Skip to main content

Judging Online Health Misinformation: Effects of Cyberchondria and Age

  • Conference paper
  • First Online:
Human Aspects of IT for the Aged Population (HCII 2023)

Abstract

People with cyberchondria are used to excessively seeking online health information, accompanying by heightened health anxiety, so they may be frequently exposed to or engaged in online misinformation, especially during the regular COVID-19 epidemic. Meanwhile, more and more older adults access the Internet for health information, facing the risk of fraud by misinformation. This study aims to explore how people varied in cyberchondria severity discern health misinformation they encountered online, how their credibility judgments impact subsequent willingness to read further and search for more relevant information, as well as age effects regarding the two questions. An online survey was conducted among 565 younger and older adults. Respondents reported cyberchondria severity, judged the credibility of eight true and false articles involving certain diseases, and reported their intention to read further and look for more relevant information. This study mainly found that: i) Respondents with severer cyberchondria showed a worse accuracy in discerning health misinformation, because they were more likely to judge misinformation as accurate information. ii) With increased age, respondents more frequently judged misinformation as accurate information. iii) Respondents showed a higher intention to further read and search for more relevant information after reading the partial information that they perceived to be accurate (vs. inaccurate). These results indicate that people with cyberchondria and older adults may judge health misinformation as truth and search for more relevant information based on the misjudged information.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wang, X., Lee, K.M.: The paradox of technology innovativeness and risk perceptions – a profile of Asian smartphone users. Telematics Inform. 51, 101415 (2020). https://doi.org/10.1016/j.tele.2020.101415

    Article  Google Scholar 

  2. Fergus, T.A.: Cyberchondria and intolerance of uncertainty: examining when individuals experience health anxiety in response to Internet searches for medical information. Cyberpsychol. Behav. Soc. Netw. 16, 735–739 (2013). https://doi.org/10.1089/cyber.2012.0671

    Article  Google Scholar 

  3. Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., Engelhard, I.M.: Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. J. Anxiety Disord. 74, 102258 (2020). https://doi.org/10.1016/j.janxdis.2020.102258

    Article  Google Scholar 

  4. Nasir, M., Chowdhury, A.S.M.S., Zahan, T.: Self-medication during COVID-19 outbreak: a cross sectional online survey in Dhaka city. Int. J. Basic Clin. Pharmacol. 9, 1325 (2020). https://doi.org/10.18203/2319-2003.ijbcp20203522

  5. Superio, D.L., Anderson, K.L., Oducado, R.M.F., Luceño, M.T., Palcullo, V.E.V., Bendalian, M.V.T.: The information-seeking behavior and levels of knowledge, precaution, and fear of college students in Iloilo, Philippines amidst the COVID-19 pandemic. Int. J. Disaster Risk Reduct. 62, 102414 (2021). https://doi.org/10.1016/j.ijdrr.2021.102414

    Article  Google Scholar 

  6. White, R.W., Horvitz, E.: Cyberchondria: studies of the escalation of medical concerns in web search. ACM Trans. Inf. Syst. 27, 1–37 (2009). https://doi.org/10.1145/1629096.1629101

    Article  Google Scholar 

  7. te Poel, F., Baumgartner, S.E., Hartmann, T., Tanis, M.: The curious case of cyberchondria: a longitudinal study on the reciprocal relationship between health anxiety and online health information seeking. J. Anxiety Disord. 43, 32–40 (2016). https://doi.org/10.1016/j.janxdis.2016.07.009

    Article  Google Scholar 

  8. Pal, A., Banerjee, S.: Internet users beware, you follow online health rumors (more than counter-rumors) irrespective of risk propensity and prior endorsement. ITP. 34, 1721–1739 (2021). https://doi.org/10.1108/ITP-02-2019-0097

    Article  Google Scholar 

  9. Armstrong, P.W., Naylor, C.D.: Counteracting health misinformation: a role for medical journals? JAMA 321, 1863 (2019). https://doi.org/10.1001/jama.2019.5168

    Article  Google Scholar 

  10. Busari, S., Adebayo, B.: Nigeria records chloroquine poisoning after Trump endorses it for coronavirus treatment. https://www.cnn.com/2020/03/23/africa/chloroquine-trump-nigeria-intl/index.html

