title: The Association Between Online Health Information-Seeking Behaviors and Health Behaviors Among Hispanics in New York City: A Community-Based Cross-Sectional Study.
abstract: BACKGROUND
  Hispanics are the fastest-growing minority group in the United States and they suffer from a disproportionate burden of chronic diseases. Studies have shown that online health information has the potential to affect health behaviors and influence management of chronic disease for a significant proportion of the population, but little research has focused on Hispanics.
  
  
  OBJECTIVE
  The specific aim of this descriptive, cross-sectional study was to examine the association between online health information-seeking behaviors and health behaviors (physical activity, fruit and vegetable consumption, alcohol use, and hypertension medication adherence) among Hispanics.
  
  
  METHODS
  Data were collected from a convenience sample (N=2680) of Hispanics living in northern Manhattan by bilingual community health workers in a face-to-face interview and analyzed using linear and ordinal logistic regression. Variable selection and statistical analyses were guided by the Integrative Model of eHealth Use.
  
  
  RESULTS
  Only 7.38% (198/2680) of the sample reported online health information-seeking behaviors. Levels of moderate physical activity and fruit, vegetable, and alcohol consumption were low. Among individuals taking hypertension medication (n=825), adherence was reported as high by approximately one-third (30.9%, 255/825) of the sample. Controlling for demographic, situational, and literacy variables, online health information-seeking behaviors were significantly associated with fruit (β=0.35, 95% CI 0.08-0.62, P=.01) and vegetable (β=0.36, 95% CI 0.06-0.65, P=.02) consumption and physical activity (β=3.73, 95% CI 1.99-5.46, P<.001), but not alcohol consumption or hypertension medication adherence. In the regression models, literacy factors, which were used as control variables, were associated with 3 health behaviors: social networking site membership (used to measure one dimension of computer literacy) was associated with fruit consumption (β=0.23, 95% CI 0.05-0.42, P=.02), health literacy was associated with alcohol consumption (β=0.44, 95% CI 0.24-0.63, P<.001), and hypertension medication adherence (β=-0.32, 95% CI -0.62 to -0.03, P=.03). Models explained only a small amount of the variance in health behaviors.
  
  
  CONCLUSIONS
  Given the promising, although modest, associations between online health information-seeking behaviors and some health behaviors, efforts are needed to improve Hispanics' ability to access and understand health information and to enhance the availability of online health information that is suitable in terms of language, readability level, and cultural relevance.
authors.affiliation: Department of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, United States. leeyoung@pitt.edu.
authors.forename: Young Ji
authors.identifier: http://orcid.org/0000-0001-6359-4721
authors.initials: YJ
authors.lastname: Lee
authors.forename: Bernadette
authors.identifier: http://orcid.org/0000-0002-3752-329X
authors.initials: B
authors.lastname: Boden-Albala
authors.forename: Haomiao
authors.identifier: http://orcid.org/0000-0002-1391-8190
authors.initials: H
authors.lastname: Jia
authors.forename: Adam
authors.identifier: http://orcid.org/0000-0002-6305-735X
authors.initials: A
authors.lastname: Wilcox
authors.forename: Suzanne
authors.identifier: http://orcid.org/0000-0001-6202-6001
authors.initials: S
authors.lastname: Bakken
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D057226:Information Seeking Behavior / Q000941:ethics*; D008297:Male; D009519:New York City; D017216:Telemedicine / Q000706:statistics & numerical data*; D014481:United States
keywords: Hispanic Americans; Internet; consumer health information; health behavior; information-seeking behavior