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美国女性健康信息寻求行为的患病率、相关因素及来源

Prevalence, correlates, and sources of women's health information-seeking behaviors in the United States.

作者信息

Ajayi Kobi V, Flores Sara, Fan Qiping, Ezenwanne Folakemi, Garney Whitney, Wachira Elizabeth

机构信息

Department of Health Behavior, School of Public Health, Texas A&M University College Station, TX 77843, USA.

Department of Health Behavior, School of Public Health, Texas A&M University College Station, TX 77843, USA.

出版信息

Patient Educ Couns. 2023 Jun;111:107703. doi: 10.1016/j.pec.2023.107703. Epub 2023 Mar 7.

Abstract

OBJECTIVE

To investigate the prevalence, correlates, and sources of women's health information-seeking behaviors in the United States using the Andersen Behavioral Model.

METHODS

The 2012-2019 Health Information National Trends Survey data were used to analyze how and where women seek health theoretically. Weighted prevalence, descriptive analysis, and separate multivariable logistic regression models were computed to test the argument.

RESULTS

The overall prevalence of seeking health information from any source was (83%, 95% CI: 0.82-0.84). Between 2012 and 2019, the analysis revealed a downward trend in health information seeking from any source (85.2-82.4%), health care provider (19.0-14.8%), family/friends (10.4-6.6%), and traditional channels (5.4-4.8%). Interestingly, there was an increase in Internet usage from 65.4% to 73.8%.

CONCLUSIONS

We found statistically significant relationships between the predisposing, enabling, and need factors of the Andersen Behavioral Model. Specifically, age, race/ethnicity, income levels, educational status, perceived health status, having a regular provider, and smoking status predicted women's health information-seeking behaviors.

PRACTICE IMPLICATIONS

Our study concludes that several factors influence health information-seeking behaviors, and disparities exist in the channels through which women seek care. The implications for health communication strategies, practitioners, and policymakers are also discussed.

摘要

目的

运用安德森行为模型调查美国女性健康信息寻求行为的患病率、相关因素及信息来源。

方法

使用2012 - 2019年健康信息国家趋势调查数据,从理论上分析女性寻求健康信息的方式和地点。计算加权患病率、描述性分析以及单独的多变量逻辑回归模型来检验该论点。

结果

从任何来源寻求健康信息的总体患病率为(83%,95%置信区间:0.82 - 0.84)。2012年至2019年期间,分析显示从任何来源、医疗保健提供者、家人/朋友以及传统渠道寻求健康信息的比例呈下降趋势(分别从85.2%降至82.4%、从19.0%降至14.8%、从10.4%降至6.6%、从5.4%降至4.8%)。有趣的是,互联网使用比例从65.4%上升至73.8%。

结论

我们发现安德森行为模型的易患因素、促成因素和需求因素之间存在统计学上的显著关系。具体而言,年龄、种族/族裔、收入水平、教育程度、感知健康状况、有固定的医疗服务提供者以及吸烟状况可预测女性的健康信息寻求行为。

实践意义

我们的研究得出结论,有几个因素会影响健康信息寻求行为,并且女性寻求医疗服务的渠道存在差异。还讨论了对健康传播策略、从业者和政策制定者的影响。

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