Abstract
Purpose
This study investigated how trusting information on cancer varies by the source of information and political viewpoint.
Methods
This study used cross-sectional survey data from the 2020 Health Information National Trends Survey (HINTS). The study comprised a sample of 2949 adults 18 years and older. The outcome variable was measured by assessing respondents’ trust in cancer-related information from various sources, including religious organizations and leaders, government health agencies, charitable organizations, family or friends, and doctors. Political viewpoint was measured as liberal, moderate, and conservative. Multivariate linear probability models were estimated and adjusted for individual-level characteristics.
Results
Multivariate analysis found that conservatives (73%, 95% CI = 68–78%) were significantly less likely to trust information on cancer from government health agencies compared to liberals (84%, 95% CI = 80–88%). There was no statistically significant difference in trusting government health agencies between liberals and moderates (80%, 95% CI = 76–84%). Both moderates (27%, 95% CI = 21–34%) and conservatives (34%, 95% CI = 29–39%) were more likely to trust information on cancer from religious organizations and leaders compared to liberals (19%, 95% CI = 13–24%). The relationship between political viewpoint and trust of doctors, family or friends, and charitable organizations were not statistically significant.
Conclusion
Compared to liberals, conservatives are more likely to trust information on cancer from religious organizations and leaders and less likely to trust government health agencies when adjusting for other covariates. This finding emphasizes the role of political viewpoint in shaping individuals’ perceptions of information sources and cancer-related information.
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Data availability
The data underlying the results presented in the study are publicly available from the National Cancer Institute https://hints.cancer.gov/.
References
Lalazaryan A, Zare-Farashbandi F (2014) A review of models and theories of health information seeking behavior. Int J Health Syst Disaster Manage 2(4):193–203
Johnson JD, Meischke H (1993) A comprehensive model of cancer-related information seeking applied to magazines. Hum Commun Res 19(3):343–367
Xiao Z, Lee J, Zeng L, Ni L (2020) Information seeking in the context of cigarette smoking: predictors from the comprehensive model of information seeking (CMIS). Psychol Health Med 25(10):1228–1246
Jackson DN, Peterson EB, Blake KD, Coa K, Chou WY (2019) Americans’ trust in health information sources: trends and sociodemographic predictors. Am J Health Promot 33(8):1187–1193
Fareed N, Jonnalagadda P, Swoboda CM, Samineni P, Griesenbrock T, Huerta T (2021) Socioeconomic factors influence health information seeking and trust over time: evidence from a cross-sectional, pooled analyses of HINTS data. Am J Health Promot 35(8):1084–1094
Fareed N, Swoboda CM, Jonnalagadda P, Walker DM, Huerta TR (2021) Differences between races in health information seeking and trust over time: evidence from a cross-sectional, pooled analyses of HINTS data. Am J Health Promot 35(1):84–92
Williams JS, Fong-Gurzinsky J, Nagavally S, Walker RJ, Asan O, Ozieh MN, Egede LE (2021) Preferences in trust regarding the provision of cancer information among adults. J Natl Med Assoc 113(4):457–464
Wheldon CW, Carroll KT, Moser RP (2020) Trust in health information sources among underserved and vulnerable populations in the US. J Health Care Poor Underserved 31(3):1471–1487
Richardson A, Allen JA, Xiao H, Vallone D (2012) Effects of race/ethnicity and socioeconomic status on health information-seeking, confidence, and trust. J Health Care Poor Underserved 23(4):1477–1493
Camacho-Rivera M, Gonzalez CJ, Morency JA, Blake KD, Calixte R (2020) Heterogeneity in trust of cancer information among hispanic adults in the United States: an analysis of the health information national trends survey. Cancer Epidemiol Biomark Prev 29(7):1348–1356
Alcalá HE, Sharif MZ, Morey BN (2017) Misplaced trust: racial differences in use of tobacco products and trust in sources of tobacco health information. Nicotine Tob Res 19(10):1199–1208
Ye Y (2010) A path analysis on correlates of consumer trust in online health information: evidence from the health information national trends survey. J Health Commun 15(sup3):200–215
Sacca L, Maroun V, Khoury M (2022) Predictors of high trust and the role of confidence levels in seeking cancer-related information. Inform Health Soc Care 47(1):53–61
Peterson EB, Chou WY, Kelley DE, Hesse B (2020) Trust in national health information sources in the United States: comparing predictors and levels of trust across three health domains. Transl Behav Med 10(4):978–988
Hong H, Oh HJ (2020) The effects of patient-centered communication: exploring the mediating role of trust in healthcare providers. Health Commun 35(4):502–511
Kiviniemi MT, Orom H, Hay JL, Waters EA (2022) Prevention is political: political party affiliation predicts perceived risk and prevention behaviors for COVID-19. BMC Public Health 22(1):298
Gollwitzer A, Martel C, Brady WJ, Pärnamets P, Freedman IG, Knowles ED, Van Bavel JJ (2020) Partisan differences in physical distancing are linked to health outcomes during the COVID-19 pandemic. Nat Hum Behav 4(11):1186–1197
Baumgaertner B, Carlisle JE, Justwan F (2018) The influence of political ideology and trust on willingness to vaccinate. PLoS One 13(1):e0191728
Stupiansky NW, Rosenthal SL, Wiehe SE, Zimet GD (2010) Human papillomavirus vaccine acceptability among a national sample of adult women in the USA. Sex Health 7(3):304–309. https://doi.org/10.1071/SH09127
Cox S, Brown J, McQuire C, de Vocht F, Beard E, West R, Shahab L (2021) Association between cigarette smoking status and voting intentions: cross sectional surveys in England 2015–2020. BMC Public Health 21(1):2254. https://doi.org/10.1186/s12889-021-12304-4
National Cancer Institute (2020) Health information national trends survey 5 (HINTS 5), Cycle 4 methodology report. https://hints.cancer.gov/data/methodology-reports.aspx Accessed December 2020.
Doherty C, Kiley J, Asheer N, Jordan C (2021) Beyond red vs. blue: the political typology. Pew Research Center, Washington, DC
Hout M (2021) America’s liberal social climate and trends: change in 283 general social survey variables between and within US birth cohorts, 1972–2018. Pub Opin Q 85(4):1009–1049
Dimock M, Kiley J, Keeter S, Doherty C (2014) Political polarization in the American public: how increasing ideological uniformity and partisan antipathy affect politics, compromise and everyday life. Pew Res Cent June 12, https://www.pewresearch.org/politics/2014/06/12/political-polarization-in-the-american-public/
Markus HR, Conner A, Clash! (2014) How to thrive in a multicultural world. Penguin, Westminster, p 24
Grafstein R (2005) The impact of employment status on voting behavior. J Politics 67(3):804–824
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All authors contributed to the study conception and design. Data analysis was performed by JS. The first draft of the manuscript was written by JS and SP and SP commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Jim Stimpson and Sungchul Park have no relevant financial or non-financial interests to disclose. Unrelated to this work, Sandi Pruitt receives consulting fees from Pfizer.
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This is an observational study that used publicly available data. The university institutional review board has confirmed that no ethical approval is required.
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Stimpson, J.P., Park, S. & Pruitt, S.L. Trusting information on cancer varies by source of information and political viewpoint. Cancer Causes Control 35, 177–184 (2024). https://doi.org/10.1007/s10552-023-01786-9
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DOI: https://doi.org/10.1007/s10552-023-01786-9