Old Dominion University, Department of Sociology and Criminal Justice, 6032 Batten Arts and Letters, Norfolk, VA 23529, USA.
University of Nebraska - Lincoln, Department of Sociology, 706 Oldfather Hall, Lincoln, NE 68588, USA.
Soc Sci Med. 2013 Dec;99:110-5. doi: 10.1016/j.socscimed.2013.10.019. Epub 2013 Oct 31.
Using data from Wave 1 (2004-2006) of the National Survey of Fertility Barriers (NSFB), a national probability sample of women ages 25-45, we examine online information-seeking among ever-infertile women. Of the 1352 women who met criteria for infertility, 459 (34%) neither talked to a doctor nor went online for information, 9% went online only for information, 32% talked to a doctor but did not go online, and 25% did both. Guided by Chrisman's Health-Seeking Model and previous research on Internet use to obtain health information, we employ multinomial logistic regression to compare these four groups of ever-infertile women. Findings generally support Chrisman's model. Infertile women tend to seek information online as a complement to, rather than as a substitute for, in-person health-seeking. Greater faith in the ability of medical science to treat infertility and greater perceived stigma were associated with higher odds of using the Internet to obtain information about infertility. In general, women who perceived the symptoms of infertility as more salient had higher odds of using both online and in-person or only in-person health-seeking compared to online health-seeking. Women with greater resources had higher odds of using online sources of information. Strong network encouragement to seek treatment was associated with higher odds of in-person health-seeking and combining in-person and online health-seeking compared to only going online or doing nothing.
利用国家生育障碍调查（NSFB）第 1 波（2004-2006 年）的数据，这是一个针对 25-45 岁女性的全国概率样本，我们研究了曾经不孕女性的在线信息搜索行为。在符合不孕标准的 1352 名女性中，有 459 名（34%）既没有与医生交谈也没有上网搜索信息，9%仅上网搜索信息，32%与医生交谈但没有上网，25%两者都做了。基于克里斯曼的健康寻求模型和之前关于使用互联网获取健康信息的研究，我们采用多项逻辑回归来比较这四组曾经不孕的女性。研究结果普遍支持克里斯曼的模型。不孕女性倾向于在线搜索信息，作为对面对面健康寻求的补充，而不是替代。对医学治疗不孕能力的更大信任和更大的感知耻辱感与使用互联网获取不孕信息的几率增加有关。一般来说，与仅在线搜索健康相比，认为不孕症状更明显的女性更有可能同时使用在线和面对面或仅面对面寻求健康。资源更多的女性更有可能使用在线信息来源。强烈的网络鼓励寻求治疗与面对面寻求治疗的几率增加以及同时进行面对面和在线健康寻求的几率增加有关，而不是仅在线或什么都不做。
