Online health information seeking and health anxiety in the elderly: The mediating role of perceived information quality
DOI:
https://doi.org/10.47989/ir30341443Abstract
Introduction. This study investigates the impact of online health information seeking modes, self-directed and proxy seeking on health anxiety among the elderly.
Method. A total of 543 valid questionnaires were collected from elderly individuals aged sixty and above who had experienced illness in the past six months. The survey was conducted both online and offline, with data collection primarily carried out in Anhui Province, China. Participants had varied socio-demographic backgrounds and generally lower levels of digital literacy.
Analysis. We employed benchmark regression and propensity score matching to address self-selection bias and estimate causal effects. Mediation analysis was conducted to explore the role of perceived information quality, while subsample regression analyses examined differences based on gender, education level, and perceived physical limitations.
Results. The findings revealed that self-directed online health information seeking exacerbated health anxiety among the elderly, with information quality perception serving as a mediating factor. Conversely, proxy online health information seeking alleviated health anxiety among the elderly, but the mediating effect of information quality perception was not significant in this process. Subsample regression revealed that compared to males, female health anxiety was more susceptible to the exacerbation effect of self-directed seeking and the alleviation effect of proxy seeking. Individuals with higher education levels exhibited a weaker exacerbation effect of self-directed seeking on health anxiety and a stronger alleviation effect of proxy seeking compared to those with lower education levels. Among older adults whose physical condition significantly affected their daily activities, self-directed seeking had a stronger exacerbating effect on health anxiety, while proxy seeking provided a greater alleviating effect.
Conclusions. This study underscores the risks of increased health anxiety associated with self-directed online health information seeking among older adults and highlights the potential of proxy seeking as an effective mitigating strategy.
References
Ahmad, N., Rahman, A. B., Jasman, N., Zaman Salleh, K., Harun, S. N., & Krishnan, M. (2020). Usage of internet for health information seeking among elderly in Malaysia. EPRA Int J Multidiscip Res, 6, 187-193.
Albrecht, T. L., & Goldsmith, D. J. (2003). Social support, social networks, and health. In the Routledge handbook of health communication (pp. 277-298). Routledge.
Ang, S., Lim, E., & Malhotra, R. (2021). Health-related difficulty in internet use among older adults: Correlates and mediation of its association with quality of life through social support networks. The Gerontologist, 61(5), 693-702. https://doi.org/10.1093/geront/gnaa096
Azzopardi, L. (2021, March). Cognitive biases in search: A review and reflection of cognitive biases in information retrieval. In Proceedings of the 2021 conference on human information interaction and retrieval (pp. 27-37). https://doi.org/10.1145/3406522.3446023
Baidoo, S., Salihu, O., & Salihu, E. (2024). Challenges and recommendations for proxy reporting in aging research: A brief commentary. Cureus, 16. https://doi.org/10.7759/cureus.76587
Baumgartner, S. E., & Hartmann, T. (2011). The role of health anxiety in online health information search. Cyberpsychology, Behavior, and Social Networking, 14(10), 613-618. https://doi.org/10.1089/cyber.2010.0425
Betsch, C., Brewer, N. T., Brocard, P., Davies, P., Gaissmaier, W., Haase, N., Leask, J., Renkewitz, F., Renner, B., Reyna, V. F., Rossmann, C., Sachse, K., Schachinger, A., Siegrist, M., & Stryk, M. (2012). Opportunities and challenges of Web 2.0 for vaccination decisions. Vaccine, 30(25), 3727–3733. https://doi.org/10.1016/j.vaccine.2012.02.025 Carleton, R. N., Norton, M. P., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the intolerance of uncertainty scale. Journal of Anxiety Disorders, 21, 105-117. https://doi.org/10.1016/j.janxdis.2006.03.014
Chae, J. (2016). Who avoids cancer information? Examining a psychological process leading to cancer information avoidance. Journal of Health Communication, 21(7), 837-844.
Chen, L., Procter‐Gray, E., Churchill, L. C., Aguirre, A., Cheng, J., Le, Q., Crouter, S., & Li, W. (2023) Gender differences in anxiety among older adults: The mediation role of out-of-home activity. Innovation in Aging, 7, 283-283.
