Cancer-Related Information Seeking Among Cancer Survivors: Trends Over a Decade (2003-2013)
Cancer-Related Information Seeking Among Cancer Survivors: Trends Over a Decade (2003-2013)
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DOI：
10.1007/s13187-015-0802-7
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发表时间：
2016-06-01
影响因子：
1.6
通讯作者：
Hesse, Bradford W.
中科院分区：
文献类型：
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作者：
Rutten, Lila J. Finney;Agunwamba, Amenah A.;Hesse, Bradford W.
癌症患者信息寻求的好处，加上信息可用性的增加，强调了随着时间的推移监测患者信息寻求经验的重要性。我们比较了癌症幸存者与有癌症家族史和没有癌症史的人之间的信息寻求。我们确定了与癌症幸存者更多信息寻求相关的特征，癌症相关信息的关键来源，以及随着时间的推移信息源使用的变化。对2003年至2013年五次健康信息国家趋势调查（HINTS）的数据进行了合并和分析。进行了频率、交叉表、多变量逻辑回归和多项式回归分析。对所有数据进行加权，以提供美国成年人群的代表性估计值。癌症幸存者最常报告寻求癌症信息（69.8%）。报告寻求信息的癌症幸存者比例从2003年的66. 8%上升到2013年的80. 8%。寻求癌症信息与年龄、教育和收入独立相关;寻求癌症信息在老年人、教育程度较低的人和收入较低的人中不太可能。与2003年的受访者相比，2005年（比值比（OR）= 0.40，95%置信区间（CI）= 0.24-0.65）和2008年（OR = 0.43，95% CI = 0.26-0.70）的受访者使用互联网作为癌症信息第一来源的可能性约为医疗保健提供者的一半。尽管从各种来源寻求癌症信息和获得健康信息的总体增加，但医疗保健提供者仍然是癌症幸存者健康信息的主要来源。
The demonstrated benefits of information seeking for cancer patients, coupled with increases in information availability, underscore the importance of monitoring patient information seeking experiences over time. We compared information seeking among cancer survivors to those with a family history of cancer and those with no history of cancer. We identified characteristics associated with greater information seeking among cancer survivors, key sources of cancer-related information, and changes in information source use over time. Data from five iterations of the Health Information National Trends Survey (HINTS) spanning 2003 to 2013 were merged and analyzed. Frequencies, cross-tabulations, multivariate logistic regression, and multinomial regression analyses were conducted. All data were weighted to provide representative estimates of the adult US population. Cancer information seeking was reported most frequently by cancer survivors (69.8 %). The percentage of cancer survivors who reported information seeking increased from 66.8 % in 2003 to 80.8 % in 2013. Cancer information seeking was independently associated with age, education, and income; seeking was less likely among older adults, those with less education, and those with lower incomes. Compared to respondents in 2003, those in 2005 (odds ratio (OR) = 0.40, 95 % confidence interval (CI) = 0.24-0.65) and 2008 (OR = .43, 95 % CI = 0.26-0.70) were about half as likely to use the Internet as the first source of cancer information compared to a healthcare provider. Despite overall increases in cancer information seeking and access to health information from a variety of sources, healthcare providers remain a key source of health information for cancer survivors.