Effect Of Health Information Research Articles

Does health information affect lifestyle behaviours? The impact of a diabetes diagnosis

Despite an increasing interest in the effect of health information on health-behaviours, evidence on the causal impact of a diagnosis on lifestyle factors is still mixed and does not often account for long-term effects. We explore the role of health information in individual health-related decisions by identifying the causal impact of a type-2 diabetes diagnosis on body mass index (BMI) and lifestyle behaviours. We employ a fuzzy regression discontinuity design (RDD) exploiting the exogenous cut-off value in the diagnosis of type-2 diabetes provided by a biomarker (glycated haemoglobin) drawn from unique administrative longitudinal data from Spain. We find that following a type-2 diabetes diagnosis individuals appear to reduce their weight in the short-term. Differently from previous studies, we also provide evidence of statistically significant long-term impacts of a type-2 diabetes diagnosis on BMI up to three years from the diagnosis. We do not find perceivable effects of a type-2 diabetes diagnosis on quitting smoking or drinking. Overall, health information appears to have a sustained causal impact on weight reduction, a key lifestyle and risk factor among individuals with type-2 diabetes.

Nutrition in Disguise: Effects of Food Neophobia, Healthy Eating Interests and Provision of Health Information on Liking and Perceptions of Nutrient-Dense Foods in Older Adults.

Older adults (60+ years) are at higher risk of malnutrition. Improving the nutrient-density of their diets is important but presents challenges due to the introduction of new ingredients, liking implications and heterogeneity of older consumers. Ten nutrient-enhanced foods were evaluated for liking (9-point hedonic scale) and sensory perception (check-all-that-apply) by 71 older adults. Three foods were re-evaluated after participants were provided with information about their healthy ingredients and benefits. Participants were also segmented based on their degrees of food neophobia and interests in healthy eating, using questionnaires. The results showed that eight foods had adequate sensory appeal (overall hedonic score of ≥6) to be pursued for residential care menus. Segmentation based on food neophobia and healthy eating interests did not yield any meaningful differences between groups. The effect of health information on liking for the overall sample and subgroups was product-specific: liking scores only increased for the raspberry banana smoothie in the overall test population and higher healthy eating interest subgroup. Health information may lead to the experience of more positive attributes in some foods. Overall, eight foods that were tested could be accepted by a wide range of consumers and providing them with health information may further improve acceptance.

Effect of Health Information Websites on Healthcare Facility Visits in the Eastern Province of Saudi Arabia

Introduction: The internet has been widely available with 18 million users in Saudi Arabia alone. The rapid growth of internet use has proven to affect healthcare. The main objective was to determine a correlation between health-related information (HRI) website use & healthcare facility visits in the Eastern Province of Saudi Arabia.Methodology: This study was designed as a survey-based cross-sectional study involving the population of the Eastern province of Saudi Arabia. Data was collected by distributing a validated survey via an online survey application over a 4-month period. It consisted of demographic data and questions concerning internet use for HRI. Logistic regression was used to establish a correlation between internet use for HRI & healthcare facility visits and to see influencing factors.Results: From the 1095 replies, 788 fit our inclusion criteria. 90% of our subjects have used the internet for HRI using mainly General medical websites 47.9%, Social Media 20.17%, Forums 19.16%, and government websites 12.69%. We found 52.27% have used HRI websites to diagnose & treat their own medical conditions without professional medical advice. Visiting healthcare facilities after reading online HRI occurred 62.2% of the time, while the remaining did not due to being reassured of their condition. Outpatient clinics were most visited at 57.63% followed by ER & Pharmacy visits at 21.11% each. Those who have used the internet for HRI were more likely to visit a healthcare facility than those who haven't (OR(95%CI)) 2.05(1.24-3.36) (p-value<0.05).Conclusions: There seems to be a correlation between HRI website use & healthcare facility visits, which is influenced by the level of education & occupation status.

The effect of health information on smoking intensity: does addiction matter?