Chen, Y. Y., Li, C. M., Liang, J. C., & Tsai, C. (2018). Health information obtained from the internet and changes in medical decision making: Questionnaire development and cross-sectional survey. Journal of Medical Internet Research, 20(2), e47. https://doi.org/10.2196/jmir.9370
China Internet Network Information Center (CNNIC). The 43rd China statistical report on the internet development. Retrieved March 3, 2024, from https://www.cnnic.net.cn/n4/2022/0401/c88-838.html
Chu, J. T., Wang, M. P., Shen, C., Viswanath, K., Lam, T. H., & Chan, S. S. C. (2017). How, when and why people seek health information online: Qualitative study in Hong Kong. Interactive Journal of Medical Research, 6(2), e7000. https://doi.org/10.2196/ijmr.7000
Coglianese, F., Beltrame Vriz, G., Soriani, N., Piras, G. N., Comoretto, R. I., Clemente, L., Fasan, J., Cristiano, L., Schiavinato, V., Adamo, V., Marchesoni, D., & Gregori, D. (2020). Effect of online health information seeking on anxiety in hospitalized pregnant women: Cohort study. JMIR Medical Informatics, 8(5), e16793. https://doi.org/10.2196/16793Colditz, J. B., Woods, M. S., & Primack, B. A. (2018). Adolescents seeking online health information: Topics, approaches, and challenges. Technology and Adolescent Mental Health, 21-35. https://doi.org/10.1007/978-3-319-69638-6_2
Cutrona, S. L., Mazor, K. M., Vieux, S. N., Luger, T. M., Volkman, J. E., & Finney Rutten, L. J. (2015). Health information-seeking on behalf of others: Characteristics of “surrogate seekers”. Journal of Cancer Education, 30, 12-19. https://doi.org/10.1007/s13187-014-0701-3
Davoudi, I., Nargesi, F., & Mehrabizadeh, H. M. (2012). Gender differences in health anxiety and its related dysfunctional beliefs: With control of age. Quarterly Journal of Health Psychology, 3, 0-0.
Deng, Z., Deng, Z., Fan, G., Wang, B., Fan, W., & Liu, S. (2023). More is better? Understanding the effects of online interactions on patients health anxiety. Journal of the Association for Information Science and Technology, 74(11), 1243-1264. https://doi.org/10.1002/asi.24822
Doherty-Torstrick, E. R., Walton, K. E., & Fallon, B. A. (2016). Cyberchondria: Parsing health anxiety from online behavior. Psychosomatics, 57(4), 390-400. https://doi.org/10.1016/j.psym.2016.02.002
Doubleday, A. R., Novin, S., Long, K. L., Schneider, D. F., Sippel, R. S., & Pitt, S. C. (2021). Online information for treatment for low-risk thyroid cancer: Assessment of timeliness, content, quality, and readability. Journal of Cancer Education, 36, 850-857. https://doi.org/10.1007/s13187-020-01713-5
Dugas, M. J., Sexton, K. A., Hebert, E. A., Bouchard, S., Gouin, J. P., & Shafran, R. (2022). Behavioral experiments for intolerance of uncertainty: A randomized clinical trial for adults with generalized anxiety disorder. Behavior Therapy, 53(6), 1147-1160.
El Sherif, R., Pluye, P., & Ibekwe, F. (2022). Contexts and outcomes of proxy online health information seeking: Mixed studies review with framework synthesis. Journal of Medical Internet Research, 24(6), e34345. https://doi.org/10.2196/34345
Elhai, J. D., Yang, H., McKay, D., & Asmundson, G. J. (2020). COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults. Journal of Affective Disorders, 274, 576-582. https://doi.org/10.1016/j.jad.2020.05.080
Fan, G., Deng, Z., & Wang, B. (2024). Social benefits of online peer information exchange among doctors: An empirical study on an online health community in China. Behaviour & Information Technology, 1–24. https://doi.org/10.1080/0144929X.2024.2401869
Fava, G. A., Cosci, F., & Sonino, N. (2017). Current psychosomatic practice. Psychotherapy and Psychosomatics, 86(1), 13–30. https://doi.org/10.1159/000448856
Freedman, V. A., Cornman, J. C., Kasper, J. D. (2021). Trends in online health information, Adults ages 70 and older. Rockville, Maryland: National Health and Aging Trends Study: Trend Dashboards.
