The Internet as a Vehicle to Communicate Health Information During a Public Health Emergency: A Survey Analysis Involving the Anthrax Scare of 2001
Identifieur interne : 001450 ( Pmc/Checkpoint ); précédent : 001449; suivant : 001451The Internet as a Vehicle to Communicate Health Information During a Public Health Emergency: A Survey Analysis Involving the Anthrax Scare of 2001
Auteurs : Anne F. Kittler [États-Unis] ; John Hobbs [Nouvelle-Zélande] ; Lynn A. Volk [États-Unis] ; Gary L. Kreps [États-Unis] ; David W. Bates [Nouvelle-Zélande, États-Unis]Source :
- Journal of Medical Internet Research [ 1438-8871 ] ; 2004.
Abstract
The recent public health risks arising from bioterrorist threats and outbreaks of infectious diseases like SARS (Severe Acute Respiratory Syndrome) highlight the challenges of effectively communicating accurate health information to an alarmed public.
To evaluate use of the Internet in accessing information related to the anthrax scare in the United States in late 2001, and to strategize about the most effective use of this technology as a communication vehicle during times of public health crises.
A paper-based survey to assess how individuals obtained health information relating to bioterrorism and anthrax during late 2001.We surveyed 500 randomly selected patients from two ambulatory primary care clinics affiliated with the Brigham and Women's Hospital in Boston, Massachusetts.
The response rate was 42%. While traditional media provided the primary source of information on anthrax and bioterrorism, 21% (95% CI, 15% - 27%) of respondents reported searching the Internet for this information during late 2001. Respondents reported trusting information from physicians the most, and information from health websites slightly more than information from any traditional media source. Over half of those searching the Internet reported changing their behavior as a result of information found online.
Many people already look to the Internet for information during a public health crisis, and information found online can positively influence behavioral responses to such crises. However, the potential of the Internet to convey accurate health information and advice has not yet been realized. In order to enhance the effectiveness of public-health communication, physician practices could use this technology to pro-actively e-mail their patients validated information. Still, unless Internet access becomes more broadly available, its benefits will not accrue to disadvantaged populations.
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DOI: 10.2196/jmir.6.1.e8
PubMed: 15111274
PubMed Central: 1550585
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Kittler</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical and Quality Analysis, Information Systems</institution><institution>Partners Healthcare System</institution><addr-line>93 Worcester Street</addr-line><addr-line>Wellesley MA 02481</addr-line><country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hobbs, John" sort="Hobbs, John" uniqKey="Hobbs J" first="John" last="Hobbs">John Hobbs</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Division of General Medicine and Primary Care</institution><institution>Department of Medicine</institution><institution>Brigham and Women's Hospital</institution><institution>(now at) Strategic Policy on Ethics and Innovation</institution><institution>Sector Policy Directorate</institution><institution>Ministry of Health</institution><country>New Zealand</country></nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Volk, Lynn A" sort="Volk, Lynn A" uniqKey="Volk L" first="Lynn A" last="Volk">Lynn A. Volk</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical and Quality Analysis, Information Systems</institution><institution>Partners Healthcare System</institution><addr-line>93 Worcester Street</addr-line><addr-line>Wellesley MA 02481</addr-line><country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kreps, Gary L" sort="Kreps, Gary L" uniqKey="Kreps G" first="Gary L" last="Kreps">Gary L. Kreps</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Health Communication and Informatics Research Branch</institution><institution>National Cancer Institute</institution><addr-line>6130 Executive Boulevard, MSC 7365</addr-line><addr-line>Bethesda MD 20892</addr-line><country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bates, David W" sort="Bates, David W" uniqKey="Bates D" first="David W" last="Bates">David W. Bates</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Division of General Medicine and Primary Care</institution><institution>Department of Medicine</institution><institution>Brigham and Women's Hospital</institution><institution>(now at) Strategic Policy on Ethics and Innovation</institution><institution>Sector Policy Directorate</institution><institution>Ministry of Health</institution><country>New Zealand</country></nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical and Quality Analysis, Information Systems</institution><institution>Partners Healthcare System</institution><addr-line>93 Worcester Street</addr-line><addr-line>Wellesley MA 02481</addr-line><country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Medical Internet Research</title><idno type="eISSN">1438-8871</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec sec-type="background"><title>Background</title><p>The recent public health risks arising from bioterrorist threats and outbreaks of infectious diseases like SARS (Severe Acute Respiratory Syndrome) highlight the challenges of effectively communicating accurate health information to an alarmed public.