%0期刊文章%@ 2561-326X %I JMIR出版物%V 6% 卡塔尔世界杯8强波胆分析N 10% P 37687% T在社区诊所接受护理的西班牙语占主导地位的拉丁美洲成年人的在线健康信息寻求和电子健康素养:抽样随机对照试验数据的二次分析%A查瓦里亚，Enmanuel A Christy,Shannon M %A Feng,Han M %A Miao,Hongyu %A Abdulla,Rania %A Gutierrez,Liliana %A Lopez,Diana %A Sanchez,Julian Gwede,Clement K %A Meade,Cathy D +行为、社会和健康教育科学系，埃默里大学罗林斯公共卫生学院，亚特兰大，佐治亚州，30322，美国，1 4047278741，enmanuel.chavarria@emory.edu %K电子健康素养%K在线健康信息搜索%K医疗服务不足%K西班牙语%K拉丁裔%K西班牙语占主导地位%K健康通信%K结直肠癌筛查%D 2022 %7 13.10.2022 %9原始论文%J JMIR表格Res %G英语%X背景:电子健康素养是为健康和疾病管理寻找、获取和破译在线健康信息(OHI)的能力。电子卫生的迅速发展(例如，医疗保健服务和在线信息)对患者具有较高的电子卫生知识水平提出了更高的要求。然而，更重视电子卫生可能对电子卫生知识有限的群体产生不成比例的影响。文化背景、语言和电子卫生素养是影响医疗保健和信息获取、医疗保健使用和成功使用电子卫生资源的重要因素，它们可能会影响OHI寻求癌症预防行为改变。目的:本研究旨在描述50至75岁西班牙语占主导地位(SD)的拉丁裔成年人的OHI寻求程度和电子健康素养。此外，我们旨在分别研究社会人口学特征、预防健康模型(PHM)构建、ohi寻求行为和电子健康素养之间的潜在关联。方法:参与者(N=76)自认为是拉丁美洲人，参加了结直肠癌(CRC)筛查干预，年龄50 - 75岁，患CRC的平均风险，没有最新的CRC筛查，更喜欢接受西班牙语的健康信息。我们描述了参与者的社会人口学特征、PHM结构、寻求ohi的行为和电子健康素养——在登记时评估的寻求ohi的人群中。 Descriptive analyses were first performed for all variables. Next, primary univariate logistic analyses explored possible associations with OHI seeking. Finally, using data from those seeking OHI, exploratory univariate analyses sought possible associations with eHealth literacy. Results: A majority (51/76, 67%) of the participants were female, 62% (47/76) reported not having graduated high school, and 41% (31/76) reported being unemployed or having an annual income of less than US $10,000. Additionally, 75% (57/76) of the participants reported not having health insurance. In total, 71% (54/76) of the participants reported not having sought OHI for themselves or others. Univariate logistic regression suggested that higher educational attainment was significantly associated with an increased likelihood of having sought OHI (odds ratio 17.4, 95% CI 2.0-150.7; P=.009). Among those seeking OHI (22/76, 29%), 27% (6/22) were at risk of having low eHealth literacy based on an eHealth Literacy Scale score of less than 26. Among OHI seekers (22/76, 29%), an examination of associations found that higher eHealth literacy was associated with greater self-efficacy for screening with the fecal immunochemical test (β=1.20, 95% CI 0.14-2.26; P=.02). Conclusions: Most SD Latino participants had not sought OHI for themselves or others (eg, family or friends), thus potentially limiting access to beneficial online resources. Preliminary findings convey that higher eHealth literacy occurs among those with higher self-efficacy for CRC screening. Findings inform areas of focus for future larger-scale investigations, including further exploration of reasons for not seeking OHI among SD Latino adults and an in-depth look at eHealth literacy and cancer screening behaviors. Trial Registration: ClinicalTrials.gov NCT03078361; https://clinicaltrials.gov/ct2/show/NCT03078361 %M 35238785 %R 10.2196/37687 %U https://formative.www.mybigtv.com/2022/10/e37687 %U https://doi.org/10.2196/37687 %U http://www.ncbi.nlm.nih.gov/pubmed/35238785