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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Vydané v:The Journal of rural health Ročník 35; číslo 3; s. 405 - 417
Hlavní autori: Chen, Xuewei, Orom, Heather, Hay, Jennifer L., Waters, Erika A., Schofield, Elizabeth, Li, Yuelin, Kiviniemi, Marc T.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Wiley Subscription Services, Inc 01.06.2019
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ISSN:0890-765X, 1748-0361, 1748-0361
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Abstract 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.
AbstractList 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.PURPOSERural 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.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.METHODSSix 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.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.FINDINGSCompared 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.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.CONCLUSIONSSome 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.
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. 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. 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. 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.
PurposeRural 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.MethodsSix 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.FindingsCompared 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.ConclusionsSome 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.
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.
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.
Author Li, Yuelin
Orom, Heather
Schofield, Elizabeth
Kiviniemi, Marc T.
Chen, Xuewei
Waters, Erika A.
Hay, Jennifer L.
AuthorAffiliation 1 Department of Community Health and Health Behavior, University at Buffalo, Buffalo, New York
3 Department of Surgery (Division of Public Health Sciences), Washington University Medical School, St. Louis, Missouri
2 Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York
4 Department of Health, Behavior, and Society, University of Kentucky, Lexington, Kentucky
AuthorAffiliation_xml – name: 4 Department of Health, Behavior, and Society, University of Kentucky, Lexington, Kentucky
– name: 3 Department of Surgery (Division of Public Health Sciences), Washington University Medical School, St. Louis, Missouri
– name: 2 Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York
– name: 1 Department of Community Health and Health Behavior, University at Buffalo, Buffalo, New York
Author_xml – sequence: 1
  givenname: Xuewei
  orcidid: 0000-0001-6391-1459
  surname: Chen
  fullname: Chen, Xuewei
  email: xueweich@buffalo.edu
  organization: University at Buffalo
– sequence: 2
  givenname: Heather
  surname: Orom
  fullname: Orom, Heather
  organization: University at Buffalo
– sequence: 3
  givenname: Jennifer L.
  surname: Hay
  fullname: Hay, Jennifer L.
  organization: Memorial Sloan‐Kettering Cancer Center
– sequence: 4
  givenname: Erika A.
  surname: Waters
  fullname: Waters, Erika A.
  organization: Washington University Medical School
– sequence: 5
  givenname: Elizabeth
  surname: Schofield
  fullname: Schofield, Elizabeth
  organization: Memorial Sloan‐Kettering Cancer Center
– sequence: 6
  givenname: Yuelin
  surname: Li
  fullname: Li, Yuelin
  organization: Memorial Sloan‐Kettering Cancer Center
– sequence: 7
  givenname: Marc T.
  surname: Kiviniemi
  fullname: Kiviniemi, Marc T.
  organization: University of Kentucky
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30444935$$D View this record in MEDLINE/PubMed
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Issue 3
Keywords health literacy
health information access
health information use
rural-urban health disparities
Language English
License 2018 National Rural Health Association.
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Notes 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.
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Snippet Purpose Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in...
Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in information...
PurposeRural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in...
PURPOSE: Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in...
SourceID pubmedcentral
proquest
pubmed
crossref
wiley
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 405
SubjectTerms 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
Title Differences in Rural and Urban Health Information Access and Use
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjrh.12335
https://www.ncbi.nlm.nih.gov/pubmed/30444935
https://www.proquest.com/docview/2246992977
https://www.proquest.com/docview/2135119426
https://www.proquest.com/docview/2305179417
https://pubmed.ncbi.nlm.nih.gov/PMC6522336
Volume 35
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