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The lifestyle paradox: adverse effects of Internet use on self- rated health status

机译：生活方式悖论：互联网使用对自测健康状况的不利影响

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How individuals subjectively rate their health status stands in close relationship with both actual health status and mortality. Previous research has shown that Internet use in general, and online health information seeking in particular, increases self-rated health status. However, this relationship may not always hold true: Albrecht and Devlieger's [(1999). The disability paradox: high quality of life against all odds. Social Science & Medicine, 48(8), 977-988] disability paradox captures that those with severe health conditions may still perceive their health as very good. This paper introduces the lifestyle paradox as another exception to the generally positive relationship: those without health conditions may still perceive their health as inferior based on general and health-related Internet use. This paper corroborates the lifestyle paradox empirically using quantitative data from the Oxford Internet Surveys connected to the national census through spatial microsimulation, and 43 qualitative interviews conducted with a subsample of the participants from the quantitative strand. A theoretical explanation for this phenomenon is provided based on the concepts of agenda setting and reference groups: the online realm may make lifestyle topics more salient, and provides a variety of opportunities for comparing oneself to others, thereby influencing how people evaluate their own health. Through describing, verifying and explaining the lifestyle paradox, this paper contributes theoretical and empirical insights into the relationship between Internet use and self-rated health status, and thereby adds to the scientific debate around tangible outcomes of Internet use.
机译：个人对主观健康状况的主观评价与实际健康状况和死亡率密切相关。先前的研究表明，一般而言，互联网的使用，尤其是在线健康信息的搜寻，会提高自我评价的健康状况。但是，这种关系可能并不总是成立：Albrecht和Devlieger的[（1999）。残疾悖论：在万难的情况下实现高质量的生活。 [Social Science＆Medicine，48（8），977-988]残疾悖论表明，那些患有严重健康状况的人可能仍然认为自己的健康状况非常好。本文介绍了生活方式悖论，这是普遍积极关系的另一个例外：没有健康状况的人基于互联网的普遍使用和与健康有关的健康状况，仍可能认为自己的健康状况较差。本文使用通过空间微观模拟与国家人口普查相关的牛津互联网调查的定量数据，从经验上证实了生活方式的悖论，并对来自量化链参与者的子样本进行了43次定性访谈。基于议程设置和参考群体的概念，提供了对此现象的理论解释：在线领域可以使生活方式主题更加突出，并提供各种机会将自己与他人进行比较，从而影响人们对自己的健康状况的评价。通过描述，验证和解释生活方式悖论，本文为互联网使用与自我评价的健康状况之间的关系提供了理论和经验上的见解，从而为围绕互联网使用的切实成果增加了科学辩论。

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