Characteristics associated with use of public and private web sites as sources of health care information - Results from a national survey
Characteristics associated with use of public and private web sites as sources of health care information - Results from a national survey
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DOI：
10.1097/01.mlr.0000244509.60556.49
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发表时间：
2007-03-01
期刊：
影响因子：
3
通讯作者：
West, Darrell M.
中科院分区：
文献类型：
--
作者：
Miller, Edward Alan;West, Darrell M.
目的：我们试图确定美国人从政府(公共部门)和非政府(私营部门)网站获取健康信息的频率，并确定每种类型使用相关特征的异同。方法：数据来源于928名回答2005年11月全国调查的个人。除了健康交流的形式，我们还询问了年龄、性别、种族、收入、教育、保险、生活方式、居住、满意度、识字和健康。我们根据赞助类型--公共赞助和私人赞助--报告了网站使用的程度。我们还使用X(2)检验来检验两个变量的相关性。结果：访问私人网站的受访者(29.6%)是公共网站(13.2%)的两倍多。然而，只有23.6%的私人网站访问者和18.9%的公共网站访问者报告每月访问一次或更多。公共和私人网站的访问者更有可能是受过更好教育的受访者(优势比[OR]=0.83，OR=1.57)，他们比不访问的人更担心医疗保健的可及性(OR=1.28，OR=1.20)。居住在城市地区(OR=1.59)、健康素养越高(OR=1.24)、对医疗服务可负担性更关注(OR=1.59)的年轻人更有可能访问私人赞助的网站，而不是非公开赞助的网站。结论：相对较低的使用率需要共同努力提高互联网健康信息的质量、可及性和相关性。缩小数字鸿沟的努力必须认识到政府和非政府网站提供商之间用户特征的差异。
Objective: We sought to determine the frequency with which Americans access health information from governmental (public sector) and nongovernmental (private sector) web sites and to identify similarities and differences in the characteristics associated with use of each type.Methods: Data derive from 928 individuals who responded to a November 2005 national survey. In addition to forms of health communication, we asked about age, gender, race, income, education, insurance, lifestyle, residence, satisfaction, literacy, and health. We report the extent of web site use stratified by sponsorship type-public and private. We also use chi(2) tests to examine bivariate associations. Logistic regression and multiple imputation of missing data were used to examine the correlates of use in a multivariate context.Results: More than twice as many respondents visited private web sites (29.6%) than public web sites (13.2%). However, just 23.6% and 18.9% of private and public web site visitors, respectively, reported doing so once a month or more. Both public and private web site visitors were more likely to be better-educated respondents (odds ratio [OR] = 0.83, OR = 1.57) reporting greater concerns about health care access (OR = 1.28, OR = 1.20) than nonvisitors. Younger individuals (OR = 0.83) living in urban areas (OR = 1.59) with stronger health literacy (OR = 1.24) and reporting greater concerns about health care affordability (OR = 1.59) were more likely to visit privately sponsored web sites but nonpublicly sponsored ones.Conclusion: Relatively low utilization levels necessitate a concerted effort to improve the quality, accessibility, and relevance of Internet health information. Efforts to close the digital divide must recognize differences in user characteristics across governmental and nongovernmental web site providers.