Dissemination Of Health Information Research Articles

Fathers involvement in child feeding and its associated factors among fathers having children aged 6 to 24 months in Antsokia Gemza Woreda, Ethiopia: Cross-sectional study.

Father Involvement is exercising positive influences on child feeding. Mothers are usually the primary caregivers for young children. The role of fathers in the proper child feeding of young children has not been a frequent topic of study. Past research has found low rates and little is known about fathers' involvement in child feeding for children 6-23 months in Ethiopia. The aim of this study is to assess fathers' involvement in child feeding children aged 6-24 Months. To assess fathers' involvement in child feeding and associated factors among fathers having children aged 6 to 24 months. A community-based cross-sectional study design was conducted from Jan 23/2022 to April 07/2022. A systematic random sampling technique was applied to select study participants. A total of 408 respondents participated in the study. Data was entered into EPI data version 3.1 and then exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression was used for analysis. Father's involvement in child feeding was 43.1%. Factors that were significantly associated with good fathers involvement in child feeding include urban residence(AOR = 3.878, 95% CI = (1.408-10.678), male sex of the youngest child(AOR = 3.681, 95% CI = (1.678-8.075)), first birth order of the youngest child(AOR = 3.970, 95% CI = (1.212-13.005)), Better(secondary and higher) educational status (AOR = 4.945,95% CI = (1.043-23.454)) and AOR = 5.151, 95% CI = (1.122-23.651)), having ever heard information(AOR = 8.593, 95% CI = (3.044-24.261)), good knowledge (AOR = 3.843,95% CI = (1.318-11.210)), positive attitude (AOR = 8.565, 95% CI = (3.521-20.837)) and good culture (AOR = 10.582,95% CI = (2.818-39.734)). Father involvement in child feeding was poor in Antsokia Gemza Woreda. Urban residences, male sex of the youngest child, first birth order of the youngest child, better (secondary and higher) educational status, having ever heard information, good knowledge, positive attitude, and good culture were significantly associated with fathers' involvement in child feeding. Health information dissemination on father involvement in child feeding should be strengthened.

Health information sharing on social media: quality assessment of short videos about chronic kidney disease

IntroductionChronic kidney disease (CKD), which affects about 10% of global population, has become a global public health crisis in recent decades. It is well recognized that health information dissemination could change health behaviors, thereby greatly improving the early diagnosis and prevention of diseases. Due to fast dissemination, wide audience, intuitive and vivid, popularization through short videos has rapidly developed into the new main battlefield of health information. The objective of this study was to describe the properties of the CKD-related health information on short video apps.MethodsSearching on short video apps with high-frequency words in kidney disease as keywords, the basic information of the uploaders was retrieved and extracted short video. Five quality dimensions, awareness, popularity, utility, validity and quality, of each video were assessed with numeric rating scale (NRS) by five volunteers with CKD and three nephrologists.ResultsFrom the platform of douyin, 65 uploaders and their 3973 short videos of CKD-related health information were investigated in this study. Most information of short videos had relatively high level in awareness, popularity and utility assessment, but some information had relatively low level in validity and quality assessment; 24 (36.9%) uploaders were from governmental hospital (tertiary hospital); 19 uploaders (29.2%) uploaded more than 100 short videos and 49 uploaders (75.4%) updated their videos weekly, and 16 uploaders (24.6%) didn’t update short videos more than one month. There were 4 uploaders (6.2%) have more than 1 million follows, and 39 uploaders (60%) had follows less than 10,000. “Lifestyles”, “Common symptoms of kidney disease” and “Nephritis or kidney disease” were the three main contents of these short videos. The comprehensive data of uploaders with millions of follows in nephrology specialty were much lower than that of orthopedics and other specialty.ConclusionThe validity and quality of short video is still unsatisfactory, and CKD-related health information also need to be led and improved, although the awareness, popularity, and utility of health information about CKD is acceptable. The public should be selective and cautious in seeking CKD information on social media.

Deciphering Latent Health Information in Social Media Using a Mixed-Methods Design.

