Manning Sydney E, Wang Hao, Dwibedi Nilanjana, Shen Chan, Wiener R Constance, Findley Patricia A, Mitra Sophie, Sambamoorthi Usha
Department of Pharmacotherapy, University of North Texas Health Science Center, Fort Worth, TX, USA.
Department of Emergency Medicine, JPS Health Network, Integrative Emergency Services, Fort Worth, TX, USA.
Digit Health. 2023 Apr 25;9:20552076231163797. doi: 10.1177/20552076231163797. eCollection 2023 Jan-Dec.
To examine the association of multimorbidity with health information technology use among adults in the USA.
We used cross-sectional study design and data from the Health Information National Trends Survey 5 Cycle 4. Health information technology use was measured with ten variables comprising access, recent use, and healthcare management. Unadjusted and adjusted logistic and multinomial logistic regressions were used to model the associations of multimorbidity with health information technology use.
Among adults with multimorbidity, health information technology use for specific purposes ranged from 37.8% for helping make medical decisions to 51.7% for communicating with healthcare providers. In multivariable regressions, individuals with multimorbidity were more likely to report general use of health information technology (adjusted odds ratios = 1.48, 95% confidence intervals = 1.01-2.15) and more likely to use health information technology to check test results (adjusted odds ratios = 1.85, 95% confidence intervals = 1.33-2.58) compared to adults with only one chronic condition, however, there were no significant differences in other forms of health information technology use. We also observed interactive associations of multimorbidity and age on various components of health information technology use. Compared to younger adults with multimorbidity, older adults (≥ 65 years of age) with multimorbidity were less likely to use almost all aspects of health information technology.
Health information technology use disparities by age and multimorbidity were observed. Education and interventions are needed to promote health information technology use among older adults in general and specifically among older adults with multimorbidity.
研究美国成年人中多种疾病并存与健康信息技术使用之间的关联。
我们采用横断面研究设计，并使用了来自健康信息国家趋势调查第5周期第4轮的数据。健康信息技术的使用通过包括获取、近期使用和医疗管理在内的10个变量进行衡量。未调整和调整后的逻辑回归及多项逻辑回归用于对多种疾病并存与健康信息技术使用之间的关联进行建模。
在患有多种疾病的成年人中，健康信息技术用于特定目的的比例从帮助做出医疗决策的37.8%到与医疗服务提供者沟通的51.7%不等。在多变量回归中，与仅患有一种慢性病的成年人相比，患有多种疾病的个体更有可能报告普遍使用健康信息技术（调整后的优势比=1.48，95%置信区间=1.01-2.15），并且更有可能使用健康信息技术查看检查结果（调整后的优势比=1.85，95%置信区间=1.33-2.58），然而，在其他形式的健康信息技术使用方面没有显著差异。我们还观察到多种疾病并存与年龄在健康信息技术使用的各个组成部分上存在交互关联。与患有多种疾病的年轻成年人相比，患有多种疾病的老年人（≥65岁）几乎在健康信息技术使用的所有方面的可能性都较小。
观察到了年龄和多种疾病并存导致的健康信息技术使用差异。需要开展教育和干预措施，以促进一般老年人尤其是患有多种疾病的老年人使用健康信息技术。
