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从社会生态模型视角看普通人群中与健康信息机器人信任水平相关的因素:网络分析

Factors Associated With the Level of Trust in Health Information Robots Among the General Population From a Socioecological Model Perspective: Network Analysis.

作者信息

Zhao Jiukai, Yang Yuqi, Miao Juanxia, Wang Xue, Qi Dianjun, Zang Shuang

机构信息

Department of Community Nursing, School of Nursing, China Medical University, Shenyang, China.

School of Nursing, Henan University of Science and Technology, Luoyang, China.

出版信息

J Med Internet Res. 2025 Jun 13;27:e68299. doi: 10.2196/68299.


DOI:10.2196/68299
PMID:40513089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12205264/
Abstract

BACKGROUND: Although robots have emerged as a new means of delivering health information, with the advancement of artificial intelligence technology, individuals still face challenges in deciding whether to trust the health information provided by these robots owing to various trust-related factors. OBJECTIVE: This study aimed to investigate the factors associated with the level of trust in health information robots among the general population in China from a socioecological model perspective and identify the central indicators based on network analysis. METHODS: A nationwide survey in China was conducted from June 20, 2023, to August 31, 2023, involving 30,054 participants. The level of trust in health information robots was measured using a self-developed questionnaire. Univariate and multivariate generalized linear model analyses were conducted to investigate the factors associated with the level of trust in health information robots. Network analyses were conducted to examine the network structure of trust levels in health information robots and the associated factors. RESULTS: The results of the multivariate generalized linear model analysis revealed that participants who were diagnosed with chronic diseases; exhibited personality traits of higher agreeableness and openness; had an education level of junior college or higher; reported higher self-rated health status, health literacy, anxiety symptoms, family health, number of house properties, average monthly household income, and perceived social support; and had higher medical insurance coverage showed a positive association with the level of trust in health information robots compared to individuals without these characteristics. However, compared to individuals without these characteristics, being older, having the personality trait of neuroticism, and living in an urban area were negatively associated with the level of trust in health information robots. In addition, using a network approach, central indicators were identified in the network of the level of trust in health information robots and its associated factors, including family health and perceived social support. Finally, agreeableness and educational level appeared upstream of the entire directed acyclic graph, directly influencing the level of trust in health information robots. CONCLUSIONS: Our findings offer a novel perspective on the association between health information robots and trust and contribute to the application and development of artificial intelligence IT. Individuals' acceptance of and adherence to health information may be enhanced if the factors associated with the level of trust in health information robots are considered.

摘要

背景:尽管机器人已成为传递健康信息的一种新手段,但随着人工智能技术的进步,由于各种与信任相关的因素,个人在决定是否信任这些机器人提供的健康信息时仍面临挑战。 目的:本研究旨在从社会生态模型的角度调查中国普通人群中与健康信息机器人信任水平相关的因素,并基于网络分析确定核心指标。 方法:于2023年6月20日至2023年8月31日在中国进行了一项全国性调查,涉及30054名参与者。使用自行编制的问卷测量对健康信息机器人的信任水平。进行单变量和多变量广义线性模型分析,以调查与健康信息机器人信任水平相关的因素。进行网络分析,以检查健康信息机器人信任水平的网络结构及其相关因素。 结果:多变量广义线性模型分析结果显示,与没有这些特征的个体相比,被诊断患有慢性病的参与者;表现出较高宜人性和开放性人格特质的参与者;教育水平为大专及以上的参与者;报告自评健康状况、健康素养、焦虑症状、家庭健康状况、房产数量、家庭月平均收入和感知社会支持较高的参与者;以及医疗保险覆盖范围较高的参与者,与对健康信息机器人的信任水平呈正相关。然而,与没有这些特征的个体相比,年龄较大、具有神经质人格特质以及居住在城市地区与对健康信息机器人的信任水平呈负相关。此外,使用网络方法,在健康信息机器人信任水平及其相关因素的网络中确定了核心指标,包括家庭健康和感知社会支持。最后,宜人性和教育水平出现在整个有向无环图的上游,直接影响对健康信息机器人的信任水平。 结论:我们的研究结果为健康信息机器人与信任之间的关联提供了新的视角,并有助于人工智能信息技术的应用和发展。如果考虑与健康信息机器人信任水平相关的因素,可能会提高个体对健康信息的接受度和依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/c20ea94a4996/jmir_v27i1e68299_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/0522b706f461/jmir_v27i1e68299_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/2fd3ea5eafc1/jmir_v27i1e68299_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/debf0618aabe/jmir_v27i1e68299_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/c20ea94a4996/jmir_v27i1e68299_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/0522b706f461/jmir_v27i1e68299_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/2fd3ea5eafc1/jmir_v27i1e68299_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/debf0618aabe/jmir_v27i1e68299_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/639c/12205264/c20ea94a4996/jmir_v27i1e68299_fig4.jpg

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本文引用的文献

[1]
Prioritisation of functional needs for ICU intelligent robots in China: a consensus study based on the national survey and nominal group technique.

BMJ Open. 2025-2-26

[2]
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Ethn Dis. 2023-9

[3]
Digital Health Literacy of the Population in Germany and Its Association With Physical Health, Mental Health, Life Satisfaction, and Health Behaviors: Nationally Representative Survey Study.

JMIR Public Health Surveill. 2024-2-21

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Psychol Med. 2024-7

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Schizophr Bull. 2023-7-4

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