Class, race, ethnicity and information needs in post-treatment cancer patients

Abstract

ObjectiveHealth information-seeking behaviors (HISBs) are associated with active participation in cancer care decisions which, in turn, may positively impact health outcomes. The goal of this study was to develop a taxonomy of topics for which post-treatment cancer patients sought information, and to explore HISB patterns by sociodemographic factors and cancer type. MethodsWe examined how health information seeking is associated with social determinants in a survey of 521 post-treatment cancer patients. ResultsFour major topics of interest were found: disease/treatment, self-care management, health services, and work/finance. Assessment of the relationship between social determinants and these four topics showed associations for (1) HISBs on disease/treatment topics decreased with age and increased with education; (2) HISBs on self-care management increased with education and varied by cancer type; (3) HISBs on health services increased with education; and (4) HISBs on work/finance decreased with age and wealth, but increased with debt. ConclusionThese results demonstrate one pathway through which social determinants may drive communication inequalities, which may result in increased disparities in health outcomes. Practice implicationsFurther exploration of the relationship between social determinants and information-seeking among post-treatment cancer patients may contribute to the development of strategies to reduce health disparities.