ABSTRACTWe investigate how health information, such as a notification of hypertension, influences smoking intensity differently among smokers with different levels of addiction. To circumvent the endogeneity of health information, we employ a sharp regression discontinuity design that exploits the discontinuity around the cut-off point for a hypertension diagnosis. The addiction levels are conjectured by the age of smoking initiation. Using individual-level data from China, our results demonstrate that a hypertension notification reduces daily cigarette smoking by 8.01 cigarettes among less-addicted smokers in the short term, while the influence is insignificant among more-addicted smokers; the observed difference is better explained by addiction levels than by health attitudes. The long-term effects of a hypertension notification are insignificant, regardless of addiction levels. Our results may provide new support for the importance of preventing youth smoking and providing regular medical check-ups.

HEALTH INFORMATION’S IMPACT ON OSTEOPOROSIS SELF-MANAGEMENT BEHAVIORS IN OLDER WHITE AND ASIAN WOMEN

Little is known about how health information obtained from different types of social networks affect health behaviors. This study aimed to explore the effect of health information on osteoporosis management behaviors among White and Asian women from a social capital (SC) perspective using a variety of SC measures (e.g. bonding: family, friends, coworkers; bridging: churches, clubs; linking: health providers). Semi-structured interviews were conducted with 10 White and 10 Asian women aged 50 and over in 2016. Through content analysis, we found that SC possession was different between older White and Asian women, and SC utilization to obtain health information corresponded with their possession of SC. Comparing to other diseases, health information relevant to osteoporosis was less frequently communicated. Health information from different types of SC interactively shaped participants’ behaviors. The findings suggest that culturally appropriate health interventions might improve older White and Asian women’s self-management behaviors of osteoporosis.

Quasi‐Experimental Evidence on the Effects of Health Information on Preventive Behaviour in Europe

AbstractWe investigate the effect of information on preventive decisions in a quasi‐experimental setting arising from the implementation of local breast cancer screening programmes in Europe. To identify the causal effect of invitation on preventive uptake, we link administrative public data on regional screening policies to individual data from the Survey of Health Ageing and Retirement in Europe (SHARE) and exploit regional variation in the availability of screening policies and in age eligibility criteria. We find home invitation increases mammography uptakes by around 24%. Significant effects are found when at least 50% of the population is reached by the invitation letter. The stock of health information and the ability to process the information received seem to play a significant role, as the effects of invitation are higher among low educated and lower among cognitively impaired women.

Impact Factors Relating to Effectiveness of Health Information in Company and Public Services Workers of Urban-Rural City

This study was conducted, based on a specific population group composed of company workers and public services workers residing in one of urban-rural city, to reach relating factors with utilizing health information. This study surveyed 213 company workers and public services workers residing in urban-rural city who were aged more than 20 during the period of February 5th 2007 to February 9th 2007. Concern on health, utility of health information, challenge thoughts, funny and interesting of health information, experience of using health information, household income were significantly associated with intention to use of health information. In conclusion, we should target and consider to this results for planning projects or program on health information.

Health information and diet choices: Results from a cheese experiment

This study reports results from a choice experiment on semi-hard cheese from Norway. About half of the 408 participants were exposed to diet-related health information before performing either a choice or a ranking task, while a control group did not receive such information. The effects of health information on marginal willingness to pay for low-saturated-fat, low-fat and organic cheese are analyzed using rank-ordered mixed logit models. Cheese preferences are clearly affected by exposure to health information. On average, the health information group is willing to pay a price premium of 27.2% (NOK 24.5 per kg) for low-saturated-fat cheese and 14.4% (NOK 13.0 per kg) for low-fat cheese. This is respectively 1.73 and 2.89 times more than corresponding price premiums in the control group. Non-college, medium–high income, age50–70 and female participants are more clearly affected by health information than college, low income, age 30–49 and male participants. Subjective statements on diet-health knowledge and awareness are used to discuss these findings. Our results suggest that provision of health information is likely to reduce educational differences in diet-health knowledge and thus dietary behavior. Low income participants seem to be constrained by high food prices, but not by lack of knowledge or awareness. Finally, due to lack of diet-health awareness, reaching out to young people and particularly males through health information policies seems difficult.