  11. Starcevic, V., Berle, D.: Cyberchondria: towards a better understanding of excessive health-related Internet use. Expert Rev. Neurother. 13, 205–213 (2013). https://doi.org/10.1586/ern.12.162

    Article  Google Scholar 

  12. Pan, W., Liu, D., Fang, J.: An examination of factors contributing to the acceptance of online health misinformation. Front. Psychol. 12, 630268 (2021). https://doi.org/10.3389/fpsyg.2021.630268

    Article  Google Scholar 

  13. Ecker, U.K.H., et al.: The psychological drivers of misinformation belief and its resistance to correction. Nat. Rev. Psychol. 1, 13–29 (2022). https://doi.org/10.1038/s44159-021-00006-y

    Article  Google Scholar 

  14. Fitzgerald, H.N., Sevi, B., Shook, N.J.: Fraudulent health claims: further consideration of the role of emotions. Soc. Sci. Med. 259, 112979 (2020). https://doi.org/10.1016/j.socscimed.2020.112979

    Article  Google Scholar 

  15. Menczer, F., Hills, T.: Information overload helps fake news spread, and social media knows it. https://www.scientificamerican.com/article/information-overload-helps-fake-news-spread-and-social-media-knows-it/

  16. Freiling, I., Krause, N.M., Scheufele, D.A., Brossard, D.: Believing and sharing misinformation, fact-checks, and accurate information on social media: the role of anxiety during COVID-19. New Media Soc. 14614448211011452 (2021). https://doi.org/10.1177/14614448211011451

  17. McMullan, R.D., Berle, D., Arnáez, S., Starcevic, V.: The relationships between health anxiety, online health information seeking, and cyberchondria: systematic review and meta-analysis. J. Affect. Disord. 245, 270–278 (2019). https://doi.org/10.1016/j.jad.2018.11.037

    Article  Google Scholar 

  18. Schenkel, S.K., Jungmann, S.M., Gropalis, M., Witthöft, M.: Conceptualizations of cyberchondria and relations to the anxiety spectrum: systematic review and meta-analysis. J. Med. Internet Res. 23, e27835 (2021). https://doi.org/10.2196/27835

    Article  Google Scholar 

  19. Zheng, H., Kim, H., Sin, S.-C.J., Theng, Y.-L.: A theoretical model of cyberchondria development: antecedents and intermediate processes. Telematics Inform. 63, 101659 (2021). https://doi.org/10.1016/j.tele.2021.101659

    Article  Google Scholar 

  20. Mathes, B.M., Norr, A.M., Allan, N.P., Albanese, B.J., Schmidt, N.B.: Cyberchondria: overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Res. 261, 204–211 (2018). https://doi.org/10.1016/j.psychres.2018.01.002

    Article  Google Scholar 

  21. Seo, H., Blomberg, M., Altschwager, D., Vu, H.T.: Vulnerable populations and misinformation: a mixed-methods approach to underserved older adults’ online information assessment. New Media Soc. 146144482092504 (2020). https://doi.org/10.1177/1461444820925041

  22. Guess, A., Nagler, J., Tucker, J.: Less than you think: prevalence and predictors of fake news dissemination on Facebook. Sci. Adv. 5, eaau4586 (2019). https://doi.org/10.1126/sciadv.aau4586

  23. Internet/Broadband Fact Sheet (2021). https://www.pewresearch.org/internet/fact-sheet/internet-broadband/

  24. People’s Daily Online, Tencent: Survey report on Internet access status and risks of the elderly. https://cloud.tencent.com/developer/news/371872

  25. Starcevic, V., Berle, D., Arnáez, S.: Recent insights into cyberchondria. Curr. Psychiatry Rep. 22(11), 1–8 (2020). https://doi.org/10.1007/s11920-020-01179-8

    Article  Google Scholar 

  26. Fergus, T.A., Spada, M.M.: Cyberchondria: examining relations with problematic Internet use and metacognitive beliefs. Clin. Psychol. Psychother. 24, 1322–1330 (2017). https://doi.org/10.1002/cpp.2102

