Has the Digital Health Divide Widened? Trends of Health-Related Internet Use Among Older Adults From 2003 to 2011
Has the Digital Health Divide Widened? Trends of Health-Related Internet Use Among Older Adults From 2003 to 2011
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DOI：
10.1093/geronb/gbw100
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发表时间：
2017-09-01
影响因子：
6.2
通讯作者：
Cho, Jinmyoung
中科院分区：
文献类型：
--
作者：
Hong, Y. Alicia;Cho, Jinmyoung
目的：调查老年人健康相关互联网使用的趋势。方法：我们分析了2003年、2005年和2011-2012年由美国国家癌症研究所(NCI)发起的健康信息全国趋势调查(HINTS)的数据。结果：从2003年到2011年，老年人的互联网使用量和HRIU显著增加，其中在网上寻求健康信息和与医生交流的增加更为显著。总体而言，不同人口群体之间的数字健康差距已经缩小，特别是在性别、种族/民族、农村/城市居住地和各种健康状况方面；然而，年龄、教育和家庭收入仍然是数字鸿沟的持续预测因素。那些年龄最大的群体(75岁或以上)，那些高中教育程度以下的人，以及收入很低的人(
Objectives: To examine the trend of health-related Internet use (HRIU) among older adults.Methods: We analyzed data from the 2003, 2005, and 2011-2012 iterations of the National Cancer Institute (NCI)-sponsored Health Information National Trends Survey (HINTS). HRIU was measured by 4 online behaviors: seeking health information, buying medicine, connecting with people with similar health problems, and communicating with doctors.Results: Internet use and HRIU among older adults increased substantially from 2003 to 2011 with more significant increases in seeking health information and communicating with doctors online. Overall, the digital health divide between different demographic groups has narrowed, especially in terms of gender, racial/ethnic group, rural/urban residence, and various health statuses; however, age, education, and household income remain persistent predictors of the digital divide. Those in the oldest group (75 or older), those with less than a high school education, and those with very low income (