Source Of Health Information Research Articles

Wikipedia page views for health research: a review.

Wikipedia is an open-source online encyclopedia and one of the most-read sources of online health information. Likewise, Wikipedia page views have also been analyzed to inform public health services and policies. The present review analyzed 29 studies utilizing Wikipedia page views for health research. Most reviewed studies were published in recent years and emanated from high-income countries. Together with Wikipedia page views, most studies also used data from other internet sources, such as Google, Twitter, YouTube, and Reddit. The reviewed studies also explored various non-communicable diseases, infectious diseases, and health interventions to describe changes in the utilization of online health information from Wikipedia, to examine the effect of public events on public interest and information usage about health-related Wikipedia pages, to estimate and predict the incidence and prevalence of diseases, to predict data from other internet data sources, to evaluate the effectiveness of health education activities, and to explore the evolution of a health topic. Given some of the limitations in replicating some of the reviewed studies, future research can specify the specific Wikipedia page or pages analyzed, the language of the Wikipedia pages examined, dates of data collection, dates explored, type of data, and whether page views were limited to Internet users and whether web crawlers and redirects to the Wikipedia page were included. Future research can also explore public interest in other commonly read health topics available in Wikipedia, develop Wikipedia-based models that can be used to predict disease incidence and improve Wikipedia-based health education activities.

Egyptians’ dependency on Medication Pamphlets as a Source of Health Information and its Impact on their Health awareness and Behavior:

Egyptians’ dependency on Medication Pamphlets as a Source of Health Information and its Impact on their Health awareness and Behavior:

Mediating Health and Risk Information in WhatsApp and its Impact on Risk Perception and Risk Knowledge During COVID-19 Public Health Emergency

WhatsApp is India’s most popular social media application and has emerged as a valuable tool for health and risk communication during the COVID-19 public health emergency (PHE). Public health institutions,WHO and Government agencies used WhatsApp Health Alert to distribute verified, accurate and timely information during the COVID-19 pandemic. This study examines the potential of WhatsApp as a primary source of health and risk information and its impact on users’ risk knowledge and risk perception during the COVID-19 pandemic. We conducted a cross-sectional online survey among 453WhatsApp users in Tamil Nadu during the COVID-19 lockdown in May-August 2021. Most of the respondents used WhatsApp as the primary source of COVID-19 information than other media. COVID-19 information in WhatsApp had a positive and significant impact on users’ risk knowledge and risk perception. Regularly receiving and sharing COVID-19 information, subscribing to and participating in COVID-19-related group chats, and regularly updating WhatsApp statuses about COVID-19 were significant influencers of risk knowledge and risk perception. Future PHE response communication must build on these communication opportunities in WhatsApp rather than routed primarily to traditional methods.

SOCIAL MEDIA SUPPORT FOR WOMEN WITH ENDOMETRIOSIS: A SYSTEMATIC REVIEW

Background and Purpose: Social media is a key source of health information. Previous studies have indicated that women with endometriosis turn to the internet for information about the condition and illness management. However, there is a dearth of study on endometriosis online supportgroups. In contrast, studies examining the role of online support groups for other long-termconditions have been extensive. Addressing this gap, a systematic review of research on endometriosis support groups on social media and its efficacy were conducted.
 
 Methodology: Using a qualitative systematic review method and Meta-Analyses Protocols (PRISMA-P)., research database namely Research Gate, Springer, Wiley Online Library, Science Direct, Jstore, PubMed were manually searched using keywords such as "social support," "endometriosis support online," and "Facebook support & online communication". The review examined research related to endometriosis support on Facebook. Based on inclusion and exclusion criteria, 100 full-text papers were extracted from the initial 200 publications found. 36 papers were selected following the appraisal stage and thematically analysed. 
 
 Findings: Social media platform namely Endometriosis Facebook support groups are found to set expectations, provide education, and highlight ways to manage chronic illness. Three prominent themes were identified: (1) topics related to social media support groups, (2) efficiency of Virtual Help Communities for Endometriosis Patients, and (3) forms of support that women with endometriosis require.
 