    Article  Google Scholar 

  27. McElroy, E., Shevlin, M.: The development and initial validation of the cyberchondria severity scale (CSS). J. Anxiety Disord. 28, 259–265 (2014). https://doi.org/10.1016/j.janxdis.2013.12.007

    Article  Google Scholar 

  28. McElroy, E., Kearney, M., Touhey, J., Evans, J., Cooke, Y., Shevlin, M.: The CSS-12: development and validation of a short-form version of the cyberchondria severity scale. Cyberpsychol. Behav. Soc. Netw. 22, 330–335 (2019). https://doi.org/10.1089/cyber.2018.0624

    Article  Google Scholar 

  29. Jungmann, S.M., Witthöft, M.: Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: which factors are related to coronavirus anxiety? J. Anxiety Disord. 73, 102239 (2020). https://doi.org/10.1016/j.janxdis.2020.102239

    Article  Google Scholar 

  30. Khazaal, Y., et al.: Compulsive Health-related internet use and cyberchondria. Eur. Addict. Res. 1–9 (2020). https://doi.org/10.1159/000510922

  31. Vismara, M., et al.: Is cyberchondria a new transdiagnostic digital compulsive syndrome? A systematic review of the evidence. Compr. Psychiatry 99, 152167 (2020). https://doi.org/10.1016/j.comppsych.2020.152167

    Article  Google Scholar 

  32. Petty, R.E., Cacioppo, J.T.: The elaboration likelihood model of persuasion. In: Petty, R.E., Cacioppo, J.T. (eds.) Communication and Persuasion: Central and Peripheral Routes to Attitude Change, pp. 1–24. Springer, New York, NY (1986)

    Chapter  Google Scholar 

  33. Lee, S.Y., Hawkins, R.P.: Worry as an uncertainty-associated emotion: exploring the role of worry in health information seeking. Health Commun. 31, 926–933 (2016). https://doi.org/10.1080/10410236.2015.1018701

    Article  Google Scholar 

  34. Brown, R.J., Skelly, N., Chew-Graham, C.A.: Online health research and health anxiety: a systematic review and conceptual integration. Clin. Psychol. Sci. Pract. 27 (2020). https://doi.org/10.1111/cpsp.12299

  35. China Internet Network Information Center (CNNIC):The 47th China statistical report on Internet development (2021). http://www.cac.gov.cn/2021-02/03/c_1613923423079314.htm

  36. Grinberg, N., Joseph, K., Friedland, L., Swire-Thompson, B., Lazer, D.: Fake news on Twitter during the 2016 U.S. presidential election. Science. 363, 374–378 (2019). https://doi.org/10.1126/science.aau2706

  37. Chinanews.com.: Survey report on Internet access status and risks of the elderly (2018). https://www.chinanews.com.cn/sh/2018/07-03/8555057.shtml

  38. Huang, J.L., Curran, P.G., Keeney, J., Poposki, E.M., DeShon, R.P.: Detecting and deterring insufficient effort responding to surveys. J Bus Psychol. 27, 99–114 (2012). https://doi.org/10.1007/s10869-011-9231-8

    Article  Google Scholar 

  39. Zhou, M., et al.: Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 394, 1145–1158 (2019). https://doi.org/10.1016/S0140-6736(19)30427-1

    Article  Google Scholar 

  40. Boot, W.R., et al.: Computer proficiency questionnaire: assessing low and high computer proficient seniors. Gerontologist 55, 404–411 (2015). https://doi.org/10.1093/geront/gnt117

    Article  Google Scholar 

  41. Pennycook, G., Rand, D.G.: Lazy, not biased: Susceptibility to partisan fake news is better explained by lack of reasoning than by motivated reasoning. Cognition (2018). https://doi.org/10.1016/j.cognition.2018.06.011

    Article  Google Scholar 

  42. Hu, Y., Shyam Sundar, S.: Effects of online health sources on credibility and behavioral intentions. Commun. Res. 37, 105–132 (2010). https://doi.org/10.1177/0093650209351512

  43. Karnowski, V., Kümpel, A.S., Leonhard, L., Leiner, D.J.: From incidental news exposure to news engagement. How perceptions of the news post and news usage patterns influence engagement with news articles encountered on Facebook. Comput. Hum. Behav. 76, 42–50 (2017). https://doi.org/10.1016/j.chb.2017.06.041

