Cargando…

Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma

BACKGROUND: Modern technology (ie, websites and social media) has significantly changed social mores in health information access and delivery. Although mass media campaigns for health intervention have proven effective and cost-effective in changing health behavior at a population scale, this is be...

Descripción completa

Detalles Bibliográficos
Autores principales: Brown-Johnson, Cati G, Boeckman, Lindsay M, White, Ashley H, Burbank, Andrea D, Paulson, Sjonna, Beebe, Laura A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826981/
https://www.ncbi.nlm.nih.gov/pubmed/29434015
http://dx.doi.org/10.2196/publichealth.6260
_version_ 1783302410279583744
author Brown-Johnson, Cati G
Boeckman, Lindsay M
White, Ashley H
Burbank, Andrea D
Paulson, Sjonna
Beebe, Laura A
author_facet Brown-Johnson, Cati G
Boeckman, Lindsay M
White, Ashley H
Burbank, Andrea D
Paulson, Sjonna
Beebe, Laura A
author_sort Brown-Johnson, Cati G
collection PubMed
description BACKGROUND: Modern technology (ie, websites and social media) has significantly changed social mores in health information access and delivery. Although mass media campaigns for health intervention have proven effective and cost-effective in changing health behavior at a population scale, this is best studied in traditional media sources (ie, radio and television). Digital health interventions are options that use short message service/text messaging, social media, and internet technology. Although exposure to these products is becoming ubiquitous, electronic health information is novel, incompletely disseminated, and frequently inaccurate, which decreases public trust. Previous research has shown that audience trust in health care providers significantly moderates health outcomes, demographics significantly influence audience trust in electronic media, and preexisting health behaviors such as smoking status significantly moderate audience receptivity to traditional mass media. Therefore, modern health educators must assess audience trust in all sources, both media (traditional and digital) and interpersonal, to balance pros and cons before structuring multicomponent community health interventions. OBJECTIVE: We aimed to explore current trust and moderators of trust in health information sources given recent changes in digital health information access and delivery to inform design of future health interventions in Oklahoma. METHODS: We conducted phone surveys of a cross-sectional sample of 1001 Oklahoma adults (age 18-65 years) in spring 2015 to assess trust in seven media sources: traditional (television and radio), electronic (online and social media), and interpersonal (providers, insurers, and family/friends). We also gathered information on known moderators of trust (sociodemographics and tobacco use status). We modeled log odds of a participant rating a source as “trustworthy” (SAS PROC SURVEYLOGISTIC), with subanalysis for confounders (sociodemographics and tobacco use). RESULTS: Oklahomans showed the highest trust in interpersonal sources: 81% (808/994) reported providers were trustworthy, 55% (550/999) for friends and family, and 48% (485/998) for health insurers. For media sources, 24% of participants (232/989) rated the internet as trustworthy, followed by 21% of participants for television (225/998), 18% for radio (199/988), and only 11% for social media (110/991). Despite this low self-reported trust in social media, 40% (406/991) of participants reported using social media for tobacco-related health information. Trust in health providers did not vary by subpopulation, but sociodemographic variables (gender, income, and education) and tobacco use status significantly moderated trust in other sources. Women were on the whole more trusting than men, trust in media decreased with income, and trust in friends and family decreased with education. CONCLUSIONS: Health education interventions should incorporate digital media, particularly when targeting low-income populations. Utilizing health care providers in social media settings could leverage high-trust and low-cost features of providers and social media, respectively.
format Online
Article
Text
id pubmed-5826981