Natural language processing techniques have increased the volume and variety of text data that can be analyzed. The aim of this study was to identify the positive and negative topical sentiments among diet, diabetes, exercise, and obesity tweets. Using a sequential explanatory mixed-method design for our analytical framework, we analyzed a data corpus of 1.7 million diet, diabetes, exercise, and obesity (DDEO)-related tweets collected over 12 months. Sentiment analysis and topic modeling were used to analyze the data. The results show that overall, 29% of the tweets were positive, and 17% were negative. Using sentiment analysis and latent Dirichlet allocation (LDA) topic modeling, we analyzed 800 positive and negative DDEO topics. From the 800 LDA topics-after the qualitative and computational removal of incoherent topics-473 topics were characterized as coherent. Obesity was the only query health topic with a higher percentage of negative tweets. The use of social media by public health practitioners should focus not only on the dissemination of health information based on the topics discovered but also consider what they can do for the health consumer as a result of the interaction in digital spaces such as social media. Future studies will benefit from using multiclass sentiment analysis methods associated with other novel topic modeling approaches.

What's Trending on Twitter Regarding the Most Recently Approved Oral Agent for HIV Pre-Exposure Prophylaxis (PrEP)?

Introduction: Pre-exposure prophylaxis (PrEP) is a key therapeutic strategy for HIV prevention. Descovy® is the most recently approved oral agent for PrEP. Despite availability, there continues to be suboptimal PrEP use among at-risk individuals. Social media platforms have a role in disseminating health information, to include education on PrEP. Material and methods: A content analysis was conducted of "tweets" posted on Twitter® during the initial year of Descovy's FDA approval for PrEP. The coding schema captured content related to the indication, appropriate use, costs, and safety profile of Descovy. Results: Most tweets provided information on target population, dosing strategy, and side effects of Descovy. Information on costs and appropriate use was frequently missing. Conclusion: Health educators and providers should be aware of gaps in social media messaging concerning PrEP and should educate patients to ensure they are well informed when considering PrEP.

Mortality rate of mental disorder trends in China from 2002 to 2020.

The number of people with mental disorders is increasing in China, but there are few studies on the temporal trends and population distribution of mental disorder mortality. The mortality of mental disorders were derived from the China Health Statistics Yearbook published by the National Health and Family Planning Commission. Temporal trends in mortality were examined with a joinpoint regression using annual percent change (APC) and average annual percent change (AAPC). A Poisson regression model was utilized to test the population-level risk factors associated with the death of people with mental disorders. The mortality of mental disorders in rural Chinese residents showed a decreasing trend from 2002 to 2020 [AAPC -2.06%, 95% confidence interval (CI) -3.16 to -0.91%]. The mortality of mental disorders in urban Chinese residents declined between 2005 and 2011 (APC -13.01%, 95% CI -21.08 to -4.13%). The mortality rate of mental disorders has decreased for urban males with an APC of -2.71% (95% CI -4.52 to -0.71) from 2002 to 2020. Urban women showed an increase in mental disorder mortality from 2002 to 2005 and from 2012 to 2020 with APCs of 19.65% (95% CI 0.64-42.32%) and 6.16% (95% CI 2.22-10.33%), respectively. Age was a significant risk factor for mental disorder mortality (odds ratio 1.28, 95% CI 1.23-1.32). The dissemination of medical and health information, investment in medical and health resources, and the modification and optimization of regulations have led to a decrease in mental disorder mortality in China. It is vital to devote greater attention to elderly individuals suffering from mental disorders.

