scholarly journals A Comparative Study of Internet Cancer Information Seeking among the US and Chinese Public: Perceived Needs versus Predisposing/Enabling Characteristics (Preprint)

Author(s):  
Di Zhang ◽  
Hongchao Hu ◽  
Zhen Shi ◽  
Biao Li
2020 ◽  
Author(s):  
Di Zhang ◽  
Hongchao Hu ◽  
Zhen Shi ◽  
Biao Li

BACKGROUND Since the rise of the internet, online health information seeking has attracted worldwide scholarly attention. However, most scholars conducted such studies in single countries. Some scholars did design comparative studies across countries, but they were normally based on small non-probability college student samples. Data-driven multi-country comparison makes it possible to better understand how cultural factors moderate the association between individual-level determinants and online health information seeking, which further helps practitioners evaluate the desirability of experiences and lessons in a given country being transferred and promoted in other countries. The results of this study can contribute to the health communication literature, particularly in the field of online cancer information seeking, by generating more reliable insights on country differences in internet cancer information seeking. OBJECTIVE The objective of the study is to examine the similarities and differences in determinants of internet cancer information seeking of US and Chinese general public (excluding cancer patients and survivors) under the framework of behavioral model of health services use. METHODS This study used the HINTS 2017 (US data) and HINTS-China data collected in 2017 to answer the research question. This study was only interested in people without cancer history and with internet access. For HINTS 2017, the sample size was 2,153; for HINTS-China 2017, the sample size was 2,358. To compare China and the United States, the researchers selected as predictors the same set of study variables in HINTS and HINTS-China 2017. Under the framework of behavioral model of health services use, these predictors included predisposing, need and enabling factors. RESULTS This study found that enabling conditions are more important in China, while perceived needs are more significant in the United States. Chinese online cancer information seekers are employed, have lower annual family income, see or hear their family members diagnosed with cancer and do not trust their family and friends as health information sources, but none of them can be used to describe their US counterparts, who are instead more associated with their perceptions of personal health status and fear of cancer. CONCLUSIONS Overall, under the framework of the behavioral model of health services use, the results reveal clear patterns of cross-country/cultural differences. Perceived needs of individuals may play bigger roles in influencing internet cancer information seeking behaviors in more individualistic cultures such as the United States. The importance of enabling conditions outweighs perceived needs in predicting internet health information seeking behaviors in more collectivistic countries such as China.


2009 ◽  
Vol 15 (1_suppl) ◽  
pp. 16-29
Author(s):  
Jiali Ye ◽  
Zhiheng Xu ◽  
Bamidele Adesunloye

Information seeking has significant impact on improving cancer preventive activities and health decision making. This study sought to compare Black and White adults on cancer information seeking and the choice of primary information sources. Non-Hispanic Black and non-Hispanic White adults completed Health Information National Trends Surveys (HINTS) collected in 2003 and in 2005. The results of bivariate analyses showed that Whites were more likely than Blacks to be cancer information seekers for both years (2003: 49.0% vs. 40.8%, p < .001; 2005: 54.6% vs. 46.9%, p = .008). However, after controlling for sociodemographic variables, race was not significantly associated with cancer information seeking. Both racial groups increased their likelihood of cancer information seeking from 2003 to 2005, although the increase was only statistically significant for Whites ( p < .001). Health providers and the Internet were the top two most selected primary cancer information sources for both racial groups. These findings indicate that sociodemographic factors, such as gender, education, and cancer history, may shape the racial difference in health information seeking among the general population. Among all the information sources, health care providers and the Internet play the most important role in providing cancer-related information.


2012 ◽  
Vol 27 (8) ◽  
pp. 806-817 ◽  
Author(s):  
Chul-joo Lee ◽  
A. Susana Ramírez ◽  
Nehama Lewis ◽  
Stacy W. Gray ◽  
Robert C. Hornik

2006 ◽  
Vol 18 (2) ◽  
pp. 159-160
Author(s):  
D.A.L. Morgan

2008 ◽  
Vol 23 (2) ◽  
pp. 92-101 ◽  
Author(s):  
Vetta L. Sanders Thompson ◽  
Patricia Cavazos-Rehg ◽  
Kimberly Tate ◽  
Amy Gaier

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18124-e18124
Author(s):  
Gilberto Lopez ◽  
Heather Mattie ◽  
Eva Culakova ◽  
Po-Ju Lin ◽  
Charles Stewart Kamen ◽  
...  

e18124 Background: Cancer is the second leading cause of death in the United States. Despite decreases in cancer mortality overall, rural populations continue to have higher prevalence and slower reduction of cancer death rates. As a preventive approach to combat cancer, the National Cancer Institute continues to prioritize providing the public with health information. Yet, little is known about cancer information-seeking across rural America. Methods: Using Rural-Urban Commuting Area Codes (RUCAs), from the 2018 Health Information National Trends Survey (HINTS-5) database we analyze the odds of looking for information about cancer across four geo-political contexts (n = 2,625): urban, large-rural, small-rural, and isolated-rural areas, thus giving us a potentially more detailed understanding of place and health across the urban-rural continuum. Using an established social determinants framework, a series of logistic regression models were fitted to estimate odds ratios (OR) and 95% confidence intervals (CIs). Results: Across all models, those living in large rural towns had about 1.5 times the odds of looking for cancer information compared to urban-dwellers (p < 0.05) while those living in remote rural areas had about 0.5 times the odds (p < 0.05). There was no difference for those living in small rural towns. Additionally, gender, race/ethnicity, marital status, education, housing status, and internet availability were independently associated with information-seeking (p < 0.05). Conclusions: In this study, compared to urban-dwellers, those living in large rural towns appeared to have increased odds of looking for cancer information while those living in isolated rural areas had decreased odds. Understanding this relationship between place and health has implication for the allocation of resources and the design of interventions aimed at increasing information about cancer.


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