Chronic Conditions May Be More Important Than Race or Ethnicity in Relation to Health Information Seeking and Use

Rooks, Ronica N.; Kapral, Craig G.; Mathis, Arlesia

doi:10.1177/0898264317744643

Cited by 13 publications

(15 citation statements)

References 47 publications

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“…Consistent with past studies, this study confirmed that a significantly smaller percentage of non-Hispanic Blacks/African Americans and Hispanics completed ACP documents than their non-Hispanic Whites counterparts (Carr, 2011;Johnson et al, 2008). These racial/ethnic disparities in ACP should be understood from both structural (e.g., access to healthcare and health information; Herman, 2013;Levi et al, 2010;Rooks et al, 2017) and cultural contexts (e.g., religious beliefs, perception, and attitudes; Bullock, 2011;Herman, 2013;Shrank et al, 2005;Smith et al, 2008;Johnson et al, 2008;Lynn et al, 2016). Some of these contexts may inadvertently pose barriers to complete ACP documents in racial/ethnic minorities.…”

Section: Discussionsupporting

confidence: 88%

“…Although there is a gradually increasing trend in overall rates of ACP nationally (Sabatino, 2010;Sudore et al, 2017), racial/ethnic differences in ACP have been consistently observed and knowledge, religious and cultural beliefs, and attitudes have been found as contributing factors to these disparities (Bullock, 2011;Herman, 2013;Shrank et al, 2005;Smith et al, 2008;Johnson et al, 2008;Lynn et al, 2016). Given the limited understanding of the role that the intersection of chronic health conditions and race/ethnicity have in ACP later life (Assari, 2017;Daw, 2017;Rooks et al, 2017), we explored racial/ethnic differences in ACP, as well as the moderating role of race/ ethnicity in the association between the number of chronic health conditions and ACP among middle-aged and older adults in the United States. Drawn from a large populationbased study, we found evidence that the number of chronic health conditions was positively associated with ACP and that racial/ethnic minorities were less likely to complete ACP documents.…”

Section: Discussionmentioning

confidence: 99%

“…Particularly, lack of comfort discussing death and religious beliefs reduce the willingness of non-Hispanic Blacks/African Americans to complete ACP (Johnson et al, 2008). In addition to broader influences of cultural and religious beliefs, much of explanation for these racial/ethnic differences in ACP appears to lie in distrust in the medical system and in physicians (Johnson et al, 2008;Noah, 2012), complexities of communication (Noah, 2012), lack of knowledge of ACP options (Bullock, 2006), limited access to healthcare (Herman, 2013;Levi et al, 2010;Rooks et al, 2017), or poorer health status overall (Noah, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Prior literature has documented that racial/ethnic minorities are more likely to have many major chronic diseases compared with non-Hispanic Whites/Caucasians (Bodenheimer, Chen, & Bennett, 2009;Levi et al, 2010). For example, racial/ethnic disparities in the prevalence of multiple chronic health conditions have been found to include cancer, diabetes, and cardiovascular disease between non-Hispanic Blacks/African Americans and non-Hispanic Whites/Caucasians in the United States (Assari, 2017;Daw, 2017;Rooks, Kapral, & Mathis, 2017). Specifically, Daw (2017) reported that racial/ethnic minority groups experience several combinations of diseases at rates 50%-89% higher than non-Hispanic Whites/Caucasians.…”

Section: Race/ethnicity and Chronic Health Conditionmentioning

confidence: 99%

“…The intersection of chronic health condition, race/ethnicity, and ACP These different patterns of chronic health conditions across racial/ethnic groups might be related to disparities in the completion of ACP documents. As noted above, prior literature shows that chronic health conditions are tied to engaging in ACP (Carr, 2012;Hash et al, 2016) and chronic health conditions vary by race/ethnicity (Assari, 2017;Bodenheimer, Chen, & Bennett, 2009;Daw, 2017;Levi et al, 2010;Rooks, Kapral, & Mathis, 2017;Satcher & Pamies, 2006;Volandes et al, 2008). However, little is known about the relationship of the number of chronic health conditions and ACP across racial/ethnic groups.…”