 Contributions: The findings support two primary points. Endometriosis Facebook support groups educate women about the illness, connects them with others in similar situations, and promotes illness discussion and networking, hence pointing to the potential benefit of Facebook support groups as a platform to provide both support and education. 
 
 Keywords: Health communication, women health research, social media, online support, endometriosis.
 
 Cite as: Kaur, K., Ibrahim, N. A., & Wan Adnan, W. N. A. (2023). Social media support for women with endometriosis: A systematic review. Journal of Nusantara Studies, 8(1), 287-313. http://dx.doi.org/10.24200/jonus.vol8iss2pp287-313

Is the internet a sufficient source of information on sarcoidosis?

Many patients use the internet as a source of health information. Sarcoidosis is a complex disease, and internet resources have not yet been analyzed for reliability and content on sarcoidosis. Our study aimed to investigate the content and the quality of information on sarcoidosis provided by internet resources. Google, Yahoo, and Bing were searched for the term "sarcoidosis," and the first 200 hits were saved in each case. Those websites that met the inclusion criteria (English language, no registration fees, and relevant to sarcoidosis) were then analyzed by two independent investigators for readability, quality (HON, JAMA, and DISCERN), and content (25 predefined key facts) of the provided information. The websites were most commonly scientific or governmental (n = 57, 46%), and the median time since the last update was 24 months. Quality was rated with a median JAMA score of 2 (1; 4) and a median overall DISCERN score of 2.4 (1.1; 4.1), both scores represent partially sufficient information. In total, 15% of websites had a HON certificate. Website content measured by the median key fact score was 19 (ranging from 2.5 to 25) with the lowest scores for acute vs. chronic course of the disease, screening for extrapulmonary disease, and diffuse body pain. Poor results were achieved in industry websites and blogs (p = 0.047) with significant differences regarding definition (p = 0.004) and evaluation (p = 0.021). Sarcoidosis-related content of internet resources is partially sufficient; however, several important aspects are frequently not addressed, and the quality of information is moderate. Future directions should focus on providing reliable and comprehensive information on sarcoidosis; physicians from different disciplines and patients including self-support groups should collaborate on achieving this.

Content Quality of YouTube Videos About Pain Management After Cesarean Birth: Content Analysis.

YouTube is an increasingly common source of health information; however, the reliability and quality of the information are inadequately understood. Several studies have evaluated YouTube as a resource during pregnancy and found the available information to be of poor quality. Given the increasing attention to postpartum health and the importance of promoting safe opioid use after birth, YouTube may be a source of information for birthing individuals. However, little is known about the available information on YouTube regarding postpartum pain. The purpose of this study is to systematically evaluate the quality of YouTube videos as an educational resource for postpartum cesarean pain management. A systematic search of YouTube videos was conducted on June 25, 2021, using 36 postpartum cesarean pain management-related keywords, which were identified by clinical experts. The search replicated a default YouTube search via a public account. The first 60 results from each keyword search were reviewed, and unique videos were analyzed. An overall content score was developed based on prior literature and expert opinion to evaluate the video's relevance and comprehensiveness. The DISCERN instrument, a validated metric to assess consumer health information, was used to evaluate the reliability of video information. Videos with an overall content score of ≥5 and a DISCERN score of ≥39 were classified as high-quality health education resources. Descriptive analysis and intergroup comparisons by video source and quality were conducted. Of 73 unique videos, video sources included medical videos (n=36, 49%), followed by personal video blogs (vlogs; n=32, 44%), advertisements (n=3, 4%), and media (n=2, 3%). The average overall content score was 3.6 (SD 2.0) out of 9, and the average DISCERN score was 39.2 (SD 8.1) out of 75, indicating low comprehensiveness and fair information reliability, respectively. High-quality videos (n=22, 30%) most frequently addressed overall content regarding pain duration (22/22, 100%), pain types (20/22, 91%), return-to-activity instructions (19/22, 86%), and nonpharmacologic methods for pain control (19/22, 86%). There were differences in the overall content score (P=.02) by video source but not DISCERN score (P=.45). Personal vlogs had the highest overall content score at 4.0 (SD 2.1), followed by medical videos at 3.3 (SD 2.0). Longer video duration and a greater number of comments and likes were significantly correlated with the overall content score, whereas the number of video comments was inversely correlated with the DISCERN score. Individuals seeking information from YouTube regarding postpartum cesarean pain management are likely to encounter videos that lack adequate comprehensiveness and reliability. Clinicians should counsel patients to exercise caution when using YouTube as a health information resource.

