scholarly journals Tracking Healthy People 2020 Internet, Broadband, and Mobile Device Access Goals: An Update Using Data From the Health Information National Trends Survey

10.2196/13300 ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. e13300 ◽  
Author(s):  
Alexandra J Greenberg-Worisek ◽  
Shaheen Kurani ◽  
Lila J Finney Rutten ◽  
Kelly D Blake ◽  
Richard P Moser ◽  
...  
Keyword(s):  
Health Information ◽  
Mobile Device ◽  
Healthy People ◽  
Healthy People 2020 ◽  
Using Data ◽  
National Trends

scholarly journals Meeting the Healthy People 2020 Goals: Using the Health Information National Trends Survey to Monitor Progress on Health Communication Objectives

2014 ◽  
Vol 19 (12) ◽  
pp. 1497-1509 ◽  
Author(s):  
Bradford W. Hesse ◽  
Anna Gaysynsky ◽  
Allison Ottenbacher ◽  
Richard P. Moser ◽  
Kelly D. Blake ◽  
...  
Keyword(s):  
Health Communication ◽  
Health Information ◽  
Healthy People ◽  
Healthy People 2020 ◽  
National Trends

scholarly journals Tracking Healthy People 2020 Internet, Broadband, and Mobile Device Access Goals: An Update Using Data From the Health Information National Trends Survey (Preprint)

2019 ◽  
Author(s):  
Alexandra J Greenberg-Worisek ◽  
Shaheen Kurani ◽  
Lila J Finney Rutten ◽  
Kelly D Blake ◽  
Richard P Moser ◽  
...  
Keyword(s):  
Digital Divide ◽  
Health Information ◽  
Race And Ethnicity ◽  
Cellular Network ◽  
Internet Access ◽  
Healthy People ◽  
Broadband Access ◽  
Healthy People 2020 ◽  
National Trends ◽  
Over Time

BACKGROUND As the year 2020 approaches, there is a need to evaluate progress toward the United States government’s Healthy People 2020 (HP2020) health information technology and communication objectives to establish baselines upon which Healthy People 2030 objectives can be based. OBJECTIVE The aim of this study was to use the National Cancer Institute’s (NCI) Health Information National Trends Survey (HINTS) to benchmark progress toward HP2020 goals related to increasing internet access using broadband, and to assess the state of the digital divide for various sociodemographic groups. METHODS We merged and analyzed data from 8 administrations of HINTS (2003-2017). Descriptive statistics were generated, and predicted marginals were calculated using interaction terms between survey year and selected sociodemographic variables of interest, including age, sex, race and ethnicity, income, education, and geography (rural versus urban), to test for differential change over time. RESULTS The number of users having access to the internet increased between 2003 and 2014 (63.15% [3982/6358] to 83.41% [2802/3629]); it remained relatively steady from 2014 to 2017 (81.15% [2533/3283]). Broadband access increased between 2003 and 2011 (from 32.83% [1031/3352] to 77.87% [3375/4405]), but has been declining since (55.93% [1364/2487] in 2017). Access via cellular network increased between 2008 and 2017 (from 6.86% [240/4405] to 65.43% [1436/2489]). Statistically significant disparities in overall internet access were noted in the predicted marginals for age, sex, race and ethnicity, income, and education; for age, sex, income, and geography for broadband access; and for age and sex for cellular network. CONCLUSIONS The targets set forth in HP2020 were met for overall internet access and for internet access via cellular network; however, the target was not met for internet access via broadband. Furthermore, although the digital divide persisted by sociodemographic characteristics, the magnitude of many disparities in access decreased over time.

scholarly journals Online Health Information Seeking Among US Adults: Measuring Progress Toward a Healthy People 2020 Objective

2019 ◽  
Vol 134 (6) ◽  
pp. 617-625 ◽  
Author(s):  
Lila J. Finney Rutten ◽  
Kelly D. Blake ◽  
Alexandra J. Greenberg-Worisek ◽  
Summer V. Allen ◽  
Richard P. Moser ◽  
...  
Keyword(s):  
Health Information ◽  
Information Source ◽  
Healthy People ◽  
Easy Access ◽  
The Internet ◽  
Online Health Information ◽  
Multivariable Logistic Regression Analysis ◽  
Annual Household Income ◽  
Healthy People 2020 ◽  
Race Ethnicity

Objective: During the past decade, the availability of health information online has increased dramatically. We assessed progress toward the Healthy People 2020 (HP2020) health communication and health information technology objective of increasing the proportion of health information seekers who easily access health information online. Methods: We used data from 4 administrations of the Health Information National Trends Survey (HINTS 2008-2017) (N = 18 103). We conducted multivariable logistic regression analysis to evaluate trends over time in experiences with accessing health information and to examine differences by sociodemographic variables (sex, age, race/ethnicity, education, income, metropolitan status) separately for those who used the internet (vs other information sources) during their most recent search for health information. Results: Among US adults who looked for health information and used the internet for their most recent search, the percentage who reported accessing health information without frustration was stable during the study period (from 37.2% in 2008 to 38.5% in 2017). Accessing information online without frustration was significantly and independently associated with age 35-49 (vs age 18-34) (odds ratio [OR] = 1.34; 95% confidence interval [CI], 1.03 -1.73), non-Hispanic black (vs non-Hispanic white) race/ethnicity (OR = 2.15; 95% CI, 1.55-2.97), and annual household income <$20 000 (vs >$75 000) (OR = 0.66; 95% CI, 0.47-0.93). The percentage of adults who used an information source other than the internet and reported accessing health information online without frustration ranged from 31.3% in 2008 to 42.7% in 2017. Survey year 2017 (vs 2008) (OR = 1.61; 95% CI, 1.09-2.35) and high school graduate education (vs college graduate) (OR = 0.69; 95% CI, 0.49-0.97) were significantly and independently associated with accessing health information without frustration from sources other than the internet. Conclusions: The percentage of online health information seekers reporting easily accessing health information did not meet the HP2020 objective. Continued efforts are needed to enable easy access to online health information among diverse populations.