Gong, H., Deng, S., Wang, H., & Cao, G. (2023). Using the ABC theory of emotion to examine the relationship between health anxiety and health information-seeking behavior among the rural population. Digital Health, 9, 20552076231208559.10.1177/20552076231208559
Gu, X., Obrenovic, B., & Fu, W. (2023). Empirical study on social media exposure and fear as drivers of anxiety and depression during the COVID-19 pandemic. Sustainability, 15(6), 5312. https://doi.org/10.3390/su15065312
Gui, X., Kou, Y., Pine, K. H., & Chen, Y. (2017, May). Managing uncertainty: Using social media for risk assessment during a public health crisis. In Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems (pp. 4520-4533). https://doi.org/10.1145/3025453.3025891
Heylighen, F. (2002). Complexity and information overload in Society: Why increasing efficiency leads to decreasing control. The Information Society, 1(44), 11.
Hong, Y. A., & Cho. J. (2017). Has the digital health divide widened? Trends of health-related internet use among older adults from 2003 to 2011.. J Gerontol B Psychol Sci Soc Sci,73,856–65. doi: 10.1093/geronb/gbw100
Huang, K.-Y., Chengalur-Smith, I., & Pinsonneault, A. (2019). Sharing is caring: Social support provision and companionship activities in healthcare virtual support communities. MIS Quarterly, 43(2), 395–423. https://doi.org/10.25300/MISQ/2019/13225
Jagtap, S., Shamblaw, A. L., Rumas, R., & Best, M. W. (2021). Information seeking and health anxiety during the COVID‐19 pandemic: The mediating role of catastrophic cognitions. Clinical Psychology & Psychotherapy, 28(6), 1379-1390. https://doi.org/10.1002/cpp.2684
Jennie, A., Abrahamson, Karen, E., & Fisher. (2007). Modeling the information behavior of lay mediaries. In Proceedings of the American Society for Information Science and Technology, 43(1), 1-4. https://doi.org/10.1002/meet.14504301257
Jia, C., & Li, P. (2024). Generation Z’s health information avoidance behavior: Insights from focus group discussions. Journal of Medical Internet Research, 26, e54107.doi: 10.2196/54107
Kim, S., Kim, K., & Lee, J. H. (2014). Effects of dispositional co** strategy and level of health anxiety on attentional bias. Social Behavior and Personality: An International Journal, 42(7), 1183-1190. https://doi.org/10.2224/sbp.2014.42.7.1183
Kubb, C., & Foran, H. M. (2020). Online health information seeking by parents for their children: Systematic review and agenda for further research. Journal of Medical Internet Research, 22(8), e19985. https://doi.org/10.2196/19985
Lagoe, C., & Atkin, D. (2015). Health anxiety in the digital age: An exploration of psychological determinants of online health information seeking. Computers in Human Behavior, 52(NOV.), 484-491. https://doi.org/10.1016/j.chb.2015.06.003
Landi, G., Pakenham, K. I., Boccolini, G., Grandi, S., & Tossani, E. (2020). Health anxiety and mental health outcome during COVID-19 lockdown in Italy: The mediating and moderating roles of psychological flexibility. Frontiers in psychology, 11, 2195. https://doi.org/10.3389/fpsyg.2020.02195
Latulipe, C., Quandt, S., Melius, K., Bertoni, A., Miller, D., Smith, D., & Arcury, T. (2018). Insights into older adult patient concerns around the caregiver proxy portal use: Qualitative interview study. Journal of Medical Internet Research, 20. https://doi.org/10.2196/10524
Li, Q., Yang, X., Wang, X., Zhang, H., Ding, N., Zhao, W., Tian, W., He, J., Du, M., Hu, H., & Zhang, G. (2023). COVID-19 symptoms, internet information seeking, and stigma influence post-lockdown health anxiety. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1228294 Link, E., Reifegerste, D., & Klimmt, C. (2020). Family involvement in the context of chronic diseases: The role of social support in treatment decision-making for surgical procedures. Journal of Family Research, 32(1), 45-71. https://doi.org/10.20377/jfr-160
Liu, J., Li, H., Shen, W., He, Y., & Zhu, L. (2024). How to cope with the negative health information avoidance behavior in a pandemic: The role of resilience. Behaviour & Information Technology, 1–17. https://doi.org/10.1080/0144929X.2024.2314746
Liu, P. L. (2020). COVID-19 information seeking on digital media and preventive behaviors: The mediation role of worry. Cyberpsychology, Behavior, and Social Networking, 23(10), 677-682. DOI:10.1089/cyber.2020.0250