  44. DeSimone, J.A., Harms, P.D., DeSimone, A.J.: Best practice recommendations for data screening: DATA SCREENING. J. Organiz. Behav. 36, 171–181 (2015). https://doi.org/10.1002/job.1962

    Article  Google Scholar 

  45. Meade, A.W., Craig, S.B.: Identifying careless responses in survey data. Psychol. Methods 17, 437–455 (2012). https://doi.org/10.1037/a0028085

    Article  Google Scholar 

  46. Kim, A., Dennis, A.D.: Says who? The effects of presentation format and source rating on fake news in social media. MIS Q. 43, 1025–1039 (2019). https://doi.org/10.25300/MISQ/2019/15188

  47. Baumgartner, S.E., Hartmann, T.: The role of health anxiety in online health information search. Cyberpsychol. Behav. Soc. Netw. 14, 613–618 (2011). https://doi.org/10.1089/cyber.2010.0425

    Article  Google Scholar 

  48. Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the Internet. J. Anxiety Disord. 26, 189–196 (2012). https://doi.org/10.1016/j.janxdis.2011.11.005

  49. Bessière, K., Pressman, S., Kiesler, S., Kraut, R.: Effects of internet use on health and depression: a longitudinal study. J. Med. Internet Res. 12, e6 (2010). https://doi.org/10.2196/jmir.1149

    Article  Google Scholar 

  50. Laato, S., Islam, A.K.M.N., Islam, M.N., Whelan, E.: What drives unverified information sharing and cyberchondria during the COVID-19 pandemic? Eur. J. Inf. Syst. 29, 288–305 (2020). https://doi.org/10.1080/0960085X.2020.1770632

    Article  Google Scholar 

  51. Carstensen, L.L., Isaacowitz, D.M., Charles, S.T.: Taking time seriously: a theory of socioemotional selectivity. Am. Psychol. 54, 165–181 (1999). https://doi.org/10.1037/0003-066X.54.3.165

    Article  Google Scholar 

  52. Carstensen, L.L., et al.: Emotional experience improves with age: evidence based on over 10 years of experience sampling. Psychol. Aging 26, 21–33 (2011). https://doi.org/10.1037/a0021285

    Article  Google Scholar 

  53. Begg, I.M., Anas, A., Farinacci, S.: Dissociation of processes in belief: source recollection, statement familiarity, and the illusion of truth, 13

    Google Scholar 

  54. Wang, W.-C., Brashier, N.M., Wing, E.A., Marsh, E.J., Cabeza, R.: On known unknowns: fluency and the neural mechanisms of illusory truth. J. Cogn. Neurosci. 28, 739–746 (2016). https://doi.org/10.1162/jocn_a_00923

    Article  Google Scholar 

  55. Dechêne, A., et al.: The truth about the truth: a metaanalytic review of the truth effect. Personal. Soc. Psychol. Rev. 238–257 (2010)

    Google Scholar 

  56. Hassan, A., Barber, S.J.: The effects of repetition frequency on the illusory truth effect. Cogn. Res. Principles Implications 6(1), 1–12 (2021). https://doi.org/10.1186/s41235-021-00301-5

    Article  Google Scholar 

Download references

Acknowledgment

This work was supported by funding from the National Natural Science Foundation of China (Grants No. 72171030), the second Batch of 2021 MOE of PRC Industry-University Collaborative Education Program (Program No. 202102055009, Kingfar-CES “Human Factors and Ergonomics” Program), and the graduate research and innovation foundation of Chongqing, China (Grant No. CYB21041).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jia Zhou .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Xiang, H., Zhou, J., Liu, M. (2023). Judging Online Health Misinformation: Effects of Cyberchondria and Age. In: Gao, Q., Zhou, J. (eds) Human Aspects of IT for the Aged Population. HCII 2023. Lecture Notes in Computer Science, vol 14042. Springer, Cham. https://doi.org/10.1007/978-3-031-34866-2_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-34866-2_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-34865-5

  • Online ISBN: 978-3-031-34866-2

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics