Cardiovascular Division, Duke University, 2301 Erwin Road, Durham, NC, USA; Duke Clinical Research Institute, Duke University, Durham, NC, USA.
Duke Clinical Research Institute, Duke University, Durham, NC, USA; Department of Population Health Sciences, School of Medicine, Duke University, 215 Morris Street, Suite 210, Durham, NC 27701, USA.
Patient Educ Couns. 2024 Dec;129:108386. doi: 10.1016/j.pec.2024.108386. Epub 2024 Jul 31.
Relative to the rapid increase in available health information, little has been published on the differential impact misinformation has on the health of communities. Observations during the height of the COVID-19 pandemic indicated there were communities that made decisions that negatively impacted health outcomes beyond expectations; we propose that health misinformation was a contributor to poor health outcomes. Health misinformation exposure varies across communities and preliminary research suggests that some communities are more vulnerable to the impact of health misinformation than others. However, few studies have evaluated the connection between health misinformation and healthcare disparities. In this paper, we (a) review the current literature on misinformation and its impact on health disparities, (b) expand on prior epidemiological models to explain the communal spread of misinformation and the link to disparate health outcomes, (c) identify gaps in knowledge about communal misinformation spread (d) review promising interventions to halt the adverse impact of misinformation.
相对于健康信息的快速增长,关于错误信息对社区健康的差异影响,发表的内容很少。在 COVID-19 大流行高峰期的观察表明,有些社区做出了决策,这些决策对健康结果的负面影响超出预期;我们提出,健康错误信息是造成不良健康结果的一个因素。健康错误信息的暴露在不同社区之间存在差异,初步研究表明,一些社区比其他社区更容易受到健康错误信息的影响。然而,很少有研究评估健康错误信息与医疗保健差距之间的联系。在本文中,我们 (a) 回顾了关于错误信息及其对健康差距影响的现有文献,(b) 扩展了先前的流行病学模型,以解释错误信息的社区传播及其与不同健康结果的联系,(c) 确定了有关社区错误信息传播的知识差距,(d) 审查了有希望的干预措施,以阻止错误信息的不利影响。