TY - JOUR AU - van Deursen, Alexander J A M PY - 2022 DA - 2022/10/21 TI -普通健康状况作为数字不平等的指标和年龄和教育的调节作用:横断面研究乔- J地中海互联网Res SP - e37845六世- 24 - 10 KW -数字不平等KW -健康KW - MOS KW -电子健康KW -数字医疗KW -在线健康KW -年龄KW -教育KW -调查KW -数字鸿沟KW -态度KW -健康结果KW -病人结果KW -互联网接入KW -互联网技能KW -技术技能AB -背景:相当大的努力一直指向提供在线针对一般人群健康信息和服务。这种努力可能有助于人们获得更好的健康结果。然而，当健康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(包括互联网态度、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性，(2)不同的健康状况对获得互联网接入和结果的重要性，以及(3)年龄和教育程度调节健康状况对互联网接入的贡献。方法:利用在荷兰收集的样本进行了2次在线调查，并获得了1730名18岁以上受访者的数据集。结果:网络态度对物质获取、网络技能和健康结果呈正相关，对健康相关的网络使用呈负相关。物质获取对互联网技能和与健康相关的互联网使用和结果有积极贡献。互联网技能对健康相关的互联网使用和结果有积极贡献。 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. SN - 1438-8871 UR - //www.mybigtv.com/2022/10/e37845 UR - https://doi.org/10.2196/37845 UR - http://www.ncbi.nlm.nih.gov/pubmed/36269664 DO - 10.2196/37845 ID - info:doi/10.2196/37845 ER -