
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Affiliation(s)
- Janet M Wojcicki
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, UCSF, 550 16th Street, San Francisco, CA, 94134-0136, USA. .,Department of Epidemiology and Biostatistics, UCSF, San Francisco, USA.
| | - Milagro Escobar
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, UCSF, 550 16th Street, San Francisco, CA, 94134-0136, USA
| | - Andrea DeCastro Mendez
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, UCSF, 550 16th Street, San Francisco, CA, 94134-0136, USA
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2
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The Impact of Student-Faculty Collaborative Clinics on Patients’ Health Seeking Behaviors in Underserved Communities. J Community Health 2022; 47:378-386. [DOI: 10.1007/s10900-021-01060-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2021] [Indexed: 11/25/2022]
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3
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Ahn J, Kahlor LA. No Regrets When It Comes to Your Health: Anticipated Regret, Subjective Norms, Information Insufficiency and Intent to Seek Health Information from Multiple Sources. HEALTH COMMUNICATION 2020; 35:1295-1302. [PMID: 31177829 DOI: 10.1080/10410236.2019.1626535] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Research suggests that a search for health information from diverse sources is crucial for obtaining accurate and quality information. As a result, this study examines motivators of intentions to use multiple information sources. Our guiding framework is the planned risk information seeking model, which poses a direct relationship between seeking-related subjective norms and information seeking intentions, and an indirect relationship between those two variables through information insufficiency (or perceived need for more information). To further explore these relationships, we integrate a novel variable, anticipated regret, as an additional mediator of both relationships. The information seeking behavior of interest in this study is intention to seek information through multiple sources. Survey results from 379 undergraduate students show that seeking-related subjective norms are positively related with information insufficiency through regret, and positively related with seeking intent through regret and information insufficiency. The implications of these findings are discussed.
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Affiliation(s)
- Jisoo Ahn
- Health and New Media Research Institute, Hallym University
| | - Lee Ann Kahlor
- Stan Richards School of Advertising & Public Relations, The University of Texas at Austin
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4
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Zimmerman MS, Shaw G. Health information seeking behaviour: a concept analysis. Health Info Libr J 2020; 37:173-191. [PMID: 32052549 DOI: 10.1111/hir.12287] [Citation(s) in RCA: 66] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 11/04/2019] [Indexed: 12/25/2022]
Abstract
BACKGROUND In 2007, Lambert and Loiselle conducted an extensive concept analysis of the term health information seeking behaviour (HISB) to examine the concept's level of maturity and critically analyse its characteristics. Since their groundbreaking work, HISB has evolved with the proliferation of ICTs. The Internet is now a common and often preferred medium for the pursuit of health information. OBJECTIVES The previous analysis spanned 42 years of literature; this article describes an analysis of the last 10 years of literature on HISB and how online seeking has caused the concept to evolve in the literature. METHODS This study used the concept analysis methodology employed by Lambert and Loiselle in the original analysis. It also included a systematic search conducted in five databases to identify studies from 2007 to 2017, using similar inclusion criteria from the original study. RESULTS Of the more than 500 articles retrieved, 85 journal articles met the inclusion criteria. Consistent with the original work, articles that included outcomes were identified as either behavioural or cognitive. CONCLUSION Most of the attention of the works studied focused on individuals and their information source preferences. This HISB analysis can be incorporated with studies to understand how various communities seek information in online versus non-online contexts.
