Delgado Cionéia K, Gazzotti Mariana R, Santoro Ilka L, Carvalho Andrea K, Jardim José R, Nascimento Oliver A
Respiratory Division, Pulmonary Rehabilitation Center, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Respir Care. 2015 Sep;60(9):1276-81. doi: 10.4187/respcare.03716. Epub 2015 Jul 7.
Although the internet is an important tool for entertainment, work, learning, shopping, and communication, it is also a possible source for information on health and disease. The aim of this study was to evaluate the proportion of subjects with COPD in São Paulo, Brazil, who use the internet to obtain information about their disease.
Subjects (N = 382) with COPD answered a 17-question survey, including information regarding computer use, internet access, and searching for sites on COPD. Our sample was distributed according to the socioeconomic levels of the Brazilian population (low, 17.8%; medium, 66.5%; and high, 15.7%).
Most of the subjects in the sample were male (62.6%), with a mean age of 67.0 ± 9.9 y. According to Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages, 74.3% of the subjects were in stage II or III. In addition, 51.6% of the subjects had a computer, 49.7% accessed the internet, and 13.9% used it to search for information about COPD. The internet was predominantly accessed by male (70.3%) and younger (64.6 ± 9.5 y of age) subjects compared with female (29.7%, P = .04) and older (67.5 ± 9.6 y of age, P < .007) subjects. Searching for information about COPD on the internet was associated with having a computer (5.9-fold), Medical Research Council dyspnea level 1 (5.3-fold), and high social class (8.4-fold). The search for information on COPD was not influenced by GOLD staging.
A low percentage of subjects with COPD in São Paulo use the internet as a tool to obtain information about their disease. This search is associated with having a computer, low dyspnea score, and high socioeconomic level.
尽管互联网是娱乐、工作、学习、购物及交流的重要工具,但它也是获取健康与疾病信息的一个可能来源。本研究的目的是评估巴西圣保罗慢性阻塞性肺疾病(COPD)患者中通过互联网获取自身疾病信息的比例。
382例COPD患者回答了一份包含17个问题的调查问卷,内容涉及计算机使用、互联网接入以及查找COPD相关网站的情况。我们的样本按照巴西人口的社会经济水平进行分布(低水平,17.8%;中等水平,66.5%;高水平,15.7%)。
样本中的大多数受试者为男性(62.6%),平均年龄为67.0±9.9岁。根据慢性阻塞性肺疾病全球倡议(GOLD)分期,74.3%的受试者处于II期或III期。此外,51.6%的受试者拥有计算机,49.7%接入互联网,13.9%使用互联网查找COPD相关信息。与女性受试者(29.7%,P = 0.04)和年龄较大的受试者(67.5±9.6岁,P < 0.007)相比,男性(70.3%)和较年轻的受试者(64.6±9.5岁)更常使用互联网。在互联网上查找COPD相关信息与拥有计算机(5.9倍)、医学研究理事会呼吸困难分级为1级(5.3倍)以及高社会阶层(8.4倍)相关。对COPD信息的搜索不受GOLD分期的影响。
圣保罗的COPD患者中使用互联网作为获取自身疾病信息工具的比例较低。这种搜索行为与拥有计算机、低呼吸困难评分以及高社会经济水平相关。