scholarly journals Public use of electronic personal health information: Measuring progress of the Healthy People 2020 objectives

2017 ◽  
Vol 6 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Alexandra J. Greenberg ◽  
Katrina J. Serrano ◽  
Chan L. Thai ◽  
Kelly D. Blake ◽  
Richard P. Moser ◽  
...  
Keyword(s):  
Health Information ◽  
Healthy People ◽  
Personal Health Information ◽  
Personal Health ◽  
Information Measuring ◽  
Healthy People 2020

Effects of Individual Trust in Broadcast Media and the Internet on Privacy-Risking Uses of E-Health

2010 ◽  
pp. 90-104
Author(s):  
E. Vance Wilson ◽  
David D. Dobrzykowski ◽  
Joseph A. Cazier
Keyword(s):  
Health Information ◽  
Privacy Protection ◽  
Personal Information ◽  
Information Privacy ◽  
The Internet ◽  
Broadcast Media ◽  
Healthcare Administrators ◽  
Using Data ◽  
National Trends ◽  
Health Trust

People claim to be concerned about information privacy on the Internet, yet they frequently give out personal information to online vendors and correspondents with whom they have little, if any, prior experience. This behavior is known as the privacy paradox and is particularly relevant to the context of e-health, due to the special risks of health information exposure. Using data from the 2005 Health Information National Trends Survey (HINTS), this study addresses a key question regarding online health information privacy: Do individuals self-police risky e-health activities (i.e., uses where personal information is given out) or are they indifferent to risk based upon generalized trust in broadcast media and the Internet as sources for health information? In exploring this question, our study contrasts several alternative models of health trust, and recommends a new partial-mediation model for future studies. The results show that Internet trust mediates most effects of broadcast media trust on Internet use and that Internet trust plays a much smaller role in motivating Internet uses that are risky than is the case for low-risk uses. These results have important implications for researchers, policymakers, and healthcare administrators in determining the level of privacy protection individuals need in their use of e-health applications.

scholarly journals Progress on Broadband Access to the Internet and Use of Mobile Devices in the United States

2016 ◽  
Vol 132 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Katrina J. Serrano ◽  
Chan L. Thai ◽  
Alexandra J. Greenberg ◽  
Kelly D. Blake ◽  
Richard P. Moser ◽  
...  
Keyword(s):  
Health Information ◽  
Mobile Devices ◽  
Cellular Network ◽  
The United States ◽  
The Internet ◽  
Broadband Access ◽  
Improve Population Health ◽  
The Us ◽  
Healthy People 2020 ◽  
National Trends

Healthy People 2020 (HP2020) aims to improve population health outcomes through several objectives, including health communication and health information technology. We used 7 administrations of the Health Information National Trends Survey to examine HP2020 goals toward access to the Internet through broadband and mobile devices (N = 34 080). We conducted descriptive analyses and obtained predicted marginals, also known as model-adjusted risks, to estimate the association between demographic characteristics and use of mobile devices. The HP2020 target (7.7% of the US population) for accessing the Internet through a cellular network was surpassed in 2014 (59.7%), but the HP2020 target (83.2%) for broadband access fell short (63.8%). Sex and age were associated with accessing the Internet through a cellular network throughout the years (Wald F test, P <.05). The increase in the percentage of people accessing the Internet through mobile devices presents an opportunity for technology-based health interventions that should be explored.

Effects of Individual Trust in Broadcast Media and the Internet on Privacy-Risking Uses of E-Health

Cyber Crime ◽  
2013 ◽  
pp. 1177-1192
Author(s):  
E. Vance Wilson ◽  
David D. Dobrzykowski ◽  
Joseph A. Cazier
Keyword(s):  
Health Information ◽  
Privacy Protection ◽  
Personal Information ◽  
Information Privacy ◽  
The Internet ◽  
Broadcast Media ◽  
Healthcare Administrators ◽  
Using Data ◽  
National Trends ◽  
Health Trust

People claim to be concerned about information privacy on the Internet, yet they frequently give out personal information to online vendors and correspondents with whom they have little, if any, prior experience. This behavior is known as the privacy paradox and is particularly relevant to the context of e-health, due to the special risks of health information exposure. Using data from the 2005 Health Information National Trends Survey (HINTS), this study addresses a key question regarding online health information privacy: Do individuals self-police risky e-health activities (i.e., uses where personal information is given out) or are they indifferent to risk based upon generalized trust in broadcast media and the Internet as sources for health information? In exploring this question, our study contrasts several alternative models of health trust, and recommends a new partial-mediation model for future studies. The results show that Internet trust mediates most effects of broadcast media trust on Internet use and that Internet trust plays a much smaller role in motivating Internet uses that are risky than is the case for low-risk uses. These results have important implications for researchers, policymakers, and healthcare administrators in determining the level of privacy protection individuals need in their use of e-health applications.

Assessing electronic personal health information use: An update on progress toward healthy people 2020 objectives

2019 ◽  
Vol 8 (3) ◽  
pp. 211-220 ◽  
Author(s):  
Alexandra J. Greenberg-Worisek ◽  
Shaheen Kurani ◽  
Lila J. Finney Rutten ◽  
Kelly D. Blake ◽  
Richard P. Moser ◽  
...  
Keyword(s):  
Health Information ◽  
Information Use ◽  
Healthy People ◽  
Personal Health Information ◽  
Personal Health ◽  
Healthy People 2020
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