Association Between Online Information Seeking and Guideline Adherence in Breast and Prostate Cancer Screening Open Access

Abstract

Using 2012 - 2014 data on health information seeking, we analyzed the association between online information seeking and guideline concordance in breast and prostate cancer screening. No statistically significant association was found between online information seeking and guideline concordance, after adjusting for potentially confounding influences. We decomposed the differences in screening rates between online information seekers and non-seekers to gauge the effect of online information seeking on screening decisions at individual-level. The effect of online information seeking differed by gender. These findings can be used to tailor approaches to accurately inform patients on cancer screening and to provide higher quality of preventive care.

Table of Contents

Table of Contents

CHAPTER I. INTRODUCTION.................................................................................... 1

CHAPTER II. LITERATURE REVIEW...................................................................... 2

BREAST & PROSTATE CANCER

QUESTIONABLE BENEFITS FOR CANCER SCREENING

GUIDELINES AND HARMS OF SCREENING

LOW AWARENESS OF SCREENING

INTERVENTIONS TO RAISE CANCER SCREENING AWARENESS

INDIVIDUAL FACTORS REGARDING CANCER RISK

INFORMATION SEEKING AND CANCER SCREENING

CHAPTER III. METHODS............................................................................................. 8

CONCEPTUAL FRAMEWORK

FIGURE 1. CONCEPTUAL FRAMEWORK

FOCAL RELATIONSHIP

PERCEIVED SCREENING BENEFIT / RISK: MEDIATOR

PHYSICIAN DISCUSSION: MODERATOR

CONFOUNDERS TO THE FOCAL RELATIONSHIP

Predisposing characteristics

Enabling characteristics

Need characteristics

DATASET

MEASURES

Dependent Variable

Focal Independent Variable

TABLE 1. VARIABLES USED IN THE MODEL

RESEARCH QUESTION AND HYPOTHESIS

ANALYTIC STRATEGY

CHAPTER IV. RESULTS............................................................................................. 20

DESCRIPTIVE STATISTICS

REGRESSION RESULTS

DECOMPOSTION RESULTS & SENSITIVITY ANALYSIS

TABLE 2. DESCRIPTIVE STATISTICS

TABLE 3. CHI-SQUARED RESULTS

TABLE 4. LOGISTIC REGRESSION RESULTS

TABLE 5. LOGISTIC REGRESSION DIAGNOSTICS

TABLE 6. DECOMPOSITION RESULTS

TABLE 7. SENSITIVITY ANALYSIS

CHAPTER V. DISCUSSION........................................................................................ 29

SUMMARY FINDING

REFERENCES................................................................................................................ 32

About this Master's Thesis

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Health Policy and Management
Degree	MSPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Keyword	cancer screening guideline adherence Online information seeking
Committee Chair / Thesis Advisor	Lipscomb, Joseph, Emory University
Committee Members	Filson, Christopher P, Emory University Von Esenwein, Silke, Emory University Joski, Peter J, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

Last modified

Primary PDF

Thumbnail	Title	Date Uploaded	Actions
	Association Between Online Information Seeking and Guideline Adherence in Breast and Prostate Cancer Screening ()	2018-08-28 16:10:53 -0400	Press to Select an action Download

Supplemental Files

Thumbnail	Title	Date Uploaded	Actions