在多语言城市队列中，使用技术与临床医生沟通或寻求健康信息:卡塔尔世界杯8强波胆分析横断面调查%A Khoong,Elaine C %A Rivadeneira,Natalie A %A Hiatt,Robert A %A Sarkar,Urmimala %+普通内科，扎克伯格旧金山总医院，加州大学旧金山分校，波特雷罗大道1001号，10号楼13区，加利福尼亚州，旧金山，94110，美国，1 6282063188，elaine.khoong@ucsf.edu %K弱势群体%K健康信息技术%K医患关系%K消费者健康信息%K数字鸿沟%K社交媒体%K互联网%D 2020 %7 6.4.2020 %9原创论文%J J医学互联网Res %G英语%X背景:人们正越来越多地利用技术交流卫生信息，但对于这些策略对弱势群体(包括非英语国家或低收入人群)是否有效，人们知之甚少。目的:本研究评估语言偏好(如英语、西班牙语或中文)、智能手机拥有率以及通常医疗来源的诊所类型(如无通常医疗来源、非综合安全网、综合安全网、私人或社区诊所、学术三级医疗中心或综合付费-提供者)如何影响健康相关沟通的技术使用。方法:2017年5月至9月，我们对1027名讲英语、西班牙语和中文的旧金山居民进行了非随机、有针对性的调查，并使用加权多变量logistic回归分析评估五种技术使用结果的预测因子。三个主要预测因素——语言偏好、智能手机拥有量和常规护理的诊所类型——根据年龄、性别、种族或民族、有限的英语熟练程度、教育程度、健康素养和健康状况进行了调整。三个结果集中在使用电子邮件、短信或手机应用程序与临床医生沟通。另外两个结果是使用基于网络的健康视频或在线健康支持小组。结果:近三分之一的参与者观看网络健康视频(367/1027,35.74%)或使用电子邮件与他们的临床医生沟通(318/1027,30.96%)。 In adjusted analyses, individuals without smartphones had significantly lower odds of texting their clinician (adjusted odds ratio [aOR] 0.27, 95% CI 0.13-0.56), using online health support groups (aOR 0.14, 95% CI 0.04-0.55), or watching Web-based health videos (aOR 0.31, 95% CI 0.15-0.64). Relative to English-speaking survey respondents, individuals who preferred Chinese had lower odds of texting their clinician (aOR 0.25, 95% CI 0.08-0.79), whereas Spanish-speaking survey respondents had lower odds of using apps to communicate with clinicians (aOR 0.34, 95% CI 0.16-0.75) or joining an online support group (aOR 0.30, 95% CI 0.10-0.92). Respondents who received care from a clinic affiliated with the integrated safety net, academic tertiary medical center, or integrated payer-provider systems had higher odds than individuals without a usual source of care at using emails, SMS text messages, or apps to communicate with clinicians. Conclusions: In vulnerable populations, smartphone ownership increases the use of many forms of technology for health purposes, but device ownership itself is not sufficient to increase the use of all technologies for communicating with clinicians. Language preference impacts the use of technology for health purposes even after considering English proficiency. Health system factors impact patients’ use of technology-enabled approaches for communicating with clinicians. No single factor was associated with higher odds of using technology for all health purposes; therefore, existing disparities in the use of digital health tools among diverse and vulnerable populations can only be addressed using a multipronged approach. %M 32250280 %R 10.2196/16951 %U //www.mybigtv.com/2020/4/e16951 %U https://doi.org/10.2196/16951 %U http://www.ncbi.nlm.nih.gov/pubmed/32250280