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Affiliation(s)
- Margaret S Zimmerman
- School of Library and Information Science, University of Iowa, Iowa City, IA, USA
| | - George Shaw
- Department of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC, USA
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Martin S, Greiling D, Danninger B. Patient recommendations as determining factor for the choice of physiotherapists. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019. [DOI: 10.1080/20479700.2019.1681154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Sebastian Martin
- Faculty for Medical Engineering and Applied Social Sciences, University of Applied Sciences Upper Austria, Linz, Austria
| | - Dorothea Greiling
- Institut for Management Accounting, Johannes Kepler University Linz, Linz, Austria
| | - Bettina Danninger
- Faculty for Medical Engineering and Applied Social Sciences, University of Applied Sciences Upper Austria, Linz, Austria
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6
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Gesser-Edelsburg A, Abed Elhadi Shahbari N, Cohen R, Mir Halavi A, Hijazi R, Paz-Yaakobovitch G, Birman Y. Differences in Perceptions of Health Information Between the Public and Health Care Professionals: Nonprobability Sampling Questionnaire Survey. J Med Internet Res 2019; 21:e14105. [PMID: 31271145 PMCID: PMC6639070 DOI: 10.2196/14105] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 05/24/2019] [Accepted: 05/29/2019] [Indexed: 02/03/2023] Open
Abstract
Background In the new media age, the public searches for information both online and offline. Many studies have examined how the public reads and understands this information but very few investigate how people assess the quality of journalistic articles as opposed to information generated by health professionals. Objective The aim of this study was to examine how public health care workers (HCWs) and the general public seek, read, and understand health information and to investigate the criteria by which they assess the quality of journalistic articles. Methods A Web-based nonprobability sampling questionnaire survey was distributed to Israeli HCWs and members of the public via 3 social media outlets: Facebook, WhatsApp, and Instagram. A total of 979 respondents participated in the online survey via the Qualtrics XM platform. Results The findings indicate that HCWs find academic articles more reliable than do members of the general public (44.4% and 28.4%, respectively, P<.001). Within each group, we found disparities between the places where people search for information and the sources they consider reliable. HCWs consider academic articles to be the most reliable, yet these are not their main information sources. In addition, HCWs often use social networks to search for information (18.2%, P<.001), despite considering them very unreliable (only 2.2% found them reliable, P<.001). The same paradoxes were found among the general public, where 37.5% (P<.001) seek information via social networks yet only 8.4% (P<.001) find them reliable. Out of 6 quality criteria, 4 were important both to HCWs and to the general public. Conclusions In the new media age where information is accessible to all, the quality of articles about health is of critical importance. It is important that the criteria examined in this research become the norm in health writing for all stakeholders who write about health, whether they are professional journalists or citizen journalists writing in the new media.
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Affiliation(s)
- Anat Gesser-Edelsburg
- Health and Risk Communication Research Center and School of Public Health, Haifa, Israel
| | | | - Ricky Cohen
- Health and Risk Communication Research Center and School of Public Health, Haifa, Israel
| | - Adva Mir Halavi
- Health and Risk Communication Research Center and School of Public Health, Haifa, Israel
| | - Rana Hijazi
- Health and Risk Communication Research Center and School of Public Health, Haifa, Israel
| | - Galit Paz-Yaakobovitch
- Health and Risk Communication Research Center and School of Public Health, Haifa, Israel
| | - Yael Birman
- Health and Risk Communication Research Center and School of Public Health, Haifa, Israel
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Eitze S, Fleischmann-Struzek C, Betsch C, Reinhart K. Determinants of sepsis knowledge: a representative survey of the elderly population in Germany. Crit Care 2018; 22:273. [PMID: 30368239 PMCID: PMC6204268 DOI: 10.1186/s13054-018-2208-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Accepted: 09/25/2018] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Sepsis is a life-threatening medical emergency requiring early diagnosis and urgent treatment. Knowledge is crucial, especially in major risk groups such as the elderly. We therefore assessed sophisticated knowledge about sepsis in the German elderly population. METHODS A telephone survey was carried out with a representative sample of 701 Germans from 16 federal states and a separate cohort of 700 participants from Thuringia, all aged ≥ 60 years. Sepsis knowledge was assessed via a 10-item questionnaire. Sociodemographic data and health information sources were assessed to identify determinants of sepsis knowledge. RESULTS Of the participants, 88.6% had heard the term "sepsis" before; however, 50% of these failed to define sepsis correctly. Even if the knowledge of symptoms was moderately good, most participants could not correctly identify causes of sepsis and underestimated its incidence. Only a minority was aware that immunization may prevent sepsis. Regressions revealed that being younger, better educated and living in rural areas predicted higher levels of sepsis knowledge. Pharmacists were a relevant source of sepsis information. CONCLUSIONS Despite overall awareness of sepsis, the understanding of its risk factors, symptoms and prevention is low in the elderly, with important implications for emergency and intensive care. We suggest further educational measures to improve early sepsis recognition and prevention through vaccination.