Socioeconomic Status as Predictors of Adherence to COVID-19 Protocols by Market Men and Women in Ogun State, Nigeria

Background: Adherence to COVID-19 protocols is a serious issue in Nigeria and this has been worrisome to public health practitioners, including health educators. Obeying precautionary measures has been a great challenge especially among market men and women, including their customers, which appears to be due to several variables. This study examined the impact of socioeconomic status, including income level, level of education, religious affiliation, gender, family structure, cultural background, and age group of market men and women on adherence to COVID-19 protocols in Ogun State, Nigeria.
 Methods: The study adopted descriptive survey research design where structured and validated questionnaire was used as the instrument for data collection. Multi-stage sampling procedure was employed to select the sample for the study from the old Ijebu and Egba components of the State, including Ita-Osu new market in Ijebu-Ode and Oba Lipede Market in Abeokuta were purposively selected for the study. In each of the market, n=250 market men and women were randomly selected using simple random sampling technique to make a total sample of n=500, out of this, n=481 questionnaires were retrieved to make a total of 96.0% rate of return.
 Results: The results revealed that socioeconomic factors, including gender, income level, type of business, and family structure significantly predicted adherence to COVID-19 protocols at P< 0.05.
 Conclusion: It was concluded that market men and women in Ogun State do not significantly adhere to COVID-19 protocols, and the identified socioeconomic factors significantly predicted adherence to the protocols. Recommendation was made to involve health educators at all levels to disseminate health information to promote improved health literacy and carry out interventions considering the aforementioned socioeconomic variables towards improving adherence to the protocols.

APPLYING THE MODULAR ENCRYPTION STANDARD TO MOBILE CLOUD COMPUTING TO IMPROVE THE SAFETY OF HEALTH DATA

Mobile Cloud Computing (MCC) has numerous and easily observable benefits in healthcare, but its growth is being hampered by protection and security concerns. The problem at hand calls for one's whole attention and seriousness if one is to grasp its scope and make good use of it. A global, territorial, and local effort is required to disseminate health information. To completely profit of the wellbeing administrations, it is significant to set up the requested security rehearses for the counteraction of safety breaks and weaknesses.

COVID-19 vaccine acceptance among pregnant women attending antenatal care in public hospitals in eastern Ethiopia: A multi‐center facility‐based cross‐sectional study

ObjectivesThe Ethiopian government had planned to vaccinate the total population and started to deliver the COVID-19 vaccine but, there is limited evidence about vaccine acceptance among pregnant women. Thus, this study aimed to assess COVID-19 vaccine acceptance and associated factors among pregnant women attending an antenatal care unit clinic in Eastern Ethiopia. Study designA facility-based cross-sectional study. MethodsA study was conducted from June 01 to 30/2021 among systematically selected pregnant women. Data were collected using a pre-tested structured questionnaire, which was adapted from previous studies, through a face-to-face interview. Predictors were assessed using a multivariable logistic regression model and reported using an adjusted odds ratio with 95% CI. Statistical significance was declared at p-value less than 0.05. ResultsIn this study, data from 645 pregnant women were used in the analysis. Overall, 62.2% of pregnant women were willing to be vaccinated if the vaccine is approved by the relevant authority. Fear of side effects (62.04%), a lack of information (54.29%), and uncertainty about the vaccine's safety and efficacy (25%) were the most common reasons for refusal to take the COVID-19 vaccine. The odds of unwillingness to accept the COVID-19 vaccine among pregnant women were increased significantly among mothers who were able to read and write [AOR = 2.9, 95% CI: (1.16, 7.23)], attain 9-12 grade level [AOR = 4.2, 95% CI: (2.1, 8.5)], lack information [AOR = 2.2, 95% CI: (1.41, 3.57)], and having a history of chronic diseases [AOR = 2.52, 95% CI: (1.34, 4.7)]. ConclusionLess than two-thirds of pregnant women were willing to accept the COVID-19 vaccine. Extensive public health information dissemination aimed at women with lower educational backgrounds and a history of chronic disease could be critical.

Exploring the health information seeking behavior of social media users under the background of COVID-19 pandemic: An empirical study based on social cognitive theory.

