杂志文章Gunther Eysenbach相信互联网是老年人的健康资源:来自全国代表性调查的数据分析a Zulman,Donna M % a Kirch,Matthias % a Zheng,Kai % a An,Lawrence C %+密歇根大学Robert Wood Johnson基金会临床学者项目，6312医学科学楼I, 1150 W。Medical Center Drive, Ann Arbor, MI, 48109, United States, 1 734 647 4844, dzulman@umich.edu %K老年人%K Trust %K在线健康信息%D 2011 %7 16.02.2011 %9原创论文%J J Med Internet Res %G英文%X背景:老年人普遍不信任互联网作为健康信息来源。然而，这种不信任对出于健康目的使用互联网的影响尚不清楚。目的:本研究的目的是探讨老年人对互联网的信任如何影响其在线健康相关活动，并确定改善老年人健康相关互联网资源的潜在目标。方法:数据来自一项具有全国代表性的随机数字拨号电话调查，调查对象为1450名年龄在50岁及以上的美国成年人。开发了一个模型来概念化个体特征、不信任和对互联网作为健康资源的回避之间的假设关系。采用多变量logistic回归分析来检验对在线健康信息的信任与为健康相关目的使用互联网之间的关系。进行了额外的多变量逻辑回归分析，以确定与在线健康信息信任相关的关键特征，依次添加了解释老年人不信任的假设变量:社会人口统计学和健康特征、互联网经验不足和技术困难、对互联网的负面情绪，以及对在线健康信息来源缺乏认识。结果:研究人群的平均(SD)年龄为63.7(10.6)岁。在823名(56.8%)互联网用户中，628名(76.3%)报告使用互联网作为健康资源。 Trust in the Internet as a source of health information was associated with using the Internet for a number of health activities, including searching for information about a specific health condition (adjusted OR 4.43, P < .001), purchasing prescription drugs (adjusted OR 2.61, P = .03), and talking with a health care provider about information found online (adjusted OR 2.54, P = .002). Older adults (age ≥65 years) were less likely to trust the Internet as a source of health information (OR 0.63, P = .04), even after adjusting for other sociodemographic characteristics and health and function. This age effect was only slightly attenuated (adjusted OR 0.69, P = .13) after adjusting for inexperience and technical difficulties with the Internet, but it disappeared entirely (adjusted OR 0.96, P = .91) after adjusting for other hypothesized contributors to distrust (including finding the Internet confusing because it provides “too much information,” and lacking awareness about the source providing health information found online). Conclusions: Website design features that clearly identify the source and credibility of information and minimize confusion may build trust among older adults and offer an opportunity to increase the utility of the Internet as a health resource for this population. %M 21324832 %R 10.2196/jmir.1552 %U //www.mybigtv.com/2011/1/e19/ %U https://doi.org/10.2196/jmir.1552 %U http://www.ncbi.nlm.nih.gov/pubmed/21324832