College of Nursing, University of Central Florida, Orlando, FL, USA.
Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL, USA.
J Gerontol B Psychol Sci Soc Sci. 2022 Jul 5;77(7):e191-e198. doi: 10.1093/geronb/gbab083.
The public relies on various media sources and communication platforms for receipt of coronavirus disease 2019 (COVID-19) information. Therefore, identifying the primary sources of COVID-19 information among older adults can be valuable, as it can enable information on life-saving measures to be effectively disseminated to this population.
We analyzed the Medicare Current Beneficiary Survey COVID-19 Supplement that was administrated from June 2020 through July 2020 (n = 8,050). A survey-weighted logistic model was conducted to examine the association between the sources of COVID-19 information Medicare beneficiaries most relied on (i.e., traditional news sources, social media, comments/guidance from government officials, other webpages/internet, friends/family members, and health care providers) and engaging in all 3 recommended preventive behaviors (i.e., mask wearing, social distancing, and handwashing).
Among study participants, 89.8% engaged in all 3 recommended preventive behaviors. Approximately 59.3% of beneficiaries reported that they most relied upon traditional news sources for COVID-19 information; 11.4% reported health care providers; 10.6% reported comments/guidance from government officials; 8.8% reported other webpages/internet; 8.6% reported friends/family members; and 1.3% reported they relied upon social media. Beneficiaries who relied on comments/guidance from government officials for COVID-19 information (vs. traditional news sources) were more likely to engage in preventive behaviors (odds ratio [OR] = 1.68, 95% confidence interval [CI] = 1.20-2.35). However, those who relied on COVID-19 information from friends/family members (vs. traditional news sources) were less likely to engage in preventive behaviors (OR = 0.56, 95% CI = 0.44-0.73).
Our findings can inform decision making about the effective communication sources to reach Medicare beneficiaries for public health messaging regarding preventive measures, including COVID-19 vaccination.
公众依赖各种媒体来源和传播平台来获取 2019 年冠状病毒病(COVID-19)信息。因此,确定老年人中 COVID-19 信息的主要来源是有价值的,因为这可以使有关救生措施的信息有效地传播给这一人群。
我们分析了 2020 年 6 月至 2020 年 7 月期间进行的医疗保险当前受益人调查 COVID-19 补充调查(n=8050)。采用调查加权逻辑模型,检验医疗保险受益人最依赖的 COVID-19 信息来源(即传统新闻来源、社交媒体、政府官员的评论/指导、其他网页/互联网、朋友/家人和医疗保健提供者)与参与所有 3 项推荐预防行为(即戴口罩、保持社交距离和洗手)之间的关联。
在研究参与者中,89.8%的人参与了所有 3 项推荐的预防行为。大约 59.3%的受益人表示,他们最依赖传统新闻来源获取 COVID-19 信息;11.4%的人报告依赖医疗保健提供者;10.6%的人报告依赖政府官员的评论/指导;8.8%的人报告依赖其他网页/互联网;8.6%的人报告依赖朋友/家人;1.3%的人报告他们依赖社交媒体。依赖政府官员的评论/指导获取 COVID-19 信息(而非传统新闻来源)的受益人更有可能采取预防措施(优势比[OR]为 1.68,95%置信区间[CI]为 1.20-2.35)。然而,那些依赖朋友/家人获取 COVID-19 信息的人(而非传统新闻来源)不太可能采取预防措施(OR=0.56,95%CI=0.44-0.73)。
我们的研究结果可以为决策提供信息,以便针对医疗保险受益人进行有效的沟通,传递有关预防措施的公共卫生信息,包括 COVID-19 疫苗接种。