With the outbreak of COVID-19 in late 2019, people's awareness of actively searching for health information has been growing. Coupled with the promotion of "Internet + medical and health," social media, as an important platform for health information dissemination, has become one of the important information sources for users to obtain health information. However, health information seeking behavior in public health emergencies are quite different from those in daily life. Therefore, the research question of this paper is to explore the influencing factors of health information seeking behavior of social media users in the context of COVID-19. To this end, based on the research framework of social cognition theory, this paper selects six variables to construct a structural equation modeling, including information and platform quality, experience, social support, emotional arousal, self-efficacy, and social media users' health information seeking behavior. The empirical study is carried out by collecting 219 valid questionnaires. The research results show that: (1) Information and platform quality, and use experience have a significant positive effect on emotional arousal; (2) Experience, social support, and emotional arousal have a significant positive effect on self-efficacy; (3) Emotional arousal and self-efficacy have a significant positive effect on social media users' health information seeking behavior. The research provides an important theoretical reference for social media users and operators to cope with the huge demand for health information in the post-COVID-19 era.

Improving the sense of city belonging among migrant elderly following family from an elderly service perspective: a cross-sectional study

BackgroundThe migrant elderly following family (MEFF), who migrates to new community to reunite with families, may face challenges of city integration and belonging. This study aims to explore from an elderly service perspective how to improve the sense of city belonging for MEFFs with and without hypertension/diabetes conditions.MethodsData were derived from the 2017 China Migrants Dynamic Survey and China National Statistical Yearbooks in 2017. The study included 882 MEFFs with hypertension or diabetes and 1266 MEFFs without hypertension and diabetes. Hierarchical linear modeling was applied to analyze the effects of individual and provincial elderly services on sense of city belonging among the MEFF with and without hypertension/diabetes.ResultsThe MEFFs with hypertension or diabetes exhibited a greater sense of city belonging when they were familiar with a wider range of health education topics (γ = 0.05, p = 0.033) and were in those provinces with a greater number of licensed doctors (γ = 0.39, p < 0.001) and hospitals (p = 0.042). For those MEFFs without hypertension or diabetes, social security cards (γ = 0.57, p < 0.001) and awareness of a wider range of health education topics (γ = 0.07, p = 0.018) may help to improve their sense of city belonging.ConclusionThis study calls for strengthening the accessibility in inclusive elderly services, and minimizing or even eliminating the inequality in elderly services at the individual and provincial levels to increase sense of city belonging among the MEFFs. For the MEFFs with hypertension or diabetes, health managers should focus on improving health information dissemination and increasing the number of doctors per 1000 people as well as and the number of hospitals to enhance the sense of city belonging. Moreover, the government should strengthen social security and health education to facilitate the adaptation and integration of MEFFs without hypertension and diabetes into the host city.

EVALUATION OF POSYANDU INFORMATION SYSTEMS USING THE HEALTH METRIC NETWORK MODEL

Introduction: Posyandu has an important role in disseminating health information and monitoring the growth and development of infants and toddlers. The information generated serves as a material for consideration of decision-making. In order for the decision-making to be right on target, it is necessary to evaluate the Posyandu recording and reporting system. The purpose of this study is to assess the implementation of the Putra Bangsa Posyandu recording and reporting system in Bojonegoro which is more commonly referred as Posyandu Information System (PIS). Methods: used in this study is a qualitative approach that is presented descriptively using in-depth interviews and observation methods without making any intervention on the target. The Posyandu Information System Assessment uses Health Metrics Network components which are grouped into 3 parts, namely input, process, and output. Result: of the evaluation of the implementation of the Posyandu Information System at Putra Posyandu show that in terms of input the implementation of the Posyandu Information System is not in accordance with the guidelines for implementing the Posyandu Information System. From the aspect of the process it was found that data collection had been carried out routinely, but there was one format that was not yet routine. In terms of output it shows that the data generated are quite complete but not timely. Conclusion: Human Resources (HR) is one of the most dominant factors causing Posyandu Information Systems not to run optimally. The results of this study can help Health Information Management in improving the Posyandu Information System.

