TY - JOUR AU - Chavarria, Enmanuel A AU - Christy, Shannon M AU - Feng, Han AU - Miao, Hongyu AU - Abdulla, Rania AU - Gutierrez, Liliana AU - Lopez, Diana AU - Sanchez, Julian AU - Gwede, Clement K AU - Meade, Cathy D PY - 2022 DA - 2022/10/13 TI -社区诊所接受西班牙语为主的拉丁裔成年人的在线健康信息搜索和电子健康知识:试点随机对照试验数据的二次分析JO - JMIR Form Res SP - e37687 VL - 6 IS - 10 KW -电子健康素养KW -在线健康信息搜索KW -医疗服务不足KW -西班牙裔KW -拉丁裔KW -以西班牙语为主的KW -健康沟通KW -结直肠癌筛查AB -背景:电子健康素养是为健康和疾病管理寻找、获取和解读在线健康信息(OHI)的能力。电子保健(如保健服务和在线信息)的迅速发展对患者提出了更高的要求，要求他们具备较高的电子保健知识水平。然而，对电子卫生的进一步重视可能会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卫生保健和信息获取、卫生保健使用和电子卫生资源成功使用的重要因素，它们可能影响OHI寻求癌症预防行为改变。目的:本研究旨在描述50至75岁西班牙裔(SD)拉丁裔成年人的OHI寻求程度和电子健康素养。此外，我们的目的是分别研究社会人口学特征、预防健康模型(PHM)结构、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)自称为拉丁裔，参加了结直肠癌(CRC)筛查干预，年龄在50至75岁之间，处于结直肠癌的平均风险，没有最新的结直肠癌筛查，并倾向于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、ohi寻求行为和电子健康素养——在入组时评估那些寻求ohi的人。首先对所有变量进行描述性分析。 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 SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/10/e37687 UR - https://doi.org/10.2196/37687 UR - http://www.ncbi.nlm.nih.gov/pubmed/35238785 DO - 10.2196/37687 ID - info:doi/10.2196/37687 ER -