Differences in Rural and Urban Health Information Access and Use

Purpose Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in information source access and use between rural and urban US adults and whether having low health literacy might exacerbate rural disparities in...

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Vydáno v:	The Journal of rural health Ročník 35; číslo 3; s. 405 - 417
Hlavní autoři:	Chen, Xuewei, Orom, Heather, Hay, Jennifer L., Waters, Erika A., Schofield, Elizabeth, Li, Yuelin, Kiviniemi, Marc T.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England Wiley Subscription Services, Inc 01.06.2019
Témata:	Access Access to information Adult Adults Aged Blogs business enterprises Chi-Square Distribution Companies Constraints corporations Female Health care Health disparities Health education Health information health information access health information use Health literacy Health services Health Services Accessibility - standards Health Services Accessibility - statistics & numerical data Humans Information Information Dissemination Information sources Internet Literacy Male Mass media Medical personnel Middle Aged Physicians Primary care Regression analysis Regression models Residents Rural areas rural health Rural Population - statistics & numerical data Rural populations Rural urban differences Rurality rural‐urban health disparities Search engines sociodemographic characteristics Sociodemographics surveys Surveys and Questionnaires United States Urban areas Urban population Urban Population - statistics & numerical data Urban populations United States health literacy health information access health information use rural-urban health disparities
ISSN:	0890-765X, 1748-0361, 1748-0361
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Shrnutí:	Purpose Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in information source access and use between rural and urban US adults and whether having low health literacy might exacerbate rural disparities in access to and use of health information. Methods Six hundred participants (50% rural) completed an online survey about access and use of 25 health information sources. We used logistic regression models to test associations between rurality and access to and use of health information sources and whether rurality interacted with health literacy to predict the access and use. Findings Compared to urban residents, rural residents had lower access to health information from sources including primary care providers, specialist doctors, blogs, and magazines, and less use of search engines. After accounting for sociodemographics, rural residents only had lower access to specialist doctors than urban residents. Rural residents with limited health literacy had lower access to mass media and scientific literature but higher use of corporations/companies than rural residents with adequate health literacy and urban residents regardless of health literacy level. Conclusions Some differences in access to and use of health information sources may be accounted for by sociodemographic differences between rural and urban populations. There may be structural barriers such as shortage of specialist doctors and limited media exposure that make it harder for rural residents to access health information, especially those with limited health literacy.
Bibliografie:	Funding for the project leading to this manuscript was made possible by R01CA197351 from the National Cancer Institute. Disclosures Funding The authors report no conflicts of interest. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0890-765X 1748-0361 1748-0361
DOI:	10.1111/jrh.12335