An online community peer support intervention to promote COVID-19 vaccine information among essential workers: a randomized trial

Introduction Vaccine hesitancy is still rampant in the United States, including health care personnel. Vaccination of frontline essential workers (e.g. health care workers) is very important, especially during a pandemic. We tested the efficacy of a 4-week online, peer-led intervention (Harnessing Online Peer Education) to promote requests for COVID-19 vaccine information among essential workers. Methods Participants (N = 120) and peer leaders (N = 12) were recruited through online advertisements from July 23 to August 20, 2021. Eligibility criteria included: 18 years or older, U.S. resident, English speaker, part of phase 1a or 1 b of COVID-19 vaccine rollout (e.g. frontline essential workers), hadn’t received a COVID-19 vaccine but able to receive one. This was a parallel assignment randomised trial. STATA was used to create a randomisation using a random number generator so that all possible assignments of participants and peer leaders to groups were equally likely. Participants were randomly assigned to intervention or control arms that consisted of two private, hidden Facebook groups, each with 30 participants. Peer leaders were randomly assigned to an intervention group, each with six peer leaders. Participants in the intervention arm were randomly assigned to three peer leaders. Participants were blinded after assignment. Peer leaders were tasked with reaching out to their assigned participants at least three times each week. Participants completed a baseline and a post intervention survey. The study is registered on ClinicalTrials.org under identifier NCT04376515 and is no longer recruiting. This work was supported by the NIAID under grant 5R01AI132030-05. Results A total of 101 participants analysed (50 intervention and 51 control). Six people in the intervention group and 0 people in the control group requested vaccine information. Ten people in the intervention group and six people in the control group provided proof of vaccination. The odds of requesting vaccine information in the intervention group was 13 times that in the control group (95% confidence interval: (1.5, 1772), p-value = 0.015). Thirty-seven participants in the intervention group and 31 in the control group were engaged at some point during the study. Conclusions Results suggest peer-led online community groups may help to disseminate health information, aid public health efforts, and combat vaccine hesitancy. Key Messages The odds of requesting vaccine information was 13 times in the intervention group. Peer-led online communities may help to disseminate information and aid public health efforts to combat vaccine hesitancy.

The relationship between eHealth literacy, social media self-efficacy and health communication intention among Chinese nursing undergraduates: A cross-sectional study.

With the popularization of the Internet, it has become possible to widely disseminate health information via social media. Medical staff's health communication through social media can improve the public's health literacy, and improving the intention of health communication among nursing undergraduates is of great significance for them to actively carry out health communication after entering clinical practice. To explore the relationship among eHealth literacy, social media self-efficacy, and health communication intention and to determine the mediating role of social media self-efficacy in the relationship between eHealth literacy and health communication intention. A cross-sectional descriptive correlation design was used in this study. Stratified cluster sampling was used to select 958 nursing students from four nursing colleges in Jiangsu Province, China, from June to July 2021. Data were collected using the eHealth Literacy Scale, the Social Media Self-efficacy Scale, and the Health Communication Intention Questionnaire. Sociodemographic data were also collected. Correlation analysis and regression analysis were used to determine the relationship between eHealth literacy, social media self-efficacy, and health communication intention. Health communication intention is positively correlated with eHealth literacy and social media self-efficacy. There is a significant positive correlation between eHealth literacy and health communication intention (β = 0.57, p < 0.001), and social media self-efficacy played a mediating role in the influence of eHealth literacy on health communication intention (the mediating effect accounted for 37.2% of the total effect). The study found that eHealth literacy and social media self-efficacy had an impact on health communication intention. Because there is a correlation between eHealth literacy and social media self-efficacy and health communication intention, in order to promote health communication intention of nursing students, it is also important to cultivate eHealth literacy and social media self-efficacy of nursing students. In view of these results, targeted educational programs must be developed to improve eHealth literacy and social media self-efficacy among nursing undergraduates, thereby promoting their health information transmission.

