Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH, 45267-0528, USA.
Eur Arch Otorhinolaryngol. 2024 Jan;281(1):489-496. doi: 10.1007/s00405-023-08303-3. Epub 2023 Oct 31.
The objective of this study was to determine concerns of otolaryngology patients regarding health-related social media usage.
A total of 372 otolaryngology patients were asked to report their level of concern (on a scale of "not at all", "a little", "somewhat", or "highly" concerned) regarding health-related social media usage as it pertained to risk of "loss of privacy or anonymity related to your health condition", "reliability of disease/treatment information", and "reliability of physician reviews/recommendations". Demographics and social media usage patterns (on Facebook, Instagram, Twitter, TikTok or other platforms) were compared to concerns about health-related social media usage.
The level of concern was highest for reliability of disease/treatment information and least for loss of privacy/anonymity (p < 0.001). Concern about loss of privacy/anonymity was associated with age over 25 years (OR = 3.12, 95%CI 1.66-5.86, p < 0.001) and negatively with daily use of Twitter (OR = 0.54, 95%CI 0.30-0.96, p = 0.035). Concern about reliability of disease/treatment information was negatively associated with Medicare insurance (OR = 0.57, 95%CI 0.35-0.93, p = 0.024), which is available to adults aged ≥65 years, and concern over reliability of physician reviews/recommendations was associated with patients identifying their race as Asian, American Indian and other (OR = 3.16, 95%CI 1.22-8.19, p = 0.018).
The greatest concern about health-related social media usage is related to reliability of disease/treatment information, though notably less among patients with Medicare who represent adults of age 65 years or older. Concerns over loss of privacy/anonymity and reliability of physician reviews/recommendations are also prevalent and associated with patient demographics. These concerns may constrain utilization of social media for healthcare purposes, which highlights the importance of reliable sources of information.
本研究旨在确定耳鼻喉科患者对与健康相关的社交媒体使用的关注。
共 372 名耳鼻喉科患者被要求报告他们对与健康相关的社交媒体使用的关注程度（分为“毫不关注”、“有点关注”、“有些关注”或“高度关注”），涉及“与您的健康状况相关的隐私或匿名丢失风险”、“疾病/治疗信息的可靠性”和“医生评论/推荐的可靠性”。将人口统计学和社交媒体使用模式（在 Facebook、Instagram、Twitter、TikTok 或其他平台上）与对与健康相关的社交媒体使用的关注进行比较。
对疾病/治疗信息可靠性的关注程度最高，对隐私/匿名丢失的关注程度最低（p<0.001）。对隐私/匿名丢失的关注与年龄超过 25 岁有关（OR=3.12，95%CI 1.66-5.86，p<0.001），与每天使用 Twitter 呈负相关（OR=0.54，95%CI 0.30-0.96，p=0.035）。对疾病/治疗信息可靠性的关注与医疗保险（OR=0.57，95%CI 0.35-0.93，p=0.024）呈负相关，医疗保险可供≥65 岁的成年人使用，对医生评论/推荐的可靠性的关注与患者将自己的种族认定为亚裔、美国印第安人和其他种族（OR=3.16，95%CI 1.22-8.19，p=0.018）有关。
对与健康相关的社交媒体使用的最大关注是与疾病/治疗信息的可靠性有关，尽管 Medicare 的患者（代表 65 岁或以上的成年人）中这一比例明显较低。对隐私/匿名丢失和医生评论/推荐可靠性的担忧也很普遍，并与患者人口统计学特征有关。这些担忧可能会限制社交媒体在医疗保健方面的使用，这凸显了可靠信息来源的重要性。
