Trusted online sources of health information: differences in demographics, health beliefs, and health-information orientation.
Trusted online sources of health information: differences in demographics, health beliefs, and health-information orientation.
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DOI：
10.2196/jmir.5.3.e21
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发表时间：
2003-07
影响因子：
7.4
通讯作者：
Dutta-Bergman M
中科院分区：
文献类型：
--
作者：
Dutta-Bergman M
最近在线健康信息和消费者对此类信息的使用激增，引发了专家对万维网上健康信息可信度的猜测和处方。尽管越来越多的关注在线健康信息来源，现有的研究揭示了一个空白领域的消费者评价的可信度不同的健康信息来源在互联网上。本研究探讨消费者的评价来源的健康信息在万维网上，比较人口，态度和认知差异的个人最信任的特定来源的信息和个人不信任的特定来源的健康信息。在各种来源之间进行比较。Porter Novelli HealthStyles数据库自1995年以来每年收集一次，是基于全国代表性的邮政邮件调查结果。1999年，2636名答卷人为HealthStyles数据库提供了可用数据。独立样本t检验进行比较的受访者在人口，态度和认知变量的领域。最值得信赖的在线健康信息来源包括私人医生、医科大学和联邦政府。结果表明，当信任特定在线来源的受访者与不信任该来源的受访者进行比较时，人口和健康导向变量存在显着差异，这表明需要采用分段方法进行研究和应用。信任当地医生的人更年轻（t 2634= 4.02，P<0.001）和持有更强的健康信念（F1 = 5.65，P= 0.018）;信任当地医院的个体受教育程度较低（t 2634= 3.83，P< .001），低健康信息导向（F1 = 6.41，P= .011），持有较弱的健康信念（F1 = 5.56，P= .018）。对健康保险公司作为在线健康信息来源更信任的受访者受教育程度较低（t 2634= 1.90，P= 0.05）和较少的健康信息导向（F1 = 4.30，P= 0.04）。对医科大学的信任与教育程度呈正相关（t 2634= 11.83，P< .001），收入（t 2634= 10.19，P< .001），健康信息取向（F1 = 10.32，P<.001）。在联邦信息可信度方面也观察到了类似的结果，对联邦来源信任度更高的人受教育程度更高（t 2 6 34 = 7.4 5，P<.0 0 1）和健康信息导向（F1 = 4.4 5，P=.0 4）。结果表明，根据消费者信任的不同健康信息来源，消费者群体存在系统性差异。虽然某些来源，如当地医院和健康保险公司可能是社会经济地位较低和不太注重健康的消费者群体的可靠健康信息来源，但医科大学和联邦网站等来源可能是社会经济地位较高和更注重健康的群体的可靠来源。
The recent surge in online health information and consumer use of such information has led to expert speculations and prescriptions about the credibility of health information on the World Wide Web. In spite of the growing concern over online health information sources, existing research reveals a lacuna in the realm of consumer evaluations of trustworthiness of different health information sources on the Internet. This study examines consumer evaluation of sources of health information on the World Wide Web, comparing the demographic, attitudinal, and cognitive differences between individuals that most trust a particular source of information and individuals that do not trust the specific source of health information. Comparisons are made across a variety of sources. The Porter Novelli HealthStyles database, collected annually since 1995, is based on the results of nationally-representative postal-mail surveys. In 1999, 2636 respondents provided usable data for the HealthStyles database. Independent sample t tests were conducted to compare the respondents in the realm of demographic, attitudinal, and cognitive variables. The most trusted sources of online health information included the personal doctor, medical university, and federal government. The results demonstrated significant differences in demographic and health-oriented variables when respondents who trusted a particular online source were compared with respondents that did not trust the source, suggesting the need for a segmented approach to research and application. Individuals trusting the local doctor were younger ( t 2634= 4.02, P< .001) and held stronger health beliefs (F 1= 5.65, P= .018); individuals trusting the local hospital were less educated ( t 2634= 3.83, P< .001), low health information oriented (F 1= 6.41, P= .011), and held weaker health beliefs (F 1= 5.56, P= .018). Respondents with greater trust in health insurance companies as online health information sources were less educated ( t 2634= 1.90, P= .05) and less health information oriented (F 1= 4.30, P= .04). Trust in medical universities was positively associated with education ( t 2634= 11.83, P< .001), income ( t 2634= 10.19, P< .001), and health information orientation (F 1= 10.32, P<.001). Similar results were observed in the realm of federal information credibility, with individuals with greater trust in federal sources being more educated ( t 2634= 7.45, P< .001) and health information oriented (F 1= 4.45, P= .04) than their counterparts. The results suggest systematic differences in the consumer segment based on the different sources of health information trusted by the consumer. While certain sources such as the local hospital and the health insurance company might serve as credible sources of health information for the lower socioeconomic and less health-oriented consumer segment, sources such as medical universities and federal Web sites might serve as trustworthy sources for the higher socioeconomic and more health-oriented groups.
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DOI：
10.1097/00005721-199901000-00007
发表时间：
1999-01-01
期刊：
MCN. The American journal of maternal child nursing
影响因子：
--
作者：
Lamp, J M;Howard, P A
通讯作者：
Howard, P A
影响因子：
--
作者：
Eysenbach, G;Diepgen, TL
通讯作者：
Diepgen, TL
影响因子：
105.7
作者：
Eysenbach, G;Köhler, C
通讯作者：
Köhler, C
影响因子：
7.4
作者：
Potts, Henry W. W.;Wyatt, Jeremy C.
通讯作者：
Wyatt, Jeremy C.
影响因子：
7.4
作者：
Craigie, Mark;Loader, Brian;Muncer, Steven
通讯作者：
Muncer, Steven