10.P. Round table: Public health of the future: innovations in surveillance, communication and knowledge translation

Abstract The social, ecological, economic and health crises exacerbated by COVID-19 pandemic are challenges of extraordinary magnitude and complexity for global public health. Moreover, the context in which the pandemic emerged was characterized by underinvestment in public health and growing distrust in institutions. Public health responses were often fragmented and failed to make use of existing resources and expertise. Nearly 3 years after the start of the COVID-19 pandemic much has been learned and much is still to be learned. Accordingly, European national public health agencies have been pushed to their limits and currently face an urgent need to be renovated incorporating innovations in surveillance, communication and knowledge translation. National agencies should network and collaborate at the EU level. EUPHA may play an important role in this effort. On the one hand, there is the need of improving surveillance of harmful effects of the pandemic, specifically the health inequalities aggravated at local, national and global levels; and, on the other, to improve the availability of this knowledge to policymakers. Public Health communication needs to be further developed as it has been a crucial piece of national and international efforts to protect and promote health in the pandemic and so will be in the future. With this workshop proposal, we would like to bring up for discussion how could we further improve surveillance, communication and knowledge translation to policy makers and citizens in our European national public health agencies. Innovative and updated public health agencies will help regaining trust and strengthening public health institutions. National and European Public Health further development is essential and should be strengthened to protect and promote European populatiońs health. The objectives of the workshop are: – To discuss key innovations to implement in national public health agencies to improve surveillance, communication and knowledge transfer to policy makers and citizens. – To reflect on supranational European coordination mechanisms that would allow for efficient surveillance and a rapid and adequate response to different public health challenges, including social inequalities in health. – To manage public health intelligence in the European Health Data Space and the role of public health in this data lake design. Key messages • COVID19 pandemic has revealed the challenges of creating strong trustworthy national public health institutions to ensure the integrity of public health science and information dissemination. • Structures to facilitate timely and efficient monitoring requires national and supranational coordination mechanisms, including data and experience sharing. Speakers/Panellists Robert Otok ASPHER, Brussels, Belgium Sofia Ribeiro EUPHA-PHPP Manuel Franco University of Alcalá, Madrid, Spain

Social Environmental Predictors of COVID-19 Vaccine Hesitancy in India: A Population-Based Survey.

Background: During the ongoing COVID-19 pandemic, trust within a community in the projected schemes or strategies to combat COVID-19 depends on the confidence generated and launched by the government and medical employees toward the public. The “vaccination intention” within a community is determined by a range of factors, which include sociodemographic features, personal beliefs, and attitude toward vaccination. Methods: A nationwide survey was conducted involving 2000 people using a Tencent questionnaire platform. One-way ANOVA was conducted for age, education, and occupation with vaccination intention for the COVID-19 vaccine. Correlation analysis was conducted between sources, trust, and vaccination intention indicating both types of sources (official and unofficial sources) and both types of trust (trust in the social environment and in vaccines). Results: The reception of the sources of information on the COVID-19 vaccine was significantly higher from official sources (M = 5.54, SD = 1.37) and government officials (M = 5.68, SD = 1.499) compared with that from experts in medicine (M = 5.39, SD = 1.511). Among the unofficial sources, “chatting and communicating with family and friends” scored the highest (M = 4.84, SD = 1.649). In the statistics on people’s trust in all aspects involved in vaccines, the level of trust in the social environment was significantly higher and more concentrated than in vaccines (M = 5.67, SD = 1.129). The level of trust in government (M = 5.80, SD = 1.256) was slightly higher than in medical personnel (M = 5.53, SD = 1.199). People’s willingness to be vaccinated was generally high (M = 78.15, SD = 22.354). The demographic factors were not influential in vaccination intention. Both sources (official and unofficial sources) and trust (trust in the social environment and in vaccines) are significantly and positively correlated with vaccination intention. Information receptions from official and unofficial sources were significant positive predictors of trust in the social environment, but they were not significant predictors of trust in vaccines. The mediating effect of trust in vaccines on the relationship between receiving information from official and unofficial sources and vaccination intention was insignificant. Conclusions: This study revealed that trust in the environment is an important channel linking people’s information reception and vaccination intention, explores a new path for health information communication, and attempts to provide new ideas for health information dissemination and promotion.

Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China.