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Affiliation(s)
- Sarah Eitze
- Center for Empirical Research in Economics and Behavioral Sciences, Department of Social Media and Communication Sciences, University of Erfurt, Nordhaeuser Strasse 63, 99089 Erfurt, Germany
| | - Carolin Fleischmann-Struzek
- Integrated Research and Treatment Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany
| | - Cornelia Betsch
- Center for Empirical Research in Economics and Behavioral Sciences, Department of Social Media and Communication Sciences, University of Erfurt, Nordhaeuser Strasse 63, 99089 Erfurt, Germany
| | - Konrad Reinhart
- Integrated Research and Treatment Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany
- Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany
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8
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Lindsay AC, Moura Arruda CA, Tavares Machado MM, De Andrade GP, Greaney ML. Exploring how Brazilian immigrant mothers living in the USA obtain information about physical activity and screen time for their preschool-aged children: a qualitative study. BMJ Open 2018; 8:e021844. [PMID: 30082357 PMCID: PMC6089290 DOI: 10.1136/bmjopen-2018-021844] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Revised: 07/18/2018] [Accepted: 07/19/2018] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE To explore how Brazilian-born immigrant mothers living in the USA obtain information about physical activity (PA) and screen time (ST) behaviours for their preschool-aged children. RESEARCH DESIGN Focus group discussions (FGDs) were used to gain an in-depth understanding of research topics. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analysed using thematic analysis, an iterative process of coding the data in phases to create meaningful patterns. PARTICIPANTS Thirty-seven Brazilian-born immigrant mothers of preschool-age children. SETTING This study was conducted in two cities in Massachusetts (MA). Participants were recruited from two predominantly Brazilian churches, local Brazilian businesses and community-based social and health services organisations in the Greater Boston area in MA. RESULTS Analyses revealed that the mothers participating in this study did not initially actively seek out information about PA and ST for their preschool-age children, but that they received unsolicited information about these behaviours from multiple sources including their child's paediatrician, Women, Infant and Children (WIC) programme staff, members of their social network of Brazilian friends and the Brazilian media. Mothers reported that this unsolicited information increased their knowledge about the importance of making sure their children were physically active and not participating in excessive ST. This increased awareness led mothers to actively seek information about PA and ST behaviours via the internet and through interpersonal communication with fellow Brazilian friends and family. CONCLUSIONS Given the value Brazilian immigrant mothers placed on the advice of their paediatricians and WIC staff, interventions should consider involving these healthcare professionals, possibly through including endorsement (eg, prescription for PA and maximum ST). More research is needed to ensure Brazilian immigrant mothers' health and media literacy including their ability to navigate the online environment and to discern the accuracy and quality of information from various web sites.
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Affiliation(s)
- Ana Cristina Lindsay
- Department of Exercise and Health Sciences, University of Massachusetts, Boston, Massachusetts, USA
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | | | | | | | - Mary L Greaney
- Health Studies and Department of Kinesiology, University of Rhode Island, Kingston, Rhode Island, USA
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Stites SD, Johnson R, Harkins K, Sankar P, Xie D, Karlawish J. Identifiable Characteristics and Potentially Malleable Beliefs Predict Stigmatizing Attributions Toward Persons With Alzheimer's Disease Dementia: Results of a Survey of the U.S. General Public. HEALTH COMMUNICATION 2018; 33:264-273. [PMID: 28033471 PMCID: PMC5898816 DOI: 10.1080/10410236.2016.1255847] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
The general public's views can influence whether people with Alzheimer's disease (AD) experience stigma. The purpose of this study was to understand what characteristics in the general public are associated with stigmatizing attributions. A random sample of adults from the general population read a vignette about a man with mild Alzheimer's disease dementia and completed a modified Family Stigma in Alzheimer's Disease Scale (FS-ADS). Multivariable ordered logistic regressions were used to examine relationships between personal characteristics and FS-ADS ratings. Older respondents expected that persons with AD would receive less support (OR = 0.82, p = .001), have social interactions limited by others (OR = 1.13, p = .04), and face institutional discrimination (OR = 1.13, p = .04). Females reported stronger feelings of pity (OR = 1.57, p = .03) and weaker reactions to negative aesthetic features (OR = 0.67, p = .05). Those who believed strongly that AD was a mental illness rated symptoms more severely (OR = 1.78, p = .007). Identifiable characteristics and beliefs in the general public are related to stigmatizing attributions toward AD. To reduce AD stigma, public health messaging campaigns can tailor information to subpopulations, recognizable by their age, gender, and beliefs.
