Bansil Pooja, Keenan Nora L, Zlot Amy I, Gilliland Jeanne C
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mail Stop K-34, Atlanta, GA 30341, USA.
Prev Chronic Dis. 2006 Apr;3(2):A36. Epub 2006 Mar 15.
The World Wide Web is being used increasingly as a resource for accessing health-related information. In our study, we identified types of health-related Web sites visited most often, determined how often patients shared Web-accessed health information with their doctors, and examined factors that encouraged Internet use for locating health-related information. We also compared health-related Internet use among people who did not have any type of chronic disease with people who reported having one or more chronic diseases.
We merged data from the 2002 and 2003 HealthStyles surveys to generate frequency and descriptive statistics and used multivariate logistic regression to estimate odds ratios.
Approximately 35% of survey participants reported using the Internet to search for health-related information. Among them, the Web sites visited most often included health information portals, government agencies, and nonprofit organizations. About 53% reported that they "sometimes" shared Internet information with their doctors. The most important features of the Internet that would encourage its use for health information were ease of finding and using the information and clarity of the information provided. Internet use differed by sex and age and was strongly associated with income and education. Respondents who reported having a chronic disease (odds ratio [OR] = 1.30; 95% confidence interval [CI], 1.16-1.45) were more likely to use the Internet to access health-related information, especially among those with depression (OR = 1.47; 95% CI, 1.27-1.71) and high cholesterol (OR = 1.18; 95% CI, 1.02-1.37). In addition, respondents who reported having two or more chronic diseases (OR = 1.35; 95% CI, 1.16-1.56) were more likely to search for online health information than respondents who reported having no chronic disease.
Public health professionals have a unique opportunity to use the Internet as a tool to complement and supplement the health information that the public receives from health care professionals.
万维网正日益被用作获取健康相关信息的资源。在我们的研究中,我们确定了最常访问的健康相关网站类型,确定了患者与医生分享通过网络获取的健康信息的频率,并研究了鼓励使用互联网查找健康相关信息的因素。我们还比较了没有任何慢性病的人与报告患有一种或多种慢性病的人在健康相关互联网使用方面的情况。
我们合并了2002年和2003年健康生活方式调查的数据,以生成频率和描述性统计数据,并使用多变量逻辑回归来估计比值比。
约35%的调查参与者报告使用互联网搜索健康相关信息。其中,最常访问的网站包括健康信息门户网站、政府机构和非营利组织。约53%的人报告说他们“有时”会与医生分享互联网信息。互联网用于健康信息的最重要特征是信息易于查找和使用以及所提供信息的清晰度。互联网使用情况因性别和年龄而异,并且与收入和教育密切相关。报告患有慢性病的受访者(比值比[OR]=1.30;95%置信区间[CI],1.16 - 1.45)更有可能使用互联网获取健康相关信息,尤其是在患有抑郁症的人群中(OR = 1.47;95% CI,1.27 - 1.71)和高胆固醇人群中(OR = 1.18;95% CI,1.02 - 1.37)。此外,报告患有两种或更多种慢性病的受访者(OR = 1.35;95% CI,1.16 - 1.56)比报告没有慢性病的受访者更有可能搜索在线健康信息。
公共卫生专业人员有独特的机会利用互联网作为一种工具,以补充和完善公众从医疗保健专业人员那里获得的健康信息。