title: Health media use among childhood and young adult cancer survivors who smoke.
abstract: OBJECTIVE
  Promoting healthy behaviors may reduce the risk of co-morbidities among childhood and young adult (CYA) cancer survivors. Although behavioral interventions are one way to encourage such activities, there is increasing evidence that health media use-particularly health information seeking-also may influence health knowledge, beliefs, and behaviors. The current study explores patterns of health media use among survivors of CYA cancer. Our focus is on survivors who smoke and thus are at even greater risk of co-morbidities.
  
  
  METHODS
  We analyzed data from the Partnership for Health-2 study, a web-based smoking cessation intervention, to examine the prevalence of and factors associated with health media use (N = 329).
  
  
  RESULTS
  Nearly two thirds (65.3 %) of CYA survivors who smoke reported infrequent or no online health information seeking. Many reported never reading health sections of newspapers or general magazines (46.2 %) or watching health segments on local television news (32.3 %). Factors associated with health media use include education and employment, cancer-related distress, and smoking quit attempts.
  
  
  CONCLUSIONS
  Health information engagement is low among CYA survivors who smoke, particularly active seeking of health information online. Population subgroups differ in their media use patterns; some of these differences reflect communication inequalities, which have the potential to exacerbate health disparities. Clinicians have an opportunity to guide CYA survivors towards useful and reliable information sources. This guidance could help survivors fulfill their unmet information and support needs and may be particularly important for less educated survivors and other underserved populations.
authors.affiliation: School of Journalism and Mass Communication, University of Minnesota, 111 Murphy Hall, 206 Church Street SE, Minneapolis, MN, USA, nagle026@umn.edu.
authors.forename: Rebekah H
authors.initials: RH
authors.lastname: Nagler
authors.forename: Elaine
authors.initials: E
authors.lastname: Puleo
authors.forename: Kim
authors.initials: K
authors.lastname: Sprunck-Harrild
authors.forename: K
authors.initials: K
authors.lastname: Viswanath
authors.forename: Karen M
authors.initials: KM
authors.lastname: Emmons
mesh_terms: D000328:Adult; D017668:Age of Onset; D002648:Child; D003146:Communications Media / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior; D006801:Humans; D057226:Information Seeking Behavior; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000453:epidemiology*; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000706:statistics & numerical data; D017741:Survivors / Q000706:statistics & numerical data*; D055815:Young Adult
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