TY - JOUR AU - Aicken, Catherine RH AU - Estcourt, Claudia S AU - Johnson, Anne M AU - Sonnenberg, Pam AU - Wellings, Kaye AU - Mercer, Catherine H PY - 2016 DA - 2016/01/20 TI -在16至44岁性经验丰富的人群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JO - J Med Internet Res SP - e14 VL - 18 IS - 1kw -性健康KW -性传播疾病KW -避孕KW -保健寻求行为KW -互联网KW -电子健康KW -调查KW -信息寻求行为AB -背景:那些上网了解他们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。此外，4.49%的男性和4.57%的女性表示，他们最近使用信息/支持网站来寻求性生活方面的建议/帮助。 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. SN - 1438-8871 UR - //www.mybigtv.com/2016/1/e14/ UR - https://doi.org/10.2196/jmir.4373 UR - http://www.ncbi.nlm.nih.gov/pubmed/26792090 DO - 10.2196/jmir.4373 ID - info:doi/10.2196/jmir.4373 ER -