Korean J Health Promot KJHP Korean Journal of Health Promotion 2234-2141 2093-5676 Korean Society for Health Promotion and Disease Prevention 10.15384/kjhp.2017.17.1.38 Original Article Factors Influencing Health Information Orientation in Middle-aged Community-dwelling Shim Jae Lan 1 Son Youn-Jung 2 College of Nursing, Hanyang University, Seoul, Korea. Red Cross College of Nursing Chung-Ang University, Seoul, Korea. Corresponding author: Youn-Jung Son, PhD. Red Cross College of Nursing Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Korea. Tel: +82-2-820-5198, Fax: +82-2-210-8651, yjson@cau.ac.kr 03 2017 31 03 2017 17 1 38 46 02 02 2017 15 03 2017 Copyright © 2017 Korean Society for Health Promotion and Disease Prevention 2017 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background

It is important time for middle-aged because they should shift to a healthy elderly by utilization of correct health information and healthy behaviors. The aim of this study was to investigate the level of health information orientation (HIO) and identify the factors influencing HIO according to socio-demographic and health related characteristics of middle aged in community.

 Methods

A cross-sectional descriptive study was conducted by self-reported using structured questionnaires. The data was collected from June to July 2014 with 465 middle aged and 40 to 64 years old living in the community. Multiple stepwise regression analysis was used to examine the determinant of HIO.

 Results

In the two sub-domains of HIO, health information engagement mean score was 2.30±1.09 and the health information apprehension level was 1.34±1.15 on average (maximum 4 points). Regression analysis showed that the sub-domains of HIO, the level of health information engagement was significantly higher in the 40-49 age group than 50-64 age group (β=-0.094, P=0.048) and high school or above education level (β=0.224, P<0.001). Those who pay more than 100,000 won per month (β=0.097, P=0.047) were significantly high in the level of health information apprehension.

 Conclusions

In order to improve the level of HIO, it is necessary to implement tailored health promotion education considering the sociodemographic and health related characteristics of the subjects. It is required in the future, the development of tools and multidimensional factors that are appropriate for the middle-aged when identifying the factors influencing of health information orientation.

