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The relationship between computer expertise
and obesity in the Black Belt region of Alabama
Kristin L. Woods
Alabama Cooperative Extension System
James E. Witte
Department of Educational Leadership and Technology
ACE/NETC 2013
Outline
• Introduction
• Key Questions
• Methods
• Data Analysis
• Results
• Future Research
Introduction
Obesity
• United States
• Alabama
• Black Belt
Introduction
• Education
• Income
• Environment
Introduction
Introduction
• Technology
Improved quality of life
Increase civic engagement
Improve participation in healthcare
Improved overall information competency
Introduction
eHealth Literacy Model (Norman & Skinner, 2006)
Introduction
Adult Education and Online Learning
Knowles assumptions of adult learners (Knowles, 1990)
• Need to know
• Learner’s self-concept
• Learner’s experience
• Readiness to learn
• Orientation to learning
• Motivation
Key Questions
• What is the relationship between computer expertise
and obesity?
• What is the relationship between high speed internet
access at home and obesity?
• When demographic characteristics are controlled, to
what extent does the type of internet access predict
obesity?
• When demographic characteristics are controlled, to
what extent does computer expertise predict obesity?
• Is there a relationship between obesity and those who
seek health information online?
Methods
US AL BB
% in poverty 13.8% 17.10% 28.13%
% with college
degree
27.9% 21.7% 13.28%
Black 12.6% 26.2% 65.76%
White 72.4% 68.5% 32.76%
Bullock Choctaw
Dallas Greene
Hale Lowndes
Macon Marengo
Perry Pickens
Sumter Wilcox
U.S. Census Bureau, 2010
The Instrument
• Computer Expertise Questionnaire
Declarative and procedural knowledge
• Demographics
Age, sex, race/ethnicity, education, and income
• Information literacy
Internet access and health information sources
• BMI
Methods
Statistical Analysis
• A standard regression was used to detect
relationships among BMI, type of internet access,
and CE score.
• A multiple regression was used to detect
relationships among BMI, type of internet access,
and CE score while controlling for demographic
variables.
• A standard regression was used to determine if
differences in BMI existed among those who looked
online for health information and those who did not.
Results
Population Differences
Demographic This study Black Belt United States
Age 65 + 9.4% 15.5% 13.3%
Male 32.7% 47.5% 49.2%
Female 62.3% 52.5% 50.8%
African American 62.3% 65.8% 13.1%
Caucasian 34.0% 32.5% 78.1%
Hispanic .6% 1.5% 16.7%
High school diploma 90.6% 74.3% 85.4%
College degree 35.8% 13.3% 28.2%
Median income $40,000 $27,790 $52,762
Results
Pearson correlation indicated a small, negative
relationship between BMI and CE score.
R(304)=-.161, p=.002
Results
Pearson correlation failed to detect a
relationship between type of internet
access and BMI.
Why?
Results
Results
Results
Pearson correlation failed to detect a
relationship between looking online for
health information and BMI.
Why?
Results
Multiple Regression Analysis for Variables
(CE Score and Race/ethnicity) Predicting BMI
Variable B SE B
CE score -.122 .082
Race -1.027* .256
R2 .087
F 3.853*
*p<.001
Results
Multiple Regression Analysis for Variables
(type of media) Predicting BMI
Preferred media % of sample B SE B
Online 33.3% -1.678* .796
In person 73.2%
In print 8.4%
Television 5.3% 3.910* 1.648
Other 5.9%
R2 .042
F 4.343*
*p<.01
Results
Why did those who look for information online
have lower BMIs, but not those with higher CE
scores?
Results
Multiple Regression Analysis for Variables
(Search Engine Knowledge and
Race/ethnicity) Predicting BMI
Variable B SE B
Search engine knowledge -1.964* .734
Race/ethnicity -1.015** .734
R2 .098
F 4.438**
*p<.01, **p<.001
Results
Summary of Multiple Regression Analysis for
Variables Predicting BMI
Variable B SE B
Search engine knowledge -1.949** .730
Race/ethnicity -.910*** .257
Obtaining information online -.857 .780
Obtaining information from
television
3.435* 1.567
R2 .105
F 8.637***
*p<.05, **p=.01, ***p=.001
Future Research
• Relationship among basic literacy, information
literacy, and health
• Relationship between health and information
literacy in minority populations in other
geographic areas
• Applied research: would incorporating
information literacy into a nutrition class help
the client loose weight?
Questio
ns?
References
Arning, K., & Ziefle, M. (2008). Development and validation of a computer expertise questionnaire for older
adults. Behavior & Information Technology, 27(4), 325-329.
Gustafson, D., McTavish, F., Stengle, W., Ballard, D., Jones, E., Julesberg, K., McDowell, H., Landucci, G.,
& Hawkins, R. (2005b). Reducing the digital divide for low-income women with breast cancer: a
feasibility study of a population-based intervention. Journal of Health Communication, 10(7),
173-193. doi:10.1080/10810730500263281
Houle, C. O. (1988). The Inquiring Mind. 2nd Ed. Norman, OK: Oklahoma Research Center for Continuing
Professional and Higher Education, University of Oklahoma.
Kavanaugh, A. L., & Patterson, S. J. (2001). The impact of community computer networks on social capital
and community involvement. American Behavioral Scientist, 45(3), 496-509.
Knowles, M. (1990). The Adult Learner: A neglected species (4th ed.). Houston, TX: Gulf.
Tolbert, C. J., & McNeal, R. S. (2003). Unraveling the effects of the internet on political participation?
Political Research Quarterly, 56(2), 175-185.
