School of Nursing, The University of Texas at Austin, Austin, TX 78701, USA.
Telemed J E Health. 2012 Dec;18(10):785-90. doi: 10.1089/tmj.2012.0008. Epub 2012 Oct 24.
Our first aim was to assess the contributions of health-related risks, barriers to healthcare, and user characteristics to new mothers' interest in two Web-based health programs: postpartum weight loss or parenting advice. Our second aim was to determine if the preceding proximal variables diminished associations of income level with interest in Web-based health programs.
A mail survey of a stratified random sample was conducted with a resulting analytic sample that included 121 white/Anglo, African American, or Hispanic women of higher and lower income. Weight risk (being overweight or obese) and psychosocial/behavioral risk (alcohol use, depression, smoking) were the predictors of interest in a weight loss program and parenting advice, respectively. Financial, structural, and function factors served as barriers to care. Frequency of Internet use assessed user characteristics. Hierarchical logistic regression analysis was used to evaluate predictors.
Being overweight (adjusted odds ratio [OR], 5.55; 95% confidence interval [CI], 2.18, 14.11) was the only variable to affect likelihood of interest in an Internet-based weight loss program; income level was not a significant predictor. Having two or more psychosocial/behavioral risks (adjusted OR, 0.22; 95% CI, 0.50, 0.92) was the only predictor of interest in Internet-based parenting advice; income level was not a significant predictor after adjusting for other variables (OR, 0.55; 95% CI, 0.19, 1.55).
The type of risk and program topic decreased or increased likelihood of interest in Internet-based programming. Weight risks increased interest in weight loss programming, but psychosocial/behavioral risks deceased interest in parenting advice.
我们的首要目标是评估健康相关风险、医疗障碍以及用户特征对新妈妈参与两个基于网络的健康项目（产后体重减轻或育儿建议）的兴趣的影响。我们的第二个目标是确定这些先前的近端变量是否降低了收入水平与对基于网络的健康项目的兴趣之间的关联。
对分层随机样本进行邮件调查，分析样本包括 121 名白种/盎格鲁、非裔美国或西班牙裔的高收入和低收入新妈妈。体重风险（超重或肥胖）和心理社会/行为风险（饮酒、抑郁、吸烟）分别是对体重减轻计划和育儿建议感兴趣的预测因素。财务、结构和功能因素是医疗障碍。互联网使用频率评估用户特征。使用分层逻辑回归分析评估预测因素。
超重（调整后的优势比[OR]，5.55；95%置信区间[CI]，2.18，14.11）是唯一影响对基于互联网的体重减轻计划的兴趣的变量；收入水平不是一个显著的预测因素。有两个或更多的心理社会/行为风险（调整后的 OR，0.22；95%CI，0.50，0.92）是对基于互联网的育儿建议感兴趣的唯一预测因素；在调整其他变量后，收入水平不是一个显著的预测因素（OR，0.55；95%CI，0.19，1.55）。
风险类型和项目主题降低或增加了对基于互联网的编程的兴趣。体重风险增加了对体重减轻计划的兴趣，但心理社会/行为风险降低了对育儿建议的兴趣。
