Athanasopoulou Christina, Välimäki Maritta, Koutra Katerina, Löttyniemi Eliisa, Bertsias Antonios, Basta Maria, Vgontzas Alexandros N, Lionis Christos
Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
Turku University Hospital, Turku, Finland.
BMC Med Inform Decis Mak. 2017 Sep 20;17(1):136. doi: 10.1186/s12911-017-0531-4.
Individuals with schizophrenia spectrum disorders use the Internet for general and health-related purposes. Their ability to find, understand, and apply the health information they acquire online in order to make appropriate health decisions - known as eHealth literacy - has never been investigated. The European agenda strives to limit health inequalities and enhance mental health literacy. Nevertheless, each European member state varies in levels of Internet use and online health information-seeking. This study aimed to examine computer/Internet use for general and health-related purposes, eHealth literacy, and attitudes toward computer/Internet among adults with schizophrenia spectrum disorders from two distant European regions.
Data were collected from mental health services of psychiatric clinics in Finland (FI) and Greece (GR). A total of 229 patients (FI = 128, GR = 101) participated in the questionnaire survey. The data analysis included evaluation of frequencies and group comparisons with multiple linear and logistic regression models.
The majority of Finnish participants were current Internet users (FI = 111, 87%, vs. GR = 33, 33%, P < .0001), while the majority of Greek participants had never used computers/Internet, mostly due to their perception that they do not need it. In both countries, more than half of Internet users used the Internet for health-related purposes (FI = 61, 55%, vs. GR = 20, 61%). The eHealth literacy of Internet users (previous and current Internet users) was found significantly higher in the Finnish group (FI: Mean = 27.05, SD 5.36; GR: Mean = 23.15, SD = 7.23, P < .0001) upon comparison with their Greek counterparts. For current Internet users, Internet use patterns were significantly different between country groups. When adjusting for gender, age, education and disease duration, country was a significant predictor of frequency of Internet use, eHealth literacy and Interest. The Finnish group of Internet users scored higher in eHealth literacy, while the Greek group of never Internet users had a higher Interest in computer/Internet.
eHealth literacy is either moderate (Finnish group) or low (Greek group). Thus, exposure to ICT and eHealth skills training are needed for this population. Recommendations to improve the eHealth literacy and access to health information among these individuals are provided.
精神分裂症谱系障碍患者会使用互联网进行一般用途和与健康相关的用途。他们查找、理解并应用从网上获取的健康信息以做出适当健康决策的能力——即所谓的电子健康素养——从未被研究过。欧洲议程致力于减少健康不平等并提高心理健康素养。然而，每个欧洲成员国在互联网使用水平和在线健康信息搜索方面存在差异。本研究旨在调查来自两个遥远欧洲地区的患有精神分裂症谱系障碍的成年人使用计算机/互联网进行一般用途和与健康相关用途的情况、电子健康素养以及对计算机/互联网的态度。
数据收集自芬兰（FI）和希腊（GR）的精神科诊所的心理健康服务部门。共有229名患者（芬兰 = 128名，希腊 = 101名）参与了问卷调查。数据分析包括频率评估以及使用多元线性和逻辑回归模型进行组间比较。
大多数芬兰参与者是当前的互联网用户（芬兰 = 111名，87%，对比希腊 = 33名，33%，P <.0001），而大多数希腊参与者从未使用过计算机/互联网，主要是因为他们认为自己不需要。在两个国家，超过一半的互联网用户使用互联网用于与健康相关的目的（芬兰 = 61名，55%，对比希腊 = 20名，61%）。与希腊同行相比，芬兰组中互联网用户（以前和当前的互联网用户）的电子健康素养显著更高（芬兰：均值 = 27.05，标准差5.36；希腊：均值 = 23.15，标准差 = 7.23，P <.0001）。对于当前的互联网用户，国家组之间的互联网使用模式存在显著差异。在调整性别、年龄、教育程度和病程后，国家是互联网使用频率、电子健康素养和兴趣的显著预测因素。芬兰组的互联网用户在电子健康素养方面得分更高，而希腊组从未使用过互联网的用户对计算机/互联网的兴趣更高。
电子健康素养在芬兰组中为中等水平，在希腊组中为低水平。因此，这一人群需要接触信息通信技术并接受电子健康技能培训。本文提供了提高这些个体的电子健康素养和获取健康信息的建议。
