Differences in Rural and Urban Health Information Access and Use
Differences in Rural and Urban Health Information Access and Use
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DOI：
10.1111/jrh.12335
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发表时间：
2019-06-01
影响因子：
4.9
通讯作者：
Kiviniemi, Marc T.
中科院分区：
文献类型：
--
作者：
Chen, Xuewei;Orom, Heather;Kiviniemi, Marc T.
农村居民可能有较低的访问和使用某些健康信息源相对于城市居民。我们调查了美国农村和城市成年人在获取和使用信息源方面的差异，以及健康素养低是否可能加剧农村在获取和使用健康信息方面的差异。方法600名参与者（50%农村）完成了关于25个健康信息源的访问和使用的在线调查。我们使用逻辑回归模型来测试农村和访问和使用的健康信息源之间的关联，以及农村是否与健康素养相互作用，以预测访问和使用。结果与城市居民相比，农村居民获得健康信息的来源，包括初级保健提供者，专科医生，博客和杂志，并较少使用搜索引擎。考虑到社会人口因素，农村居民只有比城市居民更少的专科医生。健康知识水平有限的农村居民接触大众媒体和科学文献的机会较少，但与健康知识水平足够的农村居民和城市居民相比，他们使用公司/公司的机会更多。结论城乡人口在获取和使用健康信息方面的差异可能与社会人口学差异有关。可能存在结构性障碍，如缺乏专科医生和媒体曝光有限，使农村居民更难获得健康信息，特别是那些健康知识有限的人。
Purpose Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in information source access and use between rural and urban US adults and whether having low health literacy might exacerbate rural disparities in access to and use of health information. Methods Six hundred participants (50% rural) completed an online survey about access and use of 25 health information sources. We used logistic regression models to test associations between rurality and access to and use of health information sources and whether rurality interacted with health literacy to predict the access and use. Findings Compared to urban residents, rural residents had lower access to health information from sources including primary care providers, specialist doctors, blogs, and magazines, and less use of search engines. After accounting for sociodemographics, rural residents only had lower access to specialist doctors than urban residents. Rural residents with limited health literacy had lower access to mass media and scientific literature but higher use of corporations/companies than rural residents with adequate health literacy and urban residents regardless of health literacy level. Conclusions Some differences in access to and use of health information sources may be accounted for by sociodemographic differences between rural and urban populations. There may be structural barriers such as shortage of specialist doctors and limited media exposure that make it harder for rural residents to access health information, especially those with limited health literacy.