期刊文章%@ 1438-8871 %I JMIR出版物%V 24 %N卡塔尔世界杯8强波胆分析 10 %P 37845 %T一般健康状况作为数字不平等的指标以及年龄和教育的调节作用:特温特大学通信科学系，荷兰恩斯赫德，7500AE, 31 622942142，a.j.a.m.vandeursen@utwente.nl %K数字不平等%K健康%K MOS %K电子健康%K数字健康%K在线健康%K年龄%K教育%K调查%K数字鸿沟%K态度%K健康结果%K患者结果%K互联网接入%K互联网技能%K技术技能%D 2022 %7 21.10.2022 %9原文%J J医学互联网资源%G英语%X背景:为面向普通人群提供在线健康信息和服务做出了大量努力。这种努力可能有助于人们获得改善的健康结果。然而，当卫生信息和服务转移到网上时，需要考虑平等问题。在这项研究中，我们关注一般人群，并以健康状况(身体功能、社会功能、心理健康、感知健康和身体疼痛)如何与互联网接入(涵盖互联网态度、物质获取、互联网技能和与健康相关的互联网使用)相关联为出发点。目的:本研究旨在揭示(1)互联网接入对在线健康结果的重要程度，(2)不同的健康状态对获得互联网接入和结果的重要程度，以及(3)年龄和教育调节健康状态对互联网接入的贡献。方法:利用在荷兰收集的样本，连续进行2次在线调查，获得1730名18岁以上的受访者的数据集。结果:网络态度对物质获取、网络技能和健康结果有正向影响，对与健康相关的网络使用有负向影响。物质获取对互联网技能和与健康相关的互联网使用和成果有积极贡献。 Internet skills contribute positively to health-related internet use and outcomes. Physical functioning contributes positively to internet attitude, material access, and internet skills but negatively to internet health use. Social functioning contributes negatively to internet attitude and positively to internet skills and internet health use. Mental health contributes positively to internet attitude and negatively to material access and internet health use. Perceived health positively contributes to material access, internet skills, and internet health use. Physical pain contributes positively to internet attitude and material access and indirectly to internet skills and internet health use. Finally, most contributions are moderated by age (<65 and ≥65 years) and education (low and high). Conclusions: To make online health care attainable for the general population, interventions should focus simultaneously on internet attitude, material access, internet skills, and internet health use. However, issues of equality need to be considered. In this respect, digital inequality research benefits from considering health as a predictor of all 4 access stages. Furthermore, studies should go beyond single self-reported measures of health. Physical functioning, social functioning, mental health, perceived health, and physical pain all show unique contributions to the different internet access stages. Further complicating this issue, online health-related interventions for people with different health statuses should also consider age and the educational level of attainment. %M 36269664 %R 10.2196/37845 %U //www.mybigtv.com/2022/10/e37845 %U https://doi.org/10.2196/37845 %U http://www.ncbi.nlm.nih.gov/pubmed/36269664