Douyin as a source of information and education on humeral supracondylar fracture of children during the COVID-19 pandemic in Chinese Mainland: An observational study.

We aimed to investigate whether Douyin videos on pediatric humeral supracondylar fractures could be a useful source during the COVID-19 pandemic. A search was conducted using the term "humeral supracondylar fracture of children" on Douyin. The top 100 videos were selected based on view count. 74 was the final analysis, after excluding 26 videos for various reasons. First, the videos were classified into medical and the non-medical groups based on authorship. The medical team videos were about explanations or detailed surgical procedures directly related to child's fracture. There were also non-medical videos, mostly about personal experiences and other things. The videos were then also divided into 2 groups abased on the year of COVID-19 pandemic. The number of views, content type, video duration and number of likes about the video were analyzed. Among the 74 videos included in this study, had a total of 19,647,988 views (median 205,129, range 7874-1,495,004). Compared to the medical group, the non-medical group had more views (P = .004), likes (P = .000), view ratio (P = .019), and video power index (P = .024). During the COVID-19 pandemic, views (P = .033), view ratio (P = .006), and video power index (P = .043) also increased. Douyin has been a valuable source of health information for patients during COVID-19 pandemic regarding the occurrence of humeral supracondylar fracture in children. Medical professionals and institutions should upload credible, informative videos and clear, high-quality, scientifically reviewed surgical footage of children with humeral supracondylar fracture. And the videos uploaded by medical professionals and filtered by Douyin's staff appear to be necessary.

EHealth literacy was associated with anxiety and depression during the COVID-19 pandemic in Nigeria: a cross-sectional study.

Electronic health (eHealth) literacy may play an important role in individuals' engagement with online mental health-related information. To examine associations between eHealth literacy and psychological outcomes among Nigerians during the Coronavirus disease-2019 (COVID-19) pandemic. This was a cross-sectional study among Nigerians conducted using the 'COVID-19's impAct on feaR and hEalth (CARE) questionnaire. The exposure: eHealth literacy, was assessed using the eHealth literacy scale, and psychological outcomes were assessed using the PHQ-4 scale, which measured anxiety and depression; and the fear scale to measure fear of COVID-19. We fitted logistic regression models to assess the association of eHealth literacy with anxiety, depression, and fear, adjusting for covariates. We included interaction terms to assess for age, gender, and regional differences. We also assessed participants' endorsement of strategies for future pandemic preparedness. This study involved 590 participants, of which 56% were female, and 38% were 30 years or older. About 83% reported high eHealth literacy, and 55% reported anxiety or depression. High eHealth literacy was associated with a 66% lower likelihood of anxiety (adjusted odds ratio aOR, 0·34; 95% confidence interval, 0·20-0·54) and depression (aOR: 0·34; 95% CI, 0·21-0·56). There were age, gender, and regional differences in the associations between eHealth literacy and psychological outcomes. eHealth-related strategies such as medicine delivery, receiving health information through text messaging, and online courses were highlighted as important for future pandemic preparedness. Considering that mental health and psychological care services are severely lacking in Nigeria, digital health information sources present an opportunity to improve access and delivery of mental health services. The different associations of e-health literacy with psychological well-being between age, gender, and geographic region highlight the urgent need for targeted interventions for vulnerable populations. Policymakers must prioritize digitally backed interventions, such as medicine delivery and health information dissemination through text messaging, to address these disparities and promote equitable mental well-being.

Gaze movement analysis examined how people view and interact with health information on Facebook pages.

