TY -的盟Zulman唐娜M AU - Kirch,马提亚AU -郑,凯盟——劳伦斯C PY - 2011 DA - 2011/02/16 TI -信任互联网作为老年人的健康资源全国代表性调查数据分析乔- J地中海互联网Res SP - e19六世- 13 - 1 KW -老年人KW -信任KW -网上健康信息AB -背景:不信任互联网健康信息的来源仍然普遍老年人。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。对互联网作为健康信息来源的信任与使用互联网进行一些健康活动有关，包括搜索关于特定健康状况的信息(调整后的OR 4.43, P < .001)，购买处方药(调整后的OR 2.61, P = .03)，以及与保健提供者谈论在网上找到的信息(调整后的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. SN - 1438-8871 UR - //www.mybigtv.com/2011/1/e19/ UR - https://doi.org/10.2196/jmir.1552 UR - http://www.ncbi.nlm.nih.gov/pubmed/21324832 DO - 10.2196/jmir.1552 ID - info:doi/10.2196/jmir.1552 ER -