 Middle aged Health promotion Orientation Education Shin NM Choi J Cho I Park BJ Self-management program for heart healthy behavior among middle- and old-aged Korean women at risk for metabolic syndrome J Cardiovasc Nurs 2017 03 17 [Epub ahead of print] National Health Insurance Service Prevalence of metabolic syndrome by age, sex and risk factors in Korea 2015 [Internet] Daejeon National Health Insurance Service 2017 Accessd Jan 31, 2017 Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35007_N139 National Cancer Information Center Cancer incidence by age group 2014 [Internet] Goyang National Cancer Information Center 2016 Accessd Dec 20, 2016 Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040103000000 Jessup RL Osborne RH Beauchamp A Bourne A Health literacy of recently hospitalised patients: a cross-sectional survey using the Health Literacy Questionnaire(HLQ) BMC Health Serv Res 2017 17 1 52 Bakker CJ Koffel JB Theis-Mahon NR Measuring the health literacy of the Upper Midwest J Med Libr Assoc 2017 105 1 34 43 Chon BS Lee JG A study on dispositional use motives for facebook and its positive and negative effects: with a focus on changes to interpersonal networks on facebook and facebook addiction among users in the age groups of 2039 and 4059 Speech Commun 2014 24 112 140 Dutta-Bergman MJ Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors Health Commun 2004 16 3 273 288 Basu A Dutta MJ The relationship between health information seeking and community participation: the roles of health information orientation and efficacy Health Commun 2008 23 1 70 79 Howell JL Shepperd JA Reducing information avoidance through affirmation Psychol Sci 2012 23 2 141 145 McQueen A Vernon SW Swank PR Construct definition and scale development for defensive information processing: an application to colorectal cancer screening Health Psychol 2013 32 2 190 202 DuBenske LL Burke Beckjord E Hawkins RP Gustafson DH Psychometric evaluation of the health information orientation scale: a brief measure for assessing health information engagement and apprehension J health Psychol 2009 14 6 721 730 Suziedelyte A How does searching for health information on the Internet affect individuals' demand for health care services? Soc Sci Med 2012 75 10 1828 1835 James DC Harville C 2nd eHealth literacy, online help-seeking hehavior, and willingness to participate in mHealth chronic disease research among African Americans, Florida, 2014-2015 Prev Chronic Dis 2016 13 E156 Tan SS Goonawardene N Internet health information seeking and the patient-physician relationship: a systematic review J Med Internet Res 2017 19 1 e9 Son YJ Song EK Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension J Korean Acad Fundam Nurs 2012 19 1 6 15 Kim KJ Lee IS The influence of health information source credibility and e health literacy on health information orientation of parents of local hospitalized children J Digit Converg 2016 14 6 295 307 Park DJ Kwon MS Choi JH The Influence of health information orientation, attitude of internet health information, and e-health literacy on personal health behaviors J Public Relat Res 2013 17 3 379 413 Feinberg I Frijters J Johnson-Lawrence V Greenberg D Nightingale E Moodie C Examining associations between health information seeking behavior and adult education status in the U.S.: an analysis of the 2012 PIAAC Data PloS One 2016 11 2 e0148751 Ojewola RW Oridota ES Balogun OS Ogundare EO Alabi TO Lower urinary tract symptoms: prevalence, perceptions, and healthcare-seeking behavior amongst Nigerian men World J Mens Health 2016 34 3 200 208 Nölke L Mensing M Krämer A Hornberg C Sociodemographic and health-(care)related characteristics of online health information seekers: a cross-sectional German study BMC Public Health 2015 15 31 Miller SM Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat J Pers Soc Psychol 1987 52 2 345 353 Loiselle CG Self-evaluation and health information-seeking: a study of self-assessment and self-protection motives [dissertation] Madison University of Wisconsin 1995 English McQueen A Vernon SW Swank PR Construct definition and scale development for defensive information processing: an application to colorectal cancer screening Health Psychol 2013 32 2 190 202 Moon IO Park SK Kim EG Influence on health promotion behavior among nursing students according to health information seeking behavior J Korean Public Health Nurs 2015 29 2 231 243 Fiksdal AS Kumbamu A Jadhav AS Cocos C Nelsen LA Pathak J Evaluating the process of online health information searching: a qualitative approach to exploring consumer perspectives J Med Internet Res 2014 16 10 e224 Knapp C Madden V Wang H Sloyer P Shenkman E Internet use and eHealth literacy of low-income parents whose children have special health care needs J Med Internet Res 2011 13 3 e75 Berkman ND Davis TC McCormack L Health literacy: what is it? J Health Commun 2010 15 Suppl 2 9 19 Lalazaryan A Zare-Farashbandi F A review of models and theories of health information seeking behavior Int J Health Syst Disaster Manage 2014 2 4 193 203 McCloud RF Jung M Gray SW Viswanath K Class, race and ethnicity and information avoidance among cancer survivors Br J Cancer 2013 108 10 1949 1956 Burke KE Schnittger R O'Dea B Buckley V Wherton JP Lawlor BA Factors associated with perceived health in older adult Irish population Aging Ment Health 2012 16 3 288 295 Health information acquisition route<sup>a</sup>.

aValues are presented as frequency (%), available for multiple response.

 Easily understandable health information<sup>a</sup>.

aValues are presented as frequency (%), available for multiple response.

 Socio-demographic and health related characteristics of the participants

Values are presented as n (%).

 Distribution of health information engagement and health information apprehension by items

Abbreviation: SD, standard deviation.

Values are presented as frequency (%) or mean±SD.

 Differences in health information engagement and health information apprehension according to socio-demographic and health related characteristics of participants<sup>a</sup>

Abbreviations: KRW, Korean won; SD, standard deviation.

aValues are presented as mean±SD and Calculated by One-way ANOVA or t-test.

bMultiple comparison by Scheffe' method.

 Predictors of health information seeking and health information apprehension<sup>a</sup>

Abbreviation: KRW, Korean won.

aCalculated by Multiple stepwise linear regression analysis adjusted for spouse, living area, occupation, chronic disease.

bAge; 50-64 yr=1, 40-49 yr=0.

cEducation level; high school or above=1, ≤Middle school or less=0.

dSelf-reported medical costs (1,000 KRW/month); ≥100=1, <100=0.