Journal of the Medical Library Association JMLA · 2008 · 128 citations · 17 references
Social SciencesHealth BehaviorHealth CommunicationHealth LiteracyHealth PsychologyEthnicity In HealthHealth Information SeekingComputer-mediated Health CommunicationHealth Information AccessHealth Information BehaviorHealth Information NeedHealth Information-seeking BehaviorLatino Health DisparitiesOnline Health CommunicationOnline Health Information Seeking
PURPOSE: The research examined use of the Internet to seek health information among Hispanics in the United States. METHODS: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000-2001, survey data. Pearson's chi(2) test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking. RESULTS: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse). CONCLUSION: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.
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Trust and Sources of Health Information
Bradford W. Hesse, David E. Nelson, Gary L. Kreps et al. · Archives of Internal Medicine · 2005 · 1.5K citations
Use of the Internet and E-mail for Health Care Information
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Health Information, The Internet, And The Digital Divide
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Transcultural Health Care: A Culturally Competent Approach
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