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Affiliation(s)
- Shana D Stites
- a Department of Medical Ethics and Health Policy , University of Pennsylvania
| | | | | | - Pamela Sankar
- a Department of Medical Ethics and Health Policy , University of Pennsylvania
| | - Dawei Xie
- d Department of Biostatistics and Epidemiology , University of Pennsylvania
| | - Jason Karlawish
- a Department of Medical Ethics and Health Policy , University of Pennsylvania
- e Department of Medicine , University of Pennsylvania
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10
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Walsh-Childers K, Braddock J, Rabaza C, Schwitzer G. One Step Forward, One Step Back: Changes in News Coverage of Medical Interventions. HEALTH COMMUNICATION 2018; 33:174-187. [PMID: 27983868 DOI: 10.1080/10410236.2016.1250706] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
During 2005-2013, the award-winning website HealthNewsReview.org offered reviews of major media outlets' news stories related to health interventions, including tests, treatments, dietary changes, and prescription drugs. The reviews offered a measure by which the public and journalists themselves could assess the completeness and usefulness of health coverage across 10 criteria for quality reporting. This study produced an analysis of those reviews from 2005 to 2013, indicating significant changes in key areas. Analysis of 1,889 health news story reviews published by HealthNewsReview.org (HNR) between 2005 and 2013 showed that, on average, the stories reviewed during 2005-2010 successfully met just less than half of the criteria, but by 2010-2013, that average had improved to almost 70%. There were significant improvements over time in news organizations' success in meeting six of HNR's 10 criteria for a successful health news story related to drugs, devices, surgery and other medical procedures, and diet; however, when data for television stories were excluded, only the improvement in avoiding disease-mongering remained significant. In addition, there was a statistically significant decline in the percentage of stories rated satisfactory on establishing the true novelty of the intervention discussed in the story. There was no improvement in quantification of possible harms from medical interventions. Changes over time in meeting the criteria were related to outlet type and story topic.
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Martin S, Greiling D, Leibetseder N. Effects of word-of-mouth on the behavior of Austrian blood donors: a case study of the Red Cross Blood Donation Service. Health Promot Int 2017; 34:429-439. [DOI: 10.1093/heapro/dax086] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Summary
The procurement of blood is an essential challenge of today’s health care. Current studies emphasize the influence of word-of-mouth (WOM) on health care behavior, including blood donation. Still, there exists no study which systematically investigates how WOM affects the behavior of blood donors. Therefore, this paper aims to contribute to this lack of research by focusing on Austrian blood donors as possible receivers and senders of WOM. A survey was distributed to 300 donors of the Austrian Red Cross with a return of 245 surveys. The results highlight the strong influence of WOM on the awareness of the blood service and the willingness to donate blood. Further, structured and organized procedures, friendly employees and respectful interaction were found to be important factors determining willingness to recommend blood donation. Family members as well as friends are the preferred WOM-receivers and the personal face-to-face contact is the favored channel of communication. The results also show that WOM-behavior is strongly influenced by factors such as age, gender and donation frequency. By helping blood bank managers to better understand how WOM affects donation intention and behavior, this study provides a new approach to attract blood donors.
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Affiliation(s)
- Sebastian Martin
- Faculty for Health and Social Sciences, University of Applied Sciences Upper Austria, Garnisonstrasse 21, 4020 Linz, Austria
| | - Dorothea Greiling
- Institut for Management Accounting, Johannes Kepler University Linz, Altenbergerstraße 69, 4040 Linz, Austria
| | - Nina Leibetseder
- Brothers of Saint John of God – Hospital Linz, Seilerstätte 2, 4021 Linz, Austria
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12
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Daffu-O'Reilly AK, O'Connor DB, Lawton RJ. Testing message framing to increase physical activity among British South Asians. Health Psychol Behav Med 2017. [DOI: 10.1080/21642850.2017.1377617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
| | - D. B. O'Connor
- Institute of Psychological Sciences, University of Leeds, Leeds, UK
| | - R. J. Lawton
- Institute of Psychological Sciences, University of Leeds, Leeds, UK
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Geana M, Erba J, Krebill H, Doolittle G, Madhusudhana S, Qasem A, Malomo N, Sharp D. Searching for cures: Inner-city and rural patients' awareness and perceptions of cancer clinical trials. Contemp Clin Trials Commun 2017; 5:72-79. [PMID: 29740623 PMCID: PMC5936702 DOI: 10.1016/j.conctc.2016.12.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Revised: 11/22/2016] [Accepted: 12/12/2016] [Indexed: 11/25/2022] Open
Abstract
Fewer than 5% of cancer patients participate in clinical trials, making it challenging to test new therapies or interventions for cancer. Even within that small number, patients living in inner-city and rural areas are underrepresented in clinical trials. This study explores cancer patients' awareness and perceptions of cancer clinical trials, as well as their perceptions of patient-provider interactions related to discussing cancer clinical trials in order to improve accrual in cancer clinical trials. Interviews with 66 former and current in inner-city and rural cancer patients revealed a lack of awareness and understanding about clinical trials, as well as misconceptions about what clinical trials entail. Findings also revealed that commercials and television shows play a prominent role in forming inner-city and rural patients' attitudes and/or misconceptions about clinical trials. However, rural patients were more likely to hold unfavorable views about clinical trials than inner-city patients. Patient-provider discussions emerged as being crucial for increasing awareness of clinical trials among patients and recruiting them to trials. Findings from this study will inform communication strategies to enhance recruitment to cancer clinical trials by increasing awareness and countering misconceptions about clinical trials.
