Alhusseini Noara, Banta Jim E, Oh Jisoo, Montgomery Susanne
Public Health, Alfaisal University, Riyadh, SAU.
Public Health, Loma Linda University, Loma Linda, USA.
Cureus. 2020 Oct 27;12(10):e11190. doi: 10.7759/cureus.11190.
In this study, we explored who is most likely to use electronic means to seek health information and why; our research was guided by the Health Belief Model (HBM). We used the National Cancer Institute's Health Information Trends Survey (HINTS) dataset for 2017 and 2018 (n=6,697). We found that 67.5% of US adults used electronic means to seek health information and that females (52.4%), non-Hispanic whites (63.8%), those with at least some college education (76.5%), and those with a household income of at least $50,000 per year (58.3%) were most likely to do so. Respondents reporting depression were 42% more likely to use electronic means to seek health information, suggesting that stigma about mental health may direct people with depression to seek online information to avoid face-to-face communication. Using a tablet to track progress on a health-related goal [odds ratio (OR)=2.38, p<0.0001], and using a tablet to make a decision about treating an illness (OR=6.00, p<0.0001) were highly associated with seeking electronic health information. As the internet remains largely unregulated, this suggests that health systems link their patients to trustworthy resources for preventive and treatment-related information, since many already engage in internet-guided health information-seeking.
在本研究中,我们探究了谁最有可能使用电子手段来寻求健康信息以及原因;我们的研究以健康信念模型(HBM)为指导。我们使用了美国国家癌症研究所2017年和2018年的健康信息趋势调查(HINTS)数据集(n = 6697)。我们发现,67.5%的美国成年人使用电子手段来寻求健康信息,其中女性(52.4%)、非西班牙裔白人(63.8%)、至少接受过一些大学教育的人(76.5%)以及家庭年收入至少为5万美元的人(58.3%)最有可能这样做。报告患有抑郁症的受访者使用电子手段寻求健康信息的可能性要高出42%,这表明对心理健康的污名化可能会促使抑郁症患者寻求在线信息以避免面对面交流。使用平板电脑来跟踪与健康相关目标的进展情况[优势比(OR)= 2.38,p < 0.0001],以及使用平板电脑来决定疾病治疗方案(OR = 6.00,p < 0.0001)与寻求电子健康信息高度相关。由于互联网在很大程度上仍未得到监管,这表明医疗系统应将患者与可信赖的预防和治疗相关信息资源相连接,因为许多人已经在进行互联网引导下的健康信息寻求。