Section: Race/ethnicity and Chronic Health Conditionmentioning

confidence: 99%

See 4 more Smart Citations

The association between the number of chronic health conditions and advance care planning varies by race/ethnicity

Choi

McDonough

Kim

et al. 2018

Aging & Mental Health

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Objectives: Although a national consensus exists on the need to increase the rates of advance care planning (ACP) for all adults, racial/ethnic differences in ACP have been consistently observed. This study investigated the intersection of racial/ethnic differences and the number of chronic health conditions on ACP among middle-aged and older adults in the United States. Method: Responses from 8,926 adults from the 2014 wave of the Health and Retirement Study were entered into multilevel hierarchical logistic regression analyses with generalized linear mixed models to predict ACP focused on assigning a durable power of attorney for healthcare (DPOAHC) and having a written living will after adjusting for covariates. Results: We found a significant positive relationship between the number of chronic health conditions and ACP. Non-Hispanic Black/African Americans and Hispanics were less likely to engage in ACP than non-Hispanic White/Caucasians. Racial/ethnic disparities were even starker for completing a living will. The number of chronic health conditions had a greater effect for Hispanics than non-Hispanic White/Caucasians on ACP through assigning a DPOAHC and having a living will. The initial disparity in ACP among Hispanics with no chronic health conditions decreased as the number of chronic health conditions increased. Conclusion: Our findings suggest that more chronic health conditions increase the likelihood that Hispanics will complete ACP documents. These ACP differences should be highlighted to *

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Race/ethnicity and Chronic Health Conditionmentioning

confidence: 99%

Section: Race/ethnicity and Chronic Health Conditionmentioning

confidence: 99%

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The association between the number of chronic health conditions and advance care planning varies by race/ethnicity

Choi

McDonough

Kim

et al. 2018

Aging & Mental Health

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Public health adherence and information‐seeking for people with chronic conditions during the early phase of the COVID‐19 pandemic

Roberts

Ehde

Herring

et al. 2021

PM&R

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Introduction People with chronic conditions, common among rehabilitation populations, may have risk factors that put them at higher risk for more severe illness due to coronavirus disease 2019 (COVID‐19). Objective To describe and compare adherence to public health guidelines, willingness to adhere to public health guidelines (including vaccination), information‐seeking, and perceived trustworthiness of information among people with and without chronic conditions during the early stages of the COVID‐19 pandemic. Design National cross‐sectional online survey of people with and without chronic health conditions conducted from April through May 2020. Participants Survey respondents were people with and without chronic conditions, ≥18 years old, able to read English, and in the United States since January 2020. In total, 3109 survey responses were received and 2572 complete unique responses were used in the analysis. Methods The survey assessed demographics, adherence to public health measures, information‐seeking, and perceived trustworthiness of information sources. Descriptive analyses characterized the sample, and t ‐tests and nonparametric tests were used to compare those with and without a chronic condition on the public health measures. Results Participants with a chronic condition reported high adherence to public health recommendations and high willingness to adhere to anticipated recommendations across a wide range of chronic conditions and similar to those without a chronic condition despite advised caution for people with underlying health conditions. Of those with a chronic condition, 70.8% reported a willingness to be vaccinated. Participants reported accessing information from varied sources, with perceived trust highest for the health care providers and lowest for social media. Conclusion Participants reported high adherence to public health measures, regardless of chronic condition status, during the early phase of the COVID‐19 pandemic. Knowledge of adherence to public health measures, information‐seeking, and trust in information can assist rehabilitation providers and organizations seeking to mitigate disease transmission, particularly for those with chronic conditions.

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Exploring direct and indirect predictors of heart disease information seeking

Hovick

Rhodes

Bigsby

et al. 2022

Journal of Communication in Healthcare

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Chronic Conditions May Be More Important Than Race or Ethnicity in Relation to Health Information Seeking and Use

Cited by 13 publications

References 47 publications

The association between the number of chronic health conditions and advance care planning varies by race/ethnicity

The association between the number of chronic health conditions and advance care planning varies by race/ethnicity

Public health adherence and information‐seeking for people with chronic conditions during the early phase of the COVID‐19 pandemic

Exploring direct and indirect predictors of heart disease information seeking

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