National Center for Health Marketing, Centers for Disease Control and Prevention, 1600 Clifton Road, MS-E21, Atlanta, GA 30333, USA.
J Am Med Inform Assoc. 2009 Sep-Oct;16(5):714-22. doi: 10.1197/jamia.M3150. Epub 2009 Jun 30.
The Internet's potential to bolster health promotion and disease prevention efforts has attracted considerable attention. Existing research leaves two things unclear, however: the prevalence of online health and medical information seeking and the distinguishing characteristics of individuals who seek that information.
This study seeks to clarify and extend the knowledge base concerning health and medical information use online by profiling adults using Internet medical information (IMI). Secondary analysis of survey data from a large sample (n = 6,119) representative of the Atlanta, GA, area informed this investigation.
Five survey questions were used to assess IMI use and general computer and Internet use during the 30 days before the survey was administered. Five questions were also used to assess respondents' health care system use. Several demographic characteristics were measured. RESULTS Contrary to most prior research, this study found relatively low prevalence of IMI-seeking behavior. Specifically, IMI use was reported by 13.2% of all respondents (n = 6,119) and by 21.1% of respondents with Internet access (n = 3,829). Logistic regression models conducted among respondents accessing the Internet in the previous 30 days revealed that, when controlling for several sociodemographic characteristics, home computer ownership, online time per week, and health care system use are all positively linked with IMI-seeking behavior.
The data suggest it may be premature to embrace unilaterally the Internet as an effective asset for health promotion and disease prevention efforts that target the public.
互联网在促进健康和疾病预防方面的潜力引起了广泛关注。然而,现有研究有两点仍不清楚:在线寻求健康和医疗信息的流行程度,以及寻求该信息的个体的特征。
本研究旨在通过对使用互联网医疗信息(IMI)的成年人进行分析,来澄清和扩展有关在线使用健康和医疗信息的知识库。对亚特兰大地区一个大样本(n=6119)的调查数据进行二次分析,为这项研究提供了信息。
使用五个调查问题来评估在调查前 30 天内使用 IMI 和一般计算机及互联网的情况。还使用了五个问题来评估受访者的医疗保健系统使用情况。测量了几个人口统计学特征。
与大多数先前的研究相反,本研究发现 IMI 寻求行为的流行率相对较低。具体来说,在所有受访者(n=6119)中,有 13.2%(n=6119)报告使用 IMI,在有互联网接入的受访者(n=3829)中,有 21.1%报告使用 IMI。在过去 30 天内使用过互联网的受访者中进行的逻辑回归模型表明,在控制了几个社会人口统计学特征后,家庭拥有电脑、每周上网时间和医疗保健系统使用与寻求 IMI 行为呈正相关。
数据表明,单方面将互联网视为针对公众的健康促进和疾病预防工作的有效资产可能还为时过早。