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利用社交媒体获取健康相关信息与乳腺癌和宫颈癌筛查依从性之间的关联。

The association between social media use for health related information and compliance with breast and cervical cancer screenings.

作者信息

Park HyounKyoung G, Kim Young-Il, Huh Warner K, Bae Sejong

机构信息

Division of Preventive Medicine, University of Alabama at Birmingham, 1717 11th Ave. South, Birmingham, Alabama 35205, United States.

O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 Univ. Blvd, Birmingham, Alabama 35205, United States.

出版信息

Res Rep (Montgomery, Ala.). 2020;4:e1-e14. Epub 2020 May 7.

Abstract

There is a need to investigate the impact of social media use on patient compliance with important health screenings due to the inconsistency of research findings on the effect of using social media on cervical cancer screenings. This study assessed associations between social media use and adherence in women at risk for breast and cervical cancer to mammograms and Pap smear screenings. A total of 6695 respondents from the Health Information National Trends Survey (HINTS) 5 Cycle 1 and 2 datasets were used for data analysis. Chi-square tests were used to explore social network activities and cancer screening compliance, and multivariate logistic regressions were used to identify factors associated with cancer screening compliance. Among respondents, 68% of women and 84% of women complied with mammograms and Pap smears, respectively. Women who used the Internet during last 12 months to visit a social networking site, participate in a forum support group for medical issue, or watch a health-related video on YouTube complied with Pap smears more significantly than women who did not use the Internet (p <.05, p <.0001, and p <.001, respectively). Variables associated with mammogram and Pap smear screening compliance were age, health insurance, regular provider, marital status, and internet use. There was no significant association between social network activities and compliance with mammogram screenings. It is critical to use the same and up-to-date guidelines when reporting cancer screening rates to effectively promote adherence to cancer prevention programs and make valid and reliable comparisons across studies.

摘要

由于社交媒体使用对宫颈癌筛查效果的研究结果不一致,因此有必要调查社交媒体使用对患者进行重要健康筛查依从性的影响。本研究评估了社交媒体使用与乳腺癌和宫颈癌风险女性对乳房X光检查和巴氏涂片检查的依从性之间的关联。来自健康信息国家趋势调查(HINTS)第5周期第1和第2数据集的6695名受访者被用于数据分析。卡方检验用于探索社交网络活动与癌症筛查依从性,多元逻辑回归用于确定与癌症筛查依从性相关的因素。在受访者中,分别有68%的女性和84%的女性遵守乳房X光检查和巴氏涂片检查。在过去12个月中使用互联网访问社交网站、参与医疗问题论坛支持小组或在YouTube上观看健康相关视频的女性,其巴氏涂片检查的依从性比未使用互联网的女性更高(分别为p<.05、p<.0001和p<.001)。与乳房X光检查和巴氏涂片检查依从性相关的变量包括年龄、医疗保险、定期就诊医生、婚姻状况和互联网使用。社交网络活动与乳房X光检查的依从性之间没有显著关联。在报告癌症筛查率时,使用相同且最新的指南对于有效促进对癌症预防计划的依从性以及在不同研究之间进行有效且可靠的比较至关重要。

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