Background: Previous studies have found that the dissemination pattern and delivery mechanism of information can provide crucial resources and empowerment for individuals to the promotion of health literacy. The present study investigates how health information sources are associated with health literacy among older adults in west China, and tries to explain the mechanisms underlying the link between health information sources and health literacy in the Chinese context. Methods: The cross-sectional study employed a representative sample of 812 urban citizens aged 60 and older in 2017 in Western China. Results: We found that health information sources including healthcare practitioners (B = 4.577, p < 0.001), neighbors (B = 2.545, p < 0.05), newspapers (B = 4.280, p < 0.001), and television (B = 4.638, p < 0.001) were positively associated with health literacy. Additionally, age (B = −1.781, p < 0.001) was negatively associated with health literacy, and the socio-economic status factors including minority (B = −10.005, p < 0.001), financial strain status of perceived very difficult (B = −10.537, p < 0.001), primary school (B = 11.461, p < 0.001), junior high school (B = 18.016, p < 0.001), polytechnic school or senior high school (B = 21.905, p < 0.001), college and above (B = 23.433, p < 0.001) were significantly linked to health literacy, and suffering from chronic diseases (B = 3.430, p < 0.01) was also positively related to health literacy. Conclusions: Health information sources including healthcare practitioners, neighbors, newspapers, and television have a strong influence on health literacy, which implies that the four main types of sources are the important patterns of health information dissemination in the reinforcement of health literacy. In addition, the present findings also indicate age, minority and disease differences in health literacy and confirm the influence of enabling factors including educational attainment and financial strain on health literacy. Based on these findings and their implications, specific evidence is presented for the reinforcement of health literacy in interpersonal and mass communication, and in the educational and financial settings in the Chinese context. The present results also suggest that the age-specific, minority-specific and disease-specific measures should be taken to promote health literacy among older adults.

Perspectives on the use of digital health technologies in cardiology among specialists from an ESC member country: results from a survey

Abstract Background Digital health technologies (DHTs) have the potential of facilitating both physicians' and patients' lives with regards to the diagnosis, treatment and follow-up of cardiovascular disease. A huge acceleration in relevant research has been noted particularly after the COVID-19 pandemic. Purpose The goal of this study was to determine the reasons for using DHTs in cardiology, as well as the perceived barriers to its use. Methods An electronic survey with 43 question multiple-choice questionnaire was conducted between January 10-March 3, 2022. National cardiac society member cardiology fellows in training and specialists were contacted via e-mail (n=2789). Results 308/2789 (11.04%) subjects responded to the survey (72.40% males, 62.01% aged 30–44 years). 42.53% and 44.81% were affiliated with university hospitals and state hospitals, respectively. 88/297 (29.63%) stated having at least good understanding of DHTs in cardiology. 44.16% utilized smart devices to track their own health status. 117/290 (40.34%) and 193/299 (64.55%) used social media platforms to share medical information with their patients and other physicians, respectively. WhatsApp and Instagram were the most popular platforms for sharing with patients (92/117, 78.63% and 48/117, 41.03%), while WhatsApp and Twitter were the most popular platforms for sharing with other physicians (151/193, 78.24% and 91/193, 47.15%). Considerations and recommendation/utilization patterns of DHTs by physicians are summarized in Table 1. Perceived barriers to the use of DHTs in cardiology is shown on Figure 1 (A: physician-related, B: patient-related, C: technical). Conclusion Findings suggest that nearly half of the physicians use DHTs to collect their own health data and use social media to disseminate health information. The majority of physicians believe that DHT is beneficial to both themselves and their patients, and that DHT use in cardiology has increased as a result of the COVID-19 pandemic. To overcome the challenges to the use of DHTs in cardiology, a multilayered collaborative effort involving patient and professional organizations, as well as technical stakeholders and lawmakers, is required. Funding Acknowledgement Type of funding sources: None.

Sources of information on diabetes and its demographic correlates: a nationwide survey among Singapore residents.