</p></sec><sec sec-type="objective"><title>Objective</title><p>To evaluate use of the Internet in accessing information related to the anthrax scare in the United States in late 2001, and to strategize about the most effective use of this technology as a communication vehicle during times of public health crises.</p></sec><sec sec-type="methods"><title>Methods</title><p>A paper-based survey to assess how individuals obtained health information relating to bioterrorism and anthrax during late 2001.We surveyed 500 randomly selected patients from two ambulatory primary care clinics affiliated with the Brigham and Women's Hospital in Boston, Massachusetts.</p></sec><sec sec-type="results"><title>Results</title><p>The response rate was 42%. While traditional media provided the primary source of information on anthrax and bioterrorism, 21% (95% CI, 15% - 27%) of respondents reported searching the Internet for this information during late 2001. Respondents reported trusting information from physicians the most, and information from health websites slightly more than information from any traditional media source. Over half of those searching the Internet reported changing their behavior as a result of information found online.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Many people already look to the Internet for information during a public health crisis, and information found online can positively influence behavioral responses to such crises. However, the potential of the Internet to convey accurate health information and advice has not yet been realized. In order to enhance the effectiveness of public-health communication, physician practices could use this technology to pro-actively e-mail their patients validated information. Still, unless Internet access becomes more broadly available, its benefits will not accrue to disadvantaged populations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gray, George M" uniqKey="Gray G">George M Gray</name></author><author><name sortKey="Ropeik, David P" uniqKey="Ropeik D">David P Ropeik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hobbs, J" uniqKey="Hobbs J">J Hobbs</name></author><author><name sortKey="Kittler, Af" uniqKey="Kittler A">AF Kittler</name></author><author><name sortKey="Fox, S" uniqKey="Fox S">S Fox</name></author><author><name sortKey="Middleton, B" uniqKey="Middleton B">B Middleton</name></author><author><name sortKey="Bates, Dw" uniqKey="Bates D">DW Bates</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Jones, J Alfred" uniqKey="Jones J">J Alfred Jones</name></author><author><name sortKey="Kreps, Gary L" uniqKey="Kreps G">Gary L Kreps</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fox, S" uniqKey="Fox S">S Fox</name></author><author><name sortKey="Fallows, D" uniqKey="Fallows D">D Fallows</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rodgers, J E" uniqKey="Rodgers J">J E Rodgers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hobbs, John" uniqKey="Hobbs J">John Hobbs</name></author><author><name sortKey="Wald, Jonathan" uniqKey="Wald J">Jonathan Wald</name></author><author><name sortKey="Jagannath, Yamini S" uniqKey="Jagannath Y">Yamini S Jagannath</name></author><author><name sortKey="Kittler, Anne" uniqKey="Kittler A">Anne Kittler</name></author><author><name sortKey="Pizziferri, Lisa" uniqKey="Pizziferri L">Lisa Pizziferri</name></author><author><name sortKey="Volk, Lynn A" uniqKey="Volk L">Lynn A Volk</name></author><author><name sortKey="Middleton, Blackford" uniqKey="Middleton B">Blackford Middleton</name></author><author><name sortKey="Bates, David W" uniqKey="Bates D">David W Bates</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mandl, K D" uniqKey="Mandl K">K D Mandl</name></author><author><name sortKey="Katz, S B" uniqKey="Katz S">S B Katz</name></author><author><name sortKey="Kohane, I S" uniqKey="Kohane I">I S Kohane</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id><journal-id journal-id-type="publisher-id">JMIR</journal-id><journal-title-group><journal-title>Journal of Medical Internet Research</journal-title></journal-title-group><issn pub-type="epub">1438-8871</issn><publisher><publisher-name>Gunther Eysenbach</publisher-name><publisher-loc>Centre for Global eHealth Innovation, Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">15111274</article-id><article-id pub-id-type="pmc">1550585</article-id><article-id pub-id-type="publisher-id">v6i1e8</article-id><article-id pub-id-type="doi">10.2196/jmir.6.1.e8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>The Internet as a Vehicle to Communicate Health Information During a Public Health Emergency: A Survey Analysis Involving the Anthrax Scare of 2001</article-title></title-group><contrib-group><contrib id="contrib1" contrib-type="author"><name><surname>Kittler</surname><given-names>Anne F</given-names></name><degrees>BA</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib id="contrib2" contrib-type="author"><name><surname>Hobbs</surname><given-names>John</given-names></name><degrees>MComm</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib id="contrib3" contrib-type="author"><name><surname>Volk</surname><given-names>Lynn A</given-names></name><degrees>MHS</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib id="contrib4" contrib-type="author"><name><surname>Kreps</surname><given-names>Gary L</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib id="contrib5" contrib-type="author" corresp="yes"><name><surname>Bates</surname><given-names>David W</given-names></name><degrees>MD</degrees><degrees>MSc</degrees><address><institution>Division of General Medicine and Primary Care</institution><institution>Brigham and Women's Hospital</institution><institution>General Medicine Division</institution><addr-line>1620 Tremont Street</addr-line><addr-line>3rd Floor, Room BC3-2M</addr-line><addr-line>Boston MA 