受 2011 年福岛三重灾难影响地区的癌症患者和非癌症患者在互联网上寻求健康信息的情况:横断面研究

IF 3.3 Q2 ONCOLOGY
JMIR Cancer Pub Date : 2024-08-21 DOI:10.2196/49897
Yudai Kaneda, Akihiko Ozaki, Michio Murakami, Toyoaki Sawano, Shuhei Nomura, Divya Bhandari, Hiroaki Saito, Masaharu Tsubokura, Kazue Yamaoka, Yoshinori Nakata, Manabu Tsukada, Hiromichi Ohira
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引用次数: 0

摘要

背景对受灾地区癌症患者通过互联网寻求健康信息的研究不足:本研究不仅旨在评估生活在 2011 年福岛三重灾难灾区的癌症患者通过网络寻求健康信息的程度和方式,还将这些模式与非癌症患者进行比较,找出影响他们网络健康信息行为的独特和共同因素:我们于 2016 年 10 月至 2017 年 1 月对南相市立综合医院外科门诊室的 404 名患者(263 名癌症患者和 141 名非癌症患者)进行了调查。调查包括有关互联网和数字设备使用情况的自设问题。通过描述性分析,研究了不同年龄段癌症患者和非癌症患者的数字设备和互联网使用模式及其对健康信息搜索的影响。根据癌症诊断分层,采用多变量逻辑回归法研究与网络健康信息搜索相关的因素:癌症患者和非癌症患者在互联网上寻求健康信息的比例相当(19% vs 17.4%;P=.71)。数字设备的使用随年龄变化很大,两组中最年轻的人群都是智能手机使用的高峰期。多变量逻辑回归显示,每天使用智能手机或平板电脑的癌症患者收集网络健康信息的几率明显更高(智能手机的几率比 [OR] 为 3.73,95% CI 为 1.58-8.80;平板电脑的几率比 [OR] 为 5.08,95% CI 为 1.27-20.35)。对机构网站的信任度也极大地影响了癌症患者通过网络收集健康信息(OR 2.87,95% CI 1.13-7.25)。与此相反,在非癌症患者中,失业与寻求网络健康信息的可能性较低有关(OR 0.26,95% CI 0.08-0.85),而对机构网站和个人网站的信任则会显著增加这种可能性(对机构网站的OR 6.76,95% CI 2.19-20.88;对个人网站的OR 6.97,95% CI 1.49-32.58):本研究揭示了一小部分癌症患者和非癌症患者通过互联网寻求健康信息,这受到年龄、数字设备使用情况和对机构网站信任度的影响。鉴于数字扫盲的日益普及,应制定相关策略来提高基于网络的健康信息的可及性和可靠性,尤其是针对灾后环境中的癌症患者。未来的工作重点应放在量身定制的健康传播策略上,以满足这些人群的独特需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health Information Seeking on the Internet Among Patients With and Without Cancer in a Region Affected by the 2011 Fukushima Triple Disaster: Cross-Sectional Study.

Background: Health information seeking via the internet among patients with cancer in disaster-affected areas is underresearched.

Objective: This study aims not only to assess the extent and means of web-based health information seeking among patients with cancer living in the disaster-affected area of the 2011 Fukushima triple disaster but also to compare these patterns with those without cancer, identifying distinct and shared factors influencing their web-based health information behaviors.

Methods: We surveyed 404 patients (263 with and 141 without cancer) from the surgery department outpatient office at Minamisoma Municipal General Hospital, from October 2016 to January 2017. The survey included self-administered questions on internet and digital device use. Descriptive analyses were performed to examine the use patterns of digital devices and the internet and their impact on health information seeking across different age groups of patients with and without cancer. Multivariable logistic regression was used to examine factors associated with web-based health information seeking, stratifying by cancer diagnosis.

Results: The proportion of participants who sought health information on the internet was comparable between patients with cancer and patients without cancer (19% vs 17.4%; P=.71). Digital device use varied significantly with age, with peak smartphone use occurring among the youngest cohorts for both groups. Multivariable logistic regression revealed that patients with cancer using smartphones or tablets daily were significantly more likely to gather web-based health information (odds ratio [OR] for smartphones 3.73, 95% CI 1.58-8.80; OR for tablets 5.08, 95% CI 1.27-20.35). Trust in institutional websites also significantly influenced web-based health information gathering among patients with cancer (OR 2.87, 95% CI 1.13-7.25). Conversely, among patients without cancer, unemployment was associated with a lower likelihood of seeking web-based health information (OR 0.26, 95% CI 0.08-0.85), whereas trust in both institutional and personal websites significantly increased this likelihood (OR for institutional websites 6.76, 95% CI 2.19-20.88; OR for personal websites 6.97, 95% CI 1.49-32.58).

Conclusions: This study reveals that a small proportion of both patients with cancer and patients without cancer engage in health information seeking via the internet, influenced by age, digital device use, and trust in institutional websites. Given the growing prevalence of digital literacy, strategies to enhance accessible and reliable web-based health information should be developed, particularly for patients with cancer in postdisaster settings. Future efforts should focus on tailored health communication strategies that address the unique needs of these populations.

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JMIR Cancer
JMIR Cancer ONCOLOGY-
CiteScore
4.10
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0.00%
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64
审稿时长
12 weeks
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