Mugur V. Geana

Sources of Health Information in a Multiethnic, Underserved, Urban Community: Does Ethnicity Matter?

The Latino population is the fastest growing minority in the country, and is expected to reach about 30% of the total U.S. population by 2050. Historically, primary care practitioners are not the preferred source of health information for Latinos living in the United States. Latinos are known to rely more on media, family, and friends to get answers to health-related questions. Choosing the appropriate information source is an important component of health information–seeking behavior; it also represents a major challenge for health communicators trying to deliver information to their target audience. This study explores how ethnicity influences health information source selection among Latinos and White non-Latinos living together in an underserved, multiethnic urban community with poor health status and underlying socioeconomic characteristics. The results suggest that this community manifests a high degree of homogeneity in their usage of health information sources. Nevertheless, there are significant differences between ethnic groups and age groups on perceived usefulness of the health information retrieved from common sources. Our results suggest that health information sources that are interactive, native to the community (e.g., the local pharmacist), and promote active engagement are the most useful in delivering health messages that will be listened to by those living in this underserved, multiethnic urban community.

“Willing but Unwilling”: Attitudinal barriers to adoption of home-based health information technology among older adults:

While much research focuses on adoption of electronic health-care records and other information technology among health-care providers, less research explores patient attitudes. This qualitative study examines barriers to adoption of home-based health information technology, particularly personal electronic health records, among older adults. We conducted in-depth interviews (30–90 min duration) with 35 American adults, aged 46–72 years, to determine their perceptions of and attitudes toward home-based health information technology. Analysis of interview data revealed that most barriers to adoption fell under four themes: technological discomfort, privacy or security concerns, lack of relative advantage, and perceived distance from the user representation. Based on our findings, systems to promote home-based health information technology should incorporate familiar computer applications, alleviate privacy and security concerns, and align with older adults’ active and engaged self-image.

Improving Health Promotion to American Indians in the Midwest United States: Preferred Sources of Health Information and Its Use for the Medical Encounter

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.

Health information and the digital divide

Abstract Using data from the 2007 Health Information National Trends Survey, conducted by the Centers for Disease Control and Prevention, the present study explores whether a ‘digital divide’ driven by age and socioeconomic status exists among white adults in the United States, and its possible influence on health information search, retrieval, and utilization. The results suggest that there are major differences in exploiting health information sources between Internet users and non-users, and on perception about the search process itself: using the Internet as a channel to access health information decreases search effort, and increases understanding and confidence with the retrieved information. The authors argue that a ‘digital divide’ exists, which left uncorrected may pose significant challenges to the American health system in the long run, and may have an impact on the ability of marketers to reach their intended audiences.

Use of Online Health Information Resources by American Indians and Alaska Natives

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.

Homosexuality and the Heartbeat of a Locker Room: An Analysis of Quotations in the Context of Hegemonic and Inclusive Masculinity Theories

ABSTRACT This qualitative textual analysis examines the attitudes and beliefs of the U.S. sports industry reflected in news stories through quotations (n = 405) employed by writers in the media. The researchers analyzed quotations from U.S. national newspapers regarding Jason Collins (National Basketball Association) and Michael Sam (National Football League), the first openly gay athletes in their sports leagues, and their coming-out announcements. The findings from the quotations suggest that the National Basketball Association is more accepting toward the presence of gay male teammates than adhering to a more inclusive definition of masculinity. The National Football League, however, is more resistant to the presences of gay male teammates, with more attitudes aligned with a traditional hegemonic masculinity. Whereas both organizations openly state their support for equality, there are still obstacles to achieving GLBT equality in professional sports leagues.

A Prescription for Internet Access: Appealing to Middle-Aged and Older Racial and Ethnic Minorities Through Social Network Sites to Combat Colorectal Cancer

ABSTRACT The popularity and usage of social media networks or SNS (social networking sites) among American Internet users age 50 and over doubled between 2009 and 2010 and has steadily climbed. Part of this increased access may be the result of older adults who are living with a chronic disease and are reaching out for online support. Colorectal cancer (CRC) risk is among those concerns, particularly among middle-age and older minority populations where disparities exist. This exploratory study investigates information seeking behavior related to cancer factors (e.g. testing for colon cancer, cancer fatalism) and current social media usage among racial and ethnic minority groups (African American and Latinos) and Whites age 50 and older. The secondary data from the 2012 Health Information National Trends Survey (HINTS) was analyzed to compare these populations. Results show that African Americans and Latinos were only slightly more likely to use social network sites to seek out cancer information compared to Whites. However, Whites were more likely to use the Internet to seek health information compared to African Americans and Latinos. In this sample, Whites were also more likely to be informed by a physician about CRC testing (p <.01). Whites were also more fatalistic about CRC (p<.001) and more likely to have self-reported receiving a positive diagnosis (p <.001). Implications of this study suggest that use of both traditional health information sources (physician) and the Internet (social media networks, Internet sites) have increased among older Americans and can serve as critical channels for cancer information and education.

American Ebola Story: frames in U.S. National Newspapers

ABSTRACT The 2014 Ebola epidemic saw the first symptomatic and fatal cases of Ebola in the United States. Concurrently, news coverage in U.S. media about Ebola increased. Research has shown that media’s framing of events influences public perception and understanding. To address framing of the Ebola epidemic in the U.S. media, researchers conducted a content analysis of newspaper articles reporting on the Ebola epidemic during the U.S. contact tracing period from September 30 to December 2, 2014 (n = 718). The top three circulating U.S. national newspapers were used in the analysis. The results show that the human interest, conflict, and action frames had the highest presence across newspaper articles, whereas the presence of attribution of responsibility, morality, and economic frames was lower. This study furthers knowledge of U.S. news media framing and coverage of new public health emergencies, and how newspapers may drive audience understanding and perception of the 2014 Ebola epidemic. This study also discusses implications of the findings and suggests directions for future research.