Online Health Information Seeking Among US Adults: Measuring Progress Toward a Healthy People 2020 Objective
Online Health Information Seeking Among US Adults: Measuring Progress Toward a Healthy People 2020 Objective
复制标题
DOI：
10.1177/0033354919874074
复制
发表时间：
2019-09-12
影响因子：
3.3
通讯作者：
Hesse, Bradford W.
中科院分区：
文献类型：
--
作者：
Finney Rutten, Lila J.;Blake, Kelly D.;Hesse, Bradford W.
目标：在过去十年中，在线卫生信息的可获得性急剧增加。我们评估了实现健康人民2020（HP 2020）健康传播和健康信息技术目标的进展情况，该目标旨在增加在线轻松获取健康信息的健康信息寻求者的比例。方法：我们使用了来自4个卫生信息国家趋势调查（HINTS 2008-2017）的数据（N = 18 103）。我们进行了多变量逻辑回归分析，以评估随着时间的推移，在访问健康信息的经验的趋势，并检查社会人口变量（性别，年龄，种族/民族，教育，收入，大都市地位）分别为那些谁使用互联网（与其他信息来源）在他们最近的健康信息搜索。结果如下：在寻找健康信息并使用互联网进行最近搜索的美国成年人中，报告在研究期间无挫折感地访问健康信息的百分比保持稳定（从2008年的37.2%到2017年的38.5%）。没有挫折感的在线阅读信息与35-49岁年龄显著独立相关（相对于18-34岁）（比值比[OR] = 1.34; 95%置信区间[CI]，1.03 - 1.73），非西班牙裔黑人（相对于非西班牙裔白色）种族/民族（OR = 2.15; 95% CI，1.55-2.97）和家庭年收入75 000美元）（OR = 0.66; 95% CI，0.47-0.93）。使用互联网以外的信息源并报告在网上访问健康信息而没有挫折的成年人比例从2008年的31.3%到2017年的42.7%不等。调查年份2017年（与2008年相比）（OR = 1.61; 95% CI，1.09-2.35）和高中毕业生教育（与大学毕业生相比）（OR = 0.69; 95% CI，0.49-0.97）与从互联网以外的来源获得健康信息无挫折感显著独立相关。结论：在线健康信息寻求者报告容易获得健康信息的百分比没有达到HP 2020目标。需要继续努力，使不同人群能够方便地获得在线健康信息。
Objective: During the past decade, the availability of health information online has increased dramatically. We assessed progress toward the Healthy People 2020 (HP2020) health communication and health information technology objective of increasing the proportion of health information seekers who easily access health information online. Methods: We used data from 4 administrations of the Health Information National Trends Survey (HINTS 2008-2017) (N = 18 103). We conducted multivariable logistic regression analysis to evaluate trends over time in experiences with accessing health information and to examine differences by sociodemographic variables (sex, age, race/ethnicity, education, income, metropolitan status) separately for those who used the internet (vs other information sources) during their most recent search for health information. Results: Among US adults who looked for health information and used the internet for their most recent search, the percentage who reported accessing health information without frustration was stable during the study period (from 37.2% in 2008 to 38.5% in 2017). Accessing information online without frustration was significantly and independently associated with age 35-49 (vs age 18-34) (odds ratio [OR] = 1.34; 95% confidence interval [CI], 1.03 -1.73), non-Hispanic black (vs non-Hispanic white) race/ethnicity (OR = 2.15; 95% CI, 1.55-2.97), and annual household income $75 000) (OR = 0.66; 95% CI, 0.47-0.93). The percentage of adults who used an information source other than the internet and reported accessing health information online without frustration ranged from 31.3% in 2008 to 42.7% in 2017. Survey year 2017 (vs 2008) (OR = 1.61; 95% CI, 1.09-2.35) and high school graduate education (vs college graduate) (OR = 0.69; 95% CI, 0.49-0.97) were significantly and independently associated with accessing health information without frustration from sources other than the internet. Conclusions: The percentage of online health information seekers reporting easily accessing health information did not meet the HP2020 objective. Continued efforts are needed to enable easy access to online health information among diverse populations.