Internet use for prediagnosis symptom appraisal by colorectal cancer patients.
Internet use for prediagnosis symptom appraisal by colorectal cancer patients.
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DOI：
10.1177/1090198111423941
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发表时间：
2012-10
期刊：
影响因子：
--
通讯作者：
Longo DR
中科院分区：
文献类型：
--
作者：
Thomson MD;Siminoff LA;Longo DR
本研究探讨了结直肠癌（CRC）患者在咨询医疗服务提供者之前访问基于互联网的健康信息作为其症状评估过程的一部分的特征。对诊断前出现症状的新诊断的结直肠癌患者进行访谈。使用简短的COPE来测量患者的应对情况。使用Logistic和线性回归来评估互联网使用和评估延迟。25%的样本（61/242）在访问医疗保健提供者之前咨询了互联网。使用互联网与拥有私人健康保险（比值比[OR] = 2.55； 95%可信区间[CI] = 1.20-5.43）和出现消除症状（OR = 1.43; 95% CI = 1.14-1.80）相关，与年龄（OR = 0.96; 95% CI = 0.93-0.99）相关。互联网使用与延迟就医无关。互联网的使用并不影响寻求医疗护理的决定。互联网为经历过令人尴尬的结直肠癌症状、拥有私人健康保险和较年轻的个体提供了初步的信息资源。
This study explored the characteristics of colorectal cancer (CRC) patients who accessed Internet-based health information as part of their symptom appraisal process prior to consulting a health care provider. Newly diagnosed CRC patients who experienced symptoms prior to diagnosis were interviewed. Brief COPE was used to measure patient coping. Logistic and linear regressions were used to assess Internet use and appraisal delay. Twenty-five percent of the sample (61/242) consulted the Internet prior to visiting a health care provider. Internet use was associated with having private health insurance (odds ratio [OR] = 2.55; 95% confidence interval [CI] = 1.20–5.43) and experiencing elimination symptoms (OR = 1.43; 95% CI = 1.14–1.80) and was marginally associated with age (OR = 0.96; 95% CI = 0.93–0.99). Internet use was not related to delayed medical care seeking. Internet use did not influence decisions to seek medical care. The Internet provided a preliminary information resource for individuals who experienced embarrassing CRC symptoms, had private health insurance, and were younger.
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