Nagler Rebekah H, Puleo Elaine, Sprunck-Harrild Kim, Viswanath K, Emmons Karen M
School of Journalism and Mass Communication, University of Minnesota, 111 Murphy Hall, 206 Church Street SE, Minneapolis, MN, USA,
Support Care Cancer. 2014 Sep;22(9):2497-507. doi: 10.1007/s00520-014-2236-x. Epub 2014 Apr 13.
Promoting healthy behaviors may reduce the risk of co-morbidities among childhood and young adult (CYA) cancer survivors. Although behavioral interventions are one way to encourage such activities, there is increasing evidence that health media use-particularly health information seeking-also may influence health knowledge, beliefs, and behaviors. The current study explores patterns of health media use among survivors of CYA cancer. Our focus is on survivors who smoke and thus are at even greater risk of co-morbidities.
We analyzed data from the Partnership for Health-2 study, a web-based smoking cessation intervention, to examine the prevalence of and factors associated with health media use (N = 329).
Nearly two thirds (65.3 %) of CYA survivors who smoke reported infrequent or no online health information seeking. Many reported never reading health sections of newspapers or general magazines (46.2 %) or watching health segments on local television news (32.3 %). Factors associated with health media use include education and employment, cancer-related distress, and smoking quit attempts.
Health information engagement is low among CYA survivors who smoke, particularly active seeking of health information online. Population subgroups differ in their media use patterns; some of these differences reflect communication inequalities, which have the potential to exacerbate health disparities. Clinicians have an opportunity to guide CYA survivors towards useful and reliable information sources. This guidance could help survivors fulfill their unmet information and support needs and may be particularly important for less educated survivors and other underserved populations.
促进健康行为可能会降低儿童和青年癌症幸存者患合并症的风险。尽管行为干预是鼓励此类活动的一种方式，但越来越多的证据表明，使用健康媒体——尤其是寻求健康信息——也可能影响健康知识、信念和行为。本研究探讨了儿童和青年癌症幸存者使用健康媒体的模式。我们关注的是吸烟的幸存者，他们患合并症的风险更高。
我们分析了健康伙伴关系-2研究的数据，这是一项基于网络的戒烟干预研究，以检查健康媒体使用的患病率及相关因素（N = 329）。
近三分之二（65.3%）吸烟的儿童和青年癌症幸存者报告很少或从不在线寻求健康信息。许多人报告从未阅读过报纸或普通杂志的健康版面（46.2%）或观看过当地电视新闻的健康板块（32.3%）。与健康媒体使用相关的因素包括教育和就业、癌症相关困扰以及戒烟尝试。
吸烟的儿童和青年癌症幸存者对健康信息的参与度较低，尤其是在线积极寻求健康信息。不同人群亚组的媒体使用模式存在差异；其中一些差异反映了沟通不平等，这有可能加剧健康差距。临床医生有机会引导儿童和青年癌症幸存者获取有用和可靠的信息来源。这种指导可以帮助幸存者满足他们未得到满足的信息和支持需求，对于受教育程度较低的幸存者和其他服务不足的人群可能尤为重要。