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Affiliation(s)
- Mugur Geana
- William Allen White School of Journalism and Mass Communications, The University of Kansas, 1435 Jayhawk Blvd., Lawrence, KS 66045, USA
| | - Joseph Erba
- William Allen White School of Journalism and Mass Communications, The University of Kansas, 1435 Jayhawk Blvd., Lawrence, KS 66045, USA
| | - Hope Krebill
- Midwest Cancer Alliance, 4350 Shawnee Mission Parkway, Fairway, KS 66205, USA
| | - Gary Doolittle
- School of Medicine, The University of Kansas Cancer Center, 3901 Rainbow Blvd., Kansas City, KS 66160, USA
| | - Sheshadri Madhusudhana
- Richard and Annette Bloch Cancer Center, Truman Medical Centers, 2301 Holmes., Kansas City, MO 64108, USA
| | - Abdulraheem Qasem
- Richard and Annette Bloch Cancer Center, Truman Medical Centers, 2301 Holmes., Kansas City, MO 64108, USA
| | - Nikki Malomo
- Richard and Annette Bloch Cancer Center, Truman Medical Centers, 2301 Holmes., Kansas City, MO 64108, USA
| | - Denise Sharp
- Richard and Annette Bloch Cancer Center, Truman Medical Centers, 2301 Holmes., Kansas City, MO 64108, USA
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Davis RE, Cole SM, McKenney-Shubert SJ, Jones SJ, Peterson KE. An Exploration of How Mexican American WIC Mothers Obtain Information About Behaviors Associated With Childhood Obesity Risk. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:187-195.e1. [PMID: 27876321 PMCID: PMC5346458 DOI: 10.1016/j.jneb.2016.10.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Revised: 09/24/2016] [Accepted: 10/02/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To explore how a sample of Mexican American mothers with preschool-aged children recruited from a Midwestern Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinic obtained information about 4 behaviors associated with childhood obesity risk: eating, physical activity, screen time, and sleep. DESIGN One-on-one structured interviews in which participants were asked how they communicated with family, learned to take care of their first infant, and obtained information about the 4 targeted behaviors for their preschool-aged child. SETTING An urban WIC clinic in the Midwest. PARTICIPANTS Forty Mexican-descent mothers enrolled in WIC with children aged 3-4 years. PHENOMENON OF INTEREST Exposure to information about the 4 targeted behaviors among Mexican-descent mothers participating in WIC. ANALYSIS Quantitative and qualitative data were used to characterize and compare across participants. RESULTS Participants primarily obtained information from their child's maternal grandmother during their first child's infancy and from health professionals for their preschool-aged child. Participants typically obtained information through interpersonal communication, television, and magazines. Participants were most interested in healthy eating information and least interested in screen time information. Some participants did not seek information. CONCLUSIONS AND IMPLICATIONS Participants engaged in different patterns of information seeking across their child's development and the 4 behaviors, which suggests that future research should be behaviorally specific. Findings from this study suggest several hypotheses to test in future research.
