Canadian provincial governments have made significant investments in nurse advice telephone lines and Internet resources as non-traditional options to reduce emergency department visits and improve access to health care for the population. However, little is known about the characteristics of users of these services, and who chooses to use them first, before accessing other sources of health advice. Additionally, individuals with lower levels of education tend to be late adopters of technology and have inconsistent utilization of health services. The purpose of the study is to examine the effect of educational attainment levels on the use of non-traditional health information sources first, before other more conventional sources of health information. The study utilized Canadian Survey of Experiences with Primary Health Care (CSE-PHC), 2007-2008 survey data. Logistic regression models were constructed to examine the relationship between use of non-traditional health information sources first, and educational attainment, adjusted for confounders. Relative to someone with less than secondary education, individuals with secondary education (OR = , 95% CI: – ), and individuals with post-secondary education (OR , 95% CI: – ), had significantly greater odds of using non-traditional health information sources first. These findings suggest that educational attainment has a significant effect on the use of non-traditional health information sources first. Future providers of nontraditional health information sources, especially in the design of future eHealth tools and consideration of eHealth literacy, should consider these results in development and implementation of their communications strategies to maximize the reach of their services. | The effect of educational attainment levels on use of nontraditional health information resources: Findings from the Canadian survey of experiences with primary health care
