There are increasing numbers of medically uninsured populations in the United States today. Despite rising concerns with the health status of the uninsured, a dearth of information exists about their health seeking and health communication behaviors. Because Hispanics experience elevated risks of being medically uninsured, and have less access to health care services and health information resources, it is imperative that health communicators understand ways to reach this population. This study investigates Hispanics' connections to various media and interpersonal resources for health information and explores the extent to which the uninsured and the insured differ in terms of their health communication choices, and health seeking behaviors. Results from a survey of 737 Hispanics in Los Angeles show that ethnically targeted television and interpersonal communication networks were the preferred sources of health information. The uninsured and insured populations differed significantly in the ways that they access health care and seek health information, including the use of online health information. Implications of the findings are discussed for understanding health knowledge gaps and the design of mediated health communication campaigns to reach the medically vulnerable and Hispanic populations.

译文

:今天,美国医疗保险人群的数量正在增加。尽管人们对未保险者的健康状况越来越关注,但仍缺乏有关其寻求健康和健康交流行为的信息。由于拉美裔人遭受医疗保险的风险增加,并且无法获得医疗保健服务和健康信息资源,因此,健康交流者必须了解如何覆盖这一人群。这项研究调查了西班牙裔美国人与各种媒体和人际关系资源之间的联系,以获取健康信息,并探讨了未保险者和被保险者在健康交流选择和寻求健康行为方面的差异。洛杉矶对737名西班牙裔美国人的一项调查结果表明,针对种族的电视和人际交流网络是健康信息的首选来源。未保险人群和被保险人群在获得医疗保健和寻求健康信息(包括使用在线健康信息)的方式上存在显着差异。讨论了研究结果的含义,以了解健康知识方面的差距以及为医疗脆弱人群和西班牙裔人群设计的中介健康交流活动的设计。

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