欧洲替代性健康信息寻求:信息来源类型和社交网络变量的影响
Surrogate health information seeking in Europe: Influence of source type and social network variables.
作者信息
Reifegerste Doreen, Bachl Marko, Baumann Eva
机构信息
Institute of Journalism and Communication Research, Hanover University of Music, Drama and Media, Germany.
Department of Communication, University of Hohenheim, Germany.
出版信息
Int J Med Inform. 2017 Jul;103:7-14. doi: 10.1016/j.ijmedinf.2017.04.006. Epub 2017 Apr 10.
OBJECTIVES
Health information seeking on behalf of others is an important form of social support by which laypeople provide important sources of information for patients. Based on social network theory, we analyze whether this phenomenon also occurs in offline sources. We also seek to learn more about the type of relationships between information seekers and patients, as research to date indicates that surrogate seeking mostly occurs in close relationships between the seeker and the patient.
METHODS
Using a large-scale representative survey from the 28 member states of the European Union (N=26,566), our data comprise all respondents who reported seeking health information online or offline (n=18,750; 70.6%).
RESULTS
Within the past year, 61.0% of the online health information seekers and 61.1% of the offline health information seekers had searched on behalf of someone else. Independent of the information channel, surrogate seekers primarily searched for health information for family members (online: 89.8%; offline: 92.8%); they were significantly less likely to search for information on behalf of someone with whom they had weaker ties, such as colleagues (online: 25.1%; offline: 24.4%). In a multilevel generalized linear model, living together with someone was by far the most relevant determinant for surrogate seeking, with differences between countries or Internet activity being less important.
CONCLUSION
These results support the assumptions of social network theory. Implications are discussed, especially with regard to the provision of adequate health information.
目的
代表他人寻求健康信息是一种重要的社会支持形式,通过这种方式,非专业人士为患者提供重要的信息来源。基于社会网络理论,我们分析这种现象是否也发生在线下渠道。我们还试图更多地了解信息寻求者与患者之间的关系类型,因为迄今为止的研究表明,替代寻求大多发生在寻求者与患者的亲密关系中。
方法
我们使用来自欧盟28个成员国的大规模代表性调查(N = 26,566),数据包括所有报告在线或线下寻求健康信息的受访者(n = 18,750;70.6%)。
结果
在过去一年中,61.0%的在线健康信息寻求者和61.1%的线下健康信息寻求者是代表他人进行搜索的。无论信息渠道如何,替代寻求者主要为家庭成员搜索健康信息(在线:89.8%;线下:92.8%);他们为关系较弱的人(如同事)搜索信息的可能性显著降低(在线:25.1%;线下:24.4%)。在多层次广义线性模型中,与某人同住是替代寻求最相关的决定因素,国家或互联网活动之间的差异则不太重要。
结论
这些结果支持社会网络理论的假设。我们将讨论其影响因素,特别是在提供充足健康信息方面。