The Association Between Online Health Information-Seeking Behaviors and Health Behaviors Among Hispanics in New York City: A Community-Based Cross-Sectional Study.
The Association Between Online Health Information-Seeking Behaviors and Health Behaviors Among Hispanics in New York City: A Community-Based Cross-Sectional Study.
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DOI：
10.2196/jmir.4368
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发表时间：
2015-11-26
影响因子：
7.4
通讯作者：
Bakken S
中科院分区：
文献类型：
--
作者：
Lee YJ;Boden-Albala B;Jia H;Wilcox A;Bakken S
拉美裔是美国增长最快的少数群体，他们遭受着不成比例的慢性病负担。研究表明，在线健康信息有可能影响相当大一部分人的健康行为，并影响慢性病的管理，但很少有研究关注拉美裔。这项描述性的横断面研究的具体目的是调查拉美裔美国人的在线健康信息寻求行为与健康行为(体育活动、水果和蔬菜消费、饮酒和高血压药物依从性)之间的关联。数据来自居住在曼哈顿北部的便利样本(N=2680)，由双语社区卫生工作者进行面对面访谈，并使用线性和有序Logistic回归进行分析。变量选择和统计分析由电子健康使用综合模型指导。仅有7.38%(198/2680)的被调查者有过网上寻求健康信息的行为。适度的体力活动和水果、蔬菜和酒精的摄入量都很低。在服用高血压药物的患者(n=825)中，依从性报告高达样本的约三分之一(30.9%，255/825)。控制人口统计变量、情境变量和识字变量后，在线健康信息寻求行为与食用水果(β=0.35，95%CI0.08~0.62，P=0.01)、食用蔬菜(β=0.36，95%CI0.06~0.65，P=0.02)和运动(β=3.73，95%CI1.99~5.46，P<；.001)显著相关，而与饮酒或高血压服药依从性无关。在回归模型中，作为控制变量的识字因素与3种健康行为相关：社交网站会员(用于测量计算机素养的一个维度)与食用水果相关(β=0.2 3，95%CI 0.0 5~0.42，P=0.0 2)；健康素养与饮酒(β=0.44，95%CI 0.2 4~0.63，P<；0.0 0 1)相关；高血压用药依从性(β=-0.32，95%CI-0.62~-0.0 3，P=.03)。模型只解释了健康行为中的一小部分差异。鉴于在线健康信息寻求行为与一些健康行为之间的关联虽然不大，但前景看好，需要努力提高拉美裔人获取和理解健康信息的能力，并加强从语言、可读性和文化相关性方面适合的在线健康信息的可获得性。
Hispanics are the fastest-growing minority group in the United States and they suffer from a disproportionate burden of chronic diseases. Studies have shown that online health information has the potential to affect health behaviors and influence management of chronic disease for a significant proportion of the population, but little research has focused on Hispanics. The specific aim of this descriptive, cross-sectional study was to examine the association between online health information–seeking behaviors and health behaviors (physical activity, fruit and vegetable consumption, alcohol use, and hypertension medication adherence) among Hispanics. Data were collected from a convenience sample (N=2680) of Hispanics living in northern Manhattan by bilingual community health workers in a face-to-face interview and analyzed using linear and ordinal logistic regression. Variable selection and statistical analyses were guided by the Integrative Model of eHealth Use. Only 7.38% (198/2680) of the sample reported online health information–seeking behaviors. Levels of moderate physical activity and fruit, vegetable, and alcohol consumption were low. Among individuals taking hypertension medication (n=825), adherence was reported as high by approximately one-third (30.9%, 255/825) of the sample. Controlling for demographic, situational, and literacy variables, online health information–seeking behaviors were significantly associated with fruit (β=0.35, 95% CI 0.08-0.62, P=.01) and vegetable (β=0.36, 95% CI 0.06-0.65, P=.02) consumption and physical activity (β=3.73, 95% CI 1.99-5.46, P<.001), but not alcohol consumption or hypertension medication adherence. In the regression models, literacy factors, which were used as control variables, were associated with 3 health behaviors: social networking site membership (used to measure one dimension of computer literacy) was associated with fruit consumption (β=0.23, 95% CI 0.05-0.42, P=.02), health literacy was associated with alcohol consumption (β=0.44, 95% CI 0.24-0.63, P<.001), and hypertension medication adherence (β=–0.32, 95% CI –0.62 to –0.03, P=.03). Models explained only a small amount of the variance in health behaviors. Given the promising, although modest, associations between online health information–seeking behaviors and some health behaviors, efforts are needed to improve Hispanics’ ability to access and understand health information and to enhance the availability of online health information that is suitable in terms of language, readability level, and cultural relevance.
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影响因子：
7.4
作者：
Fernandez-Luque L;Karlsen R;Bonander J
通讯作者：
Bonander J
影响因子：
16.2
作者：
Freiberg, MS;Cabral, HJ;Ellison, RC
通讯作者：
Ellison, RC
影响因子：
--
作者：
Bodie, Graham D;Dutta, Mohan Jyoti
通讯作者：
Dutta, Mohan Jyoti
影响因子：
7.4
作者：
Atkinson NL;Saperstein SL;Pleis J
通讯作者：
Pleis J
影响因子：
120.7
作者：
Berland, GK;Elliott, MN;McGlynn, EA
通讯作者：
McGlynn, EA