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-58269812018-03-01 Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma Brown-Johnson, Cati G Boeckman, Lindsay M White, Ashley H Burbank, Andrea D Paulson, Sjonna Beebe, Laura A JMIR Public Health Surveill Original Paper BACKGROUND: Modern technology (ie, websites and social media) has significantly changed social mores in health information access and delivery. Although mass media campaigns for health intervention have proven effective and cost-effective in changing health behavior at a population scale, this is best studied in traditional media sources (ie, radio and television). Digital health interventions are options that use short message service/text messaging, social media, and internet technology. Although exposure to these products is becoming ubiquitous, electronic health information is novel, incompletely disseminated, and frequently inaccurate, which decreases public trust. Previous research has shown that audience trust in health care providers significantly moderates health outcomes, demographics significantly influence audience trust in electronic media, and preexisting health behaviors such as smoking status significantly moderate audience receptivity to traditional mass media. Therefore, modern health educators must assess audience trust in all sources, both media (traditional and digital) and interpersonal, to balance pros and cons before structuring multicomponent community health interventions. OBJECTIVE: We aimed to explore current trust and moderators of trust in health information sources given recent changes in digital health information access and delivery to inform design of future health interventions in Oklahoma. METHODS: We conducted phone surveys of a cross-sectional sample of 1001 Oklahoma adults (age 18-65 years) in spring 2015 to assess trust in seven media sources: traditional (television and radio), electronic (online and social media), and interpersonal (providers, insurers, and family/friends). We also gathered information on known moderators of trust (sociodemographics and tobacco use status). We modeled log odds of a participant rating a source as “trustworthy” (SAS PROC SURVEYLOGISTIC), with subanalysis for confounders (sociodemographics and tobacco use). RESULTS: Oklahomans showed the highest trust in interpersonal sources: 81% (808/994) reported providers were trustworthy, 55% (550/999) for friends and family, and 48% (485/998) for health insurers. For media sources, 24% of participants (232/989) rated the internet as trustworthy, followed by 21% of participants for television (225/998), 18% for radio (199/988), and only 11% for social media (110/991). Despite this low self-reported trust in social media, 40% (406/991) of participants reported using social media for tobacco-related health information. Trust in health providers did not vary by subpopulation, but sociodemographic variables (gender, income, and education) and tobacco use status significantly moderated trust in other sources. Women were on the whole more trusting than men, trust in media decreased with income, and trust in friends and family decreased with education. CONCLUSIONS: Health education interventions should incorporate digital media, particularly when targeting low-income populations. Utilizing health care providers in social media settings could leverage high-trust and low-cost features of providers and social media, respectively. JMIR Publications 2018-02-12 /pmc/articles/PMC5826981/ /pubmed/29434015 http://dx.doi.org/10.2196/publichealth.6260 Text en ©Cati G Brown-Johnson, Lindsay M Boeckman, Ashley H White, Andrea D Burbank, Sjonna Paulson, Laura A Beebe. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 12.02.2018. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Public Health and Surveillance, is properly cited. The complete bibliographic information, a link to the original publication on http://publichealth.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Brown-Johnson, Cati G
Boeckman, Lindsay M
White, Ashley H
Burbank, Andrea D
Paulson, Sjonna
Beebe, Laura A
Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma
title Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma
title_full Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma
title_fullStr Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma
title_full_unstemmed Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma
title_short Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma
title_sort trust in health information sources: survey analysis of variation by sociodemographic and tobacco use status in oklahoma
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826981/
https://www.ncbi.nlm.nih.gov/pubmed/29434015
http://dx.doi.org/10.2196/publichealth.6260
work_keys_str_mv AT brownjohnsoncatig trustinhealthinformationsourcessurveyanalysisofvariationbysociodemographicandtobaccousestatusinoklahoma
AT boeckmanlindsaym trustinhealthinformationsourcessurveyanalysisofvariationbysociodemographicandtobaccousestatusinoklahoma
AT whiteashleyh trustinhealthinformationsourcessurveyanalysisofvariationbysociodemographicandtobaccousestatusinoklahoma
AT burbankandread trustinhealthinformationsourcessurveyanalysisofvariationbysociodemographicandtobaccousestatusinoklahoma
AT paulsonsjonna trustinhealthinformationsourcessurveyanalysisofvariationbysociodemographicandtobaccousestatusinoklahoma
AT beebelauraa trustinhealthinformationsourcessurveyanalysisofvariationbysociodemographicandtobaccousestatusinoklahoma