Superdiversity, migration and use of internet-based health information – results of a cross-sectional survey conducted in 4 European countries

Autor: Liubov Borisova, Hannah Bradby, Tilman Brand, Florence Samkange-Zeeb, Jenny Phillimore, Hajo Zeeb, Beatriz Padilla
Rok vydání: 2020
Předmět:
Male
Sociologi
0302 clinical medicine
Sociology
Health care
Epidemiology
Ethnicity
030212 general & internal medicine
Digital divide
Migration
Language
Aged
80 and over
lcsh:Public aspects of medicine
Public Health
Global Health
Social Medicine and Epidemiology
Cultural Diversity
Middle Aged
Internet-based health information
Europe
Health
Educational Status
Female
The Internet
Research Article
Adult
medicine.medical_specialty
Prescription Drugs
Adolescent
Information Seeking Behavior
Emigrants and Immigrants
030209 endocrinology & metabolism
Health literacy
Trust
Young Adult
03 medical and health sciences
Environmental health
medicine
Humans
Cities
Medical prescription
Aged
Internet
business.industry
Public health
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Health Literacy
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Cross-Sectional Studies
Logistic Models
Biostatistics
business
Zdroj: BMC Public Health
BMC Public Health, Vol 20, Iss 1, Pp 1-12 (2020)
BMC public health, 20:1263
ISSN: 1471-2458
Popis: Background Studies of factors associated with the use of Internet-based health information generally focus on general, rather than migrant populations. This study looked into the reasons why Internet-based health information is used and the effects of migration-related factors, other socio-demographic characteristics and health-related factors on the tendency to consult the Internet. Methods In a cross-sectional survey conducted in eight superdiverse neighbourhoods - two each in Birmingham, United Kingdom; Bremen, Germany; Lisbon, Portugal and Uppsala, Sweden - participants were presented with six scenarios and asked to indicate the resources they most relied on when addressing a health concern from a given list. The scenarios included establishing the underlying causes of a health concern and seeking information about prescription drugs, treatments and services available as part of the public healthcare system. The list of resources included the public healthcare system, alternative medicine, family and friends, and the Internet. Frequencies for which the Internet was consulted for each different scenario were calculated and compared across the participating cities. The association between consulting Internet-based health information and migration-related factors, and further socio-demographic characteristics as well as health-related factors such as self-reported health and health literacy was assessed using multivariable logistic regressions. Results Of the 2570 participants from all four cities who were included in the analyses, 47% had a migrant background and 35% originated from non-EU countries. About a third reported relying on Internet-based health information for at least one of the given scenarios. The two most frequently chosen scenarios were to find out about other possible treatments and prescription drugs. Generally, using Internet-based health information was negatively associated with being a first generation migrant (OR 0.65; 95% CI 0.46–0.93), having poor local language competency (OR 0.25; 95% CI 0.14–0.45), older age (≥60 years, OR 0.21; 95% CI 0.15–0.31), low education (OR 0.35; 95% CI 0.24–0.50) and positively associated with low trust in physicians (OR 2.13; 95% CI 1.47–3.10). Conclusion Our findings indicate the need to consider migration background and language competency when promoting the provision of healthcare services via the Internet so that information and services are widely accessible.
Databáze: OpenAIRE
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