%0期刊文章%@ 1438- 8871% I JMIR出版公司V 18卡塔尔世界杯8强波胆分析% N 1% P 14% T在16至44岁性经验丰富者中使用互联网促进性健康:来自英国人口全国代表性调查的证据% a Aicken,Catherine RH % a Estcourt,Claudia S % a Johnson,Anne M % a Sonnenberg,Pam % a Wellings,Kaye % a Mercer,凯瑟琳H %+感染和人口健康研究部,伦敦大学学院流行病学和保健研究所,性健康和艾滋病毒研究中心,莫蒂默市场中心,伦敦,WC1E 6JB,英国,44 (0)20 3108 2067,c.aicken@ucl.ac.uk %K性健康%K性传播疾病%K避孕%K保健寻求行为%K互联网%K电子健康%K调查%K信息寻求行为%D 2016 %7 20.01.2016 %9原始论文%J J医学互联网Res %G英语%X背景:那些在网上讨论他们的性健康的人是新的基于互联网的性健康干预的潜在用户。了解这一人群的规模和特征对于指导干预设计和实施很重要。目的:我们旨在估计英国最近因关键性健康原因(衣原体检测、人类免疫缺陷病毒[HIV]检测、性传播感染[STI]治疗、避孕套/避孕药具和性生活帮助/建议)而使用互联网的流行程度,并确定相关的社会人口统计学和行为因素。方法:对英国常住人口2010-2012年概率调查中8926名16-44岁的性经验者的数据进行复杂调查分析。估计了最近(过去一年)因主要性健康原因而使用互联网资源的流行程度。使用逻辑回归确定与使用信息/支持网站相关的因素,以计算年龄调整优势比(AORs)。结果:最近使用互联网进行衣原体/HIV检测或性传播感染治疗(联合)的人非常少(男性:0.31%;女性:0.16%),而2.35%的男性和0.51%的女性报告在网上获得避孕套/避孕药具。 Additionally, 4.49% of men and 4.57% of women reported recent use of information/support websites for advice/help with their sex lives. Prevalence declined with age (men 16-24 years: 7.7%; 35-44 years: 1.84%, P<.001; women 16-24 years: 7.8%; 35-44 years: 1.84%, P<.001). Use of information/support websites was strongly associated with men’s higher socioeconomic status (managerial/professional vs semiroutine/routine: AOR 1.93, 95% CI 1.27-2.93, P<.001). Despite no overall association with area-level deprivation, those in densely populated urban areas were more likely to report use of information/support websites than those living in rural areas (men: AOR 3.38, 95% CI 1.68-6.77, P<.001; women: AOR 2.51, 95% CI 1.34-4.70, P<.001). No statistically significant association was observed with number of sex partners reported after age adjustment, but use was more common among men reporting same-sex partners (last 5 years: AOR 2.44, 95% CI 1.27-4.70), women reporting sex with multiple partners without condoms (last year: AOR 1.90, 95% CI 1.11-3.26), and, among both sexes, reporting seeking sex online (last year, men: AOR 1.80, 95% CI 1.16-2.79; women: AOR 3.00, 95% CI 1.76-5.13). No association was observed with reporting STI diagnosis/es (last 5 years) or (after age adjustment) recent use of any STI service or non-Internet sexual health seeking. Conclusions: A minority in Britain used the Internet for the sexual health reasons examined. Use of information/support websites was reported by those at greater STI risk, including younger people, indicating that demand for online STI services, and Internet-based sexual health interventions in general, may increase over time in this and subsequent cohorts. However, the impact on health inequalities needs addressing during design and evaluation of online sexual health interventions so that they maximize public health benefit. %M 26792090 %R 10.2196/jmir.4373 %U //www.mybigtv.com/2016/1/e14/ %U https://doi.org/10.2196/jmir.4373 %U http://www.ncbi.nlm.nih.gov/pubmed/26792090
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