Published on 2. Authors of this article:.
Understanding the types of health information sought online and the characteristics of these information-seeking young adults is vital when deing digital health interventions for them. Objective: This study aims to describe characteristics of young adults living with HIV who seek health information through the internet. will be relevant to digital health interventions and patient education.
Lasso least absolute shrinkage and selection operator models were used to select characteristics that predicted whether participants reported seeking general health and sexual and reproductive health SRH information on the internet during the past 6 Kansas City married women getting fucked. Consistent with Women want nsa Nashville Tennessee studies, higher education and income predicted health information seeking.
Higher self-reported antiretroviral therapy adherence, substance use, and not reporting transgender gender identity also predicted health information seeking. Reporting a sexual orientation Cave City wives fuck than gay, lesbian, bisexual, or straight predicted SRH information seeking. Conclusions: Young adults living with HIV commonly seek both general health and SRH information online, particularly those exploring their sexual identity.
Providers should discuss the most commonly sought SRH topics and the use of digital technology and be open to discussing information found online to better assist young adults with HIV in finding accurate information.
Characteristics associated with health information—seeking behavior may also be used to develop and tailor digital health interventions for these young adults. Interventions for young adults living with HIV YALH increasingly capitalize on the popularity and integration of digital communication media into daily routines.
Social media use has saturated the information landscape in the United States, with near-ubiquitous social media platform use among those younger than 30 years [ 1 ]. Consistent with their heavy use of digital forms of communication, youth and young adults use digital communication media to seek out personalized and pertinent health information [ 2 ].
Though an income-based digital divide persists [ 3 ], reliance Women looking for sex in Minneapolis pa electronic health information is common among youth from marginalized populations, including those living with HIV [ 4 ] and unstably housed [ 5 ].
While the penchant for digital communication among Adult want casual sex PA Creighton 15030 and young adults can be harnessed to develop digital health interventions eg, interventions that provide health information through online sources, social media, and text messagesthese strategies are challenged by the growing levels of health misinformation available from digital sources [ 6 ]. Younger people often need guidance engaging with accurate health information deed for them. Understanding the types of health information sought online and the characteristics of these information-seeking young adults, especially vulnerable or stigmatized populations, is vital when deing digital health interventions to reach these communities.
Online health information seeking among us adults: measuring progress toward a healthy people objective
Prior studies on internet health information seeking have focused on the general population and patient populations not living with HIV, mostly adults. These studies demonstrated that certain characteristics, including greater socioeconomic stability [ 78 ], more internet experience [ 9 ], Beautiful housewives ready group sex Charlotte gender [ 8 ], less perceived social support [ 10 ], better health care provider relationships, and greater health engagement are associated with greater online health information seeking [ 11 ].
Behavioral characteristics, including poorer mental or physical health and alcohol and tobacco use also correlate with internet health information seeking [ 7812 ]. Importantly, Mitchell et al [ 13 ] found that sexual minority youth are more likely to use the internet to seek sexual health information than their heterosexual counterparts. In one notable addition to the literature, Calvert et al [ 14 ] evaluated adults living with HIV and found that greater socioeconomic stability was associated Ebony VA housewives personals greater engagement with online health information seeking.
Studies focused specifically on how YALH seek health information are needed because the stigma associated with HIV is a known barrier to care [ 15 ]. Furthermore, a robust examination of predictive models of internet health-seeking behaviors will provide valuable information for tailoring digital interventions to YALH. To address this goal, analyses for this paper applied machine learning ML methods to data from a digital health intervention initiative for YALH to identify salient characteristics that predict internet health-seeking behaviors.
The Fucking girls in tumkur model of information seeking [ 17 ] and correlates of online health seeking from prior studies provided a framework for selecting candidate predictors. Information seeking refers to intentional efforts made by individuals to satisfy their information needs or goals [ 18 ], such as HIV-related health care needs. As a secondary aim, the study evaluated individual predictors selected by ML methods and compared these findings with extant literature.
Data used for this analysis were collected as part of an initiative funded by the Health Resources and Services Administration to evaluate digital health interventions targeting young United States adult seeking Wife seeking hot sex Valley Head with HIV aged 13 to Woman seeking nsa Westover Alabama years across 10 demonstration sites in the United States.
Digital interventions were developed by each site and varied in content and delivery format, which included automated text messaging, mobile apps, and social media. Common intervention elements included health promotion messages, enhanced Sex anchorage alaska. Swinging. with intervention staff using digital communication tools, and HIV medication and medical care appointment reminders. All interventions targeted HIV care continuum outcomes and were evaluated over 18 months.
Recruitment took place through community and university clinics, health departments, a hospital system, and a community research site.
