低收入和中等收入国家（LMICs）中患有两种常见慢性病的人群的健康信息寻求行为。一项系统综述和荟萃分析。
Health information-seeking behavior among people living with the two common chronic diseases in low and middle-income countries (LMICs). A systematic review and meta-analysis.
作者信息
Tesfa Getanew Aschalew, Demeke Abel Desalegn, Zewold Mesafint, Ngusie Habtamu Setegn
机构信息
School of Public Health, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
出版信息
Digit Health. 2024 Nov 26;10:20552076241302241. doi: 10.1177/20552076241302241. eCollection 2024 Jan-Dec.
OBJECTIVE
The main aim of this review was to systematically collect and summarize the available evidence on health information-seeking behavior among people living with the two common types of chronic diseases in LMICs.
METHODS
For this systematic review and meta-analysis, we searched PubMed, Embase, Scopus, Google Scholar, and forward and backward citations from included studies. The preferred reporting items for Systematic Reviews and Meta-Analyses (PRISMA) procedure were followed to develop and report the review. The pooled effect size and the effect's 95% confidence interval were calculated using a random-effect model meta-analysis for each research. A sub-group analysis was done to investigate potential sources of heterogeneity. To identify publication bias, Egger-weighted regression tests were employed.
RESULTS
A total of 4281 articles were retrieved, with ten studies meeting the eligibility criteria for qualitative synthesis and only seven studies were eligible for the meta-analysis. The pooled extent of health information-seeking behavior among chronic disease patients was 50.5% (95% CI: 35.36-65.70, = 0.00), with high heterogeneity (I= 98.25). Based on the sub-group analysis, it was found that 55% (95% CI: 29.9-79.4) of cancer patients and 40% (95% CI: 36.9%-43.9%) of DM patients sought out health-related information. In studies conducted before 2015, the level of health information seeking was 49%, increasing to 52% (95% CI: 41.0%-62.2%) after 2015.
CONCLUSION
The overall health information seeking behavior among diabetes and cancer patients has increased over time, but remains relatively low, with only nearly half actively seeking information. The findings also emphasize that patients require health-related information on various topics.. Health educators and health professionals should consider this diversity when developing interventions and educational materials to provide patients with the most comprehensive information and education regarding their healthcare issues.
PROTOCOL REGISTRATION NUMBER
CRD42023433169.
目的
本综述的主要目的是系统收集和总结中低收入国家两种常见慢性病患者健康信息寻求行为的现有证据。
方法
对于本系统综述和荟萃分析，我们检索了PubMed、Embase、Scopus、谷歌学术以及纳入研究的前后向引文。遵循系统评价和荟萃分析的首选报告项目（PRISMA）程序来开展和报告该综述。使用随机效应模型荟萃分析为每项研究计算合并效应量及其95%置信区间。进行亚组分析以调查异质性的潜在来源。采用Egger加权回归检验来识别发表偏倚。
结果
共检索到4281篇文章，其中10项研究符合定性综合的纳入标准，仅有7项研究符合荟萃分析的纳入标准。慢性病患者健康信息寻求行为的合并程度为50.5%（95%置信区间：35.36 - 65.70，P = 0.00），异质性较高（I² = 98.25）。基于亚组分析，发现55%（95%置信区间：29.9 - 79.4）的癌症患者和40%（95%置信区间：36.9% - 43.9%）的糖尿病患者寻求健康相关信息。在2015年之前开展的研究中，健康信息寻求水平为49%，2015年之后增至52%（95%置信区间：41.0% - 62.2%）。
结论
随着时间推移，糖尿病和癌症患者的整体健康信息寻求行为有所增加，但仍相对较低，只有近一半的患者积极寻求信息。研究结果还强调，患者需要关于各种主题的健康相关信息。健康教育工作者和卫生专业人员在制定干预措施和教育材料时应考虑到这种多样性，以便为患者提供有关其医疗保健问题的最全面信息和教育。
方案注册号
CRD42023433169。
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