U.S. Census Bureau (2010). [Searchable database of population data by Alabama county]. State and county
quick facts. Retrieved from http://quickfacts.census.gov/qfd/states/01000.html

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Netc2013

  • 1. The relationship between computer expertise and obesity in the Black Belt region of Alabama Kristin L. Woods Alabama Cooperative Extension System James E. Witte Department of Educational Leadership and Technology ACE/NETC 2013
  • 2. Outline • Introduction • Key Questions • Methods • Data Analysis • Results • Future Research
  • 6. Introduction • Technology Improved quality of life Increase civic engagement Improve participation in healthcare Improved overall information competency
  • 7. Introduction eHealth Literacy Model (Norman & Skinner, 2006)
  • 8. Introduction Adult Education and Online Learning Knowles assumptions of adult learners (Knowles, 1990) • Need to know • Learner’s self-concept • Learner’s experience • Readiness to learn • Orientation to learning • Motivation
  • 9. Key Questions • What is the relationship between computer expertise and obesity? • What is the relationship between high speed internet access at home and obesity? • When demographic characteristics are controlled, to what extent does the type of internet access predict obesity? • When demographic characteristics are controlled, to what extent does computer expertise predict obesity? • Is there a relationship between obesity and those who seek health information online?
  • 10. Methods US AL BB % in poverty 13.8% 17.10% 28.13% % with college degree 27.9% 21.7% 13.28% Black 12.6% 26.2% 65.76% White 72.4% 68.5% 32.76% Bullock Choctaw Dallas Greene Hale Lowndes Macon Marengo Perry Pickens Sumter Wilcox U.S. Census Bureau, 2010
  • 11. The Instrument • Computer Expertise Questionnaire Declarative and procedural knowledge • Demographics Age, sex, race/ethnicity, education, and income • Information literacy Internet access and health information sources • BMI Methods
  • 12. Statistical Analysis • A standard regression was used to detect relationships among BMI, type of internet access, and CE score. • A multiple regression was used to detect relationships among BMI, type of internet access, and CE score while controlling for demographic variables. • A standard regression was used to determine if differences in BMI existed among those who looked online for health information and those who did not.
  • 13. Results Population Differences Demographic This study Black Belt United States Age 65 + 9.4% 15.5% 13.3% Male 32.7% 47.5% 49.2% Female 62.3% 52.5% 50.8% African American 62.3% 65.8% 13.1% Caucasian 34.0% 32.5% 78.1% Hispanic .6% 1.5% 16.7% High school diploma 90.6% 74.3% 85.4% College degree 35.8% 13.3% 28.2% Median income $40,000 $27,790 $52,762
  • 14. Results Pearson correlation indicated a small, negative relationship between BMI and CE score. R(304)=-.161, p=.002
  • 15. Results Pearson correlation failed to detect a relationship between type of internet access and BMI. Why?
  • 18. Results Pearson correlation failed to detect a relationship between looking online for health information and BMI. Why?
  • 19. Results Multiple Regression Analysis for Variables (CE Score and Race/ethnicity) Predicting BMI Variable B SE B CE score -.122 .082 Race -1.027* .256 R2 .087 F 3.853* *p<.001
  • 20. Results Multiple Regression Analysis for Variables (type of media) Predicting BMI Preferred media % of sample B SE B Online 33.3% -1.678* .796 In person 73.2% In print 8.4% Television 5.3% 3.910* 1.648 Other 5.9% R2 .042 F 4.343* *p<.01
  • 21. Results Why did those who look for information online have lower BMIs, but not those with higher CE scores?
  • 22. Results Multiple Regression Analysis for Variables (Search Engine Knowledge and Race/ethnicity) Predicting BMI Variable B SE B Search engine knowledge -1.964* .734 Race/ethnicity -1.015** .734 R2 .098 F 4.438** *p<.01, **p<.001
  • 23. Results Summary of Multiple Regression Analysis for Variables Predicting BMI Variable B SE B Search engine knowledge -1.949** .730 Race/ethnicity -.910*** .257 Obtaining information online -.857 .780 Obtaining information from television 3.435* 1.567 R2 .105 F 8.637*** *p<.05, **p=.01, ***p=.001
  • 24. Future Research • Relationship among basic literacy, information literacy, and health • Relationship between health and information literacy in minority populations in other geographic areas • Applied research: would incorporating information literacy into a nutrition class help the client loose weight?
  • 26. References Arning, K., & Ziefle, M. (2008). Development and validation of a computer expertise questionnaire for older adults. Behavior & Information Technology, 27(4), 325-329. Gustafson, D., McTavish, F., Stengle, W., Ballard, D., Jones, E., Julesberg, K., McDowell, H., Landucci, G., & Hawkins, R. (2005b). Reducing the digital divide for low-income women with breast cancer: a feasibility study of a population-based intervention. Journal of Health Communication, 10(7), 173-193. doi:10.1080/10810730500263281 Houle, C. O. (1988). The Inquiring Mind. 2nd Ed. Norman, OK: Oklahoma Research Center for Continuing Professional and Higher Education, University of Oklahoma. Kavanaugh, A. L., & Patterson, S. J. (2001). The impact of community computer networks on social capital and community involvement. American Behavioral Scientist, 45(3), 496-509. Knowles, M. (1990). The Adult Learner: A neglected species (4th ed.). Houston, TX: Gulf. Tolbert, C. J., & McNeal, R. S. (2003). Unraveling the effects of the internet on political participation? Political Research Quarterly, 56(2), 175-185. U.S. Census Bureau (2010). [Searchable database of population data by Alabama county]. State and county quick facts. Retrieved from http://quickfacts.census.gov/qfd/states/01000.html