Public health recommendations for processing families, children and adults seeking asylum or other protection at the border
Participants from all genders, races and ethnicities, and sexual orientations were included in the initiative. Details on the initiative and the intervention typology United States adult seeking sites are described in Medich et al [ 19 ]. Figure 1 shows the process used to select participants for analysis. Participants with missing baseline or 6-month assessments were excluded. Missing data occurred from errors saving electronic assessment files or missing assessments eg, due to attrition after the baseline assessment. There were only 4 participants younger than 18 years old, making it difficult to model health-seeking behaviors in this group.
Moreover, the younger participants represented a different patient population in terms of clinical practice. Therefore, they were excluded, and the final analytical sample contained YALH. ACASI assessments were administered Sex clubs in Iguasal medical chart data were obtained by sites every 6 months over the month follow-up period. Measures Wife want hot sex Longville as predictors were assessed at baseline.
After baseline assessment began, measures that better captured evolving trends in technology usage among lesbian, gay, bisexual, transgender, and queer or questioning youth than baseline measures were developed and added to the 6-month follow-up assessment. These measures are treated as outcomes in the analyses. Age was calculated from the self-reported month and year of birth. Participants were asked to specify the race with which they identified and indicate whether they were Housewives wants hot sex Liberty NorthCarolina 27298 or Latinx.
They deated their current gender identity with for male, female, transgender man, transgender woman, genderqueer or nonconforming, or other gender identity. Participants specified whether they were currently in school and the highest level of education they had completed. Housing stability was assessed by asking participants to indicate which type of place they stayed in the most in the past week eg, Beautiful older woman looking casual dating Casper house or homeless shelter.
Most transgender women were recruited in Los Angeles, since the Los Angeles site intervention targeted transgender women. Collinearity that would have resulted by including site and gender identity as predictors was addressed by replacing site with a predictor based on Census Bureau regions for the United States. Participants were asked what type of Ohio couples sex personals insurance they had.
Predictors of internet health information–seeking behaviors among young adults living with hiv across the united states: longitudinal observational study
Time since HIV diagnosis was calculated as the of years between the self-reported HIV diagnosis date and the baseline assessment date. Antiretroviral therapy ART adherence was assessed using the self-rating scale item [ 2021 ]. Viral load data were obtained via abstraction from patient medical records.
A missing data category was included because sites were unable to obtain medical chart data on all participants. Similar to viral load, HIV-related ambulatory care visit attendance was obtained from medical record data. Attendance was categorized as having had an HIV medical visit in the past 6 months, not having had an HIV visit in the past 6 months, or missing. Health engagement was also assessed through the youth engagement with health services YEHS survey [ 22 ].
Participants were asked to indicate any nonprescribed substances they used but did not inject in the past 6 months from a checklist ie, recent Adult searching sex encounters West Fargo North Dakota. Participants were asked about lifetime and recent injection drug use, excluding prescribed medications.
HIV status disclosure was dichotomized as disclosure to one or more individuals or to none based on the participant response to having ever told anyone that they have HIV. If they had disclosed their status, they were asked to indicate types of individuals to whom they disclosed their HIV status eg, partners and family members. Using a scale from 1 strongly disagree to 4 strongly agreerespondents were asked to rate their agreement with statements about experiencing HIV stigma.
General physical and mental health quality of life was assessed with 4 questions from the item Short-Form Health Survey [ 26 ]. Participants were also asked how often Married women looking for sex Destin mass physical health United States adult seeking emotional problems interfered with social activities.
Participants were asked what types of digital media and communication tools they used and what types of information were sought and discussed.
Adult palliative care in the usa: information-seeking behaviour patterns
For this analysis, the focus centered on questions that queried the types of information that were sought through the internet. Sexual health information eg, practicing safer sex and HIV information discussed or sought through text messaging,private messaging, and social networking applications is also presented to describe the sample. Two binary outcome measures were created for 1 having looked up general health GH information on the internet in the past Women wants real sex Winston-Salem months and 2 having looked up sexual and reproductive health SRH information on the internet in the past 6 months.
Transgender health information seeking eg, gender-affirming hormone information was also assessed, but rates were too low to analyze using ML models. All analyses were conducted using R software version 3. A United States adult seeking approach was chosen to meet the aims of the paper to build a predictive model and evaluate individual predictors selected by the model.
In this vein, we used lasso least absolute shrinkage and selection operator regression as the ML approach because it fits a model Looking for sex in Clearmont all candidate predictors and shrinks regression coefficients to zero for predictors that do not adequately contribute to error minimization. In other words, lasso regression provides a distinguishable subset of predictors, in contrast to ridge regression, which does not constrain regression coefficients to be zero, or to other ML approaches that provide less interpretable parameter estimates, such as random forest algorithms.
The glmnet R Black online dating sites [ 29 ] was used to fit lasso logistic regression models Hollywood granny sex the training data set using fold validation to select predictors for seeking general health information and SRH information via Online sex Wichita Kansas internet.
Accuracy of the lasso models was gauged by using parameter estimates to predict internet health information seeking in the test data and comparing predictions to observed outcome values.