Liu, P., Teng, M., & Han, C. (2020). How does environmental knowledge translate into pro-environmental behaviors?: The mediating role of environmental attitudes and behavioral intentions. Science of the Total Environment, 728, 138126. https://doi.org/10.1016/j.scitotenv.2020.138126
Liu, Y., Zhu, Y., & Xia, Y. (2021). Support-seeking strategies and social support provided in Chinese online health communities related to COVID-19. Frontiers in Psychology, 12, 783135. https://doi.org/10.3389/fpsyg.2021.783135
MacSwain, K. L. H., Sherry, S. B., Stewart, S. H., Watt, M. C., Hadjistavropoulos, H. D., & Graham, A. R. (2009). Gender differences in health anxiety: An investigation of the interpersonal model of health anxiety. Personality and Individual Differences, 47(8), 938–943. https://doi.org/10.1016/j.paid.2009.07.020
Mathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018). Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Research, 261, 204–211. https://doi.org/10.1016/j.psychres.2018.01.002 Mcinnes, N., & Haglund, B. J. (2011). Readability of online health information: implications for health literacy. Informatics for Health and Social Care, 36(4), 173-189. https://doi.org/10.3109/17538157.2010.542529
McMullan, R. D., Berle, D., Arnáez, S., & Starcevic, V. (2019). The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis. Journal of Affective Disorders, 245, 270-278. https://doi.org/10.1016/j.jad.2018.11.037
Merati-Fashi, F., Dalvandi, A., & Yekta, Z. P. (2022). Health information seeking and its achievements in patients with chronic disease. The Journal for Nurse Practitioners, 18(4), 411-416.10.1016/j.nurpra.2021.12.024
Muse, K., Mcmanus, F., Leung, C., Meghreblian, B., & Williams, J. M. G. (2012). Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the internet. J Anxiety Disord, 26(1), 189-196. https://doi.org/10.1016/j.janxdis.2011.11.005
Myrick, J. G., & Willoughby, J. F. (2019). Educated but anxious: How emotional states and education levels combine to influence online health information seeking. Health Informatics Journal, 25(3), 649-660. https://doi.org/10.1177/1460458217719561
Najib, M., Fahma, F., Suhartanto, D., Sumardi, R. S., & Sabri, M. F. (2022). The role of information quality, trust and anxiety on intention to buy food supplements at the time of COVID-19 outbreak. International Journal of Pharmaceutical and Healthcare Marketing, 16(3), 429-447.
Park, N. (2023). The moderating influence of SNS users’ attachment style on the associations between perceived information overload, SNS fatigue, and mental health. Behaviour & Information Technology, 43(14), 3510–3522. https://doi.org/10.1080/0144929X.2023.2281500
Petrocchi, S., Iannello, P., Ongaro, G., Antonietti, A., & Pravettoni, G. (2022). The interplay between risk and protective factors during the initial height of the COVID-19 crisis in Italy: The role of risk aversion and intolerance of ambiguity on distress. Current Psychology, 41(1), 437–448. https://doi.org/10.1007/s12144-021-01601-1 Petrovčič, A., Quan-Haase, A., Reisdorf, B., Žádník, Š., Hvalič-Touzery, S., & Laznik, J. (2024). Categorical and resource inequalities in self-reliant internet use and use-by-proxy among older adults in Slovenia during the COVID-19 pandemic. Technology in Society. https://doi.org/10.1016/j.techsoc.2024.102735
Pieh, C., Budimir, S., & Probst, T. (2020). The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. Journal of Psychosomatic Research, 136, 110186. https://doi.org/10.1016/j.jpsychores.2020.110186
Pluye, P., Grad, R., Repchinsky, C., Jovaisas, B., Johnson‐Lafleur, J., Carrier, M., Granikov, V., Farrell, B., Rodriguez, C., Bartlett, G., Loiselle, C., & Légaré, F. (2012). Four levels of outcomes of information‐seeking: A mixed methods study in primary health care. Journal of the American Society for Information Science and Technology, 64(1), 108–125. https://doi.org/10.1002/asi.22793 Poortaghi, S., Raiesifar, A., Bozorgzad, P., Golzari, S. E. J., Parvizy, S., & Rafii, F. (2015). Evolutionary concept analysis of health seeking behavior in nursing: A systematic review. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-1181-9Priest, L., Nayak, L., & Stuart-Hamilton, I. (2007). Website task performance by older adults. Behaviour & Information Technology, 26(3), 189–195. https://doi.org/10.1080/01449290500402668
Prodromou, M., & Lavranos, G. (2019). Identifying latent needs in elderly digital literacy: The PROADAS study. European Journal of Public Health, 29(Supplement_4), ckz186-092.
