Soto-Perez-de-Celis Enrique, Perez-Montessoro Viridiana, Rojo-Castillo Patricia, Chavarri-Guerra Yanin
Cancer Care in the Elderly Clinic, Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Sección XVI, Tlalpan, 14080, Mexico City, Mexico.
Hemato-Oncology Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Sección XVI, Tlalpan, 14080, Mexico City, Mexico.
J Cancer Educ. 2018 Jun;33(3):505-509. doi: 10.1007/s13187-018-1334-8.
Understanding the preferred sources of health-related information among patients with cancer is essential for designing successful cancer education and prevention strategies. However, little is known about health-related information-seeking practices among patients living in low- and middle-income countries. We studied the preferred sources of health-related information among Mexican patients with cancer and explored which factors influence these choices. The health-related information-seeking practices among patients with cancer treated at a public hospital in Mexico City were evaluated using questions from the Spanish Version of the Health Information National Trends Survey. The characteristics of patients who sought health-related information, and of those who chose the internet as their preferred source of information, were analyzed. Fisher's exact test and logistic regression were used for statistical analyses. One hundred forty-eight patients answered the survey (median age 60 years, 70% female), of which 88 (59%) had sought for health-related information. On multivariate analysis, the only characteristic associated with lower odds of seeking health-related information was increasing age (OR 0.93, 95% CI 0.90-0.97). Sixty-one respondents (69%) listed the internet as their preferred source of health-related information. On multivariate analysis, only being of the female gender (OR 4.9, 95% CI 1.3-18.3) was related with higher odds of preferring other sources of information over the internet. Among Mexican patients with cancer, the Internet is the most widely used information source. Older age was the characteristic most strongly associated with not seeking health-related information, while being female was strongly associated with preferring other sources of information over the Internet.
了解癌症患者获取健康相关信息的首选来源对于设计成功的癌症教育和预防策略至关重要。然而，对于生活在低收入和中等收入国家的患者的健康相关信息寻求行为知之甚少。我们研究了墨西哥癌症患者获取健康相关信息的首选来源，并探讨了哪些因素影响这些选择。使用《健康信息国家趋势调查》西班牙语版中的问题，对在墨西哥城一家公立医院接受治疗的癌症患者的健康相关信息寻求行为进行了评估。分析了寻求健康相关信息的患者以及选择互联网作为首选信息来源的患者的特征。采用Fisher精确检验和逻辑回归进行统计分析。148名患者回答了调查问卷（中位年龄60岁，70%为女性），其中88名（59%）寻求过健康相关信息。多变量分析显示，与寻求健康相关信息几率较低相关的唯一特征是年龄增长（比值比0.93，95%置信区间0.90 - 0.97）。61名受访者（69%）将互联网列为他们获取健康相关信息的首选来源。多变量分析显示，只有女性（比值比4.9，95%置信区间1.3 - 18.3）更有可能选择互联网以外的其他信息来源。在墨西哥癌症患者中，互联网是使用最广泛的信息来源。年龄较大是与不寻求健康相关信息最密切相关的特征，而女性则与更倾向于选择互联网以外的其他信息来源密切相关。
