Adolescent and parent use of new technologies for health communication: a study in an urban latino community.
Adolescent and parent use of new technologies for health communication: a study in an urban latino community.
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DOI：
10.4081/jphr.2015.376
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发表时间：
2015-02-20
影响因子：
2.3
通讯作者：
Green NS
中科院分区：
文献类型：
--
作者：
Smaldone A;Stockwell MS;Osborne JC;Cortes Y;Bekele E;Green NS
移动通信技术为支持基于诊所的健康举措提供了新的机会。日常使用和健康传播技术的采用可能因社区而异，具体取决于人口和文化特征。在青少年初级保健和专科诊所进行了一项调查，以评估家长和青少年在使用移动技术和社交媒体以支持城市拉丁裔社区中提供者与患者之间的沟通方面的偏好。在 130 名受访者（65 对父母与青少年）中，大约一半经常发送和接收短信，但对另一人的短信使用缺乏共识。相比之下，与父母相比，青少年很少使用电子邮件（15.4% vs 37.5%，P=0.006）。在社交媒体中，父母和青少年最常使用 Facebook™/MySpace™（60% 和 55.4%，P=0.59）；然而，大多数人对使用社交媒体进行健康交流缺乏兴趣。父母比青少年更愿意为了健康而接收电子邮件（73.4% vs 35.9%，P<0.001）和短信（58.5% vs 33.9%，P=0.005），但更担心隐私问题（26.2% vs 9.2%，P=0.01）。美国出生的受访者（aOR 5.7，95%CI 1.2-28.5）或经常使用即时通讯或 Facebook™/MySpace™（aOR 4.6，95%CI 1.4-14.7）的受访者更有可能对使用社交媒体进行健康交流感兴趣。这些发现强调了有针对性的评估对于规划通信技术和社交媒体在临床护理或研究中为服务不足的青少年的利用的重要性。通信技术为支持服务不足的青少年的基于诊所的健康举措提供了新的机会。然而，社区之间技术的采用可能会因人口和文化特征而有所不同。我们对城市拉丁裔父母和青少年进行了调查，了解他们目前对移动和社交媒体技术的使用情况以及使用这些技术进行健康交流的偏好。这是第一项比较服务匮乏的父母及其青少年对各种移动和社交通信技术的使用的看法、青少年与父母之间在短信使用感知上的一致性以及出于健康沟通目的的偏好的研究。我们的研究结果与其他服务不足的社区中接受调查的成年人的研究结果不同，突显了社区之间的异质性。通信技术和社交媒体的使用以及父母与青少年之间的偏好的差异表明，了解目标人群中的这些因素对于成功利用这些因素来支持健康和卫生服务至关重要。
Mobile communication technologies provide novel opportunities to support clinic-based health initiatives. Adoption of technologies for daily use and for health communication can differ between communities, depending upon demographic and cultural characteristics. A survey was administered in adolescent primary care and subspecialty clinics to assess parent-adolescent preferences in use of mobile technologies and social media to support provider-patient communication in an urban Latino community. Of 130 respondents (65 parent-adolescent pairs), approximately half frequently sent and received text messages but lacked agreement regarding the other’s text messaging use. In contrast, adolescents only rarely used email compared to parents (15.4% versus 37.5%, P=0.006). Of social media, Facebook™/MySpace™ was most frequently used by parents and youth (60% and 55.4%, P=0.59); however, most lacked interest in using social media for health communication. Parents reported more interest than adolescents in receiving email (73.4% versus 35.9%, P<0.001) and text messages (58.5% versus 33.9%, P=0.005) for health, but had more concerns about privacy issues (26.2% versus 9.2%, P=0.01). Respondents who were American born (aOR 5.7, 95%CI 1.2-28.5) or regularly used Instant Messaging or Facebook™/MySpace™ (aOR 4.6, 95%CI 1.4-14.7) were more likely to be interested in using social media for health communication. These findings underscore the importance of targeted assessment for planning the utilization of communication technologies and social media in clinical care or research for underserved youth. Communication technologies provide novel opportunities to support clinic-based health initiatives for underserved youth. However, adoption of technologies among communities may differ depending upon demographic and cultural characteristics. We surveyed a sample of urban Latino parents and youth regarding their current use of mobile and social media technologies and preferences for use of these technologies for health communication. This is the first study to compare the perspective of underserved parents and their youth regarding use of a wide variety of mobile and social communication technologies, concordance between youth-parent pairs in perceived use of texting and preferences for the purpose of health communication. Our findings differ from those from adults surveyed in other under-served communities, highlighting heterogeneity between communities. Variations in use of communication technologies and social media and preferences between parent-youth pairs suggest that understanding these factors within target populations is crucial for successful use to support health and health services.