Racial disparities in health information access: resilience of the Digital Divide.
Racial disparities in health information access: resilience of the Digital Divide.
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DOI：
10.1007/s10916-005-9003-y
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发表时间：
2006-08-01
影响因子：
5.3
通讯作者：
Fox, Susannah
中科院分区：
文献类型：
--
作者：
Lorence, Daniel P;Park, Heeyoung;Fox, Susannah
20世纪90年代末的政策举措被认为在很大程度上消除了信息“数字鸿沟”。对于医疗保健消费者而言，获取信息是最近提出的国家卫生信息倡议中概述的以消费者为中心的框架的重要组成部分。本研究旨在研究种族/民族特征与互联网使用和在线健康信息之间的关系。利用2000年和2002年全国互联网使用和信息搜索报告的横断面研究，我们研究了来自皮尤互联网和美国生活项目调查的计算机用户的分层样本。种族/民族和收入对互联网使用和搜索行为影响的调整估计来自广义估计方程。结果显示，2000年西班牙裔美国人与白人（OR = 0.593[0.440, 0.798]）和非洲裔美国人与白人（OR = 0.554[0.427, 0.720]）在计算机使用方面的巨大差距在2002年显著缩小(西班牙裔美国人与白人的OR = 1.250[0.874, 1.789]；非洲裔美国人与白人的OR =(0.793[0.551, 1.141])。然而，2000年至2002年期间，互联网接入方面的差距保持不变。2000年和2002年，西班牙裔和白人在健康信息搜索方面存在差异。2000年，56%的白人互联网用户有时会搜索在线健康信息，而西班牙裔互联网用户的这一比例为42%。到2002年，这两个比例分别增加到13.4%和15.8%。数据强调了“数字服务不足群体”的持续存在，尽管最近采取了减少鸿沟的战略。
Policy initiatives of the late 1990s were believed to have largely eliminated the information "Digital Divide." For healthcare consumers, access to information is an essential part of the consumer-centric framework outlined in the recently proposed national health information initiative. This study sought to examine how racial/ethnic characteristics are associated with Internet use and online health information. Using a cross-sectional nationwide study of reported Internet use and information search in 2000 and 2002, we studied a stratified sample of computer users from the Pew Internet and American Life Project surveys. Adjusted estimates of race/ethnicity and income effects on Internet use and search behaviors were derived from generalized estimating equations. Results show wide gaps in the use of computers between Hispanics and Whites (OR = 0.593 [0.440, 0.798]) and between African-Americans and Whites (OR = 0.554 [0.427, 0.720]) in 2000 significantly narrowed in 2002 (OR of Hispanic to white = 1.250 [0.874, 1.789]; OR of African-American to Whites = (0.793 [0.551, 1.141]). Gaps in access to the Internet, however, remained consistent between 2000-2002. Differences in health information seeking between Hispanics and Whites existed in both 2000 and 2002. 56% of White Internet users at some time searched for online health information, whereas 42% of Hispanic Internet users did so in 2000. By 2002, these percentages had increased to 13.4 and 15.8%, respectively. Data highlight the persistence of "Digitally Underserved Groups," despite recent Divide reduction strategies.