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美国成年人健康相关互联网使用的社会人口统计学模式:健康信息国家趋势调查的二次数据分析。

Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey.

机构信息

Department of Community Health and Social Medicine, CUNY School of Medicine, New York, NY 10031, USA.

Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10027, USA.

出版信息

Int J Environ Res Public Health. 2020 Sep 19;17(18):6856. doi: 10.3390/ijerph17186856.

Abstract

National surveys of U.S. adults have observed significant increases in health-related internet use (HRIU), but there are documented disparities. The study aims to identify social and demographic patterns of health-related internet use among U.S. adults. Using data from the Health Information National Trends Survey (HINTS) 4 cycle 3 and HINTS 5 cycle 1, we examined HRIU across healthcare, health information seeking, and participation on social media. Primary predictors were gender, race/ethnicity, age, education, income, and nativity with adjustments for smoking and survey year. We used multivariable logistic regression with survey weights to identify independent predictors of HRIU. Of the 4817 respondents, 43% had used the internet to find a doctor; 80% had looked online for health information. Only 20% had used social media for a health issue; 7% participated in an online health support group. In multivariable models, older and low SES participants were significantly less likely to use the internet to look for a provider, use the internet to look for health information for themselves or someone else, and less likely to use social media for health issues. Use of the internet for health-related purposes is vast but varies significantly by demographics and intended use.

摘要

美国成年人的全国性调查观察到与健康相关的互联网使用(HRIU)显著增加,但存在记录的差异。本研究旨在确定美国成年人与健康相关的互联网使用的社会和人口统计学模式。使用来自健康信息国家趋势调查(HINTS)第 4 周期 3 和 HINTS 第 5 周期 1 的数据,我们检查了医疗保健、健康信息搜索以及社交媒体参与方面的 HRIU。主要预测因素是性别、种族/民族、年龄、教育、收入和出生地,并对吸烟和调查年份进行了调整。我们使用带有调查权重的多变量逻辑回归来确定 HRIU 的独立预测因素。在 4817 名受访者中,有 43%的人使用互联网寻找医生;80%的人在网上查找健康信息。只有 20%的人因健康问题使用过社交媒体;7%的人参加过在线健康支持小组。在多变量模型中,年龄较大和社会经济地位较低的参与者不太可能使用互联网寻找提供者,也不太可能使用互联网为自己或他人查找健康信息,并且不太可能因健康问题使用社交媒体。互联网在健康相关方面的使用非常广泛,但因人口统计学和预期用途而异。

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