Reifegerste, D., Bachl, M., & Baumann, E. (2017). Surrogate health information seeking in Europe: Influence of source type and social network variables. International Journal of Medical Informatics, 103, 7-14. https://doi.org/10.1016/j.ijmedinf.2017.04.006
Reifegerste, D., Blech, S., & Dechant, P. (2020). Understanding information seeking about the health of others: Applying the comprehensive model of information seeking to proxy online health information seeking. Journal of Health Communication, 25(2), 126-135. https://doi.org/10.1080/10810730.2020.1716280
Reynolds, K. A., Mackenzie, C. S., Medved, M., Dudok, S., & Koven, L. (2023). Older adults’ mental health information preferences: a call for more balanced information to empower older adults’ mental health help-seeking. Ageing & Society, 43(12), 2845-2874.10.1017/S0144686X21001896
Riaz, M., Jie, W., Sherani, M., Ali, S., Boamah, F. A., & Zhu, Y. (2023). An empirical evaluation of the predictors and consequences of social media health-misinformation seeking behavior during the COVID-19 pandemic. Internet Research, 33(5), 1871-1906.10.1108/INTR-04-2022-0247
Sbaffi, L., & Rowley, J. (2017). Trust and credibility in web-based health information: a review and agenda for future research. Journal of Medical Internet Research, 19(6), e218. https://doi.org/10.2196/jmir.7579
Selwyn, N., Johnson, N. F., Nemorin, S., & Knight, E. (2016). Going online on behalf of others: An investigation of ‘proxy’ internet consumers. Australian Communications Consumer Action Network.Singh, K., Fox, J. R. E., & Brown, R. J. (2016). Health anxiety and internet use: A thematic analysis. Cyberpsychology: Journal of Psychosocial Research on Cyberspace, 10(2), Article 4. https://doi.org/10.5817/CP2016-2-4
Song, X., Zhao, Y., & Zhu, Q. (2022). A study on the impact of alternative online health information search on the health behavior and health level of the replaced persons. Journal of the Chinese Society for Information Science, 41(6). DOI: 10.3772/j.issn.1000-0135.2022.06.007
Song, X., Song, S., Chen, S., Zhao, Y., & Zhu, Q. (2019). Factors influencing proxy internet health information seeking among the elderly in rural China: A grounded theory study. In International Conference on Human-Computer Interaction (pp. 332-343). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-22012-9_24
Starcevic, V., & Berle, D. (2013). Cyberchondria: Towards a better understanding of excessive health-related internet use. Expert Review of Neurotherapeutics, 13(2), 205-213. https://doi.org/10.1586/ern.12.162
Svestkova, A., Kvardova, N., & Smahel, D. (2023). Health anxiety in adolescents: The roles of online health information seeking and parental health anxiety. Journal of Child and Family Studies, 1-12.10.1007/s10826-023-02689-8
Te Poel, F., Baumgartner, S. E., Hartmann, T., & Tanis, M. (2016). The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking. Journal of Anxiety Disorders, 43, 32-40. https://doi.org/10.1016/j.janxdis.2016.07.009
Umberson, D., & Karas Montez, J. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51(1_suppl), S54-S66. https://doi.org/10.1177/0022146510383501
Wang, W., Zhang, X., Luo, Q., Zhang, Z., & Zhang, C.. （2021）.Correlation analysis of online health information seeking and offline medical treatment behavior of “digital natives”. Information Studies: Theory & Application, 2021, 44(07): 86-93.
