The Health Information National Trends Survey (HINTS): Development, Design, and Dissemination

Nelson, David E.; Kreps, Gary L.; Hesse, Bradford W.; Croyle, Robert T.; Willis, Gordon; Arora, Neeraj; Rimer, Barbara K.; Viswanath, Kasisomayajula; Weinstein, Neil D.; Alden, Sara

doi:10.1080/10810730490504233

Cited by 601 publications

(467 citation statements)

References 15 publications

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“…CRC knowledge was assessed from two questions assessing familiarity with CRC screening principles and screening guidelines. 55 Indicators of correct responses to these questions (i.e., 50 reported as the screening initiation age; strongly agree or agree that someone can have CRC without symptoms) were used in the analyses. Attitudes toward screening were assessed using the following scales developed by Vernon and colleagues: 56 salience (four items, Cronbach's alpha = 0.89), fears (three items, α= 0.69), susceptibility (four items, α= 0.75), screening efficacy (two items, α= 0.65), and self-efficacy (four items, α= 0.80).…”

Section: Dependent Variablesmentioning

confidence: 99%

Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

et al. 2010

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OBJECTIVES:We examined the presence and correlates of Black/White racial disparities in adherence to guidelines for colorectal cancer screening (CRCS). METHODS:The sample included 328 Black and 1827 White patients age 50-75 from 24 VA medical facilities who responded to a mailed survey with phone follow-up (response rate: 73% for Blacks and 89% for Whites). CRCS adherence and race were obtained through surveys and supplemented with administrative data. Logistic regressions estimated the contribution of demographic, health, cognitive, and environmental factors to racial disparities in adherence to CRCS guidelines. RESULTS: In unadjusted analyses, Blacks had slightly lower rates of adherence to CRCS guidelines than Whites (72% versus 77%, p<0.05). This racial disparity in CRCS adherence was explained by race differences in demographic, health, and environmental factors but not by cognitive factors. Tests for interactions revealed that the association of race with adherence varied significantly across levels of income, education, and marital status. In particular, among those who were married with higher levels of education, CRCS adherence was significantly higher for Whites; whereas among those who were unmarried, with low levels of education, adherence was significantly higher for Blacks. CONCLUSION: We found that disparities in CRCS are greatly attenuated in the VA system and both Whites and Blacks have substantially higher rates of CRCS than the national average. These results point to the success of the VA at implementing CRCS system-wide. Our findings also suggest additional initiatives may be needed for unmarried low income white men and higher income black men. These disparities are partially attributable to lower rates of CRC screening (CRCS) by Blacks, 3-5 which has been shown to significantly reduce CRC mortality. [6][7][8][9] To understand what factors contribute to CRCS adherence, researchers have drawn on health behavior theories and have examined such factors as cognitions about screening, social and medical environmental factors, and demographic and health-related factors. [10][11][12] Few studies, however, have explored the extent to which racial disparities in adherence to CRCS are a function of these underlying factors, leaving unanswered questions about the best approaches to promote screening among populations with greater disease burden. [13][14][15][16][17][18][19][20] This study contributes to the broader literature on race differences in CRCS by examining the relative contribution of demographic and health factors, cognitive factors, and environmental factors to racial disparities in CRCS in a nationally representative survey of Veterans Health Affairs (VHA) patients aged 50-75.The VHA is a particularly interesting system within which to examine racial disparities in CRCS because it provides equal access to care to all qualifying veterans, and mandates that all patients be assigned to a primary care provider, both of which diminish barriers to screening that might disproportionally affect r...

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Section: Dependent Variablesmentioning

confidence: 99%

Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

et al. 2010

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“…An expert advisory committee guided NCI personnel in the development of the HINTS I survey [35]. Established criteria for scientific validity, utility and implementation experience served as the basis for inclusion of survey items [35].…”

Section: Methodsmentioning

confidence: 99%

“…[35] HINTS was designed to collect nationally representative data every two years focused on cancer communications, cancer information seeking preferences and behaviors, knowledge about cancer, perceived susceptibility, severity, benefits and barriers, cancer-related behaviors, risk reduction, screening behaviors, general health, and data on personal cancer experience [35]. The first wave of HINTS data was collected in 2003, HINTS 1.…”

Section: Methodsmentioning

confidence: 99%

Cancer survivors information seeking behaviors: A comparison of survivors who do and do not seek information about cancer

