Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003-2008
Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003-2008
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DOI：
10.1007/s11764-011-0179-5
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发表时间：
2011-09-01
影响因子：
3.7
通讯作者：
Hesse, Bradford
中科院分区：
文献类型：
--
作者：
Chou, Wen-ying Sylvia;Liu, Benmei;Hesse, Bradford
互联网和新技术的日益普及正在改变癌症护理连续体中患者和护理人员的沟通模式。到目前为止，很少有人知道在美国的癌症幸存者如何利用互联网的健康相关的目的。这方面的知识是至关重要的，在制定有效的沟通计划，以实现质量和公平的cancer care.Methods数据从2003年，2005年和2008年迭代的国家癌症研究所主办的健康信息全国趋势调查（HINTS）进行了分析，以：（1）比较与健康有关的互联网使用情况（2）报告HRIU的趋势、患病率和用户概况，包括支持小组参与、电子邮件提供者、在线购买药物，以及在互联网上寻找癌症信息。描述性分析和加权多因素Logistic回归分析performed.Results虽然互联网普及率在美国各地的增长，癌症幸存者访问互联网的比率低于一般人群（49.4%至56.4%比63.1%至66.3%）。一旦上网，他们更有可能将其用于与健康有关的目的。互联网接入的差异仍然存在，因为互联网接入的可能性较高与年龄较小，教育程度较高，非西班牙裔白色种族/民族，大都市居住，以及自我评估的健康状况较好有关。另一方面，在互联网访问的幸存者，社会人口和健康因素并没有发挥重要作用，在确定HRIU的模式。结论这项研究确定了一个不断增长的趋势，HRIU幸存者之间，虽然数字鸿沟仍然在互联网接入。研究结果还指出，由于来自不同背景和经历的个人都在平等地参与互联网上的健康相关活动，因此有机会缩小鸿沟，利用互联网更好地满足幸存者的需求。对幸存者的影响为了提高沟通和癌症护理的公平性和有效性，互联网的接入、功能和技术素养是需要考虑的重要因素。
Introduction Increasing prevalence of Internet and new technologies are changing the communication pattern for patients and caregivers across the cancer care continuum. To date, little is known on how cancer survivors in the USA utilize the Internet for health-related purposes. This knowledge is crucial in developing effective communication programs to achieve quality and equitable cancer care.Methods Data from 2003, 2005, and 2008 iterations of the NCI-sponsored Health Information National Trends Survey(HINTS) were analyzed to: (1) compare health-related Internet use (hereafter HRIU) between individuals with and without a cancer diagnosis, (2) report trends, prevalence, and user profiles of HRIU, including support group participation, emailing provider, buying medicine online, and cancer information seeking on the Internet. Descriptive analyses and weighted multivariate logistic regression analyses were performed.Results While Internet penetration is growing over the years across the USA, cancer survivors access the Internet at a lower rate than general population (49.4% to 56.4% vs. 63.1% to 66.3%). Once on the Internet, they are more likely to use it for health-related purposes. Disparities in Internet access persists, as higher likelihood of Internet access is associated with younger age, higher education, non-Hispanic White race/ethnicity, metropolitan residence, and better self-rated health. On the other hand, among Internet-accessing survivors, socio-demographic, and health factors do not play a significant role in determining the pattern of HRIU.Conclusions The study identifies an increasing trend in HRIU among survivors, though the digital divide remains in Internet access. The findings also point to opportunities for narrowing the divide and using Internet to better serve survivors' needs, as individuals from wide-ranging backgrounds and experiences are equally engaging in health-related activities on the Internet.Implications for survivors To increase equity and effectiveness in communication and cancer care, Internet access, functions, and technology literacy are important factors to be considered.