Narasimhulu Deepa Maheswari, Karakash Scarlett, Weedon Jeremy, Minkoff Howard
Department of Obstetrics and Gynecology, Maimonides Medical Center, 967, 48th Street, Brooklyn, NY, 11219, USA.
Department of Biostatistics, SUNY Downstate, Brooklyn, NY, USA.
Matern Child Health J. 2016 Dec;20(12):2502-2509. doi: 10.1007/s10995-016-2075-0.
Objective To assess patterns of e-health use in pregnancy in an underserved racially diverse inner-city population, and to assess the accuracy of pregnancy-related information obtained from the Internet. Methods A cross sectional study of 503 pregnant/postpartum women belonging to an underserved racially diverse inner-city population who completed a survey regarding e-health use. To assess accuracy, four independent expert-reviewers rated the first 10 webpages on Google searches for each of five questions based upon those in ACOG bulletins. Results 70.8 % of pregnant/postpartum women belonging to an underserved racially diverse inner-city population were e-health users. E-health users were younger (mean age 29.4 vs. 31.2, P = 0.009), more likely to be nulliparous (50.3 vs. 21.3 %, P < 0.001), have English as their primary language (62.3 vs. 49.1 %, P = 0.014) and have a college/graduate education (78 vs. 26.6 %, P < 0.001). While 60 % of these women said e-health influenced decision making, only 71.3 % of them discussed their searches with their provider. Expert reviewers determined that the online information was fairly accurate (mean score: +1.48 to +4.33 on a scale of -5 to +5) but not uniformly accurate, and there was at least one webpage with inaccurate information for every question. Conclusions for practice Pregnant women frequently use e-health resources but do not routinely share their findings with their providers. Most, but not all, information obtained is accurate. Therefore it is important for providers to discuss their patients' use, and help to guide them to reliable information.
目的 评估在服务欠缺、种族多样的市中心城区人群中孕期电子健康的使用模式，并评估从互联网获取的与妊娠相关信息的准确性。方法 对503名属于服务欠缺、种族多样的市中心城区人群的孕/产后妇女进行横断面研究，这些妇女完成了一项关于电子健康使用情况的调查。为评估准确性，4名独立的专家评审员根据美国妇产科医师学会公告中的问题，对谷歌搜索中关于5个问题的前10个网页进行评分。结果 在服务欠缺、种族多样的市中心城区人群中，70.8%的孕/产后妇女是电子健康使用者。电子健康使用者更年轻（平均年龄29.4岁对31.2岁，P = 0.009），初产妇比例更高（50.3%对21.3%，P < 0.001），以英语为主要语言的比例更高（62.3%对49.1%，P = 0.014），拥有大学/研究生学历的比例更高（78%对26.6%，P < 0.001）。虽然这些妇女中有60%表示电子健康影响了决策，但只有71.3%的人与其医疗服务提供者讨论过她们的搜索内容。专家评审员确定在线信息相当准确（平均得分：在-5至+5的量表上为+1.48至+4.33），但并非完全准确，每个问题至少有一个网页存在不准确信息。实践结论 孕妇经常使用电子健康资源，但不会定期与医疗服务提供者分享她们的发现。所获取的信息大部分但并非全部准确。因此，医疗服务提供者讨论患者的使用情况并帮助引导他们获取可靠信息非常重要。
