Information seeking has significant impact on improving cancer preventive activities and health decision making. This study sought to compare Black and White adults on cancer information seeking and the choice of primary information sources. Non-Hispanic Black and non-Hispanic White adults completed Health Information National Trends Surveys (HINTS) collected in 2003 and in 2005. The results of bivariate analyses showed that Whites were more likely than Blacks to be cancer information seekers for both years (2003: 49.0% vs. 40.8%, p < .001; 2005: 54.6% vs. 46.9%, p = .008). However, after controlling for sociodemographic variables, race was not significantly associated with cancer information seeking. Both racial groups increased their likelihood of cancer information seeking from 2003 to 2005, although the increase was only statistically significant for Whites (p < .001). Health providers and the Internet were the top two most selected primary cancer information sources for both racial groups. These findings indicate that sociodemographic factors, such as gender, education, and cancer history, may shape the racial difference in health information seeking among the general population. Among all the information sources, health care providers and the Internet play the most important role in providing cancer-related information.
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References
1.
Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs. (1999). Health literacy: A report of the Council on Scientific Affairs. Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association. Journal of American Medical Association, 281, 552–557.
2.
AntonucciT. C.AkiyamaH. (1987). An examination of sex differences in social support among older men and women. Sex Roles, 17, 737–749.
3.
BakerL.WagnerT. H.SingerS.BundorfM. K. (2003). Use of the Internet and e-mail for health care information: Results from a national survey. Journal of American Medical Association, 289, 2400–2406.
4.
BatesB.RominaS.AhmedR.HopsonD. (2006). The effect of source credibility on consumers’ perceptions of the quality of health information on the Internet. Medical Informatics and the Internet in Medicine, 31, 45–52.
5.
Bell-EllisonB. A.KromreyJ. D. (2007). Alternatives for analysis of complex sample surveys: A comparison of SAS, SUDAAN, and AM software. Retrieved January 6, 2009, from http://www2.sas.com/proceedings/forum2007/133–2007.pdf.
6.
BrasherD. E.GoldsmithD. J.HsiehE. (2002). Information seeking and avoiding in health contexts. Human Communication Research, 28, 258–271.
7.
BrownP.AmesN.MettgerW.SmithT. J.GramarossaG. L.FriedellG. H. (1993). Closing the comprehensive gap: Low literacy and the cancer information service. Journal of National Cancer Institute Monographs, 14, 157–163.
8.
BrowneR. C. (2006). Most black women have a regular source of hair care – but not medical care. Journal of National Medical Association, 98, 1652–1653.
9.
CroyleR.MoserR. P.HesseB.RuttenL. J. F.BeckjordE. B. (2007). Cancer communication: Health Information National Trends Survey 2003 and 2005. Retrieved January 6, 2009, from http://hints.cancer.gov/docs/hints_report.pdf.
10.
CullenR. (2006). Health information on the Internet: A study of providers, quality, and users. Westport, CT: Praeger Publishers.
11.
CzajaR.ManfrediC.PriceJ. (2003). The determinants and consequences of information seeking among cancer patients. Journal of Health Communication, 8, 529–562.
12.
DiazJ. A.GriffithR. A.NgJ. J.ReinertS. E.FriedmannP. D.MoultonA. W. (2002). Patients’ use of the Internet for medical information. Journal of General Internal Medicine, 17, 180–185.
FreimuthV. S. (1993). Narrowing the cancer knowledge gap between Whites and African Americans. Journal of National Cancer Institute Monographs, 14, 81–91.
15.
GrissoJ. A.FreuninE. W.MaurinE.Garcia-EspanaB.BerlinJ. A. (1999). Racial differences in menopause information and the experience of hot flashes. Journal of General Internal Medicine, 14, 98–103.
16.
HesseB. W.NelsonD. E.KrepsG. L.CroyleR. T.AroraN. K.RimerB. K. (2005). The impact of the Internet and its implications for health care providers: Findings from the first Health Information National Trends Survey. Archives of Internal Medicine, 165, 2618–2624.
17.
JepsonC.KesslerL. G.PortnoyB.GibbsT. (1991). Black-White differences in cancer prevention knowledge and behavior. American Journal of Public Health, 81, 501–504.
18.
JohnsonJ. D.MeishckeH. (1992). Differences in evaluations of communication channels for cancer-related information. Journal of Behavioral Medicine, 15, 429–445.
19.
JonesA.ShippM.ThompsonC. J.DavisM. K. (2005). Prostate cancer knowledge and beliefs among black and white older men in rural and urban counties. Journal of Cancer Education, 20, 96–102.
20.
NicholsonW. K.GrasonH. A.PoweN. R. (2003). The relationship of race to women's use of health information resources. American Journal of Obstetrics and Gynecology, 188, 580–585.
21.
ParikhN. S.ParkerR. M.NurssJ. R.BakerD. W.WilliamsM. V. (1996). Shame and health literacy: The unspoken connection. Patient Education and Counseling, 27, 33–39.
22.
ParkJ.BuechnerJ. S. (1997). Race, ethnicity, and access to health care, Rhode Island, 1990. Journal of Health & Social Policy, 9, 1–14.
23.
PoweB. D.NehlE. J.BlanchardC. M.FinnieR. (2005). Meeting the public's cancer information needs: Characteristics of callers to the National Cancer Information Center of the American Cancer Society. Journal of Cancer Education, 20, 177–182.
RummP. D. (2005). Mass communication and social marketing strategies to improve men's health. Journal of Men's Health & Gender, 2, 121–123.
26.
RottenL. J.SquiersL.HesseB. (2006). Cancer-related information seeking: Hints from the 2003 Health Information National Trends Survey (HINTS). Journal of Health Communication, 11(Supplement 1), 147–156.
27.
ShimM.KellyB.HornikR. (2006). Cancer information scanning and seeking behavior is associated with knowledge, lifestyle choices, and screening. Journal of Health Communication, 11(Supplement 1), 157–172.
Turk-CharlesS.MeyerowitzB. E.GatzM. (1997). Age differences in information-seeking among cancer patients. International Journal of Aging and Human Development, 45, 85–98.
30.
UmbersonD. (1992). Gender, marital status and the social control of health behavior. Social Science and Medicine, 34, 907–917.
31.
Van der MolenB. (1999). Relating information needs to the cancer experience: Information as a key coping strategy. European Journal of Cancer Care, 8, 238–244.
32.
WorsleyA. (1989). Perceived reliability of sources of health information. Health Education Research, 4, 367–376.
