Are socioeconomic disparities in health behavior mediated by differential media use? Test of the communication inequality theory.

Ishikawa, Yoshiki; Kondo, Naoki; Kawachi, Ichiro; Viswanath, Kasisomayajula

doi:10.1016/j.pec.2016.05.018

Cited by 16 publications

(5 citation statements)

References 19 publications

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“…Certainly, the proliferation of ICT users with mobile devices provides an opportunity for easy access to medical information [ 16 ]. Recently, a publication found that improving health media strategy can be effective for achieving health equity in any given society [ 17 ]. One quarter of our participants reported neither owning a cell phone nor having access to Internet.…”

Section: Discussionmentioning

confidence: 99%

Ecuadorian Cancer Patients’ Preference for Information and Communication Technologies: Cross-Sectional Study

Chérrez-Ojeda¹,

Vanegas²,

Torres³

et al. 2018

J Med Internet Res

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BackgroundThe instantaneous spread of information, low costs, and broad availability of information and communication technologies (ICTs) make them an attractive platform for managing care, patient communication, and medical interventions in cancer treatment. There is little information available in Latin America about the level of usage of ICTs for and by cancer patients. Our study attempts to fill this gap.ObjectiveThe aim of this study was to assess the level of ICT use and patterns of preferences among cancer patients.MethodsWe conducted an anonymous cross-sectional survey study in 500 Ecuadorian cancer patients. This questionnaire consisted of 22 items about demographic and clinical data, together with the preferences of people who use ICTs. Chi-square, crude, and adjusted logistic regressions were performed.ResultsOf the total, 43.2% (216/500) of participants reported that they had access to the Internet, and 25.4% (127/500) reported that they neither owned a cell phone nor did they have access to the Internet. The Internet constituted the highest usage rate as a source of information about malignant diseases (74.3%, 162/218) regardless of age (P<.001). With regard to the preferences on how patients would like to use ICTs to receive information about diseases, WhatsApp (66.5%, 145/218) and short message service (SMS) text messaging (61.0%, 133/218) were widely reported as interesting communication channels. Similarly, WhatsApp (72.0%, 157/218) followed by SMS (63.8%, 139/218) were reported as the preferred ICTs through which patients would like to ask physicians about diseases. Adjusted regression analysis showed that patients aged between 40 and 64 years were more likely to be interested in receiving information through SMS (odds ratio, OR 5.09, 95% CI 1.92-13.32), as well as for asking questions to physicians through this same media (OR 9.78, CI 3.45-27.67) than the oldest group.ConclusionsWhatsApp, SMS, and email are effective and widely used ICTs that can promote communication between cancer patients and physicians. According to age range, new ICTs such as Facebook are still emerging. Future studies should investigate how to develop and promote ICT-based resources more effectively to engage the outcomes of cancer patients. The widespread use of ICTs narrows the gap between cancer patients with restricted socioeconomic conditions and those with wealth and easily available technological means, thereby opening up new possibilities in low-income countries.

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Section: Discussionmentioning

confidence: 99%

Ecuadorian Cancer Patients’ Preference for Information and Communication Technologies: Cross-Sectional Study

Chérrez-Ojeda¹,

Vanegas²,

Torres³

et al. 2018

J Med Internet Res

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“…In addition to the potential for increasing awareness, news also serves as a communication intervention, providing educational information that might ameliorate-or enhance-health disparities. Research documents differences in social groups' ability to access, attend to, or respond to the information communicated by media (53,132). For instance, when the news media present information on nutrition advice, groups with higher incomes can act on the information, whereas those with lower incomes cannot act because of the price of healthy foods or lack of access in their neighborhoods.…”

Section: Challenges Of Tv News In Shaping Public Health Policy and Practicementioning

confidence: 99%

Television News Coverage of Public Health Issues and Implications for Public Health Policy and Practice

Gollust

Fowler

Niederdeppe

2019

Annu. Rev. Public Health

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Television (TV) news, and especially local TV news, remains an important vehicle through which Americans obtain information about health-related topics. In this review, we synthesize theory and evidence on four main functions of TV news in shaping public health policy and practice: reporting events and information to the public (surveillance); providing the context for and meaning surrounding health issues (interpretation); cultivating community values, beliefs, and norms (socialization); and attracting and maintaining public attention for advertisers (attention merchant). We also identify challenges for TV news as a vehicle for improving public health, including declining audiences, industry changes such as station consolidation, increasingly politicized content, potential spread of misinformation, and lack of attention to inequity. We offer recommendations for public health practitioners and researchers to leverage TV news to improve public health and advance health equity.

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“…In other words, disparities in the quantity and quality of health communication experienced by different socioeconomic or ethnic groups may partially be responsible for socioeconomic or ethnic health disparities. Research has documented the existence of health communication inequalities among different socioeconomic or ethnic groups and illustrates the contribution of these inequalities to health disparities (Ishikawa et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…As such, the role of tobacco marketing in tobacco use initiation, particularly among vulnerable ethnic and socioeconomic sub-populations is a regulatory priority of the U.S. Food and Drug Administration (U.S. Food and Drug Administration, 2014). Broader research on communication inequalities has documented ethnic and socioeconomic disparities in both the quality and quantity of health-related communication, and indicates that such inequalities may contribute to population-level health disparities (Ishikawa, Kondo, Kawachi, & Viswanath, 2016). We use data from the Population Assessment of Tobacco and Health (PATH) study to examine ethnic and socioeconomic inequalities related to tobacco-related communications.…”

mentioning

confidence: 99%

Ethnic and Socioeconomic Disparities in Recalled Exposure to and Self-Reported Impact of Tobacco Marketing and Promotions

Moran

Heley

Pierce

et al. 2017

Health Communication

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The role of tobacco marketing in tobacco use, particularly among the vulnerable ethnic and socioeconomic sub-populations is a regulatory priority of the U.S. Food and Drug Administration. There currently exist both ethnic and socioeconomic disparities in the use of tobacco products. Monitoring such inequalities in exposure to tobacco marketing is essential to inform tobacco regulatory policy that may reduce known tobacco-related health disparities. We use data from the Population Assessment of Tobacco and Health (PATH) Wave 1 youth survey to examine (1) recalled exposure to and liking of tobacco marketing for cigarettes, non-large cigars, and e-cigarettes, (2) self-reported exposure to specific tobacco marketing tactics, namely coupons, sweepstakes, and free samples, and (3) self-reported impact of tobacco marketing and promotions on product use. Findings indicate that African Americans and those of lower SES were more likely to recall having seen cigarette and non-large cigar ads. Reported exposure to coupons, sweepstakes and free samples also varied ethnically and socioeconomically. African Americans and those of lower SES were more likely than other respondents to report that marketing and promotions as played a role in their tobacco product use. Better understanding of communication inequalities and their influence on product use is needed to inform tobacco regulatory action that may reduce tobacco company efforts to target vulnerable groups. Tobacco education communication campaigns focusing on disproportionately affected groups could help counter the effects of targeted industry marketing.

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Are socioeconomic disparities in health behavior mediated by differential media use? Test of the communication inequality theory.

Cited by 16 publications

References 19 publications

Ecuadorian Cancer Patients’ Preference for Information and Communication Technologies: Cross-Sectional Study

Ecuadorian Cancer Patients’ Preference for Information and Communication Technologies: Cross-Sectional Study

Television News Coverage of Public Health Issues and Implications for Public Health Policy and Practice

Ethnic and Socioeconomic Disparities in Recalled Exposure to and Self-Reported Impact of Tobacco Marketing and Promotions

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