Changes in Internet Use Over Time Among Individuals with Traumatic Spinal Cord Injury.

Changes in Internet Use Over Time Among Individuals with Traumatic Spinal Cord Injury.
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DOI:
10.1016/j.apmr.2021.04.021
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发表时间:
2022-04
影响因子:
4.3
通讯作者:
McKernan G
McKernan G
中科院分区:
医学1区
文献类型:
--
作者:
Rigot SK;Worobey LA;Boninger ML;Robinson-Whelen S;Roach MJ;Heinemann AW;McKernan G

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研究互联网和移动的互联网使用总量随时间的变化,并确定脊髓损伤(SCI)患者的人口统计学特征与互联网和移动的互联网使用变化的关系。多中心队列研究的横断面分析。国家SCI数据库。2012年至2018年期间收集的创伤性SCI患者随访数据(n= 13,622)。不适用因报告一段时间内(特别是2018年)完全或通过移动终端使用互联网的样本比例。网民比例从2012年的77.7%上升到2018年的88.1%。从2012年到2018年,年龄较大的参与者(p <0.001)、年收入较低的参与者(p<0.001)、受教育程度较低的参与者(p <0.001)、非白人或西班牙裔(p<0.001)、运动不完全性四肢瘫痪(p=0.004)或男性(p=0.035)不太可能使用互联网。到2018年,基于种族/民族(p=0.290)或性别(p=0.066)的互联网使用不再存在差异。移动的互联网使用每年都在增加(从2012年到2018年,互联网用户的52.4%增加到87.7%),参与者在2018年使用移动的互联网的可能性是2012年的13.7倍。年龄较大(p<0.001),收入低于50,000美元(p<0.001),高中文凭或更低(p=0.011),或非西班牙裔白色种族/民族(p=0.001)与随着时间的推移较少使用移动的互联网有关。到2018年,不同教育程度的移动的互联网使用没有差异(p=0.430),只有年收入超过75,000美元的参与者使用移动的互联网的几率更大(p=0.016)。由于移动终端的使用,与互联网接入相关的差异正在减少。互联网接入的增加为经常被忽视的SCI患者群体提供了重要的教育和培训材料。
To investigate the changes in total internet and mobile internet use over time and determine how demographic characteristics are related to changes in internet and mobile internet use among individuals with spinal cord injury (SCI). Cross-sectional analysis of multicenter cohort study. National SCI Database. Persons with traumatic SCI with follow-up data collected between 2012 and 2018 (n=13,622). Not applicable. Proportion of sample reporting internet use at all or through a mobile device over time and specifically in 2018. The proportion of internet users increased from 77.7% in 2012 to 88.1% in 2018. Older participants (p<0.001), those with lower annual income (p<0.001), less education (p<0.001), non-White race or Hispanic ethnicity (p<0.001), motor incomplete tetraplegia (p=0.004), or males (p=0.035) were less likely to use internet from 2012 to 2018. By 2018, there were no longer differences in internet use based upon race/ethnicity (p=0.290) or sex (p=0.066). Mobile internet use increased each year (52.4% to 87.7% of internet users from 2012 to 2018), with a participant being 13.7 times more likely to use mobile internet in 2018 than 2012. Older age (p<0.001), income less than $50,000 (p<0.001), high school diploma or less (p=0.011), or non-Hispanic White race/ethnicity (p=0.001) were associated with less mobile internet use over time. By 2018 there were no differences in mobile internet use by education (p=0.430) and only participants with incomes greater than $75,000/year had greater odds of mobile internet use (p=0.016). Disparities associated with internet access are decreasing likely due to mobile device use. Increased internet access offers an important opportunity to provide educational and training materials to frequently overlooked groups of individuals with SCI.
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