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. 2015 May 7;17(5):e112. doi: 10.2196/jmir.4018

Table 4.

Outcome 3: Trust in online health information.

Author(s), date Predictor Specific measure used Result
Zoellner et al, 2009 [76] Health literacy (NVS) Trust in food, diet, or nutrition-related online health information No significant effect of health literacy on trust in online health information.
AlGahmdi & Moussa, 2012 [41] Educational level Trust in online health information Fewer individuals with lower education always trust online health information (P<.001).
Dart, 2008 [48] Low socioeconomic (LSE) vs mid-high (MSE) socioeconomic vs university Trust in online health information Most respondents in all three groups (LSE, 58.4%; MSE, 63.7%; university, 64.5%) are unsure of the trustworthiness or distrusted online health information (no significance level reported).
Hesse et al, 2005 [54] Educational level Trust in cancer-related online health information Education is positively associated with trust in cancer-related online information (P<.01).
Ishikawa et al, 2012 [55] Educational level Trust in online health information Participants with high school education or less report less trust in online health information than those with higher education (OR 0.68, 95% CI 0.51-0.92).
Lawson et al, 2011 [59] Educational level Trust in health information from media (including the Internet) Education is negatively associated with trust in health information from media (no statistics reported).
Maguire et al, 2011 [61] Educational level Trust in online health information A lower level of education makes it more than twice less likely that a person with schizophrenia would trust online health information (OR 2.24, P<.01). There are no education-related differences among respondents without schizophrenia.
Maraziene et al, 2012 [63] Educational level Trust in online health information People with lower education tend to trust the Internet less than their better educated counterparts (P<.05).
Marrie et al, 2013 [63] Educational level Trust in online health information Respondents with a high school degree or less are less likely to have some/a lot of trust in online health information compared to those with an associate’s degree (OR 1.31, 95% CI 1.10-1.57), bachelor’s degree (OR 1.37, 95% CI 1.17-1.61), and graduate degree (OR 1.30, 95% CI 1.10-1.55).
Nguyen & Bellamy, 2006 [66] Whites vs Asians (significantly different educational background) Trust in cancer-related online health information Asians (lower educational level) are more likely to trust cancer-related online information than whites (OR 0.54, P<.05).
Nwagwu, 2007 [67] In-school vs Out-of-school Trust in online health information Out-of-school respondents report the information as trustworthy less often than the in-schools (no statistics reported).
Oh et al, 2012 [68] Educational level Trust in online health information Respondents with 12 or fewer years of education are 3.1 times less likely to trust online health information a lot than were those with more than 12 years (95% CI 1.1-8.6).
Richter et al, 2009 [69] Educational level Confidence in online health information No significant effect of education on confidence in online health information.
Smith, 2011 [70] Educational level Trust in online health information Education is positively associated with trust in online health information (P<.001).
Soederberg Miller & Bell, 2012 [71] Educational level Trust in online health information Education is significantly correlated with trust in online health information (P<.01)
Yan, 2010 [74] Educational level Confidence in online health information No significant effect of educational level on confidence in online health information.
Ye, 2011a [24] Educational level Trust in online health information Educational level is not correlated to trust in online health information.
Zhao, 2010 [75] US-born vs Foreign-born (significantly different educational background) Trust in online health information Foreign-born Hispanics have lower trust in online health information compared with their US-born counterparts (higher educational level) (55% vs 86%, P=.016).
Zulman et al, 2011 [77] Educational level Trust in online health information Those with high school or less are significantly less likely to trust online health information than college graduates (OR 2.47, P<.001).
Clayman et al, 2010 [47] Other skills-based proxies for health literacy – Comfort speaking English Trust in online health information Those less comfortable speaking English report lower trust in online health information compared with those more comfortable speaking English (P<.01).
Ye, 2011a [24] Other skills-based proxies for health literacy – Hard to understand health information Trust in online health information The harder the health information is to understand, the less trust there is in online health information, F 1,100=11.85, P<.01; β=.07, SE 0.02).

aStudy reported twice because it described the impact of both educational level and other skill-based proxies for health literacy on trust in online health information.