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Affiliation(s)
- Rachel E Davis
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC.
| | - Suzanne M Cole
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI
| | | | - Sonya J Jones
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC
| | - Karen E Peterson
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI; Center for Human Growth and Development, University of Michigan, Ann Arbor, MI
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15
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Nabi RL, Prestin A. Unrealistic Hope and Unnecessary Fear: Exploring How Sensationalistic News Stories Influence Health Behavior Motivation. HEALTH COMMUNICATION 2016; 31:1115-1126. [PMID: 26886401 DOI: 10.1080/10410236.2015.1045237] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
In light of the inherent conflict between the nature of science (slow, subject to correction) and the nature of news (immediate, dramatic, novel), this study examines the effect of emotional health news coverage on intentions to engage in protective health behaviors. One hundred seventy-seven students read news stories designed to evoke either fear or hope about human papillomavirus (HPV) followed by different levels of response efficacy information regarding an impending HPV vaccine. Results indicated no main effects for emotion frame or response efficacy, but a significant interaction suggested that emotionally-consistent presentations (fear/low efficacy; hope/high efficacy) boosted intentions to engage in protective actions relative to emotionally-inconsistent, sensationalized presentations (fear/high efficacy, hope/low efficacy). Consistent with the emotion-as-frame perspective, this effect was moderated by perceived knowledge about HPV prevention. Effects of the sensationalized story constructions on trust in health news were also evidenced. Implications for the role of emotional health news coverage in priming prior knowledge about preventative health behaviors, along with future research directions, are discussed.
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Affiliation(s)
- Robin L Nabi
- a Department of Communication , University of California , Santa Barbara
| | - Abby Prestin
- a Department of Communication , University of California , Santa Barbara
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16
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Abstract
Purpose
The fastest-growing and the largest minority group in the USA, Hispanics are known to have low health literacy because of their limited English proficiency (LEP) and other socio-economic and cultural factors. This paper aims to examine the health information-seeking behaviors of Hispanics in the e-health environment and their use of public libraries as a health information source/service.
Design/methodology/approach
An interviewer-administered survey was conducted using a semi-structured instrument. The questionnaires inquired about Hispanics’ health information needs, source use and source preference; use of the library for health information needs; and their perceptions and satisfaction about the library’s consumer health information services. A total of 26 Hispanics were recruited from a Hispanic community organization, a public library and an ethnic grocery store in North Carolina.
Findings
The majority of the participants are foreign born (92.3 per cent) and non-English speakers (84.6 per cent). The internet was the most frequently used source, followed by friends/family, doctors and TV. Eighty-one per cent of the participants were internet users, and most of them (71 per cent) used the internet at home. Only 23 per cent visited a public library to search the internet for health information. Some barriers to using a public library mentioned by the participants include lack of time to visit a library, lack of skills in using the library materials, transportation, LEP, lack of eligibility for a library card, etc.
Social implications
The findings will be useful for libraries and state/federal health services to evaluate and develop library services suitable for the Hispanics’ consumer health information needs.
Originality/value
This study is one of a few studies that use an empirical study of a low health literacy ethnic population to examine the possible roles of public libraries in enhancing health literacy.
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17
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Influence of information sources on hepatitis B screening behavior and relevant psychosocial factors among Asian immigrants. J Immigr Minor Health 2014; 15:779-87. [PMID: 23238580 DOI: 10.1007/s10903-012-9753-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
This study examines how different information sources relate to Health Belief Model constructs, hepatitis B virus (HBV) knowledge, and HBV screening. The Maryland Asian American Liver Cancer Education Program administered a survey of 877 Asian immigrants. The most common sources of information identified by the multiple-answer questions were newspapers (39.8 %), physicians (39.3 %), friends (33.8 %), TV (31.7 %), and the Internet (29.5 %). Path analyses-controlling for age, sex, educational level, English proficiency, proportion of life in U.S., health insurance coverage, and family history of HBV infection-showed that learning about HBV from physicians had the strongest direct effect; friends had a marginal indirect effect. Perceived risk, benefits, and severity played limited roles in mediation effects. Path analysis results differed by ethnicity. Physician-based HBV screening intervention would be effective, but should be complemented with community health campaigns through popular information sources for the uninsured.