Effect of Health Information on Consumer Acceptability of Bread Fortified with β‐Glucan and Effect of Fortification on Bread Quality

ABSTRACTFortifying bread with β‐glucan reduces bread sensorial properties, though fortification using β‐glucan concentrates of low solubility under the conditions of dough preparation has not been investigated. This study investigated the consumer acceptability and purchase intent of bread fortified with a less soluble β‐glucan concentrate at levels corresponding to 0, 0.75, and 1.5 g β‐glucan/serving bread in relation to the provision of health information, gender, and whole wheat bread consumption. The effect of β‐glucan concentration on the physical properties of the bread produced under pilot plant settings was also investigated. β‐Glucan addition decreased (P < 0.05) loaf volume, increased firmness, and produced a darker, redder bread (P < 0.05), though fortification at 1.5 g β‐glucan/serving bread decreased height as well (P < 0.05). Consumer evaluation (n = 122) revealed that health information increased liking of appearance, flavor, and overall acceptability of the 1.5 g/serving bread to levels similar to or exceeding that of the control. Liking of the 1.5 g β‐glucan/serving bread appearance increased more in women than in men and for consumers who regularly consumed whole wheat bread for perceived health benefits when β‐glucan health information was provided. The provision of β‐glucan health information may be the key to increasing consumer acceptability of bread fortified with β‐glucan.

Effects of health information on Nordic meat and fish demand

Increasing public concerns about health risks associated with dietary intakes of cholesterol are expected to have significant impacts on the demand for foods with high fat content. This paper investigates how information about cholesterol, as measured by two newly constructed indices based on published medical research, has affected the demand for meats (beef, chicken and pork) and fish in the Nordic countries (Denmark, Finland, Norway and Sweden). To compare the effects of information across countries and over time, the demand equations for all the countries are estimated within one system, and a complete set of price and expenditure elasticities is estimated. Our findings suggest that health information has affected consumption in a healthy way in all countries studied except for Denmark. We find positive effects on the demand for chicken in Finland, Norway and Sweden and for fish in Finland and Sweden. A negative effect on the demand for beef in Sweden also is found.

Digital information provision via interactive television: understanding the digital consumer

To achieve its objective of having virtually all its services (central and local) online by 2005, the Government must close the “digital divide”, i.e. provide access for those sections of society not yet linked to the electronic, computer‐mediated communications environment. There is a need to consider user psychology as well as demography, as shown by research that has evaluated the use and effectiveness of health information and advice services provided via the television. The assumption is that simply providing access to online public services via the country’s most widespread and popular mass medium will guarantee their success, but this assumption is naive in terms of its understanding of viewer psychology. To ensure success, it is essential to know more about the usability and application effectiveness of interactive services provided through television. This paper explores key concepts of platform availability, use and access, service and information access, service use and application effectiveness.

Effects of Health Information in Youth and Young Adulthood on Risk Factors for Chronic Diseases—20-Year Study Results from the Amsterdam Growth and Health Longitudinal Study

In the Amsterdam Growth and Health Longitudinal Study (AGAHLS) biological risk factors for chronic diseases were measured on eight separate occasions over a period of 20 years in a group of apparently healthy males and females ( n = 164). Data were first collected from participants at 13 years of age. At each of the eight measurements, a medical checkup was performed and participants were given information about their current health status based on their personal biological risk factor profile (cholesterol, blood pressure, body composition, and physical fitness). A comparable group ( n = 113) was measured on two occasions only: at age 13 and again at age 33. It was hypothesized that the group with eight measurements would present a more favorable 20-year development of the risk factors than the group with only two measurements. In the present article the six additional measurements with personal feedback of one's health status were perceived as an “intervention,” even though the AGAHLS never intended to improve the lifestyle or health of its subjects. The intervention appeared to have had a positive effect on body fat distribution and, in men, on systolic blood pressure. However, it was expected that these significant results were not true effects of the intervention, but that they were type-I errors. For the other variables, total cholesterol, high-density lipoprotein cholesterol, and the ratio between these two, for the sum of four skinfolds, diastolic blood pressure, neuromotor fitness, and for maximal oxygen uptake, the 20-year development did not differ between the two groups. Thus, the effects of a 20-year health measurement and information intervention begun in youth on biologic risk factors for chronic diseases were limited. The absence of clear significant findings may be due to the low contrast between the two groups, as only six intervention measurements were conducted over a period of 20 years. Another reason may be that the young and relatively healthy population under study here was not amenable to changing their fitness and health.

