Internet use and stigmatized illness
Internet use and stigmatized illness
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DOI：
10.1016/j.socscimed.2005.03.025
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发表时间：
2005-10-01
影响因子：
5.4
通讯作者：
Baker, LC
中科院分区：
文献类型：
--
作者：
Berger, M;Wagner, TH;Baker, LC
患有耻辱性疾病的人往往不寻求医疗保健和教育。对于这一群体来说，互联网可能是一个有用的健康教育和推广工具。这项研究调查了患有和不患有污名性疾病的人使用互联网获取健康信息的模式。在美国进行了一项全国性的互联网用户调查。研究人员将自我报告患有焦虑症、抑郁症、疱疹或尿失禁的受访者与报告至少患有其他一种慢性疾病（如癌症、心脏病、糖尿病和背痛）的受访者进行比较。分析样本包括7014名受访者。确定了污名化疾病与使用互联网获取卫生保健信息的频率、使用互联网进行卫生保健交流的频率、使用互联网后卫生保健利用的变化以及对互联网的满意度之间的横断面关联。在控制了一些潜在的混杂因素后，那些患有污名化疾病的人比那些没有污名化疾病的人更有可能使用互联网获取健康信息，更有可能使用互联网与临床医生沟通他们的病情，并且更有可能根据互联网上发现的信息更多地利用医疗保健。上网时间的长短、使用互联网的频率、对互联网上健康信息的满意度，以及与卫生保健提供者讨论互联网发现的情况，在两组之间没有显著差异。这项调查的结果表明，对于受污名性疾病影响的人群来说，互联网可能是一个有价值的健康交流和教育工具。(c) 2005 Elsevier Ltd版权所有。
People with stigmatized illnesses often avoid seeking health care and education. The internet may be a useful health education and outreach tool for this group. This study examined patterns of internet use for health information among those with and without stigmatized illnesses. A national survey of internet users in the USA was conducted. Respondents who self-reported a stigmatized condition-defined as anxiety, depression, herpes, or urinary incontinence-were compared to respondents who reported having at least one other chronic illness, such as cancer, heart problems, diabetes, and back pain. The analytical sample consisted of 7014 respondents. Cross-sectional associations between stigmatized illness and frequency of internet use for information about health care, use of the internet for communication about health, changes in health care utilization after internet use, and satisfaction with the internet were determined. After controlling for a number of potential confounders, those with stigmatized illnesses were significantly more likely to have used the internet for health information, to have communicated with clinicians about their condition using the internet, and to have increased utilization of health care based on information found on the internet, than those with non-stigmatized conditions. Length of time spent online, frequency of internet use, satisfaction with health information found on the internet, and discussion of internet findings with health care providers did not significantly differ between the two groups. Results from this survey suggest that the internet may be a valuable health communication and education tool for populations who are affected by stigmatized illnesses. (c) 2005 Elsevier Ltd. All rights reserved.