@文章{信息:doi/10.2196/17294，作者="Choi, Namkee G和DiNitto, Diana M和Lee, Othelia EunKyoung和Choi, Bryan Y"，标题="互联网和健康信息技术的使用与老年人自我报告视力障碍的心理困扰:病例对照研究"，期刊="J医学互联网研究"，年="2020"，月="Jun"，日="3"，卷="22"，数="6"，页数="e17294"，关键词="老年人;视力障碍;打击;心理压力;数字鸿沟;背景:老年人视力障碍(VI)的数量正在增长。随着医疗保健服务越来越多地要求患者使用技术，检查患有VI的老年人中互联网/健康信息技术(HIT)的使用是很重要的。目的:本研究旨在检查(1)患有VI的老年人与没有VI的同龄人的匹配样本的互联网/HIT使用率，(2)VI与互联网/HIT使用的相关性，以及(3)使用HIT与心理困扰的相关性，采用Kessler-6筛查评估。方法:数据来自2013年至2018年美国国民健康访谈调查。根据年龄、性别、慢性疾病数量和功能限制，自我报告有VI的老年人(年龄≥65岁)与没有VI的老年人以1:1的比例进行匹配(N=2866)。以社会人口学因素、健康状况、健康保险类型及医疗服务使用情况为协变量，采用描述性统计及多变量逻辑回归模型对研究问题进行分析。 Results: In total, 3.28{\%} of older adults (compared with 0.84{\%} of those aged 18-64 years) reported VI, and 25.7{\%} of them were aged ≥85 years. Those with VI were significantly more socioeconomically disadvantaged than those without VI and less likely to use the internet (adjusted odds ratio [aOR] 0.64, 95{\%} CI0.49-0.83) and HIT (aOR 0.74, 95{\%} CI 0.56-0.97). However, among internet users, VI was not associated with HIT use. HIT use was associated with lower odds of mild/moderate or serious psychological distress (aOR 0.62, 95{\%} CI 0.43-0.90), whereas VI was associated with greater odds of mild/moderate or serious distress (aOR 1.84, 95{\%} CI 1.36-2.49). Health care provider contacts were also associated with higher odds of internet or HIT use. Conclusions: Compared with their matched age peers without VI, older adults with VI are less likely to use HIT because they are less likely to use the internet. Socioeconomically disadvantaged older adults experiencing a digital divide need help to access information and communication technologies through a fee waiver or subsidy to cover internet equipment and subscription and ensure continuous connectivity. Older adults with VI who do not know how to use the internet/HIT but want to learn should be provided instruction, with special attention to accessibility features and adaptive devices. Older adults with a low income also need better access to preventive eye care and treatment of VI as well as other health care services. ", issn="1438-8871", doi="10.2196/17294", url="//www.mybigtv.com/2020/6/e17294", url="https://doi.org/10.2196/17294", url="http://www.ncbi.nlm.nih.gov/pubmed/32490851" }