Langford Aisha T, Orellana Kerli T, Buderer Nancy
Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA.
Nancy Buderer Consulting, LLC, Oak Harbor, OH, USA.
Digit Health. 2022 Aug 24;8:20552076221118822. doi: 10.1177/20552076221118822. eCollection 2022 Jan-Dec.
Social media use has grown over time. However, it is unclear how people with a self-reported history of cardiovascular disease or cardiovascular disease-related risk factors such as diabetes and hypertension use social media.
Data from the 2020 Health Information National Trends Survey (HINTS 5, Cycle 4) were analyzed (N = 3865). Only respondents with complete data for all variables of interest were included in the analyses, resulting in 306 respondents with a heart condition, 1291 with hypertension, and 608 with diabetes. We explored associations between two dependent variables: (1) participated in an online forum or support group and (2) watched a health-related video on YouTube, and sociodemographic factors and patient-provider communication. Analyses were conducted separately by medical condition. Odds ratios, 95% confidence intervals, and -values were calculated.
In respondents with a heart condition, hypertension, or diabetes, 5.4%, 8.4%, and 10.3% had participated in an online support group and 29.6%, 40.4%, and 36.6% had watched health-related videos on YouTube, respectively. Univariately, the odds of using online support groups was associated with younger age (vs. > = 65) in people with a heart condition and hypertension, but not diabetes. Regarding YouTube, younger age was associated with watching health-related videos across all three medical conditions, with additional gender and education associations observed in those with hypertension. There were no associations between social media use and patient-provider communication.
These findings may inform the selection of social media platforms for behavioral interventions depending on the intended patient population and goals (e.g. social support vs. video-based health education).
社交媒体的使用随着时间的推移而增加。然而，尚不清楚有自我报告的心血管疾病病史或心血管疾病相关风险因素（如糖尿病和高血压）的人如何使用社交媒体。
对2020年健康信息国家趋势调查（HINTS 5，第4周期）的数据进行了分析（N = 3865）。分析仅纳入了所有感兴趣变量数据完整的受访者，结果有306名患有心脏病的受访者、1291名患有高血压的受访者和608名患有糖尿病的受访者。我们探讨了两个因变量之间的关联：（1）参与在线论坛或支持小组，以及（2）在YouTube上观看与健康相关的视频，以及社会人口统计学因素和患者与提供者的沟通情况。按疾病分别进行分析。计算了优势比、95%置信区间和P值。
在患有心脏病、高血压或糖尿病的受访者中，分别有5.4%、8.4%和10.3%的人参与了在线支持小组，分别有29.6%、40.4%和36.6%的人在YouTube上观看了与健康相关的视频。单因素分析显示，患有心脏病和高血压的人群中，使用在线支持小组的几率与较年轻的年龄（与≥65岁相比）相关，但糖尿病患者并非如此。关于YouTube，在所有三种疾病中，较年轻的年龄与观看与健康相关的视频相关，在高血压患者中还观察到了额外的性别和教育方面的关联。社交媒体使用与患者与提供者的沟通之间没有关联。
这些发现可能为根据目标患者群体和目标（如社会支持与基于视频的健康教育）选择用于行为干预的社交媒体平台提供参考。
