@文章{信息:doi/10.2196/14241，作者=“Bender, Jacqueline L和Feldman-Stewart, Deb和Tong, Christine和Lee, Karen和Brundage, Michael和Pai, Howard和Robinson, John和Panzarella, Tony”，标题=“加拿大前列腺癌患者中与健康相关的互联网使用:癌症登记处调查研究”，期刊=“J医学互联网研究”，年=“2019”，月=“11”，日=“19”，卷=“21”，数=“11”，页=“e14241”，关键词=“前列腺癌;互联网;卫生决策;背景:在前列腺癌诊断后，男性希望了解他们的疾病和治疗方案。互联网为前列腺癌患者提供了便捷的健康信息。然而，在这个以老年人为主的群体中，人们对互联网的使用存在担忧。目的:本研究旨在确定加拿大前列腺癌男性使用互联网作为健康信息来源的模式和相关因素，以及网站所需的特征和信息。方法:2014-2015年在加拿大四个省(不列颠哥伦比亚省、阿尔伯塔省、萨斯喀彻温省和安大略省)进行人口调查。数据分析包括描述性分析、双变量分析和多变量分析。皮尔逊卡方和单变量回归用于检验自变量与健康相关的互联网使用之间的关联。 Correlates of health-related internet use were analyzed using multivariable logistic regression. Results: A total of 1362 patients responded across the four provinces. The mean age of respondents was 69 years (SD 8.2). In addition, 82{\%} (n=1071) were internet users and 71{\%} (n=910) used the internet daily. Further, 65{\%} (n=784) used the internet as a source of prostate cancer information, and 40{\%} (n=521) were confident about using information obtained from the internet to make health decisions. Men who used the internet to obtain prostate cancer information were more likely to be active information seekers (odds ratio [OR]: 4.5, 95{\%} CI 2.6-7.8), be confident using information from the internet to make health decisions (OR: 3.6, 95{\%} CI 2.3-5.7), have broadband internet access (OR: 1.8, 95{\%} CI 1.2-2.7), and have more unmet supportive care needs (OR: 1.05, 95{\%} CI 1.0-1.1). Top features wanted in a website, reported by more than 50{\%} of respondents, were a library of resources (n=893, 65.6{\%}), tools to support treatment decision making (n=815, 59.8{\%}), and tools to help navigate the prostate cancer journey (n=698, 51.2{\%}). Top three topics of information wanted in such a website were treatment options (n=916, 67.3{\%}), disease progression (n=904, 66.4{\%}), and management of side effects (n=858, 63{\%}). Conclusions: Over two-thirds of Canadian patients with prostate cancer surveyed use the internet as a source of health information about prostate cancer, but over half did not feel confident using information from the internet to make health decisions. Being an active information seeker, having confidence in using information from the internet to make health decisions, having broadband internet, and having more unmet supportive care needs were significantly associated with health-related internet use. Future work should examine electronic health literacy interventions as a means to boost men's confidence in using information from the internet and design websites that include information and features that help men navigate the prostate cancer journey and support treatment decision making and management of side effects. ", issn="1438-8871", doi="10.2196/14241", url="//www.mybigtv.com/2019/11/e14241/", url="https://doi.org/10.2196/14241", url="http://www.ncbi.nlm.nih.gov/pubmed/31742561" }