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18
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Yonek JC, Mittler JN, Hasnain-Wynia R. Why and How Six Aligning Forces for Quality Communities Have Focused on Reducing Disparities. Med Care Res Rev 2014; 71:435-49. [DOI: 10.1177/1077558714533826] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Public reports on provider performance can help guide consumers’ health care decisions, yet consumer awareness and use of public reports is low and may be even lower among racial/ethnic minorities. In this qualitative research article, we describe activities implemented by multi-stakeholder alliances in six U.S. communities to increase minorities’ awareness of public reports. We also describe alliances’ motivation for deliberately targeting greater awareness among minorities. We found that alliances’ decision was influenced by the proportion of minorities and perceptions of race-based disparities in care in the community. To raise awareness, alliances collaborated with minority-serving organizations to (a) advertise their web-based public report using ethnic media outlets, (b) present their public reporting website during health education outreach events held in minority communities, and (c) translate their public report into multiple languages. We conclude that community partnerships are a promising mechanism for targeting efforts to increase awareness of public reports in minority communities.
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Affiliation(s)
| | | | - Romana Hasnain-Wynia
- Patient-Centered Outcomes Research Institute, Washington, DC, USA
- The work on this manuscript was conducted while Dr. Hasnain-Wynia was Director for the Center for Health Care Equity at Northwestern University
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19
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Zhang Y. Beyond quality and accessibility: Source selection in consumer health information searching. J Assoc Inf Sci Technol 2014. [DOI: 10.1002/asi.23023] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Yan Zhang
- School of Information; University of Texas at Austin; 1616 Guadalupe Austin TX 78701
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20
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Geana MV, Greiner KA, Cully A, Talawyma M, Daley CM. Improving health promotion to American Indians in the midwest United States: preferred sources of health information and its use for the medical encounter. J Community Health 2013; 37:1253-63. [PMID: 22477671 DOI: 10.1007/s10900-012-9564-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the "expert" tone needed to promote health improvements in American Indians.
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Affiliation(s)
- Mugur V Geana
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, KS 66045, USA.
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21
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Geana MV, Daley CM, Nazir N, Cully L, Etheridge J, Bledowski C, Choi WS, Greiner KA. Use of online health information resources by American Indians and Alaska Natives. JOURNAL OF HEALTH COMMUNICATION 2012; 17:820-835. [PMID: 22642739 PMCID: PMC3412882 DOI: 10.1080/10810730.2011.650831] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
According to the Office of Minority Health, an estimated 4.9 million people living in the United States consider themselves American Indian or Alaska Native, either alone or in combination with one or more races/ethnicities. American Indians or Alaska Natives comprise a racial/ethnic group experiencing serious health disparities, with little if any improvement in health outcomes over the past several decades. This study was designed to explore use of the Internet as a health information source among American Indians in the Central Plains region of the United States. The authors recruited 998 Natives in the region from May 2008 to December 2009 at powwows, health fairs, focus groups, career fairs and conferences, and other social and cultural events, and asked them to complete a self-administered survey. Although compared with data from the general population, American Indians or Alaska Natives in this sample may seem to be more frequent Internet users, their use of modern wireless devices is limited, and their use of the Internet to access health information is lower in comparison with the adult U.S. population. Natives living in the Central Plains region face generational differences in general and health-related use of the Internet. Inadequate availability of culturally appropriate health information websites may drive American Indians or Alaska Natives toward search engines and general information websites.
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Affiliation(s)
- Mugur V Geana
- William Allen White School of Journalism and Mass Communications, University of Kansas, 1435 Jayhawk Boulevard, Lawrence, KS 66045, USA.
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22
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Information channels associated with awareness of human papillomavirus infections and vaccination among Latino immigrants from safety net clinics. J Immigr Minor Health 2012; 14:183-8. [PMID: 22089978 DOI: 10.1007/s10903-011-9501-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
We report on information channels associated with awareness about human papillomavirus (HPV) among immigrant Central and South American Latinos. We conducted a survey of 1,334 Latino ≥ 21 years attending safety-net clinics in 2007-2008. Logistic regression analyses evaluated associations with HPV awareness. Forty-eight percent were aware of HPV infection and 40% were aware of the vaccine. Spanish television (38%) and providers (23%) were the primary HPV information sources. Infection awareness was associated with internet use (OR 1.47; 95% CI 1.10-1.96) and self-efficacy to find health information (OR 1.19; 95% CI 1.08-1.30). Vaccine awareness was associated with media use for health information (OR 1.27; 95% CI 1.09-1.49) and internet use (OR 1.59; 95% CI 1.18-2.13). Although Spanish television has reached this low HPV awareness group, there may be missed opportunities for education by providers. Television and the internet may also be effective channels for future interventions.
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