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电子患者特征分析:一项全国性调查对其癌症信息寻求行为的分析。

Profile of e-patients: analysis of their cancer information-seeking from a national survey.

机构信息

School of Library and Information Studies, College of Communication and Information, Florida State University, Tallahassee, Florida 32306-2100, USA.

出版信息

J Health Commun. 2010 Oct;15(7):712-33. doi: 10.1080/10810730.2010.514031.

Abstract

Researchers have yet to fully understand how competent e-patients are in selecting and using health information sources, or, more importantly, who e-patients are. This study attempted to uncover how cancer e-patients differ from other cancer information seekers in terms of their sociodemographic background, social networks, information competence, and selection of cancer information sources. We analyzed data from the National Cancer Institute's 2005 Health Information National Trends Survey, and a series of chi-square tests showed that factors that distinguished cancer e-patients from other cancer information seekers were age, gender, education, employment status, health insurance, and membership in online support groups. They were not different in the other factors measured by the survey. Our logistic regression analysis revealed that the e-patients were older and talked about their health issues with friends or family more frequently compared with online health information seekers without cancer. While preferring information from their doctors over the Internet, e-patients used the Internet as their primary source. In contrast to previous literature, we found little evidence that e-patients were savvy health information consumers who could make informed decisions on their own health. The findings of this study addressed a need for a better design and delivery of health information literacy programs for cancer e-patients.

摘要

研究人员尚未完全了解电子患者在选择和使用健康信息来源方面的能力,或者更重要的是,谁是电子患者。本研究试图揭示癌症电子患者与其他癌症信息寻求者在社会人口统计学背景、社交网络、信息能力以及癌症信息来源选择方面的差异。我们分析了美国国家癌症研究所 2005 年健康信息国家趋势调查的数据,一系列卡方检验表明,将癌症电子患者与其他癌症信息寻求者区分开来的因素是年龄、性别、教育、就业状况、医疗保险和在线支持小组的成员身份。他们在调查中测量的其他因素没有差异。我们的逻辑回归分析表明,与没有癌症的在线健康信息寻求者相比,电子患者年龄更大,并且更频繁地与朋友或家人谈论他们的健康问题。尽管电子患者更喜欢从医生那里获取互联网上的信息,但他们将互联网作为主要信息来源。与之前的文献不同,我们几乎没有发现证据表明电子患者是精明的健康信息消费者,他们可以自行做出有关自身健康的明智决策。本研究的结果满足了为癌症电子患者设计和提供健康信息素养计划的需求。

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