Hispanics' use of Internet health information: an exploratory study

Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States.Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000–2001, survey data. Pearson''s χ² test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking.Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse).Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics'' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics'' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.

Highlights

• Consistent with prior studies, a lower proportion of Hispanics compared to non-Hispanic whites reported using the Internet to seek health information.
• Overall, Hispanics tended to agree that the Internet is a helpful resource for health information.
• Hispanics and non-Hispanic whites reported that bringing Internet health information to doctors'' visits worsened the physician-patient relationship.
• Consistent with prior literature, the odds of seeking Internet health information were decreased for Hispanics with low (<$25,000) and middle ($25,000– $49,000) household incomes.

Implications

• More studies are needed to provide evidence to develop culturally appropriate interventions to examine differences in Internet use and potential digital disparities among Hispanics.
• Concurrent with increasing Hispanics'' use of Internet health information, efforts to address the Internet''s impact on physician-patient relationship are warranted.