eHealth literacy: extending the digital divide to the realm of health information.
eHealth literacy: extending the digital divide to the realm of health information.
复制标题
DOI：
10.2196/jmir.1619
复制
发表时间：
2012-01-27
影响因子：
7.4
通讯作者：
Brainin E
中科院分区：
文献类型：
--
作者：
Neter E;Brainin E
电子健康素养被定义为人们使用新兴信息和通信技术来改善或实现健康和医疗保健的能力。本研究的目的是探讨在互联网上搜索健康信息时，识字率差异是否会缩小或扩大。该研究重点关注（1）传统的数字鸿沟变量，例如社会人口特征、数字访问和数字素养，（2）信息搜索过程，以及（3）出于健康信息目的而使用互联网的结果。我们对以色列成年人口（18 岁及以上，N = 4286）进行了全国范围内具有代表性的随机数字拨号电话家庭调查。我们衡量了电子卫生保健素养；互联网接入；数字素养；社会人口因素；感知健康；存在慢性疾病；以及消费者使用的健康信息来源、内容、搜索策略和评价标准。电子医疗水平较高的受访者往往比电子医疗水平较低的受访者更年轻、受教育程度更高。与电子医疗知识较少的受访者相比，他们也是互联网上各类信息的更积极的消费者，使用更多的搜索策略，并且更仔细地审查信息。最后，具有较高电子健康素养的受访者从信息搜索中获得了在认知、工具（医疗保健需求的自我管理、健康行为和更好地使用健康保险）和人际（与医生互动）方面的更积极的成果。本研究记录了电子医疗素养高低的受访者在背景属性、信息消费和信息搜索结果方面的差异。电子医疗素养与背景属性的关联表明互联网强化了现有的社会差异。互联网的更全面和更复杂的使用以及随后在高电子医疗素养中获得的收益的增加在数字健康信息领域造成了新的不平等。有必要对高危群体和贫困群体（例如慢性病患者）进行教育，并以适合更多消费者的模式设计技术。
eHealth literacy is defined as the ability of people to use emerging information and communications technologies to improve or enable health and health care. The goal of this study was to explore whether literacy disparities are diminished or enhanced in the search for health information on the Internet. The study focused on (1) traditional digital divide variables, such as sociodemographic characteristics, digital access, and digital literacy, (2) information search processes, and (3) the outcomes of Internet use for health information purposes. We used a countrywide representative random-digital-dial telephone household survey of the Israeli adult population (18 years and older, N = 4286). We measured eHealth literacy; Internet access; digital literacy; sociodemographic factors; perceived health; presence of chronic diseases; as well as health information sources, content, search strategies, and evaluation criteria used by consumers. Respondents who were highly eHealth literate tended to be younger and more educated than their less eHealth-literate counterparts. They were also more active consumers of all types of information on the Internet, used more search strategies, and scrutinized information more carefully than did the less eHealth-literate respondents. Finally, respondents who were highly eHealth literate gained more positive outcomes from the information search in terms of cognitive, instrumental (self-management of health care needs, health behaviors, and better use of health insurance), and interpersonal (interacting with their physician) gains. The present study documented differences between respondents high and low in eHealth literacy in terms of background attributes, information consumption, and outcomes of the information search. The association of eHealth literacy with background attributes indicates that the Internet reinforces existing social differences. The more comprehensive and sophisticated use of the Internet and the subsequent increased gains among the high eHealth literate create new inequalities in the domain of digital health information. There is a need to educate at-risk and needy groups (eg, chronically ill) and to design technology in a mode befitting more consumers.
登录
查看更多内容
低收入父母的互联网使用和eHealth素养，他们的孩子有特殊的医疗保健需求。
影响因子：
7.4
作者：
Knapp C;Madden V;Wang H;Sloyer P;Shenkman E
通讯作者：
Shenkman E
DOI：
10.1001/archfami.5.6.329
发表时间：
1996-06-01
期刊：
ARCHIVES OF FAMILY MEDICINE
影响因子：
--
作者：
Baker, DW;Parker, RM;Imara, M
通讯作者：
Imara, M
影响因子：
1.9
作者：
Goldner, Melinda
通讯作者：
Goldner, Melinda
影响因子：
1.9
作者：
Hargittai, E;Shafer, S
通讯作者：
Shafer, S
影响因子：
4.1
作者：
Hargittai, E
通讯作者：
Hargittai, E