Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
J Health Commun. 2012;17(6):631-40. doi: 10.1080/10810730.2011.635767. Epub 2012 Jan 2.
Among individuals residing in the United States, the Internet is the third most used source for obtaining health information. Little is known, however, about its use by Latinas. To understand health-related Internet use among Latinas, the authors examined it within the theoretical frameworks of health locus of control and acculturation. The authors predicted that acculturation would serve as a mediator between health locus of control and health-related Internet use, age and health-related Internet use, income and health-related Internet use, and education and health-related Internet use. Data were collected via a 25-minute self-report questionnaire. The sample consisted of 932 young (M age = 21.27 years), low-income Latinas. Using structural equation modeling, the authors observed that acculturation partially mediated the relation between health locus of control and health-related Internet use and fully mediated the relations among age, income, and Internet use. An internal health locus of control (p < .001), younger age (p < .001), and higher income (p < .001) were associated with higher levels of acculturation. Higher levels of acculturation (p < .001) and an internal health locus of control (p < .004) predicted health-related Internet use. The Internet is a powerful tool that can be used to effectively disseminate information to Latinas with limited access to health care professionals. These findings can inform the design of Internet-based health information dissemination studies targeting Latinas.
在美国居民中,互联网是获取健康信息的第三大来源。然而,关于拉丁裔人群使用互联网获取健康信息的情况却知之甚少。为了了解拉丁裔人群与健康相关的互联网使用情况,作者在健康控制源和文化适应的理论框架内对其进行了研究。作者预测,文化适应将作为健康控制源与与健康相关的互联网使用、年龄与与健康相关的互联网使用、收入与与健康相关的互联网使用以及教育与与健康相关的互联网使用之间的中介。数据是通过一个 25 分钟的自我报告问卷收集的。样本由 932 名年轻(平均年龄为 21.27 岁)、低收入的拉丁裔女性组成。通过结构方程模型,作者观察到文化适应部分中介了健康控制源与与健康相关的互联网使用之间的关系,并完全中介了年龄、收入和互联网使用之间的关系。内部健康控制源(p<0.001)、较年轻的年龄(p<0.001)和较高的收入(p<0.001)与较高的文化适应水平相关。较高的文化适应水平(p<0.001)和内部健康控制源(p<0.004)预测了与健康相关的互联网使用。互联网是一种强大的工具,可以用来向医疗服务专业人员获取机会有限的拉丁裔人群有效传播信息。这些发现可以为针对拉丁裔人群的基于互联网的健康信息传播研究提供信息。