Effects of health information in youth on adult physical activity: 20‐Year study results from the Amsterdam growth and health longitudinal study

In the Amsterdam Growth and Health Longitudinal Study (AGAHLS), a group of apparently healthy males and females (n = 200) were interviewed about their physical activities on eight separate occasions over a period of 20 years between 13 and 33 years of age (multi-measured group: MM). Information about their health was given based on their personally measured lifestyle (activity, diet, smoking) and biological risk characteristics for chronic diseases (medical check-ups). A comparable group of boys and girls (n = 200) was only measured on two occasions (bi-measured group: BM): at 13 and 33 years. Physical activity was estimated with a structured interview. Total physical activity and sports activity were estimated in three intensity levels (light, moderate, and heavy). It was hypothesized that the eight repeated medical check-ups with health information in the MM group would result in a healthier lifestyle with respect to the determinants and levels of habitual physical activity compared to the BM group. Contrary to the hypothesis, males and females in the BM group showed a significantly higher increase or a lower decrease in physical activities compared to the MM group. This negative effect on the physical activity pattern at 33 years in the MM group may have been caused by more underreporting of physical activities than in the BM group. In conclusion, there does not appear to be a significant effect of long-term (multi-measured) health information with medical check-ups during adolescence and young adulthood on level of physical activity in males and females at 33 years of age.

Effects of Health Information on Household Demand for Nutrients

In an analysis of the effectiveness of the dissemination of information on healthy dietary intake, a consumer demand model for food nutrients is formulated. The model is constructed on the assumption that households maximise utility of non-marketed goods using market goods. In terms of food consumption, households are presumed to be subjected to both positive and negative information on dietary intake. Acting on this information, households may reallocate budgetary resources and therefore alter the bundle of goods consumed. This paper shows that information on healthy dietary intake has almost no effect on the bundle of nutrients consumed and what limited effects we observed are more that cancelled out by changes in nutrients' implicit prices, income and household composition.

Information, endogeneity, and consumer health behaviour: application to dietary intakes

Due to heightened public health interest, a growing number of consumer health behaviour studies are focusing on the effect of health information on the demand for health inputs and outcomes. Many of these studies, however, have overlooked the potential endogeneity of information variables stemming from unobserved individual heterogeneity. Due to simultaneity bias, ignoring endogeneity may lead to inaccurate estimates of informational effects on health behaviour. Using dietary intake data for fat, saturated fat, cholesterol, and fibre, this paper illustrates the pitfalls of treating health information related to these nutrients as exogenous variables in their demand equations. In most of the estimated models, the exogeneity of information is statistically rejected. When the information variables are treated as exogenous variables, their effects on dietary intakes are underestimated. The estimated effects of key intake determinants such as income, education, ethnicity, and race are also different in such a specification compared to a specification which treats information variables as endogenous. Implications for nutrition education policies are discussed.

Effects of Health Information and Generic Advertising on U.S. Meat Demand

AbstractThe dominant pattern in U.S. meat consumption over the past two decades has been a steady increase in per capita poultry consumption, largely at the expense of beef consumption. Our findings suggest that the major factor governing this pattern is structural change. Specifically, health information or trend was found to be significant in each of the four equations estimated in the Rotterdam system. Moreover, the health‐information elasticities in general are larger in absolute value than price elasticities, which suggests that small percentage changes in health information have larger impacts on meat consumption than equivalently small percentage changes in relative prices. The estimated effects of generic advertising, in contrast, were found to be modest and fragile.

The effects of health information in a worksite hypertension screening program.

Two studies assessed the potential impact of health education messages at worksite blood pressure screenings. The messages sought to: motivate hypertensives to enter or return to treatment, motivate normotensives to improve health habits and discourage inappropriate use of blood pressure screening by normotensives. A total of 473 participants in the two studies viewed slide/tape shows about blood pressure and/or health promotion. Individuals with elevated readings at screening viewed either a show containing standard blood pressure information or an experimental show which emphasized the asymptomatic nature of high blood pressure and which described some concrete strategies for coping with high blood pressure. In both studies, individuals with normal readings at screening viewed a standard show or an experimental show which emphasized coping strategies for preventing high blood pressure. In addition, in Study 2, some normotensive individuals viewed one of several experimental shows which focused on health promotion. Results indicate that the experimental programs were significantly more effective than the standard programs in achieving appropriate followup of screening results for both normotensives and hypertensives. Implications for worksite blood pressure screenings are discussed.