264960 Preferred sources of receiving health-related messages among adult females with recent screening mammography

Wednesday, October 31, 2012 : 12:50 PM - 1:10 PM

Matthew Lee Smith, PhD, MPH, CHES , Department of Health Promotion and Behavior, The University of Georgia, College of Public Health, Athens, GA
Heather H. Goltz, PhD, LMSW, MEd , Department of Social Sciences, University of Houston-Downtown, Houston, TX
Justin Dickerson, MBA , Department of Health Policy & Management, Texas A&M Health Science Center, School of Rural Public Health, College Station, TX
Jairus Pulczinski , School of Rural Health, Texas A&M Health Science Center, College Station, TX
Marcia G. Ory, PhD, MPH , Social & Behavioral Health, Texas A&M HSC School of Rural Public Health, College Station, TX
Background. Females are more likely to have higher health literacy (HL) and participate in cancer screening. However, well-documented disparities exist in breast cancer screening rates among minorities and those having lower-income.

Objectives. This study aims to: (1) identify preferred sources of health-related information among adult females, >40 years, completing screening mammography in the previous year; and (2) examine sociodemographics, health indicators, and health-related behaviors associated with preferred sources for health messages.

Methods. Data were collected from 973 females who reported having mammograms in the previous year using a randomized multimodal survey of households in an eight-county region of Texas. Multinomial logistic regression was performed to compare factors associated with participants' preferred source of receiving health-related messages.

Results. Most participants preferred receiving health information from physicians (64.5%), followed by internet (13.4%), mass media (12.5%), and family/friends (9.6%). Relative to those who preferred health information from physicians, participants who were African American (OR=0.60, P=0.006), >65 years (OR=0.24, P=0.001), obese (OR=0.57, P=0.033), and had more chronic conditions (OR=0.69, P=0.003) were significantly less likely to prefer internet-based health messages. Those who were more educated (OR=0.65, P=0.044), obese (OR=0.41, P=0.007), and in urban areas (OR=0.66, P=0.005) were less likely to prefer obtaining health information from mass media.

Conclusion: Although physician-patient communication was preferred, a variety of channels may be needed to disseminate accurate and reliable health messages. Public health educators should consider issues of geography, access, and patient preferences in targeting breast health programs to subgroups with variable HL and access to cancer prevention/control services.

Learning Areas:
Public health or related education

Learning Objectives:
1. Identify three ways in which adult females who have received a mammogram in the previous year prefer to receive health-related information. 2. Describe four differences in sociodemographics, health indicators, and health-related behaviors by participantsí preferred source of receiving health-related messages. 3. Identify two implications for the dissemination of health-related messages pertaining to cancer prevention and control services.

Keywords: Health Literacy, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked as a researcher and educator in the realm of public health and health education for over 10 years. And, as a host/producer of a health-related radio talk show, I have established expertise in health message development.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.