Sociodemographic and health-(care-)related characteristics of online health information seekers: a cross-sectional German study.

Sociodemographic and health-(care-)related characteristics of online health information seekers: a cross-sectional German study.
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在线健康信息寻求者的社会人口统计学和健康 - (CARE-)相关特征:一项横断面的德国研究。

DOI:
10.1186/s12889-015-1423-0
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发表时间:
2015-01-29
期刊:
影响因子:
4.5
通讯作者:
Hornberg C
Hornberg C
中科院分区:
医学2区
文献类型:
--
作者:
Nölke L;Mensing M;Krämer A;Hornberg C

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尽管互联网上健康相关信息的日益传播和使用有可能增强公民和患者的能力,但一些研究发现在线健康信息的使用存在差异。这是由于几个因素造成的。到目前为止,只有少数研究探讨了社会经济地位(SES)对互联网上健康信息搜索的影响。本研究旨在确定从互联网收集的健康信息的用户和非用户之间的社会人口统计和健康(护理)相关差异,旨在发现难以接触的目标群体。本研究分析了 2011 年北威州健康调查 LZG.NRW 的数据(n = 2,000;在德国北莱茵-威斯特法伦州通过电话访谈进行)。使用逻辑回归分析来检查在线健康信息查找行为的决定因素。 68% 的互联网用户出于健康相关目的而使用互联网。在测试的自变量中,SES 被证明对在互联网上搜索健康信息产生最强的影响。最终的多元回归模型显示,中层(OR:2.2,95%CI:1.6-3.2)和上层(OR:4.0,95%CI:2.7-6.2)社会阶层的人比下层阶层的人更有可能在互联网上寻求健康信息。此外,女性比男性更有可能在互联网上查找健康信息(OR:1.5,95% CI:1.1-2.1)。有移民背景的个人不太可能在互联网上进行健康搜索(OR:0.6,95% CI:0.4–0.8)。已婚人士或关系稳定的个人比单身人士更频繁地在互联网上搜索健康信息(OR:1.9,95% CI:1.2–2.9)。此外,与不使用相比,大量使用医疗保健服务与使用互联网处理健康相关事务的可能性较高相关(OR:1.7,95% CI:1.2-2.5)。为了实现健康公平,应通过提高社会弱势群体电子健康素养水平的措施,促进他们对健康相关的互联网的使用。此外,需要进行纵向研究,以获得与健康相关的互联网使用决定因素的可靠数据/结果。本文的在线版本 (doi:10.1186/s12889-015-1423-0) 包含补充材料,可供授权用户使用。
Although the increasing dissemination and use of health-related information on the Internet has the potential to empower citizens and patients, several studies have detected disparities in the use of online health information. This is due to several factors. So far, only a few studies have examined the impact of socio-economic status (SES) on health information seeking on the Internet. This study was designed to identify sociodemographic and health-(care-)related differences between users and non-users of health information gleaned from the Internet with the aim of detecting hard-to-reach target groups. This study analyzed data from the NRW Health Survey LZG.NRW 2011 (n = 2,000; conducted in North Rhine–Westphalia, Germany, via telephone interviews). Logistic regression analysis was used to examine the determinants of online health information seeking behavior. 68% of Internet users refer to the Internet for health-related purposes. Of the independent variables tested, SES proved to exert the strongest influence on searching the Internet for health information. The final multivariate regression model shows that people from the middle (OR: 2.2, 95% CI: 1.6–3.2) and upper (OR: 4.0, 95% CI: 2.7–6.2) social classes are more likely to seek health information on the Internet than those from the lower class. Also, women are more likely to look for health information on the Internet than men (OR: 1.5, 95% CI: 1.1–2.1). Individuals with a migration background are less likely to conduct health searches on the Internet (OR: 0.6, 95% CI: 0.4–0.8). Married people or individuals in a stable relationship search the Internet more often for health information than do singles (OR: 1.9, 95% CI: 1.2–2.9). Also, heavy use of health-care services compared to non-use is associated with a higher likelihood of using the Internet for health-related matters (OR: 1.7, 95% CI: 1.2–2.5). In order to achieve equity in health, health-related Internet use by the socially deprived should be promoted through measures to increase their level of e-health literacy. Furthermore, longitudinal studies are needed in order to gain reliable data/results on determinants of health-related Internet use. The online version of this article (doi:10.1186/s12889-015-1423-0) contains supplementary material, which is available to authorized users.
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