Hispanics' use of Internet health information: an exploratory study

Peña-Purcell, Ninfa C.

doi:10.3163/1536-5050.96.2.101

Cited by 105 publications

(82 citation statements)

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“…However, these same approaches may not be reaching certain populations due to "digital divide" issues of differential access to the Internet and other computer technologies among different demographic groups [9][10]. Despite the importance of these issues, relatively few studies have reported on the reach of behavioral interventions in general [11] or of interactive behavior-change technologies more specifically [12].…”

Section: Introductionmentioning

confidence: 96%

Recruitment for an Internet-Based Diabetes Self-Management Program: Scientific and Ethical Implications

et al. 2010

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Section: Introductionmentioning

confidence: 96%

Recruitment for an Internet-Based Diabetes Self-Management Program: Scientific and Ethical Implications

et al. 2010

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“…Latinos, compared to non-Hispanic whites, tend to have less access to the Internet and tend to use the Internet less for seeking health information. 13,14 However, as in other ethnic groups, access to computers and the Internet is related to education and socio-economic class. Limited access to technology is certainly a factor, but so is a relative scarcity of programs designed for Spanish-dominant Latinos.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Minimal and Moderate Support Versions of an Internet-Based Diabetes Self-Management Support Program

et al. 2010

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OBJECTIVE: Internet and other interactive technologybased programs offer great potential for practical, effective, and cost-efficient diabetes self-management (DSM) programs capable of reaching large numbers of patients. This study evaluated minimal and moderate support versions of an Internet-based diabetes self-management program, compared to an enhanced usual care condition. RESEARCH DESIGN AND METHODS: A three-arm practical randomized trial was conducted to evaluate minimal contact and moderate contact versions of an Internet-based diabetes self-management program, offered in English and Spanish, compared to enhanced usual care. A heterogeneous sample of 463 type 2 patients was randomized and 82.5% completed a 4-month follow-up. Primary outcomes were behavior changes in healthy eating, physical activity, and medication taking. Secondary outcomes included hemoglobin A1c, body mass index, lipids, and blood pressure. RESULTS: The Internet-based intervention produced significantly greater improvements than the enhanced usual care condition on three of four behavioral outcomes (effect sizes [d] for healthy eating = 0.32; fat intake = 0.28; physical activity= 0.19) in both intent-totreat and complete-cases analyses. These changes did not translate into differential improvements in biological outcomes during the 4-month study period. Added contact did not further enhance outcomes beyond the minimal contact intervention. CONCLUSIONS: The Internet intervention meets several of the RE-AIM criteria for potential public health impact, including reaching a large number of persons, and being practical, feasible, and engaging for participants, but with mixed effectiveness in improving outcomes, and consistent results across different subgroups. Additional research is needed to evaluate longer-term outcomes, enhance effectiveness and cost-effectiveness, and understand the linkages between intervention processes and outcomes.

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“…[10][11][12] Latinos are less likely to have high computer use efficacy, have a lower online health system activation rate, and have less success in activating eHealth portals than NH Whites. [13] While some state and local level examinations of online HISB and the use of HIT exist, [7,[14][15][16][17] and several national level studies, [1,9] these studies do not control for other factors such as Latino sub-ethnicity or nativity that might be important cultural variables that could contribute to or mitigate disparities.…”

Section: Introductionmentioning

confidence: 99%

Web-Based Health Information Technology: Access Among Latinos Varies by Subgroup Affiliation (Preprint)

Gonzalez¹,

Sanders‐Jackson²,

Wright³

2018

Preprint

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Background: There are significant health technology gaps between Latinos and NH Whites, and between first and second generation Latinos. The purpose of this study is to examine disparities in online health information seeking behavior (HISB) and health information technology (HIT) use among Latinos, taking into account nativity and sub-ethnic affiliation. Methods:We analyzed US-born, non-Hispanic (NH) Whites and Latinos adults (N=49,259) in the 2015-16 National Health Interview Survey using a binary logistic regression controlling for individual difference level variables. Outcomes were Internet use, HISB (online health information-seeking and using a chat group for health information), and HIT (using a computer to schedule an appointment, filling a prescription, communicating with a provider). Results Conclusions:We found Latino subgroups do not use health information channels equally, and attempts to target Latinos should take ethnicity and nativity into account.

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Hispanics' use of Internet health information: an exploratory study

Cited by 105 publications

References 0 publications

Recruitment for an Internet-Based Diabetes Self-Management Program: Scientific and Ethical Implications

Recruitment for an Internet-Based Diabetes Self-Management Program: Scientific and Ethical Implications

Outcomes of Minimal and Moderate Support Versions of an Internet-Based Diabetes Self-Management Support Program

Web-Based Health Information Technology: Access Among Latinos Varies by Subgroup Affiliation (Preprint)

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