The Dispersion of Health Information–Seeking Behavior and Health Literacy in a State in the Southern United States: Cross-sectional Study (Preprint)

Abstract

BACKGROUND Transmission of health information has changed over time from in-person communication to online sources. Patients are able to find, understand, and use their health information without meeting with a healthcare provider and are able to participate more in their healthcare management. In recent years, the Internet has emerged as the primary source of health information, though clinical providers remain the most credible source. Ease of access, anonymity, and busy schedules may be motivating factors to seek health information online. Social media has surfaced as a popular source of health information as it can provide news at a real-time speed. The increase in the breadth and depth of health information online has also led to a plethora of misinformation and individuals are often unable to discern fact from fiction. Competencies in health literacy can help individuals better understand health information and enhance patient decision-making as adequate health literacy is a precursor to positive health information seeking behaviors. Several factors such as age, sex, and socioeconomics are known to moderate the association between health literacy and health information seeking behaviors. OBJECTIVE This study aims to examine the relationship between health literacy and health information seeking behaviors for individuals living in a southern state in the United States considering different demographic factors. METHODS Participants 18 years of age and older were recruited using Qualtrics Research Services and were stratified to match statewide demographic characteristics of race and age. Demographics and frequency and source of health information was collected. The Health Literacy Questionnaire was used to collect self-reported health literacy experiences. SPSSV27 was used for analysis. RESULTS A total of 520 participants met the criteria and completed the survey (mean age 36.3, SD 12.79 years). The Internet was cited as the most used source of health information (mean 2.41, SD 0.93). Females are more likely to seek health information from doctors (r = 0.121, P < .01). Older individuals are less likely to seek health information from the Internet, social media, and friends (r = -.090 to -.225, P < .05) than younger individuals. Cluster analysis demonstrated that individuals with higher levels of health information seeking behaviors are more likely to seek information from multiple sources than those with lower levels of health information seeking behavior (mean range 3.05 – 4.09, P < .001). CONCLUSIONS Age and sex are significantly associated with health information seeking behaviors (HISB). Older adults may benefit from online resources to monitor their health conditions. Higher levels of health literacy are significantly associated with greater HISB. Targeted strategies to improve HISB among individuals with lower levels of health literacy may improve their access, understanding, and use of health information.