Using the internet for health-related activities: findings from a national probability sample.
Using the internet for health-related activities: findings from a national probability sample.
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DOI：
10.2196/jmir.1035
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发表时间：
2009-02-20
影响因子：
7.4
通讯作者：
Pleis J
中科院分区：
文献类型：
--
作者：
Atkinson NL;Saperstein SL;Pleis J
互联网上的电子医疗工具有潜力帮助人们管理他们的健康和医疗保健。然而，人们对不同类型的电子卫生工具在人群中或人群亚组内的分布和使用知之甚少。 本研究的目的是检查参与特定在线健康相关活动的患病率和预测因素。 美国国家癌症研究所 2005 年健康信息全国趋势调查 (HINTS) 的二次数据分析旨在研究互联网用户 (n = 3244) 的三种在线行为：搜索自己的健康信息、参加具有类似健康或医疗状况的人的支持小组以及购买药品或维生素。 共有 58% 的互联网用户表示在过去的一年里为自己搜索过健康信息，3.8% 的人使用过在线支持小组，12.8% 的人在网上购买过药品或维生素。多变量分析发现，寻求健康信息的人更有可能是女性（OR = 2.23，95% CI = 1.60, 3.09），拥有有线或卫星互联网连接（OR = 1.73，95% CI = 1.22, 2.45）或 DSL 连接（OR = 1.94，95% CI = 1.36, 2.76），在工作中可以访问互联网（OR = 2.43，95% CI = 1.27, 4.67) 或在家和工作中 (OR = 1.73, 95% CI = 1.31, 2.30)，并报告工作日使用互联网的时间更长 (OR = 4.12, 95% CI = 2.41, 7.07)。高中及以下教育程度（OR = 0.44，95% CI = 0.31，0.63）和受过大学教育（OR = 0.66，95% CI = 0.49，0.89）的人搜索健康信息的可能性较小。健康状况“一般”（OR = 3.28, 95% CI = 1.21, 8.92）和健康状况“差”（OR = 5.98, 95% CI = 1.49, 24.07）以及收入较低（OR = 2.64, 95% CI = 1.09, 6.41）的人更有可能使用在线支持小组，并且不太可能使用在线支持小组那些在家里和工作场所都可以访问互联网的人（OR = 0.56，95% 置信区间 = 0.35, 0.90)。 35-49岁（OR = 2.16，95% CI = 1.43, 3.26）、50-64岁（OR = 2.44，95% CI = 1.53, 3.89）、65-74岁（OR = 2.18，95% CI = 1.30, 3.67）以及已婚者（OR = 1.93, 95% CI = 1.13, 3.30) 更有可能购买药品或 维生素在线。 互联网作为一种健康信息资源被最广泛地使用，但很少有人参与购买药品和维生素以及在线支持小组。结果表明，修改调查问题以更好地捕获在线支持和购买药物的形式可以更好地了解参与这些活动的性质。
eHealth tools on the Internet have the potential to help people manage their health and health care. However, little is known about the distribution and use of different kinds of eHealth tools across the population or within population subgroups. The purpose of this study was to examine the prevalence and predictors of participation in specific online health-related activities. A secondary data analysis of the National Cancer Institute’s Health Information National Trends Survey (HINTS) 2005 was conducted to study three online behaviors among Internet users (n = 3244): searching for health information for oneself, participating in a support group for those with similar health or medical conditions, and purchasing medicine or vitamins. A total of 58% of Internet users reported searching for health information for themselves, 3.8% used online support groups, and 12.8% bought medicine or vitamins online in the past year. Multivariate analysis found that those seeking health information were more likely to be women (OR = 2.23, 95% CI = 1.60, 3.09), have cable or satellite Internet connections (OR = 1.73, 95% CI = 1.22, 2.45) or DSL connections (OR = 1.94, 95% CI = 1.36, 2.76), have Internet access from work (OR = 2.43, 95% CI = 1.27, 4.67) or from home and work (OR = 1.73, 95% CI = 1.31, 2.30), and report more hours of weekday Internet use (OR = 4.12, 95% CI = 2.41, 7.07). Those with a high school education or less (OR = 0.44, 95% CI = 0.31, 0.63) and those with some college (OR = 0.66, 95% CI = 0.49, 0.89) were less likely to search for health information. Online support groups were more likely to be used by those with “fair” health (OR = 3.28, 95% CI = 1.21, 8.92) and “poor” health (OR = 5.98, 95% CI = 1.49, 24.07) and those with lower incomes (OR = 2.64, 95% CI = 1.09, 6.41) and less likely to be used by those with Internet access both at home and work (OR = 0.56, 95% CI = 0.35, 0.90). Those who were age 35-49 (OR = 2.16, 95% CI = 1.43, 3.26), age 50-64 (OR = 2.44, 95% CI = 1.53, 3.89), and age 65-74 (OR = 2.18, 95% CI = 1.30, 3.67) and those who were married (OR = 1.93, 95% CI = 1.13, 3.30) were more likely to purchase medicine or vitamins online. The Internet was most widely used as a health information resource, with less participation in the purchase of medicine and vitamins and in online support groups. Results suggest that modifying survey questions to better capture forms of online support and medications purchased could provide greater understanding of the nature of participation in these activities.
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影响因子：
3.2
作者：
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