Philip M. Massey

With more people turning to the internet for health information, a few questions remain: what populations represent the remaining few who have never used the internet and where do they go for health information? The purpose of this study is to describe population characteristics and sources of health information among U.S. adults who do not use the internet. Data from three iterations of the Health Information National Trends Survey (n = 1,722) are used to examine trends in health information sources. Weighted predicted probabilities demonstrate changes in information source over time. Older adults, minority populations, and individuals with low educational attainment represent a growing percentage of respondents who have looked for health information but have never used the internet, highlighting trends in digital information disparities. However, 1 in 10 respondents who have never used the internet also indicate that the internet was their first source of health information, presumably through surrogates. Findings highlight digital disparities in information seeking and the complex nature of online information seeking. Future research should examine how individuals conceptualize information sources, measure skills related to evaluating information and sources, and investigate the social nature of information seeking. Health care organizations and public health agencies can leverage the multifaceted nature of information seeking to better develop information resources to increase information access by vulnerable populations.