Gaze movement analysis is a human-computer interaction analysis method to assess time and viewing patterns of screen pages. This study examines Facebook users' health information viewing patterns and identifies social media interface factors that affect users' health information behaviour on Facebook. The findings of this study should help researchers and health information providers understand how Facebook is used, and how users might be appraising information viewed. This study investigated gaze movement data collected from 48 participants while participants were viewing Facebook pages that presented health-related posts. Each session was designed to represent four health information sources and four health topics. Each session included an exit interview for a better interpretation of data. Participants spent the most time viewing the content of the posts, particularly post images. Findings revealed that users' viewing patterns differed when different health topics were presented, but not according to the type of information provider. However, the study showed that users check the Facebook page's banner to verify the health information provider's identity. This study indicates what health information consumers look for on Facebook when finding, appraising, and reacting to, or sharing health-related content.

A Study to Assess the Knowledge and Practice of Parents Regarding Home Management of Minor Ailments in Children Visiting Tertiary Care Hospital Mangaluru

Abstract Background The nation's future depends on its children. Minor illnesses are a common occurrence during childhood. It is crucial to evaluate parents' knowledge and practice when it comes to dealing with minor illnesses. This study aimed to assess the knowledge and practice of parents regarding home management of minor ailments in children. Methods The descriptive research design was adopted for this study. The sample consisted of 65 parents of under-5 children The sample was selected on the basis of the purposive sampling technique. Data was collected using a knowledge questionnaire and practice checklist related to the management of minor illnesses in children including fever, upper respiratory tract infection (URTI; cough, cold, sore throat), diarrhea, vomiting, abdominal colic, and superficial wound. Data collected from the subjects were analyzed by descriptive and inferential statistics. Results Study revealed that 80% had good knowledge, 20% had moderate knowledge, and none of them had poor knowledge on home management of minor ailments. In terms of practice, 55.4% of parents had moderate practice in the management of fever, 93.8% had good practice regarding the management of URTI, 43.1% had a good practice in managing diarrhea at home, 47.7% of parents had poor practice regarding home management of abdomen colic, 56.9% parents had a good practice on management of vomiting at home, and 92.3% had good practice score on managing superficial wounds at home. There was a significant association found with education status and knowledge score, as well as educational status and occupation with URTI practice and source of health information with fever at p-value less than 0.05 level of significance. Conclusion The results of this study showed that parents of under-5 children had good knowledge and practice regarding home management of minor ailments.

COVID-19 Vaccine Hesitancy among English-Speaking Pregnant Women Living in Rural Western United States.

This mixed-method study investigated vaccine hesitancy among pregnant women living in rural western United States and their response to social media ads promoting COVID-19 vaccine uptake. Thirty pregnant or recently pregnant participants who live in rural zip codes in Washington, Oregon, California, and Idaho were interviewed between November 2022 and March 2023. Interviews were transcribed and coded, while the ad ratings were analyzed using linear mixed models. The study identified five main themes related to vaccine uptake, including perceived risk of COVID, sources of health information, vaccine hesitancy, and relationships with care providers. Participants rated ads most highly that used peer-based messengers and negative outcome-based content. Ads with faith-based and elder messengers were rated significantly lower than peer messengers (p = 0.04 and 0.001, respectively). An activation message was also rated significantly less favorably than negative outcome-based content (p = 0.001). Participants preferred evidence-based information and the ability to conduct their own research on vaccine safety and efficacy rather than being told to get vaccinated. Primary concerns of vaccine-hesitant respondents included the short amount of time the vaccine had been available and perceived lack of research on its safety during pregnancy. Our findings suggests that tailored messaging using peer-based messengers and negative outcome-based content can positively impact vaccine uptake among pregnant women living in rural areas of the Western United States.

A mixed methods study on men's and women's tuberculosis care journeys in Lusaka, Zambia-Implications for gender-tailored tuberculosis health promotion and case finding strategies.

