Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.

BACKGROUND: Considerable evidence suggests that communication inequality is one potential mechanism linking social determinants, particularly socioeconomic status, and health inequalities. This study aimed to examine how dimensions of health communication outcomes (health information seeking, self-e...

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Main Authors: Yoshiki Ishikawa, Hiromu Nishiuchi, Hana Hayashi, Kasisomayajula Viswanath
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3395686?pdf=render
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author Yoshiki Ishikawa
Hiromu Nishiuchi
Hana Hayashi
Kasisomayajula Viswanath
author_facet Yoshiki Ishikawa
Hiromu Nishiuchi
Hana Hayashi
Kasisomayajula Viswanath
author_sort Yoshiki Ishikawa
collection DOAJ
description BACKGROUND: Considerable evidence suggests that communication inequality is one potential mechanism linking social determinants, particularly socioeconomic status, and health inequalities. This study aimed to examine how dimensions of health communication outcomes (health information seeking, self-efficacy, exposure, and trust) are patterned by socioeconomic status in Japan. METHODS: Data of a nationally representative cross-sectional survey of 2,455 people aged 15-75 years in Japan were used for secondary analysis. Measures included socio-demographic characteristics, subjective health, recent health information seeking, self-efficacy in seeking health information, and exposure to and trust in health information from different media. RESULTS: A total of 1,311 participants completed the questionnaire, giving a response rate of 53.6%. Multivariate logistic regression revealed that education and household income, but not employment, were significantly associated with health information seeking and self-efficacy. Socioeconomic status was not associated with exposure to and trust in health information from mass media, but was significantly associated with health information from healthcare providers and the Internet. CONCLUSION: Health communication outcomes were patterned by socioeconomic status in Japan thus demonstrating the prevalence of health communication inequalities. Providing customized exposure to and enhancing the quality of health information by considering social determinants may contribute to addressing social disparities in health in Japan.
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spelling doaj.art-c31002d98e8849d7932df7e61e61a8002022-12-22T01:21:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0177e4066410.1371/journal.pone.0040664Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.Yoshiki IshikawaHiromu NishiuchiHana HayashiKasisomayajula ViswanathBACKGROUND: Considerable evidence suggests that communication inequality is one potential mechanism linking social determinants, particularly socioeconomic status, and health inequalities. This study aimed to examine how dimensions of health communication outcomes (health information seeking, self-efficacy, exposure, and trust) are patterned by socioeconomic status in Japan. METHODS: Data of a nationally representative cross-sectional survey of 2,455 people aged 15-75 years in Japan were used for secondary analysis. Measures included socio-demographic characteristics, subjective health, recent health information seeking, self-efficacy in seeking health information, and exposure to and trust in health information from different media. RESULTS: A total of 1,311 participants completed the questionnaire, giving a response rate of 53.6%. Multivariate logistic regression revealed that education and household income, but not employment, were significantly associated with health information seeking and self-efficacy. Socioeconomic status was not associated with exposure to and trust in health information from mass media, but was significantly associated with health information from healthcare providers and the Internet. CONCLUSION: Health communication outcomes were patterned by socioeconomic status in Japan thus demonstrating the prevalence of health communication inequalities. Providing customized exposure to and enhancing the quality of health information by considering social determinants may contribute to addressing social disparities in health in Japan.http://europepmc.org/articles/PMC3395686?pdf=render
spellingShingle Yoshiki Ishikawa
Hiromu Nishiuchi
Hana Hayashi
Kasisomayajula Viswanath
Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.
PLoS ONE
title Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.
title_full Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.
title_fullStr Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.
title_full_unstemmed Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.
title_short Socioeconomic status and health communication inequalities in Japan: a nationwide cross-sectional survey.
title_sort socioeconomic status and health communication inequalities in japan a nationwide cross sectional survey
url http://europepmc.org/articles/PMC3395686?pdf=render
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AT kasisomayajulaviswanath socioeconomicstatusandhealthcommunicationinequalitiesinjapananationwidecrosssectionalsurvey