Nguyen Anh B, Robinson Joelle, O'Brien Erin Keely, Zhao Xiaoquan
a Center for Tobacco Products, Food and Drug Administration , Silver Spring , Maryland , USA.
b Center for Health and Risk Communication, George Mason University , Fairfax , Virginia , USA.
J Health Commun. 2017 Sep;22(9):743-752. doi: 10.1080/10810730.2017.1347216. Epub 2017 Aug 1.
This article describes sources of health information, types of tobacco information sought, and trust in sources of tobacco information among U.S. racial/ethnic groups (Whites, Blacks, Hispanics, Asian and Pacific Islanders, and Other). Cross-sectional data (N = 3,788) from a nationally representative survey, HINTS-FDA 2015, were analyzed to examine unadjusted and adjusted associations between race/ethnicity and (a) first source of health information, (b) tobacco information seeking, and (c) trust in sources of tobacco information. Adjusted associations controlled for current tobacco product use and sociodemographic variables. Findings indicated that the Internet was the most common first source of health information while health care providers were the second most common source for all racial/ethnic groups. Tobacco-related health information seeking was more prevalent than other tobacco product information seeking. Unadjusted analyses indicated that a higher proportion of Whites sought other tobacco product information compared to Asians and Pacific Islanders. Trust was rated highest for doctors while trust for health organizations was rated second highest. Asians and Pacific Islanders had higher trust in the government compared to all other groups. Blacks had higher trust in religious organizations compared to all other groups besides Hispanics. Blacks had higher trust for tobacco companies compared to Whites and Other. Many of these differences were attenuated in adjusted analyses. This research has implications for tobacco control practice and policymaking by identifying potential dissemination strategies.
本文描述了美国种族/族裔群体(白人、黑人、西班牙裔、亚裔和太平洋岛民以及其他群体)的健康信息来源、所寻求的烟草信息类型以及对烟草信息来源的信任度。对来自具有全国代表性的调查HINTS - FDA 2015的横断面数据(N = 3788)进行了分析,以检验种族/族裔与(a)健康信息的首要来源、(b)烟草信息寻求以及(c)对烟草信息来源的信任度之间的未调整和调整后的关联。调整后的关联控制了当前烟草产品使用情况和社会人口统计学变量。研究结果表明,互联网是最常见的健康信息首要来源,而医疗保健提供者是所有种族/族裔群体中第二常见的来源。与其他烟草产品信息寻求相比,与烟草相关的健康信息寻求更为普遍。未调整分析表明,与亚裔和太平洋岛民相比,寻求其他烟草产品信息的白人比例更高。对医生的信任度评价最高,对健康组织的信任度评价次之。与所有其他群体相比,亚裔和太平洋岛民对政府的信任度更高。与除西班牙裔之外的所有其他群体相比,黑人对宗教组织的信任度更高。与白人和其他群体相比,黑人对烟草公司的信任度更高。在调整分析中,许多这些差异都有所减弱。这项研究通过确定潜在的传播策略,对烟草控制实践和政策制定具有启示意义。