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调查与健康相关问题和在线健康信息搜索之间的关系。

Investigating Relationships Between Health-Related Problems and Online Health Information Seeking.

作者信息

Oh Young Sam, Song Na Kyoung

机构信息

Author Affiliations: Graduate School of East-West Medical Science, Kyung Hee University (Dr Oh); and SSK Mental Health and Community, Kwangwoon University (Dr Song), Seoul, Republic of Korea.

出版信息

Comput Inform Nurs. 2017 Jan;35(1):29-35. doi: 10.1097/CIN.0000000000000234.

Abstract

Online health information seeking (OHIS) functions as a coping strategy to relieve health-related stress and problems. When people rate their health as poor or felt concern about their health, they frequently visit the Internet to seek health-related information in order to understand their symptoms and treatments. Regarding this role of OHIS, it is important to understand the relationships between health-related problems and OHIS. This study applies the Common-Sense Model as a theoretical lens to examine the relationship between health-related problems (ie, diagnosis of cancer, poor self-rated health, and psychological distress) and OHIS of adults in the US. Using the Health Information National Trends Survey 4 Cycle 1 (2012), a total of 2351 adult Internet users was included in this research. Hierarchical logistic regression analyses were conducted to examine the research model, and the model adding psychological distress resulted in a statistically significant improvement in model fit. In this study, lower levels of self-rated health and higher levels of psychological distress were significantly associated with higher odds of OHIS. Study findings support the idea that individuals' low levels of self-rated health and high levels of perceived psychological distress make people search for health-related information via the Internet in order to cope with health-related concern and distress.

摘要

在线健康信息搜索(OHIS)作为一种应对策略,用于缓解与健康相关的压力和问题。当人们将自己的健康状况评为较差或对自身健康感到担忧时,他们经常会访问互联网以寻求与健康相关的信息,以便了解自己的症状和治疗方法。关于OHIS的这一作用,了解与健康相关的问题和OHIS之间的关系很重要。本研究应用常识模型作为理论视角,来考察与健康相关的问题(即癌症诊断、自我健康评价差和心理困扰)与美国成年人的OHIS之间的关系。利用健康信息国家趋势调查第4轮第1周期(2012年)的数据,本研究共纳入了2351名成年互联网用户。进行了分层逻辑回归分析以检验研究模型,加入心理困扰的模型在模型拟合度上有统计学意义的显著改善。在本研究中,较低的自我健康评价水平和较高的心理困扰水平与OHIS的较高几率显著相关。研究结果支持这样一种观点,即个人较低的自我健康评价水平和较高的感知心理困扰会促使人们通过互联网搜索与健康相关的信息,以应对与健康相关的担忧和困扰。

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