J. Med. Internet Res. - Socioeconomic and geographic disparities in health information seeking and Internet use in Puerto Rico.

Tópicos

{ inform(2794) health(2639) internet(1427) }
{ age(1611) year(1155) adult(843) }
{ spatial(1525) area(1432) region(1030) }
{ group(2977) signific(1463) compar(1072) }
{ cancer(2502) breast(956) screen(824) }
{ activ(1452) weight(1219) physic(1104) }
{ data(3008) multipl(1320) sourc(1022) }
{ method(1557) propos(1049) approach(1037) }
{ care(1570) inform(1187) nurs(1089) }
{ can(774) often(719) complex(702) }
{ studi(1410) differ(1259) use(1210) }
{ patient(1821) servic(1111) care(1106) }
{ visual(1396) interact(850) tool(830) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
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{ data(1737) use(1416) pattern(1282) }
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{ take(945) account(800) differ(722) }
{ assess(1506) score(1403) qualiti(1306) }
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{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
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{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ use(2086) technolog(871) perceiv(783) }
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{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
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{ motion(1329) object(1292) video(1091) }
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{ ehr(2073) health(1662) electron(1139) }
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{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
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{ implement(1333) system(1263) develop(1122) }
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{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }

Resumo

CKGROUND: Geographically isolated Hispanic populations, such as those living in Puerto Rico, may face unique barriers to health information access. However, little is known about health information access and health information-seeking behaviors of this population.OBJECTIVE: To examine differences in health and cancer information seeking among survey respondents who ever used the Internet and those who did not, and to explore sociodemographic and geographic trends.METHODS: Data for our analyses were from a special implementation of the Health Information National Trends Survey conducted in Puerto Rico in 2009. We collected data through random digit dialing, computer-assisted telephone interviews (N = 639). The sample was drawn from the eight geographic regions of the Puerto Rico Department of Health. To account for complex survey design and perform weighted analyses to obtain population estimates, we analyzed the data using SUDAAN. Frequencies, cross-tabulation with chi-square, and logistic regression analyses were conducted. Geographic information system maps were developed to examine geographic distributions of Internet use and information seeking.RESULTS: Of 639 participants, 142 (weighted percentage 32.7%) indicated that they had ever gone online to access the Internet or World Wide Web; this proportion was substantially lower than that of US mainland Hispanics who reported using the Internet (49%). While 101 of 142 (weighted percentage 59.6%) respondents who used the Web had ever sought health information, only 118 of 497 (weighted percentage 20.0%) of those who did not use the Web had sought health information. The pattern was similar for cancer information: 76 of 142 respondents (weighted percentage 47.2%) who used the Web had ever sought cancer information compared with 105 of 497 (weighted percentage 18.8%) of those who had not used the Web. These results were slightly lower but generally consistent with US mainland Hispanics' health (50.9%) and cancer (26.4%) information seeking. Results of separate logistic regression models controlling for sociodemographic characteristics demonstrated that, compared with individuals who did not seek health or cancer information, those who did were over 5 times as likely to have used the Internet (odds ratio 5.11, P < .001). Those who sought cancer information were over twice as likely to have used the Internet (odds ratio 2.5, P < .05). The frequency of Internet use and health and cancer information seeking was higher in the San Juan metro region than in more rural areas.CONCLUSIONS: Our results contribute to the evidence base for health and cancer communication planning for Puerto Rico, and suggest that health education and outreach efforts should explore the use of available and trusted methods of dissemination such as radio and television, as well as community-based health care providers and organizations, to supplement and encourage use of the Internet as a source of health information.

Resumo Limpo

ckground geograph isol hispan popul live puerto rico may face uniqu barrier health inform access howev littl known health inform access health informationseek behavior populationobject examin differ health cancer inform seek among survey respond ever use internet explor sociodemograph geograph trendsmethod data analys special implement health inform nation trend survey conduct puerto rico collect data random digit dial computerassist telephon interview n sampl drawn eight geograph region puerto rico depart health account complex survey design perform weight analys obtain popul estim analyz data use sudaan frequenc crosstabul chisquar logist regress analys conduct geograph inform system map develop examin geograph distribut internet use inform seekingresult particip weight percentag indic ever gone onlin access internet world wide web proport substanti lower us mainland hispan report use internet weight percentag respond use web ever sought health inform weight percentag use web sought health inform pattern similar cancer inform respond weight percentag use web ever sought cancer inform compar weight percentag use web result slight lower general consist us mainland hispan health cancer inform seek result separ logist regress model control sociodemograph characterist demonstr compar individu seek health cancer inform time like use internet odd ratio p sought cancer inform twice like use internet odd ratio p frequenc internet use health cancer inform seek higher san juan metro region rural areasconclus result contribut evid base health cancer communic plan puerto rico suggest health educ outreach effort explor use avail trust method dissemin radio televis well communitybas health care provid organ supplement encourag use internet sourc health inform

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