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How Americans Respond to Information About Global Warming's Health Impacts: Evidence From a National Survey Experiment.

ABSTRACT: Americans tend to see global warming as a distant threat, but a small body of previous research suggests that information about the health implications of global warming may enhance public engagement with the issue. We sought to extend those findings with a longitudinal study that examined how Americans react to information about eight specific categories of health impacts from global warming. In winter 2017, we conducted a two-wave survey experiment using a quota sample of American adults (n = 2,254). Participants were randomly assigned to a treatment group who read eight brief essays about different categories of health impacts from global warming or to a control group who received no information. Participants answered questions before reading the essays, immediately after reading each essay and at the conclusion of all essays (treatment participants only), and 2-3 weeks later. Reading the information had small- to medium-sized effects on multiple indicators of participants' cognitive and affective engagement with global warming, especially among people who are politically moderate and somewhat conservative; some of these changes persisted 2-3 weeks later. Some impacts were seen as more novel and worrisome, including illnesses from contaminated food, water, and disease-carrying organisms. Our findings provide the most definitive evidence to date about the importance of raising awareness about the health impacts of global warming. While participants believed all of the essays as offered valuable information, educational efforts might most productively focus on impacts that are relatively less familiar and more emotionally engaging, such as food-, water-, and vector-borne illnesses.

SUBMITTER: Kotcher J

PROVIDER: S-EPMC7007167 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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How Americans Respond to Information About Global Warming's Health Impacts: Evidence From a National Survey Experiment.

Kotcher John J Maibach Edward E Montoro Marybeth M Hassol Susan Joy SJ

GeoHealth 20180924 9

Americans tend to see global warming as a distant threat, but a small body of previous research suggests that information about the health implications of global warming may enhance public engagement with the issue. We sought to extend those findings with a longitudinal study that examined how Americans react to information about eight <i>specific categories</i> of health impacts from global warming. In winter 2017, we conducted a two-wave survey experiment using a quota sample of American adult ...[more]

PMID: 32159018

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Project description:BackgroundEmerging health technologies are increasingly being used in health care for communication, data collection, patient monitoring, education, and facilitating adherence to chronic disease management. However, there is a lack of studies on differences in the preference for using information exchange technologies between patients with chronic and nonchronic diseases and factors affecting these differences.ObjectiveThe purpose of this paper is to understand the preferences and use of information technology for information exchange among a nationally representative sample of adults with and without 3 chronic disease conditions (ie, cardiovascular disease [CVD], diabetes, and hypertension) and to assess whether these preferences differ according to varying demographic variables.MethodsWe utilized data from the 2012 and 2014 iteration of the Health Information National Trends Survey (N=7307). We used multiple logistic regressions, adjusting for relevant demographic covariates, to identify the independent factors associated with lower odds of using health information technology (HIT), thus, identifying targets for awareness. Analyses were weighted for the US population and adjusted for the sociodemographic variables of age, gender, race, and US census region.ResultsOf 7307 participants, 3529 reported CVD, diabetes, or hypertension. In the unadjusted models, individuals with diabetes, CVD, or hypertension were more likely to report using email to exchange medical information with their provider and less likely to not use any of the technology in health information exchange, as well as more likely to say it was not important for them to access personal medical information electronically. In the unadjusted model, additional significant odds ratio (OR) values were observed. However, after adjustment, most relationships regarding the use and interest in exchanging information with the provider were no longer significant. In the adjusted model, individuals with CVD, diabetes, or hypertension were more likely to access Web-based personal health information through a website or app. Furthermore, we assessed adjusted ORs for demographic variables. Those aged >65 years and Hispanic people were more likely to report no use of email to exchange medical information with their provider. Minorities (Hispanic, non-Hispanic black, and Asian people) were less likely to indicate they had no interest in exchanging general health tips with a provider electronically.ConclusionsThe analysis did not show any significant association among those with comorbidities and their proclivity toward health information, possibly implying that HIT-related interventions, particularly design of information technologies, should focus more on demographic factors, including race, age, and region, than on comorbidities or chronic disease status to increase the likelihood of use. Future research is needed to understand and explore more patient-friendly use and design of information technologies, which can be utilized by diverse age, race, and education or health literacy groups efficiently to further bridge the patient-provider communication gap.

Project description:BackgroundHealth information is crucial for preservation of health and maintenance of healthy practices among cancer survivors. This study examines the sources and factors associated with choice of health information source among cancer survivors and those without a cancer history.MethodsWe examined health information sources utilized by cancer history between 2011-2014 and 2017-2018 using the Health Information National Trends Survey (HINTS). Factors associated with seeking health information were examined using multinomial logistic regression. Data from HINTS 4, cycles 1-4 (2011-2014) and HINTS 5, cycles 1-2 (2017-2018) were combined and used for all analyses. HINTS-FDA, cycles 1-2 (2015-2017) were excluded from this study because the question about a cancer history was not asked.ResultsOver half of cancer survivors (52.7%) and those without a cancer history (60.9%) obtained their health information through the media. Among cancer survivors, factors associated with health information seeking either through the media or interpersonal communication relative to not seeking information were age, gender, level of education, income, marital status and having a regular healthcare provider. Male survivors were 39% less likely to seek health information from the media (aOR: 0.61; 95% CI: 0.38-0.99) while those with a regular health provider had significantly higher odds of seeking health information via interpersonal communication (aOR: 1.92; 95% CI: 1.09-3.38). In addition, widowed cancer survivors had lower odds of seeking health information from either interpersonal communication (aOR: 0.28; 95% CI: 0.13-0.60) or the media (aOR: 0.30; 95% CI: 0.13-0.69). In the study population without a cancer history, compared to non-Hispanic whites, non-Hispanic blacks, Hispanics and non-Hispanic other categories were significantly less likely to seek health information from the media rather than not seek health information.ConclusionSocioeconomic status, marital status, gender and age are important correlates of choice of health information source among cancer survivors in the US. These factors may be useful in guiding interventions aimed at various groups of cancer surviving populations to ensure that they improve their health seeking behaviors.

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How Americans Respond to Information About Global Warming's Health Impacts: Evidence From a National Survey Experiment.

Publications

How Americans Respond to Information About Global Warming's Health Impacts: Evidence From a National Survey Experiment.

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