title: Online Health Information-Seeking Behavior and Confidence in Filling Out Online Forms Among Latinos: A Cross-Sectional Analysis of the California Health Interview Survey, 2011-2012.
abstract: Health information is increasingly being disseminated online, but there is a knowledge gap between Latinos and non-Hispanic whites, particularly those whose English language proficiency is poor, in terms both of online health information-seeking behavior and computer literacy skills. This knowledge gap may also exist between US- and foreign-born Latinos.
  
  
  
  The specific aim of this study was to examine Internet use, online health information-seeking behavior, and confidence in filling out online forms among Latinos, particularly as it relates to health-risk behaviors. We then stratified our sample by nativity.
  
  
  
  We used the adult population file of the 2011-2012 California Health Interview Survey, analyzing Internet use, online health information-seeking behavior, and confidence in filling out online forms using binary logistic regression among Latinos and whites (N=27,289), Latinos (n=9506), and Latinos who use the Internet (n=6037).
  
  
  
  Foreign-born Latinos (OR 0.71, 95% CI 0.58-0.88, P=.002) have lower odds of engaging in online health information-seeking behavior, and higher odds (OR 2.90, 95% CI 2.07-4.06, P<.001) of reporting a lack of confidence in filling out online forms compared to US-born Latinos. Correlates of online health information-seeking behavior and form confidence varied by nativity.
  
  
  
  Latinos, particularly foreign-born individuals, are at an increased risk of being left behind as the move to increase online content delivery and care expands. As online health information dissemination and online health portals become more popular, the impact of these sites on Latino gaps in coverage and care should be considered.
authors.affiliation: Public Health, University of California, Merced, Merced, CA, United States. mgonzalez82@ucmerced.edu.
authors.forename: Mariaelena
authors.identifier: 0000-0001-5078-6759
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Ashley
authors.identifier: 0000-0001-9584-7172
authors.initials: A
authors.lastname: Sanders-Jackson
authors.forename: Jason
authors.identifier: 0000-0003-4890-9822
authors.initials: J
authors.lastname: Emory
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001292:Attitude to Computers / Q000208:ethnology*; D001294:Attitude to Health / Q000208:ethnology*; D002140:California; D003197:Computer Literacy; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006630:Hispanic or Latino; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet; D007802:Language; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D044465:White People; D055815:Young Adult
keywords: Hispanic Americans; communications media; health information-seeking behavior; online forms; social media