Searching for online health information instead of seeing a physician: a cross-sectional study among high school students in Belgrade, Serbia.

OBJECTIVES Fear of being judged and stigmatized has been reported as barriers for adolescents to timely use healthcare services. The objective of this study was to examine the prevalence and factors associated with online health information seeking instead of seeing a physician among high school students. METHODS A cross-sectional questionnaire-based study was carried out in four out of 21 public high schools in Belgrade, from December 2016 to January 2017 (n = 702, 41.9% males, 15-19 years old). The association of socio-demographic characteristics, digital literacy, interest in health topics and the use of online platforms with health information seeking was analysed using multinomial regression models. RESULTS More than half of high school students (56.6%) search for online health information instead of seeking a physician. Being male, having lower-grade point average, attending humanities-languages program, older age at first Internet use, better e-health literacy, use of smartphones, interest in sexually transmitted diseases and mental health, use of websites run by physicians and Youtube was associated with online health information seeking instead of in-person visit to a physician. CONCLUSIONS Setting up safe and supportive online platform could help adolescents improve health education. Physicians who see adolescent patients should encourage discussions about sensitive health topics.