Blondon Katherine S, Hebert Paul L, Ralston James D
University of Washington, Seattle, WA.
AMIA Annu Symp Proc. 2014 Nov 14;2014:289-96. eCollection 2014.
Although smartphones bear potential to improve diabetes self-management, the reach of smartphones in diabetic populations remains uncertain. Using survey data from the Pew Research Center, we compared smartphone use in individuals with and without diabetes, and determined factors associated with smartphone use among those with diabetes. Of the 2989 adults surveyed, 1360 were smartphone users, and 332 individuals had diabetes. Compared to individuals without diabetes, adults with diabetes were less likely to be smartphone users (relative risk of 0.43, 95% CI 0.31 to 0.54) even after adjusting for age, race, ethnicity and socioeconomic status (adjusted RR of 0.78, 95%CI 0.57-0.98). Among individuals with diabetes, high income, younger age and online health information seeking were associated with higher smartphone use. While smartphones can reach subgroups for diabetes care and prevention (racial/ethnic minorities, newly diagnosed individuals), studies are needed to understand this current difference in smartphone use.
尽管智能手机具有改善糖尿病自我管理的潜力，但智能手机在糖尿病患者群体中的普及程度仍不确定。利用皮尤研究中心的调查数据，我们比较了有糖尿病和无糖尿病个体的智能手机使用情况，并确定了糖尿病患者中与智能手机使用相关的因素。在接受调查的2989名成年人中，1360人是智能手机用户，332人患有糖尿病。与无糖尿病个体相比，即使在调整了年龄、种族、民族和社会经济地位后，糖尿病成年人成为智能手机用户的可能性也较小（相对风险为0.43，95%置信区间为0.31至0.54；调整后的相对风险为0.78，95%置信区间为0.57 - 0.98）。在糖尿病患者中，高收入、年轻和寻求在线健康信息与更高的智能手机使用相关。虽然智能手机可以覆盖糖尿病护理和预防的亚群体（少数种族/民族、新诊断个体），但仍需要开展研究来了解当前智能手机使用方面的这种差异。