Diabetes is a major public health concern in Singapore, and the Singapore Government declared a 'War on Diabetes', which included a nationwide public health campaign. It is important to identify what sources of diabetes information reach the general population, whether this differs by socio-demographic characteristics and if the sources of information influence knowledge of diabetes to aid the successful dissemination of health information. Two thousand eight hundred ninety-five respondents were part of a population-based cross-sectional study conducted from February 2019 to September 2020. Respondents rated on a five-point scale whether they had obtained information on diabetes from eight different information sources, and responses were dichotomized into 'endorsed receiving information' or 'not endorsed receiving information'. Poisson regression models were conducted with the 'endorsement of receiving information' from each source as the outcome and socio-demographic variables as predictors. 95.9% of the study population had received information on diabetes from at least one source, and the mean number of sources was 4.2 ± 2.0. The leading source was media articles (82.1%), followed by health promotion videos/advertisements (77.9%), online websites (58.5%), books (56.5%), healthcare professionals (55.0%), radio (54.4%), public forums (27.7%) and support groups (15.5%). Endorsing a greater number of informational sources was associated with being younger, belonging to Malay or Indian instead of Chinese ethnicity, and having diabetes. An intensive nationwide diabetes awareness campaign successfully reached the public in Singapore with specific sources of information depending on socio-demographic characteristics. Findings suggest that diabetes information campaigns should utilize multiple channels for dissemination considering the different socio-demographic subgroups.

Public Health Information Seeking, Trust, and COVID-19 Prevention Behaviors: Cross-sectional Study.

BackgroundPreventative health measures such as shelter in place and mask wearing have been widely encouraged to curb the spread of the COVID-19 disease. People’s attitudes toward preventative behaviors may be dependent on their sources of information and trust in the information.ObjectiveThe aim of this study was to understand the relationship between trusting in COVID-19 information and preventative behaviors in a racially and politically diverse metropolitan area in the United States.MethodsWe conducted a web-based cross-sectional survey of residents in St. Louis City and County in Missouri. Individuals aged ≥18 years were eligible to participate. Participants were recruited using a convenience sampling approach through social media and email. The Health Belief Model and the Socioecological Model informed instrument development, as well as COVID-19–related questions from the Centers for Disease Control and Prevention. We performed an ordinary least squares linear regression model to estimate social distancing practices, perceptions, and trust in COVID-19 information sources.ResultsOf the 1650 eligible participants, the majority (n=1381, 83.7%) had sought or received COVID-19–related information from a public health agency, the Centers for Disease Control and Prevention, or both. Regression analysis showed a 1% increase in preventative behaviors for every 12% increase in trust in governmental health agencies. At their lowest levels of trust, women were 68% more likely to engage in preventative behaviors than men. Overall, those aged 18-45 years without vulnerable medical conditions were the least likely to engage in preventative behaviors.ConclusionsTrust in COVID-19 information increases an individual’s likelihood of practicing preventative behaviors. Effective health communication strategies should be used to effectively disseminate health information during disease outbreaks.

Health Information: A Case Report of "Unknown" Hepatitis in Indonesia

Hepatitis is a disease that attacks the liver by inflammation. The Hepatitis virus is the most common agent causing hepatitis. Globally, hepatitis that often occurs in the world is hepatitis A-E. Recently, reported a new case of hepatitis with unknown aetiology. On 12 May 2022, reported by the European Center for Disease Prevention and Control, the reported cases of "unknown" hepatitis in children aged under 10 years in the UK were 176 cases. Other countries outside the EU/EEA and the United Kingdom reported that on May 19, 2022, reports of "unknown" hepatitis cases in children reached 313 cases, identified from 16 countries. The Ministry of Health of the Republic of Indonesia released on May 17, 2022, a total of 14 cases in Indonesia, with details of probable case and 13 pending classification. As of May 19, 2022, reports of deaths due to "unknown" hepatitis cases reached six. This article's objectives to disseminate health information regarding case reports of “unknown” hepatitis, case symptoms, and prevention and control efforts in Indonesia so that it does not become an outbreak. To prevent and control "unknown" hepatitis in Indonesia, the Ministry of Health of the Republic of Indonesia conducts surveillance and therapeutic efforts