Online consumer health information for African Americans: Assessing the disparities in quality of health information on the internet

Background: Many factors contribute to the disparities in health for African Americans. This project focuses on the quality of Internet-based health information for African American audiences. In the context of narrowing the "digital divide," that is, the gap between those with and without access to information tools such as the Internet, the quality of such information must be assessed. If traditionally underserved populations are gaining access to Internet-based health information but the content is of poor quality, disparities in health will persist. To the extent that content is adequate, then working to train and guide African American patients/families (and their health professionals) to such quality health Internet sites will be a critical component in reducing health disparities.

Objectives/purpose: The purpose of this infodemiology study is to characterize and investigate the quality and usability of health information on the Internet intended for African American audiences.

Methods: Health information web sites with missions stating they serve an African American audience were identified and then assessed for quality and usability using criteria developed from previously published measures. Search terms include “Black Health” and “African American Health.” A comparison to general (i.e. non-targeted) health sites is also made.

Results: From initial searches identifying 120 sites, we have characterized and report on the quality and usability features of 35 health information sites for African American audiences, as compared to 30 general health sites. Criteria reported on include currency, disclosures, transparency, authority, references, justifiability, and other technical features. Literacy level is also assessed.

Discussion/conclusions: This information will guide medical providers and health educators in counseling patients regarding Internet-based health information.