02129-1683</addr-line><country>USA</country><phone>+1 617 732 7063</phone><fax>+1 617 732 7072</fax><email>dbates@partners.org</email></address><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Mandl</surname><given-names>Kenneth</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Goel</surname><given-names>Vivek</given-names></name></contrib></contrib-group><aff id="aff1" rid="aff1"><sup>1</sup><institution>Division of General Medicine and Primary Care</institution><institution>Department of Medicine</institution><institution>Brigham and Women's Hospital</institution><institution>(now at) Strategic Policy on Ethics and Innovation</institution><institution>Sector Policy Directorate</institution><institution>Ministry of Health</institution><country>New Zealand</country></aff><aff id="aff2" rid="aff2"><sup>2</sup><institution>Department of Clinical and Quality Analysis, Information Systems</institution><institution>Partners Healthcare System</institution><addr-line>93 Worcester Street</addr-line><addr-line>Wellesley MA 02481</addr-line><country>USA</country></aff><aff id="aff3" rid="aff3"><sup>3</sup><institution>Health Communication and Informatics Research Branch</institution><institution>National Cancer Institute</institution><addr-line>6130 Executive Boulevard, MSC 7365</addr-line><addr-line>Bethesda MD 20892</addr-line><country>USA</country></aff><pub-date pub-type="collection"><season>Jan-Mar</season><year>2004</year></pub-date><pub-date pub-type="epub"><day>3</day><month>3</month><year>2004</year></pub-date><volume>6</volume><issue>1</issue><elocation-id>e8</elocation-id><history><date date-type="received"><day>5</day><month>11</month><year>2003</year></date><date date-type="rev-request"><day>17</day><month>11</month><year>2004</year></date><date date-type="rev-recd"><day>15</day><month>12</month><year>2003</year></date><date date-type="accepted"><day>4</day><month>1</month><year>2004</year></date></history><permissions><copyright-statement>© Anne F Kittler, John Hobbs, Lynn A Volk, Gary L Kreps, David W Bates. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 3.3.2004. Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, including full bibliographic details and the URL (see "please cite as" above), and this statement is included.</copyright-statement><copyright-year>2004</copyright-year></permissions><self-uri xlink:type="simple" xlink:href="http://www.jmir.org/2004/1/e8/"></self-uri><abstract><sec sec-type="background"><title>Background</title><p>The recent public health risks arising from bioterrorist threats and outbreaks of infectious diseases like SARS (Severe Acute Respiratory Syndrome) highlight the challenges of effectively communicating accurate health information to an alarmed public.</p></sec><sec sec-type="objective"><title>Objective</title><p>To evaluate use of the Internet in accessing information related to the anthrax scare in the United States in late 2001, and to strategize about the most effective use of this technology as a communication vehicle during times of public health crises.</p></sec><sec sec-type="methods"><title>Methods</title><p>A paper-based survey to assess how individuals obtained health information relating to bioterrorism and anthrax during late 2001.We surveyed 500 randomly selected patients from two ambulatory primary care clinics affiliated with the Brigham and Women's Hospital in Boston, Massachusetts.</p></sec><sec sec-type="results"><title>Results</title><p>The response rate was 42%. While traditional media provided the primary source of information on anthrax and bioterrorism, 21% (95% CI, 15% - 27%) of respondents reported searching the Internet for this information during late 2001. Respondents reported trusting information from physicians the most, and information from health websites slightly more than information from any traditional media source. Over half of those searching the Internet reported changing their behavior as a result of information found online.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Many people already look to the Internet for information during a public health crisis, and information found online can positively influence behavioral responses to such crises. However, the potential of the Internet to convey accurate health information and advice has not yet been realized. In order to enhance the effectiveness of public-health communication, physician practices could use this technology to pro-actively e-mail their patients validated information. Still, unless Internet access becomes more broadly available, its benefits will not accrue to disadvantaged populations.</p></sec></abstract><kwd-group><kwd>bioterrorism</kwd><kwd>public health</kwd><kwd>communication</kwd><kwd>electronic mail</kwd><kwd>inequality</kwd><kwd>behavior</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Nouvelle-Zélande</li><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Kittler, Anne F" sort="Kittler, Anne F" uniqKey="Kittler A" first="Anne F" last="Kittler">Anne F. Kittler</name></noRegion><name sortKey="Bates, David W" sort="Bates, David W" uniqKey="Bates D" first="David W" last="Bates">David W. Bates</name><name sortKey="Kreps, Gary L" sort="Kreps, Gary L" uniqKey="Kreps G" first="Gary L" last="Kreps">Gary L. Kreps</name><name sortKey="Volk, Lynn A" sort="Volk, Lynn A" uniqKey="Volk L" first="Lynn A" last="Volk">Lynn A. Volk</name></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Hobbs, John" sort="Hobbs, John" uniqKey="Hobbs J" first="John" last="Hobbs">John Hobbs</name></noRegion><name sortKey="Bates, David W" sort="Bates, David W" uniqKey="Bates D" first="David W" last="Bates">David W. Bates</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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