Wang, Y., Zhang, H., Feng, T., & Wang, H. (2019). Does internet use affect levels of depression among older adults in China? A propensity score matching approach. BMC public health, 19, 1-10. https://doi.org/10.1186/s12889-019-7832-8
Wang, Z., Hu, Y., Huang, B., Zheng, G., Li, B., & Liu, Z. (2023). Is there a relationship between online health information seeking and health anxiety? A systematic review and meta-analysis. Health Communication, 1-15. https://doi.org/10.1080/10410236.2023.2275921
Wheaton, M. G., Messner, G. R., & Marks, J. B. (2021). Intolerance of uncertainty as a factor linking obsessive-compulsive symptoms, health anxiety and concerns about the spread of the novel coronavirus (COVID-19) in the United States. Journal of obsessive-compulsive and related disorders, 28, 100605. https://doi.org/10.1016/j.jocrd.2020.100605
Wilding, S., O’Connor, D. B., Ferguson, E., Wetherall, K., Cleare, S., O’Carroll, R. E., Robb, K. A., & O’Connor, R. C. (2022). Information seeking, mental health and loneliness: Longitudinal analyses of adults in the UK COVID-19 mental health and wellbeing study. Psychiatry Research, 317, 114876. https://doi.org/10.1016/j.psychres.2022.114876 Xu, W. B., Lu, Z. Z., & Mu, L. (2024). Factors influencing proxy online health information seeking among the elderly: A study from the perspective of the elderly with chronic illnesses. Technology and Health Care, (Preprint), 1-11. https://doi.org/10.3233/THC-230270
Yuan, Y., Zhang, Y., Liu, R., Li, G., & Mao, S. (2015). The reliability and validity of a Chinese-version short health anxiety inventory: An investigation of university students. Neuropsychiatric Disease and Treatment, 1739. https://doi.org/10.2147/ndt.s83501
Zeng, B., Rivadeneira, N. A., Wen, A., Sarkar, U., & Khoong, E. C. (2022). The impact of the COVID-19 pandemic on internet use and the use of digital health tools: Secondary analysis of the 2020 health information national trends survey. J Med Internet Res.24:e35828. doi: 10.2196/35828
Zhang, Y., & Liu, J. (2023). Deconstructing proxy health information-seeking behavior: A systematic review. Library & Information Science Research, 45(3), 101250. https://doi.org/10.1016/j.lisr.2023.101250
Zhao, J., Abrahamson, K., Anderson, J. G., Ha, S., & Widdows, R. (2013). Trust, empathy, social identity, and contribution of knowledge within patient online communities. Behaviour & Information Technology, 32(10), 1041–1048. https://doi.org/10.1080/0144929X.2013.819529
Zhao, Y., Chen, R., Ma, Y., Qin. X., & Hu, Z.（2019）. Relationship between health anxiety and internet health information seeking behavior in outpatients. Chinese Mental Health Journal, 33(09): 701-705.
Zheng, H., Chen, X., Jiang, S., & Sun, L. (2023). How does health information seeking from different online sources trigger cyberchondria? The roles of online information overload and information trust. Information Processing & Management, 60(4), 103364. https://doi.org/10.1016/j.ipm.2023.103364
Zimmerman, M.S. (2021). Health information-seeking behavior in the time of COVID-19: Information horizons methodology to decipher source path during a global pandemic. Journal of Documentation, 77(6), https://doi.org/1248-1264.10.1108/JD-01-2021-0022
Zimmerman, M.S., & Shaw Jr, G. (2020). Health information seeking behaviour: A concept analysis. Health Information & Libraries Journal, 37(3), 173-191. https://doi.org/10.1111/hir.12287
Zorh, J. G. (2021). Surrogate seekers of online health information in China: Their attitudes, health locus of control beliefs, and information sharing behavior [Master's thesis, Jilin University]. DOI:10.27162/d.cnki.gjlin.2021.004982
Zuccon, G., Koopman, B., & Palotti, J. (2015). Diagnose this if you can: On the effectiveness of search engines in finding medical self-diagnosis information. In Advances in Information Retrieval: 37th European Conference on IR Research, ECIR 2015, Vienna, Austria, March 29-April 2, 2015. Proceedings 37 (pp. 562-567). Springer International Publishing. https://doi.org/10.1007/978-3-319-16354-3_62
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