Getting a Second Opinion: Social Capital, Digital
Inequalities, and Health Information Repertoires
Wenhong Chen
Department of Radio-Television-Film, University of Texas at Austin, 2504 Whitis Avenue Stop A0800, Austin,
TX 78712-1067. E-mail: wenhong.chen@austin.utexas.edu
Kye-Hyoung Lee
Department of Educational Administration, The University of Texas at Austin, 1912 Speedway D5400,
Austin, TX 78712-1604. E-mail: kyelee@mail.utexas.edu
Joseph D. Straubhaar and Jeremiah Spence
Department of Radio-Television-Film, University of Texas at Austin, 2504 Whitis Avenue Stop A0800, Austin,
TX 78712-1067. E-mail: jdstraubhaar@austin.utexas.edu; jeremiah.spence@gmail.com
This research adopts a repertoire approach to examine
the concept of a health information repertoire defined
as a set of sources through which people get health
information. Drawing on a random sample survey in
Austin, TX, it borrows the concepts of cultural omni-
vores and univores to investigate how health informa-
tion repertoire are related to social capital and digital
inequalities. Results demonstrate that both the size
and the composition of health information repertoires
vary by social and digital connectivity. People with
greater social capital have a larger repertoire and are
less likely to be univores dependent on the Internet or
interpersonal contacts. People with Internet access
have a larger repertoire and are less likely to be uni-
vores dependent on television. More skilled Internet
users are less likely to be univores dependent on inter-
personal contacts, whereas frequent Internet users are
more likely to be omnivores with a four-channel reper-
toire including the Internet, interpersonal contacts,
television, and newspaper. The positive relationship
between social capital and repertoire size is stronger
among less-skilled Internet users. There are significant
variations in health information repertoires in terms of
media access and sociodemographic characteristics.
Scholarly and practical implications are discussed.
Introduction
People acquire health information from a variety of
sources, such as interpersonal communication, the Internet,
and traditional mass media, which in turn can affect their
health literacy and health decision-making (Bishop, Tidline,
Shoemaker, & Salela, 1999; Bright, Fleisher, Thomsen,
Morra, Marcus, & Gehring, 2005; Chinn, 2011; Nagler
et al., 2010; Rutten, Moser, Beckjord, Hesse, & Croyle,
2007). As information from interpersonal and mediated
sources can have independent positive impacts on health
behaviors (Ramírez et al., 2013), a better understanding
of the health information repertoire—the set of sources
through which people get health information—has scholarly
and practical importance.
Adopting a repertoire approach, this research fills critical
gaps in the growing literature on health information behav-
iors. First, there has been a striking lack of research on the
health information repertoire (O’Keefe, Boyd, & Brown,
1998). Second, despite the growing attention to online
health information searches, the literature remains underde-
veloped on how the information repertoire—in general or
health specific—is related to social capital and digital
inequalities (Anker, Reinhart, & Feeley, 2011; Savolainen,
1995; Song & Chang, 2012). Third, the literature has
focused on active search, although casual social encounters
or media exposure allows people to gain information unin-
tentionally (Case, 2012; Dutta-Bergman, 2004; Sheldrick
Ross, 1999).
Drawing on a random sample survey in Austin, TX, this
research focused on both the size and the composition of
the health information repertoire. Borrowing from the theo-
retical concepts of cultural omnivores and univores (Bennett
& Silva, 2011; Peterson & Kern, 1996), people with a rep-
ertoire of multiple health information sources are defined as
health information omnivores and people dependent on a
Received June 2, 2013; revised September 8, 2013; accepted September 9,
2013
© 2014 ASIS&T
•
Published online 30 April 2014 in Wiley Online Library
(wileyonlinelibrary.com). DOI: 10.1002/asi.23130
JOURNAL OF THE ASSOCIATION FOR INFORMATION SCIENCE AND TECHNOLOGY, 65(12):2552–2563, 2014