Men and women with undiagnosed tuberculosis (TB) in high burden countries may have differential factors influencing their healthcare seeking behaviors and access to TB services, which can result in delayed diagnoses and increase TB-related morbidity and mortality. A convergent, parallel, mixed-methods study design was used to explore and evaluate TB care engagement among adults (≥18 years) with newly diagnosed, microbiologically-confirmed TB attending three public health facilities in Lusaka, Zambia. Quantitative structured surveys characterized the TB care pathway (time to initial care-seeking, diagnosis, and treatment initiation) and collected information on factors influencing care engagement. Multinomial multivariable logistic regression was used to determine predicted probabilities of TB health-seeking behaviors and determinants of care engagement. Qualitative in-depth interviews (IDIs; n = 20) were conducted and analyzed using a hybrid approach to identify barriers and facilitators to TB care engagement by gender. Overall, 400 TB patients completed a structured survey, of which 275 (68.8%) and 125 (31.3%) were men and women, respectively. Men were more likely to be unmarried (39.3% and 27.2%), have a higher median daily income (50 and 30 Zambian Kwacha [ZMW]), alcohol use disorder (70.9% [AUDIT-C score ≥4] and 31.2% [AUDIT-C score ≥3]), and a history of smoking (63.3% and 8.8%), while women were more likely to be religious (96.8% and 70.8%) and living with HIV (70.4% and 36.0%). After adjusting for potential confounders, the probability of delayed health-seeking ≥4 weeks after symptom onset did not differ significantly by gender (44.0% and 36.2%, p = 0.14). While the top reasons for delayed healthcare-seeking were largely similar by gender, men were more likely to report initially perceiving their symptoms as not being serious (94.8% and 78.7%, p = 0.032), while women were more likely to report not knowing the symptoms of TB before their diagnosis (89.5% and 74.4%; p = 0.007) and having a prior bad healthcare experience (26.4% and 9.9%; p = 0.036). Notably, women had a higher probability of receiving TB diagnosis ≥2 weeks after initial healthcare seeking (56.5% and 41.0%, p = 0.007). While men and women reported similar acceptability of health-information sources, they emphasized different trusted messengers. Also, men had a higher adjusted probability of stating that no one influenced their health-related decision making (37.9% and 28.3%, p = 0.001). In IDIs, men recommended TB testing sites at convenient community locations, while women endorsed an incentivized, peer-based, case-finding approach. Sensitization and TB testing strategies at bars and churches were highlighted as promising approaches to reach men and women, respectively. This mixed-methods study found important differences between men and women with TB in Zambia. These differences suggest the need for gender-tailored TB health promotion, including addressing harmful alcohol use and smoking among men, and sensitizing HCWs to prolonged delays in TB diagnosis among women, and also using gender-specific approaches as part of community-based, active case-finding strategies to improve TB diagnosis in high burden settings.

Ethnopharmacology

This editorial article provides a comprehensive overview of the medicinal use of plants in traditional medicinal practices with a focus on ethnopharmacology. The article begins with an introduction about the importance of researching traditional medicines and the challenges of researching these medicines. The authors also emphasize the importance of respecting indigenous knowledge and cultural diversity. Overall, this review demonstrates the potential of Ayurvedic, Homeopathy, Nutraceuticals, Allopathy and herbal medicines as a source of valuable health information and emphasizes the importance of further research in this area.

Colorectal Cancer Risk Perceptions Among Black Men in Florida.

We examined colorectal cancer (CRC) risk perceptions among Black men in relation to socio-demographic characteristics, disease prevention factors, and personal/family history of CRC. A self-administered cross-sectional survey was conducted in five major cities in Florida between April 2008 and October 2009. Descriptive statistics and multivariable logistic regression were performed. Among 331 eligible men, we found a higher proportion of CRC risk perceptions were exhibited among those aged ≥ 60years (70.5%) and American nativity (59.1%). Multivariable analyses found men aged ≥ 60 had three times greater odds of having higher CRC risk perceptions compared to those ≤ 49years (95% CI = 1.51-9.19). The odds of higher CRC risk perception for obese participants were more than four times (95% CI = 1.66-10.00) and overweight were more than twice the odds (95% CI = 1.03-6.31) as compared to healthy weight/underweight participants. Men using the Internet to search for health information also had greater odds of having higher CRC risk perceptions (95% CI = 1.02-4.00). Finally, men with a personal/family history of CRC were ninefold more likely to have higher CRC risk perceptions (95% CI = 2.02-41.79). Higher CRC risk perceptions were associated with older age, being obese/overweight, using the Internet as a health information source, and having a personal/family history of CRC. Culturally resonate health promotion interventions are sorely needed to elevate CRC risk perceptions for increasing intention to screen among Black men.

Association of Vaping Identity and e-Cigarette Perceptions among Young Adults Who Vape

Background: In the U.S., 9.3% of young adults currently vape. However, little is known about how vaping identity (i.e., internalizing vaping as an important part of oneself) can influence young adults’ e-cigarette perceptions. The purpose of this study was to examine the association between vaping identity and e-cigarette perceptions among young adults. Methods: Young adults who vape (N = 252, Mage = 24.7) were recruited to participate in an online survey assessing a trusted source of health information, e-cigarette harm perceptions, and intentions to abstain from vaping. We estimated associations between vaping identity on outcomes and the interaction of vaping identity and combustible cigarette use on outcomes. Results: Participants with higher vaping identity reported lower trust in government health agencies and a doctor, and higher trust in the tobacco industry and e-cigarette industry (ps < 0.05). Those with higher vaping identity also reported lower e-cigarette harm perceptions and intentions to abstain from vaping (ps < 0.05). Conclusions: Findings show that higher vaping identity is associated with greater trust in the tobacco industry, lower trust in health experts, lower e-cigarette harm perceptions, and lower intentions to abstain from using e-cigarettes. This suggests that efforts to reduce vaping among young adults may need to leverage messages that reduce the credibility of the tobacco industry and prevent nonsmoking young adults from developing a vaping identity.

With life there is motion. Activity biomarkers signal important health and performance outcomes.

Measures of human motion provide a rich source of health and physiological status information. This paper provides examples of motion-based biomarkers in the form of patterns of movement, quantified physical activity, and characteristic gaits that can now be assessed with practical measurement technologies and rapidly evolving physiological models and algorithms, with research advances fed by the increasing access to motion data and associated contextual information. Quantification of physical activity has progressed from step counts to good estimates of energy expenditure, useful to weight management and to activity-based health outcomes. Activity types and intensity durations are important to health outcomes and can be accurately classified even from carried smart phone data. Specific gaits may predict injury risk, including some re-trainable injurious running or modifiable load carriage gaits. Mood status is reflected in specific types of human movement, with slumped posture and shuffling gait signaling depression. Increased variability in body sway combined with contextual information may signify heat strain, physical fatigue associated with heavy load carriage, or specific neuropsychological conditions. Movement disorders might be identified earlier and chronic diseases such as Parkinson's can be better medically managed with automatically quantified information from wearable systems. Increased path tortuosity suggests head injury and dementia. Rapidly emerging wear-and-forget systems involving global positioning system and inertial navigation, triaxial accelerometry, smart shoes, and functional fiber-based clothing are making it easier to make important health and performance outcome associations, and further refine predictive models and algorithms that will improve quality of life, protect health, and enhance performance.

Differences in Knowledge, Attitudes, Actions, and Sources of Information on Adolescent Reproductive Health

Adolescence is a critical period during which a person lays the foundation for his reproductive life. Teenagers in pesantren and schools have different environments, so that will affect their knowledge. This study aims to determine and analyze differences in knowledge, attitudes, behaviours, and sources of adolescent reproductive health information between high school girls and young women who stay in Islamic boarding schools in Banda Aceh City. This type of research is comparative with a cross-sectional design. The population is all young women from class X and XI Islamic boarding schools and 330 young women from Banda Aceh City High School and Babun Najah Islamic Boarding School. The sample is the total population. The results of the study obtained differences in knowledge, attitudes, behaviours, and sources of adolescent reproductive health information between high school girls and young women in pesantren. The level of knowledge, attitudes, and sources of information affect reproductive health behaviour/actions. Information source variables are the most influential variables on reproductive health behaviours/actions. This study concludes that knowledge and sources of information are higher in high school children than in pesantren. In contrast, actions/behaviours in high school children are lower than in pesantren.

