Arcury Thomas A, Sandberg Joanne C, Melius Kathryn P, Quandt Sara A, Leng Xiaoyan, Latulipe Celine, Miller David P, Smith D Alden, Bertoni Alain G
Wake Forest School of Medicine, Winston-Salem, NC, USA.
The University of North Carolina at Charlotte, USA.
J Appl Gerontol. 2020 Feb;39(2):141-150. doi: 10.1177/0733464818807468. Epub 2018 Oct 24.
We examine Internet use and eHealth literacy among older adults (aged 55+ years) who were patients at clinics serving low-income populations. Participants included 200 minority and White adults who completed interviews based on a technology acceptance conceptual model. A total of 106 participants (53.0%) used the Internet; utilization was associated with personal characteristics (age, ethnicity, education, poverty), computer characteristics (number of e-devices, computer stress), social support (marital status), and health knowledge and attitudes (health literacy, medical decision making, health information sources), but not health status. Of the 106 participants who used the Internet, 52 (49.1%) had high eHealth literacy; eHealth literacy was associated with computer characteristics (number of e-devices, computer stress), and health knowledge and attitudes (medical decision making, health information sources). In multivariate analysis, computer stress maintained a significant inverse association with eHealth literacy. Educational interventions to help older adults successfully use technology and improve eHealth literacy must be identified.
我们调查了在为低收入人群服务的诊所就诊的老年人（55岁及以上）的互联网使用情况和电子健康素养。参与者包括200名少数族裔和白人成年人，他们根据技术接受概念模型完成了访谈。共有106名参与者（53.0%）使用互联网；其使用率与个人特征（年龄、种族、教育程度、贫困状况）、计算机特征（电子设备数量、计算机压力）、社会支持（婚姻状况）以及健康知识和态度（健康素养、医疗决策、健康信息来源）有关，但与健康状况无关。在106名使用互联网的参与者中，52名（49.1%）具备较高的电子健康素养；电子健康素养与计算机特征（电子设备数量、计算机压力）以及健康知识和态度（医疗决策、健康信息来源）有关。在多变量分析中，计算机压力与电子健康素养保持着显著的负相关。必须确定有助于老年人成功使用技术并提高电子健康素养的教育干预措施。
