Digital Health Information Disparities in Older Adults: a Mixed Methods Study.
Digital Health Information Disparities in Older Adults: a Mixed Methods Study.
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DOI：
10.1007/s40615-020-00931-3
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发表时间：
2022-03
影响因子：
3.9
通讯作者：
Panday S
中科院分区：
文献类型：
--
作者：
Tappen RM;Cooley ME;Luckmann R;Panday S
包括疾病预防和慢性病自我管理在内的重要健康信息越来越多地被打包用于数字用途。本序贯解释性混合方法研究的目的是描述不同种族的老年人样本中计算机拥有、互联网接入和数字健康信息使用的程度，比较不同种族的数字健康信息（DHI）的拥有、接入和使用情况，并定量确定与之相关的因素。不同种族群体（非裔美国人、加勒比裔美国人、西班牙裔美国人和欧洲裔美国人）在计算机拥有率、互联网接入和DHI使用方面存在显著差异。逻辑回归确定年龄较大、受教育程度较低、收入较低和少数群体成员身份是DHI使用有限的重要预测因素。老年非裔美国人拥有电脑的可能性是欧洲裔美国人的五分之一;西班牙裔美国人访问互联网的可能性是一半。然后，我们进行了一系列的焦点小组，突出了种族群体之间的差异。非洲裔美国人/非洲裔加勒比人组的与会者对无法获得人道主义信息表示失望，但对其他信息来源表示赞赏。西班牙裔美国人批评了从供应商和药物说明书收到的信息，一些人认为积极的态度和对上帝的信任也有助于康复。欧洲裔美国人参与者评估了各种DHI网站，寻求提供者帮助将信息应用于他们的个人情况。随着保健倡议的发展和使用继续下去，同时努力增加经济上处于不利地位的老年人和少数民族老年人获得保健倡议的机会，对于防止进一步剥夺公民权至关重要。
Important health information including disease prevention and chronic disease self-management is increasingly packaged for digital use. The purpose of this sequential explanatory mixed methods study was to describe the extent of computer ownership, Internet access, and digital health information use in an ethnically diverse sample of older adults, comparing ownership, access, and use of digital health information (DHI) across ethnic groups and identifying the factors associated with them quantitatively. Significant differences in computer ownership, Internet access, and DHI use were found across ethnic groups (African American, Afro-Caribbean, Hispanic American, and European American). Logistic regression identified older age, less education, lower income, and minority group membership as significant predictors of limited DHI use. Older African Americans were one-fifth as likely to own a computer than were European Americans; Hispanic Americans were one-half as likely to have access to the Internet. We then conducted a series of focus groups which highlighted differences across ethnic groups. Participants in the African American/Afro-Caribbean group expressed frustration with lack of access to DHI but appreciation for alternative sources of information. Hispanic Americans critiqued information received from providers and drug inserts, some suggesting that a positive attitude and trust in God also contributed to getting well. European American participants evaluated various DHI websites, looking to providers for help in applying information to their personal situation. As the development and use of DHI continue, parallel efforts to increase access to DHI among economically disadvantaged and minority older adults are critical to prevent further disfranchisement.
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影响因子：
1.5
作者：
Jung, Younbo;Peng, Wei;Silverstein, Merril
通讯作者：
Silverstein, Merril
影响因子：
1.4
作者：
Swed, Ori;Sheehan, Connor McDevitt;Butler, John Sibley
通讯作者：
Butler, John Sibley
影响因子：
4.8
作者：
FOLSTEIN, MF;FOLSTEIN, SE;MCHUGH, PR
通讯作者：
MCHUGH, PR
影响因子：
7.4
作者：
Choi NG;Dinitto DM
通讯作者：
Dinitto DM
数字健康鸿沟：评估老年人在线健康信息的获取和使用。
DOI：
10.1177/1090198114547815
发表时间：
2015-04
期刊：
Health education & behavior : the official publication of the Society for Public Health Education
影响因子：
--
作者：
Hall AK;Bernhardt JM;Dodd V;Vollrath MW
通讯作者：
Vollrath MW