%0期刊文章%@ 1438-8871 %I JMIR出版物%V 22%卡塔尔世界杯8强波胆分析 N 6% P e17294 %T自我报告视力损害的老年人中互联网和健康信息技术的使用与心理困扰:病例对照研究%A Choi,Namkee G %A DiNitto,Diana M %A Lee,Othelia EunKyoung %A Choi,Bryan Y %+ Steve Hicks社会工作学院，德克萨斯大学奥斯汀分校，1925 San Jacinto Blvd, Austin, TX, 78712, United States, 1 5122329590, nchoi@austin.utexas.edu %K老年人%K视力障碍%K HIT %K心理困扰%K数字鸿沟%K手机%D 2020 %7 3.6.2020 %9原始论文%J J Med Internet Res %G英语%X背景:患有视力障碍(VI)的老年人数量正在增长。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。结果:总体而言，3.28%的老年人(18-64岁为0.84%)报告了VI，其中25.7%的老年人年龄≥85岁。有VI的人明显比没有VI的人在社会经济上处于更不利的地位，而且使用互联网的可能性更低(调整后优势比[aOR] 0.64, 95% CI0.49-0.83)和HIT (aOR 0.74, 95% CI 0.56-0.97)。然而，在互联网用户中，VI与HIT使用无关。 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. %M 32490851 %R 10.2196/17294 %U //www.mybigtv.com/2020/6/e17294 %U https://doi.org/10.2196/17294 %U http://www.ncbi.nlm.nih.gov/pubmed/32490851