Mayer

Terrin

Kreps

et al. 2007

Patient Education and Counseling

201

210

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Objective-To examine the cancer information seeking behaviors and preferences of cancer survivors. Results-Two thirds (67.5%, n=418) of the survivors sought cancer information (InfoSeek) and 32.5% (n=201) did not (NoInfoSeek). Significant predictors of cancer information seeking included age (less than 65), gender (female), income (>$25,000/yr) and having a regular HCP. Methods-ThisConclusion-Not all survivors actively look for cancer information. Although most survivors prefer receiving cancer information from their HCP, many turn to a variety of other sources, primarily the internet.Practice Implications-HCPs should periodically assess information seeking behaviors and preferences of cancer survivors and actively refer patients to the Internet as an extension of and enhancement to their patient interactions. Credible and useful websites could be identified and recommended by the HCP as a means to address some of the barriers identified by survivors.

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“…Data were collected for the fi rst iteration (HINTS 2003) ( Chang & Krosnick, 2002 ). Details of this survey and sampling design have been published elsewhere ( Nelson et al, 2004 ), and more extensive information, including the survey instruments and datasets, is available on the HINTS Web site ( http://hints.cancer.gov/ ). …”

Section: Data Source and Samplementioning

confidence: 99%

Consumer awareness and attitudes related to new potential reduced-exposure tobacco product brands

Parascandola¹,

Augustson²,

O’Connell³

et al. 2009

Nicotine &Amp; Tobacco Research

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females and non-Hispanic Whites, and among daily smokers, those who smoked 20 or more cigarettes per day and those who were not considering quitting. Smokers interested in PREPs were substantially more likely to rate their perceived lung cancer risk as high (40.3% vs. 8.3%) and to worry frequently about developing lung cancer (19.7% vs. 4%).Discussion: These results suggest that there is a substantial level of interest among current smokers in cigarettes marketed with claims of reduced exposure or harm. Of particular concern is that " health conscious " smokers and heavy smokers not planning to quit may be especially vulnerable to PREP marketing messages and view such products as an alternative to smoking cessation. IntroductionIn recent years, tobacco product manufacturers have introduced a range of new potential reduced-exposure tobacco products (PREPs), marketed as an alternative to conventional cigarettes with advertising claims or suggestions that they are less harmful than traditional cigarettes or reduce exposure to toxic constituents in tobacco and smoke. These new products include modifi ed tobacco cigarettes (e.g., Advance, Omni), cigarette-like products (e.g., Eclipse, Accord), and oral/smokeless tobacco products (e.g., Ariva, Exalt, Revel) ( Pederson & Nelson, 2007 ). Currently, evidence is insuffi cient to determine whether these products result in meaningful reductions in risk or exposure compared with conventional tobacco products ( Stratton, Shetty, Wallace, & Bondurant, 2001 ). Moreover, the marketing of PREPs poses substantial challenges for tobacco control efforts as tobacco control advocates and public health experts have raised concerns that these products may serve as an alternative to Abstract Introduction: In recent years, there has been a proliferation of potential reduced-exposure tobacco products (PREPs) marketed that claim to be less harmful or less addictive, compared with conventional cigarettes. Tobacco control scientists have raised concerns about the potential adverse impact of marketing of these products for smoking prevention and cessation efforts. Although these products have not been widely used among smokers, there are few data available on consumers ' awareness and attitudes toward these products. Methods Results:In 2005, 45% of respondents had heard of at least one PREP product, while only 4.8% had actually tried one. Awareness and use were substantially higher among current smokers (55.6% and 12.7%). Awareness was highest for Marlboro Ultra Smooth (MUS) (30.2%), Eclipse (18.2%), Quest (7.8%), and Ariva (5.4%), while less than 2% for any other product. Of respondents who had tried a PREP, 50% cited harm reduction or assistance in quitting as a reason for trying the product and 30% believed that the product was less harmful than their usual brand. In the combined 2003 and 2005 dataset, 54.4% of current smokers stated that they would be " very " or " somewhat " interested in trying a cigarette advertised as less harmful, while only 3.2% of former smokers and 1.1% of never-s...

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The Health Information National Trends Survey (HINTS): Development, Design, and Dissemination

Cited by 601 publications

References 15 publications

Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

Cancer survivors information seeking behaviors: A comparison of survivors who do and do not seek information about cancer

Consumer awareness and attitudes related to new potential reduced-exposure tobacco product brands

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