J. Med. Internet Res. - Online health-searching behavior among HIV-seropositive and HIV-seronegative men who have sex with men in the Baltimore and Washington, DC area.

Tópicos

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Resumo

CKGROUND: Searching online for health information is common among American adults. However, there have been few studies to investigate the online health-searching behaviors among men who have sex with men (MSM) with human immunodeficiency virus (HIV).OBJECTIVE: To estimate the prevalence of Internet use among HIV-seropositive MSM and compare their online behaviors with HIV-seronegative men with chronic disease(s).METHODS: This study was performed at the Baltimore/Washington, DC site of the Multicenter AIDS Cohort Study (MACS). A total of 200 MACS participants were asked to answer a self-administered questionnaire on a first-come basis during a semiannual study visit (from July to November 2011); 195 (97.5%) participants completed the survey. Multiple logistic regression models were used to investigate the factors influencing their online health-searching behaviors.RESULTS: The median age of the 195 MSM participants was 57 years, 64.6% were white, 59.0% were employed, and 88.2% had Internet access at home and/or other locations. Of the 95 HIV-seropositive participants, 89.5% currently used highly active antiretroviral therapy (HAART) and 82.1% had Internet access. After adjusting for age and race/ethnicity, the HIV-seropositive participants were less likely to perform online searches for general disease-related information compared to the HIV-seronegative men with chronic disease(s) (OR 0.20, 95% CI 0.06-0.68, P=.01). There were no statistically significant associations with HIV status and searching for new medications/treatments (OR 0.55, 95% CI 0.19-1.55, P=.26) or support/advice from other patients (OR 0.52, 95% CI 0.18-1.53, P=.24). Increasing age by 5 years led to a decrease by 29% in the odds of online health-related searches for general information (OR 0.71, 95% CI 0.52-0.98, P=.03) and 26% for support/advice from other patients (OR 0.74, 95% CI 0.56-0.98, P=.03). A decrease of 25% for new medications/treatments was also seen, but was not statistically significant (OR 0.75, 95% CI 0.57-1.01, P=.06).CONCLUSIONS: This study shows that HIV-seropositive MSM have similar online health-searching behaviors as HIV-seronegative men with chronic disease(s). Independent of HIV status, older MSM are less likely to perform online health-related searches.

Resumo Limpo

ckground search onlin health inform common among american adult howev studi investig onlin healthsearch behavior among men sex men msm human immunodefici virus hivobject estim preval internet use among hivseroposit msm compar onlin behavior hivseroneg men chronic diseasesmethod studi perform baltimorewashington dc site multicent aid cohort studi mac total mac particip ask answer selfadminist questionnair firstcom basi semiannu studi visit juli novemb particip complet survey multipl logist regress model use investig factor influenc onlin healthsearch behaviorsresult median age msm particip year white employ internet access home andor locat hivseroposit particip current use high activ antiretrovir therapi haart internet access adjust age raceethn hivseroposit particip less like perform onlin search general diseaserel inform compar hivseroneg men chronic diseas ci p statist signific associ hiv status search new medicationstreat ci p supportadvic patient ci p increas age year led decreas odd onlin healthrel search general inform ci p supportadvic patient ci p decreas new medicationstreat also seen statist signific ci pconclus studi show hivseroposit msm similar onlin healthsearch behavior hivseroneg men chronic diseas independ hiv status older msm less like perform onlin healthrel search

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