National Cancer Institute, Rockville, Maryland.
National Cancer Institute, Rockville, Maryland.
Am J Prev Med. 2024 Feb;66(2):307-314. doi: 10.1016/j.amepre.2023.09.025. Epub 2023 Oct 2.
To reduce tobacco-related health problems, it is critical to reach people who smoke with smoking cessation information and treatment. However, digital communication inequalities may limit access to online information sources.
Digital device ownership, high-speed internet access, and online health information-seeking were examined among adults reporting current smoking in the Health Information National Trends Survey (n=847). Data were collected in 2019 and 2020 and analyzed in 2022. Multivariable logistic regression models examined associations between demographics, digital technology access, and online health information-seeking.
Only 47.6% (95% CI 39.0%, 56.3%) of adults aged 65+, 54.2% of Black/African American adults (95% CI 37.8%, 69.8%), and 59.6% with high school or less education (95% CI 51.5%, 67.1%) reported high-speed internet access (vs. 74.0% overall, 95% CI 68.9%, 78.6%). Inequalities in device ownership, high-speed internet access, and online health information-seeking were found by education and income. Adults with high school or less education (vs. college or more) had 78% lower odds of digital device ownership (aOR 0.22, 95% CI 0.08, 0.59) and 75% lower odds of high-speed internet access (aOR 0.25, 95% CI 0.09, 0.71). High-speed internet access (vs. no digital device or high-speed internet) was associated with 4.9 times greater odds of online health information-seeking (95% CI 1.81, 13.4).
Digital communication inequalities among adults who smoke exist. Understanding digital technology access among lower income populations could inform the development and delivery of interventions and health communication strategies to improve health outcomes among this population.
为了减少与烟草相关的健康问题，必须让吸烟人群获得戒烟信息和治疗。然而，数字通信不平等可能会限制他们获取在线信息资源。
在《健康信息国家趋势调查》（n=847）中，对报告当前吸烟的成年人进行了数字设备拥有情况、高速互联网接入和在线健康信息搜索的调查。数据于 2019 年和 2020 年收集，并于 2022 年进行分析。多变量逻辑回归模型检查了人口统计学特征、数字技术获取与在线健康信息搜索之间的关联。
只有 47.6%（95%CI 39.0%，56.3%）的 65 岁以上成年人、54.2%的黑人和非裔美国人成年人（95%CI 37.8%，69.8%）和 59.6%高中及以下学历成年人（95%CI 51.5%，67.1%）报告称他们拥有高速互联网接入（而总体上这一比例为 74.0%，95%CI 68.9%，78.6%）。在教育和收入方面，发现了在设备拥有、高速互联网接入和在线健康信息搜索方面的不平等现象。与受过高等教育的成年人相比（高中及以下），拥有数字设备的可能性低 78%（优势比 0.22，95%CI 0.08，0.59），拥有高速互联网接入的可能性低 75%（优势比 0.25，95%CI 0.09，0.71）。与没有数字设备或高速互联网接入的成年人相比，拥有高速互联网接入与在线健康信息搜索的可能性高 4.9 倍（95%CI 1.81，13.4）。
吸烟成年人中存在数字通信不平等现象。了解低收入人群的数字技术获取情况，可以为开发和提供干预措施以及健康传播策略提供信息，以改善这部分人群的健康结果。