Pengaruh Pendidikan Kesehatan terhadap Perilaku Pencarian Informasi Kesehatan pada Remaja di Sekolah

School-based health education plays a crucial role in improving health information seeking behavior among adolescents. This study aims to investigate the influence of health education on health information seeking behavior among adolescents in schools. The research methodology utilized in this study is a literature review, gathering data from reliable sources. The analysis of the literature review indicates that school-based health education has a positive impact on adolescents' knowledge of health issues and their ability to evaluate the reliability of health information sources. Furthermore, health education also influences the adoption of healthy behaviors among adolescents. However, challenges such as digital literacy need to be addressed to enable adolescents to effectively utilize health information. In conclusion, school-based health education significantly enhances health information seeking behavior among adolescents and assists them in making informed health decisions.

Disparities in COVID-19 vaccine hesitancy among a diverse community-based sample in Connecticut, United States

Though vaccination is among our strongest tools to prevent COVID-19 infections, its delivery has proven challenging. At a time when COVID-19 cases were rapidly increasing in the Northeast, we examined the role of sociodemographic factors, social determinants of health (SDOH), and health-related beliefs, including conspiracy theories, in influencing COVID-19 vaccine hesitancy among a diverse sample of Connecticut (United States) residents. Between August and December 2020, utilizing community partners and advertisements via social media, we surveyed communities known to be most impacted by COVID-19. We used descriptive analysis and multivariable logistic regression to examine vaccine hesitancy. Among 252 participants, most were female (69.8%) and under the age of 55 (62.7%). Approximately one-third reported household incomes less than $30,000 per year and 23.5% were non-Hispanic Black and 17.5% were Hispanic/Latinx. While 38.9% of participants were vaccine hesitant, non-Hispanic Black and Hispanic/Latinx participants were more vaccine hesitant (adjusted odds ratio [AOR] = 3.62; 95% CI 1.77, 7.40) compared to non-Hispanic Whites/Others. Additional factors associated with vaccine hesitancy after adjustment for socioeconomic status and barriers related to SDOH included low perceived risk of COVID-19 and not receiving COVID-19 information from medical institutions and community health workers (p < 0.05). Race/ethnicity, perceived risk, sources of health information, and conspiracy beliefs played a significant role in vaccine hesitancy among this diverse sample. Interventions to promote vaccination should include trusted messengers and sources of information, while long term efforts should focus on addressing the social conditions that deter confidence in scientific data, vaccine efficacy, and the healthcare system.

Website redesign in a maternity setting: Co-designing a resource for consumer support and education

Women want to be informed about their healthcare. Google searches provide an accessible option for women during pregnancy, but the content is largely unmonitored. Women have expressed dissatisfaction and confusion about receiving conflicting information from clinicians across the maternity service. It is essential for providers to offer person-centred care and listen to the voices of consumers. If the aim is to provide a service women want to use, women must have the opportunity to voice what they want. The local health district (LHD) maternity website development project aimed to redesign maternity website pages over 12 months to meet community needs and increase hits to the site by 70% within six months. Consumers were approached to participate through maternity services in a regional Australian health district where approximately 3,500 babies are born yearly. In a three-phase participatory action research study, researchers identified the areas of concern for consumers, worked with them to co-design and implement a new website, and evaluated the changes. Almost 20% of women who birthed from January to March 2022 responded to the evaluation survey. Half of these had explored the website. After the upgrades, the number of hits to the district website service page increased by 875 (from 124 to 999). Post-development surveys showed that women who felt they received inconsistent information at the hospital during their pregnancy were more likely to visit the website for clarification (p = 0.009). Of women who visited the website, 78% found the information useful, and 73% said they would use it again. This study highlighted that women engaging in maternity services desire access to relevant, quality information through digital technology. Maternity website development improvements increased patient satisfaction and reduced confusion, providing a reliable source of accessible health information for consumers.