Socioeconomic and Racial-Ethnic Differences in Sources of Health Information in a National Sample of Pregnant Women [13L]

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Abstract

INTRODUCTION:

We aimed to identify pregnant women's most common and trusted sources of health information.

METHODS:

A cross-sectional survey of US women (n=653) 18–45 years old who self-identified as pregnant was administered May–June 2015 using Facebook advertisements to recruit. Respondents identified their sources of health information during pregnancy, the one source of “the most information,” and the one source “you trust the most.” We performed descriptive analyses and used chi-square tests and multivariable logistic regressions to investigate associations between information sources and socio-demographic characteristics.

RESULTS:

Respondents were primarily of minority descent (28% AA, 32% multiracial or other; 25% Hispanic) and low socioeconomic status (58% with annual household income <$30,000). Respondents reported multiple sources of health information (doctor/nurse, 98%; internet, 93%; respondents' own parents, 91%; friends, 88%; books, 85%; partner, 83%). Doctor/nurse and parents were the sources most frequently identified as providing the most information (33% and 21%) and as the most trusted (66% and 27%). Multivariable logistic regressions indicated significantly higher adjusted odds of selecting doctor/nurse as their most trusted source of information among women with income ≥$30k (OR=2.04), African-Americans (OR 1.85) and Hispanics (OR=2.02; all P<.0.05) compared with peers. In contrast, adjusted odds of identifying parents as the most trusted information source were significantly higher for lower-income women (OR=2.33) and non-Hispanics (OR=2.40; both P<.001).

CONCLUSION:

Pregnant women demonstrate meaningful differences in trusted sources of information by income and race/ethnicity. Leveraging these differences in communication efforts may yield more effective promotion of healthy behaviors during pregnancy.

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