Rozental Tamara D, George Tina M, Chacko Aron T
Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.
J Hand Surg Am. 2010 May;35(5):819-823.e1. doi: 10.1016/j.jhsa.2009.12.043. Epub 2010 Mar 15.
Despite their rising popularity, the health care profession has been slow to embrace social networking sites. These are Web-based initiatives, designed to bring people with common interests or activities under a common umbrella. The purpose of this study is to evaluate social networking patterns among upper extremity patients.
A total of 742 anonymous questionnaires were distributed among upper extremity outpatients, with a 62% response rate (462 were completed). Demographic characteristics (gender, age, level of education, employment, type of health insurance, and income stratification) were defined, and data on computer ownership and frequency of social networking use were collected. Social network users and nonusers were compared according to their demographic and socioeconomic characteristics.
Our patient cohort consisted of 450 patients. Of those 450 patients, 418 had a high school education or higher, and 293 reported a college or graduate degree. The majority of patients (282) were employed at the time of the survey, and income was evenly distributed among U.S. Census Bureau quintiles. A total of 349 patients reported computer ownership, and 170 reported using social networking sites. When compared to nonusers, social networking users were younger (p<.001), more educated (p<.001), and more likely to be employed (p = .013). Users also had higher income levels (p=0.028) and had high rates of computer ownership (p<.001). Multivariate regression revealed that younger age (p<.001), computer ownership (p<.001), and higher education (p<.001) were independent predictors of social networking use. Most users (n = 114) regularly visit a single site. Facebook was the most popular site visited (n=142), followed by MySpace (n=28) and Twitter (n=16).
Of the 450 upper extremity patients in our sample, 170 use social networking sites. Younger age, higher level of education, and computer ownership were associated with social networking use. Physicians should consider expanding their use of social networking sites to reach their online patient populations.
尽管社交网站越来越受欢迎,但医疗行业对其接纳程度一直不高。社交网站是基于网络的平台,旨在将有共同兴趣或活动的人聚集在一起。本研究的目的是评估上肢疾病患者的社交网络使用模式。
向上肢门诊患者共发放742份匿名问卷,回复率为62%(共462份问卷完成)。定义了人口统计学特征(性别、年龄、教育程度、就业情况、医疗保险类型和收入分层),并收集了关于电脑拥有情况和社交网络使用频率的数据。根据人口统计学和社会经济特征对社交网络使用者和非使用者进行比较。
我们的患者队列由450名患者组成。在这450名患者中,418人具有高中或更高学历,293人拥有大学或研究生学位。大多数患者(282人)在调查时处于就业状态,收入在美国人口普查局的五分位数中分布均匀。共有349名患者报告拥有电脑,170名患者报告使用社交网站。与非使用者相比,社交网络使用者更年轻(p<0.001)、受教育程度更高(p<0.001),且更有可能就业(p = 0.013)。使用者的收入水平也更高(p = 0.028),且电脑拥有率较高(p<0.001)。多因素回归分析显示,年龄较小(p<0.001)、拥有电脑(p<0.001)和受教育程度较高(p<0.001)是社交网络使用的独立预测因素。大多数使用者(n = 114)经常访问单个网站。Facebook是访问最多的网站(n = 142),其次是MySpace(n = 28)和Twitter(n = 16)。
在我们样本中的450名上肢疾病患者中,170人使用社交网站。年龄较小、教育程度较高和拥有电脑与社交网络使用有关。医生应考虑扩大社交网站的使用,以接触其在线患者群体。