Department of Communications and New Media, National University of Singapore, Singapore.
Psychooncology. 2020 Jan;29(1):61-67. doi: 10.1002/pon.5247. Epub 2019 Nov 22.
OBJECTIVE: The current study aims to explore the trend of Internet health information seeking (IHIS) in cancer survivors and the relationship between four dimensions of digital divide (eg, mental access, material access, skills access, and usage access) and IHIS. METHODS: Data from three iterations (2011, 2013, and 2017) of Health Information National Trends Survey were analyzed. Only cancer survivors (2011: n=563; 2013: n=459; 2017: n=504) were included. ANOVA and multivariate regressions were performed. RESULTS: The rate of IHIS among cancer survivors has increased from 53.5% in 2011 to 69.2% in 2017. Also, across the three survey years, material access (eg, physical Internet access), usage access (eg, eHealth activities), and mental access (eg, trust in online health information) have remained in a significant and positive relationship with IHIS. Skills access (eg, health information seeking skills) and the other mental access factor, self-efficacy in health information seeking, were not significantly associated with IHIS over time. CONCLUSIONS: This research revealed a rising trend of IHIS adoption in cancer survivors, and demonstrated significant relationships between digital divide and IHIS. We call for targeted interventions to reduce the digital divide barriers for cancer survivors.
目的:本研究旨在探讨癌症幸存者互联网健康信息搜索(IHIS)的趋势,以及数字鸿沟的四个维度(如心理接入、物质接入、技能接入和使用接入)与 IHIS 之间的关系。
方法:对健康信息全国趋势调查的三个迭代(2011 年、2013 年和 2017 年)的数据进行了分析。仅纳入癌症幸存者(2011 年:n=563;2013 年:n=459;2017 年:n=504)。进行了方差分析和多元回归分析。
结果:癌症幸存者的 IHIS 率从 2011 年的 53.5%上升到 2017 年的 69.2%。此外,在三个调查年度中,物质接入(如物理互联网接入)、使用接入(如电子健康活动)和心理接入(如对在线健康信息的信任)与 IHIS 一直保持着显著的正相关关系。技能接入(如健康信息搜索技能)和其他心理接入因素,即健康信息搜索的自我效能感,与 IHIS 之间没有随着时间的推移而呈现显著关联。
结论:本研究揭示了癌症幸存者 IHIS 采用率的上升趋势,并证明了数字鸿沟与 IHIS 之间存在显著关系。我们呼吁采取有针对性的干预措施,减少癌症幸存者的数字鸿沟障碍。
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