Frustration nation: Why do men go online to find health information?

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In today’s information age, many people search the internet for medical advice. From organization websites to social media platforms, the internet has proven to be a powerful tool for both reliable and misleading information.

In a recent study, a multidisciplinary team of Texas A&M University researchers identified some reasons why men seek health information online. The study specifically looked at middle-aged and older African American and Hispanic men living with one or more chronic conditions.

While previous research has identified disparities in seeking web-based health information, few studies have explored the correlation between web-based health information seeking based on factors such as race, gender, age and the presence of chronic health conditions.

Ledric Sherman, assistant professor in the Department of Health and Kinesiology at the Texas A&M University College of Education & Human Development, along with Texas A&M colleagues Matthew Lee Smith, co-director of the Center for Population Health and Aging, and Kirby Goidel, professor in Department of Political Science in the College of Liberal Arts, along with Caroline Bergeron from Employment and Social Development Canada, recently published their findings in the Journal of Medical Internet Research.

“Despite the prevalence of chronic conditions such as diabetes and cardiovascular disease among middle-aged and older populations, utilization of preventive health services remains low,” Sherman said. “This is especially true among males, who traditionally underutilize clinical and community-based health resources. However, little is still known about the reasons why men underutilize health services and this is the main reason for conducting this study.”

Using an online survey questionnaire for data collection, the researchers identified 2,028 men who met the inclusion criteria including demographics, health-related behaviors, availability of resources for managing care, and technology use and credibility. However, 106 were omitted from the study based on not having used the internet in the past two weeks.

The study was conducted in two phases with participants being asked in phase one about their two-week internet usage and if their information seeking was about a “specific disease or medical problem” or “a certain medical treatment or procedure.”

To be included in the second phase, participants had to respond “yes” to the information-seeking variables in phase one, in addition to reporting having had a routine health care visit with a physician in the past year. Phase two asked participants if they shared this online information with their health care provider.

In phase one, the average age of the 1,922 participants who reported having used the internet in the past two weeks was 56.63 with about 1,221 participants being African American and 801 being Hispanic. Of these men, more than half were partnered or married (51.87 percent) and a majority had at least some college (79.92 percent) and had seen a health care physician in the past year (84.65 percent). In addition, these men reported having an average of close to four chronic conditions (3.93) and taking a little more than three daily medications (3.39). More than half (57.7 percent) of the men reported having received support in improving and managing their health and chronic conditions, with 17.43 percent reporting they had attended programs or classes to help manage their chronic conditions.

Researchers found that on average, the men who sought health information online were younger, had more people living with them in their households, had multiple chronic conditions, and reported more health care frustrations and barriers to self-care.

“These findings suggest that African American and Hispanic men with more complex disease profiles and those who are dissatisfied with their current and past interactions with health care and health care providers are more likely to seek information, recommendations and solutions about their health conditions online,” Smith said. “This suggests a proactive approach to health information seeking, which may be driven by their urgent necessity to meet health needs and obtain practical support.”

Furthermore, the participants who reported using multiple sources of technology when seeking online health information found the online information to be more reliable.

More at the School of Public Health and the College of Liberal Arts