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资源有限环境下医疗保健提供者在新冠疫情期间的数字健康素养:横断面研究

Digital Health Literacy During the COVID-19 Pandemic Among Health Care Providers in Resource-Limited Settings: Cross-sectional Study.

作者信息

Ahmed Mohammedjud Hassen, Guadie Habtamu Alganeh, Ngusie Habtamu Setegn, Teferi Gizaw Hailiye, Gullslett Monika Knudsen, Hailegebreal Samuel, Hunde Mekonnen Kenate, Donacho Dereje Oljira, Tilahun Binyam, Siraj Shuayib Shemsu, Debele Gebiso Roba, Hajure Mohammedamin, Mengiste Shegaw Anagaw

机构信息

Department of Health Informatics, College of Public Health and Medical Sciences, Mettu University, Mettu, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

JMIR Nurs. 2022 Nov 14;5(1):e39866. doi: 10.2196/39866.

Abstract

BACKGROUND

Digital health literacy is the use of information and communication technology to support health and health care. Digital health literacy is becoming increasingly important as individuals continue to seek medical advice from various web-based sources, especially social media, during the pandemics such as COVID-19.

OBJECTIVE

The study aimed to assess health professionals' digital health literacy level and associated factors in Southwest Ethiopia in 2021.

METHODS

An institution-based cross-sectional study was conducted from January to April 2021 in Ethiopia. Simple random sampling technique was used to select 423 study participants among health professionals. SPSS (version 20) software was used for data entry and analysis. A pretested self-administered questionnaire was used to collect the required data. Multivariable logistic regression was used to examine the association between the digital health literacy skill and associated factors. Significance value was obtained at 95% CI and P<.05.

RESULTS

In total, 401 study subjects participated in the study. Overall, 43.6% (n=176) of respondents had high digital health literacy skills. High computer literacy (adjusted odds ratio [AOR] 4.43, 95% CI 2.34-5.67; P=.01); master's degree and above (AOR 3.42, 95% CI 2.31-4.90; P=.02); internet use (AOR 4.00, 95% CI 1.78-4.02; P=.03); perceived ease of use (AOR 2.65, 95% CI 1.35-4.65; P=.04); monthly income of >15,000 Ethiopian birr (>US $283.68; AOR 7.55, 95% CI 6.43-9.44; P<.001); good knowledge of eHealth (AOR 2.22, 95% CI 1.32-4.03; P=.04); favorable attitudes (AOR 3.11, 95% CI 2.11-4.32; P=.04); and perceived usefulness (AOR 3.43, 95% CI 2.43-5.44; P=.02) were variables associated with eHealth literacy level.

CONCLUSIONS

In general, less than half of the study participants had a high digital health literacy level. High computer literacy, master's degree and above, frequent internet use, perceived ease to use, income of >15,000 Ethiopian birr (>US $283.68), good knowledge of digital health literacy, favorable attitude, and perceived usefulness were the most determinant factors in the study. Having high computer literacy, frequent use of internet, perceived ease of use, perceived usefulness, favorable attitude, and a high level of education will help to promote a high level of digital health literacy.

摘要

背景

数字健康素养是指利用信息和通信技术来支持健康和医疗保健。随着个人在诸如新冠疫情等大流行期间继续从各种基于网络的来源,尤其是社交媒体寻求医疗建议,数字健康素养变得越来越重要。

目的

本研究旨在评估2021年埃塞俄比亚西南部卫生专业人员的数字健康素养水平及其相关因素。

方法

2021年1月至4月在埃塞俄比亚进行了一项基于机构的横断面研究。采用简单随机抽样技术从卫生专业人员中选取423名研究参与者。使用SPSS(版本20)软件进行数据录入和分析。采用预先测试的自填式问卷收集所需数据。使用多变量逻辑回归来检验数字健康素养技能与相关因素之间的关联。在95%置信区间和P<0.05时获得显著性值。

结果

共有401名研究对象参与了研究。总体而言,43.6%(n=176)的受访者具备较高的数字健康素养技能。高计算机素养(调整后的优势比[AOR]为4.43,95%置信区间为2.34-5.67;P=0.01);硕士及以上学位(AOR为3.42,95%置信区间为2.31-4.90;P=0.02);使用互联网(AOR为4.00,95%置信区间为1.78-4.02;P=0.03);感知易用性(AOR为2.65,95%置信区间为1.35-4.65;P=0.04);月收入>15000埃塞俄比亚比尔(>283.68美元;AOR为7.55,95%置信区间为6.43-9.44;P<0.001);对电子健康的良好认知(AOR为2.22,95%置信区间为1.32-4.03;P=0.04);积极态度(AOR为3.11,95%置信区间为2.11-4.32;P=0.04);以及感知有用性(AOR为3.43,95%置信区间为2.43-5.44;P=0.02)是与电子健康素养水平相关的变量。

结论

总体而言,不到一半的研究参与者具备较高的数字健康素养水平。高计算机素养、硕士及以上学位、频繁使用互联网、感知易用性、月收入>15000埃塞俄比亚比尔(>283.68美元)、对数字健康素养的良好认知、积极态度和感知有用性是该研究中最具决定性的因素。具备高计算机素养、频繁使用互联网、感知易用性、感知有用性、积极态度和高水平教育将有助于提高数字健康素养水平。

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