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Future research should replicate this factor structure in other samples.Objective To examine geographic variations in health information use among older adults in the United States. Methods We compared 15,531 adults (age 45 and older) across four U.S. regions. Descriptive analyses were conducted to assess health information seeking and use by year. The relationship between health information seeking or use and regional changes were assessed using binomial logistic regression. Binomial models were adjusted by socio-demographics, chronic con