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Gender-Specific Determinants and Patterns of Online Health Information Seeking: Results From a Representative German Health Survey

机译:特定性别决定因素和在线健康信息搜索模式:来自德国代表性健康调查的结果

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Background: Online health information-seeking behavior (OHISB) is currently a widespread and common behavior that has been described as an important prerequisite of empowerment and health literacy. Although demographic factors such as socioeconomic status (SES), age, and gender have been identified as important determinants of OHISB, research is limited regarding the gender-specific motivational determinants of OHISB and differences between women and men in the use of online resources for health information purposes.Objective: The aim of this study was to identify gender-specific determinants and patterns of OHISB by analyzing data from a representative German sample of adults (N=1728) with special attention to access and frequency of use as well as topics and sources of OHISB.Methods: We employed a 2-step analysis, that is, after exploring differences between users and nonusers of online health information using logistic regression models, we highlighted gender-specific determinants of the frequency of OHISB by applying zero-truncated negative binomial models.Results: Age (odds ratio, OR for females=0.97, 95% CI 0.96-0.99) and degree of satisfaction with one’s general practitioner (GP) (OR for males=0.73, 95% CI 0.57-0.92) were gender-specific determinants of access to OHISB. Regarding the frequency of OHISB, daily Internet use (incidence rate ratio, IRR=1.67, 95% CI 1.19-2.33) and a strong interest in health topics (IRR=1.45, 95% CI 1.19-1.77) were revealed to be more important predictors than SES (IRR for high SES=1.25, 95% CI 0.91-1.73).Conclusions: Users indicate that the Internet seems to be capable of providing a valuable source of informational support and patient empowerment. Increasing the potential value of the Internet as a source for health literacy and patient empowerment requires need-oriented and gender-specific health communication efforts, media, and information strategies.
机译:背景:在线健康信息搜寻行为(OHISB)当前是一种广泛而普遍的行为,被描述为增强能力和健康素养的重要前提。尽管社会经济地位(SES),年龄和性别等人口因素已被确定为OHISB的重要决定因素,但有关OHISB的性别特定动机决定因素以及在利用在线资源进行保健方面男女之间的差异的研究仍然有限信息目的。目的:本研究旨在通过分析德国代表性成年人样本(N = 1728)中的数据来识别OHISB的性别决定因素和模式,并特别关注使用和使用频率以及主题和内容。方法:我们采用了两步分析,即在使用logistic回归模型探索在线健康信息的用户和非用户之间的差异之后,我们通过应用零截断的负数突出显示了OHISB频率的性别特定决定因素结果:年龄(比值比,女性的OR = 0.97,95%CI 0.96-0.99)和对全科医生的满意程度er(GP)(男性OR = 0.73,95%CI 0.57-0.92)是获得OHISB的性别特定决定因素。关于OHISB的频率,显示每天的互联网使用(发生率比率,IRR = 1.67,95%CI 1.19-2.33)和对健康主题的强烈兴趣(IRR = 1.45,95%CI 1.19-1.77)更为重要。结论:用户指出,互联网似乎能够提供有价值的信息支持和患者赋权资源,这比SES预测值高(IRS代表高SES = 1.25,95%CI 0.91-1.73)。提高互联网作为健康素养和增强患者权能的来源的潜在价值,需要针对需求和针对性别的健康交流努力,媒体和信息策略。

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