Fogel Joshua, Albert Steven M, Schnabel Freya, Ditkoff Beth Ann, Neugut Alfred I
Department of Psychology, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
J Med Internet Res. 2002 Apr-Nov;4(2):E9. doi: 10.2196/jmir.4.2.e9.
Recently, many cancer patients have been using the Internet for information with which to make informed choices. We are not aware of any studies that investigate this Internet use among breast cancer patients or women.
We investigate the prevalence and predictors of Internet use for medical information among women with breast cancer.
We used a cross-sectional design and approached 251 women with breast cancer being treated at a university-based hospital. We successfully interviewed 188 (74.9%), through mailed self-report questionnaires. Medical information was obtained from the hospital tumor registry. We used t tests and chi-square tests to assess differences in Internet use for breast health issues and binary logistic regression to estimate the odds ratio (OR) for predictors of Internet use for breast health issues.
In our sample, 41.5% of patients used the Internet for medical information. Internet users differed from nonusers on income level, educational level, and by race/ethnicity. After controlling for the other predictors, Internet users had a higher income (OR = 3.10; 95% CI = 1.09-8.85) and tended to be more educated (OR = 2.59; 95% CI = 0.87-7.74) than nonusers. There was also a suggestion that those of nonwhite ethnicity were less likely to use the Internet (OR = 0.39; 95% CI = 0.14-1.11). Increasing age, length of time since diagnosis, and breast cancer stage had no effect.
A substantial proportion of breast cancer patients used the Internet as a source of information. Patients with higher income or education, and patients of white race/ethnicity are more likely to use the Internet for breast health issues.
最近,许多癌症患者利用互联网获取信息以便做出明智的选择。我们尚未知晓有任何研究调查乳腺癌患者或女性群体的这种互联网使用情况。
我们调查乳腺癌女性患者中使用互联网获取医疗信息的患病率及预测因素。
我们采用横断面设计,对一家大学附属医院正在接受治疗的251名乳腺癌女性患者进行了研究。通过邮寄自填式问卷,我们成功访谈了188名患者(74.9%)。医疗信息从医院肿瘤登记处获取。我们使用t检验和卡方检验评估乳腺癌相关健康问题的互联网使用差异,并使用二元逻辑回归估计乳腺癌相关健康问题互联网使用预测因素的比值比(OR)。
在我们的样本中,41.5%的患者使用互联网获取医疗信息。互联网使用者与非使用者在收入水平、教育程度和种族/民族方面存在差异。在控制其他预测因素后,互联网使用者比非使用者收入更高(OR = 3.10;95%置信区间 = 1.09 - 8.85),且往往受教育程度更高(OR = 2.59;95%置信区间 = 0.87 - 7.74)。还有迹象表明非白人种族的人使用互联网的可能性较小(OR = 0.39;95%置信区间 = 0.14 - 1.11)。年龄增长、确诊后的时间长度和乳腺癌分期没有影响。
相当一部分乳腺癌患者将互联网作为信息来源。收入较高或受教育程度较高的患者以及白人种族/民族的患者更有可能就乳腺癌相关健康问题使用互联网。