TY -的AU -东,罗宾·T非盟- Sweetenham约翰W非盟-以色列,艾梅D AU -生手,茉莉花PY - 2021 DA - 2021/8/31 TI COVID-19通信从七个医疗机构在北德州英语和西班牙语的癌症患者:混合方法的网站研究乔- JMIR癌症SP - e30492六世- 7 - 3 KW - COVID-19 KW -冠状病毒KW -安全网KW -互联网KW交流AB -背景:COVID-19大流行迫切需要迅速传播卫生信息，特别是向癌症患者传播，因为他们面临更高的发病率和死亡率。与此同时，大流行病对拉丁裔人口的不成比例的影响突出表明，必须向讲西班牙语的人提供信息。然而，通过机构的在线媒体向讲西班牙语的癌症患者传播COVID-19信息的公平性尚不清楚。目的:我们进行了一项多模式、混合方法的文献回顾研究，以评估来自德克萨斯州北部7家卫生保健机构的英语和西班牙语人群可获得的关于COVID-19和癌症的在线信息的公平性，其中五分之一的成年人是西班牙语。我们较少关注“数字鸿沟”，即基于风险人群的种族/民族、教育和收入，在获取计算机和互联网方面存在的差异;相反，我们的研究提出了以下问题:在多大程度上，在线内容在满足西班牙语使用者的信息需求方面是有用的和文化上合适的?方法:我们在2020年5月中旬的一周内审查了50个网站(33个英语网站和17个西班牙网站)。我们选取了七家机构的主要肿瘤学和COVID网页，以及内部(机构)和外部(非机构)链接内容。我们对每个样本页面进行了几项分析，包括(1)主题内容分析，(2)使用可读性工作室软件进行读写水平分析，(3)使用患者教育和材料评估工具(PEMAT)进行编码，以及(4)对视频和多样性内容进行描述性分析。 Results: The themes most frequently addressed on English and Spanish websites differed. While “resources/FAQs” were frequently cited themes on both websites, English websites more frequently addressed “news/updates” and “cancer+COVID,” and Spanish websites addressed “protection” and “COVID data.” Spanish websites had on average a lower literacy level (11th grade) than English websites (13th grade), although still far above the recommended guideline of 6th to 8th grade. The PEMAT’s overall average accessibility score was the same for English (n=33 pages) and Spanish pages (n=17 pages) at 82%. Among the Dallas-Fort Worth organizations, the average accessibility of Spanish pages (n=7) was slightly lower than that of English pages (n=19) (77% vs 81%), due mostly to the discrepancy in English-only videos and visual aids. Of the 50 websites, 12 (24%) had embedded videos; however, 100% of videos were in English, including one on a Spanish website. Conclusions: We identified an uneven response among the seven health care institutions for providing equitable information to Spanish-speaking Dallas-Fort Worth residents concerned about COVID and cancer. Spanish speakers lack equal access in both diversity of content about COVID-19 and access to other websites, leaving an already vulnerable cancer patient population at greater risk. We recommend several specific actions to enhance content and navigability for Spanish speakers. SN - 2369-1999 UR - https://cancer.www.mybigtv.com/2021/3/e30492 UR - https://doi.org/10.2196/30492 UR - http://www.ncbi.nlm.nih.gov/pubmed/34346886 DO - 10.2196/30492 ID - info:doi/10.2196/30492 ER -