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首页> 外文期刊>Information communication and society >In Internet we trust: intersectionality of distrust and patient non-adherence
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In Internet we trust: intersectionality of distrust and patient non-adherence

机译：在互联网上，我们信任：不信任和患者的交叉关系不遵守

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The socio-technological context of health care wherein patient-consumer involvement is central increases the importance of examining the impact of Internet information on health-related attitudes and behavior. This paper examined the extent to which deployment of e-health information is associated with patient distrust and non-adherence. We examined the hypothesized associations in gender-stratified subsamples to uncover whether any differential patterns of associations exist among women and men. Our analyses allowed for estimation of significant covariate effects at the composite index and item level for both men and women while controlling for the moderation effect of race/ethnicity. Results indicate differential outcomes for patient distrust and non-adherence depending on socio-demographic characteristics. Findings suggest that it is not just health-related information that influences health-related behavior, but also mechanisms through which socio-demographic characteristics shape whether Internet use is associated with distrust and patient non-adherence. e-Health information consumers are overall less trustful and more likely to deviate from health care provider treatment. Non-adherence among those who consume e-health information is more pronounced for non-white women. Highly educated non-white men were more likely to diverge from their medical care provider's treatment recommendations than White men. Given the increasing diversification of the demographic profile of the U.S. population, understanding the dynamics though which health-related Internet use becomes racialized and gendered represents a critical contribution to the literature on Internet and health.
机译：保健的社会技术背景，其中患者消费者参与是中央的重要性，增加了检查互联网信息对与健康有关的态度和行为的影响的重要性。本文研究了电子健康信息部署的程度与患者不信任和非遵守相关。我们审查了对性别分层的副页中的假设协会，以揭示妇女和男性之间存在任何差异的协会模式。我们的分析允许在控制种族/民族的适度效应的同时估算男女的复合指数和物品等级的显着变性效应。结果表明，根据社会人口统计特征表明患者不信任和非遵守的差异结果。调查结果表明，它不仅仅是影响与健康有关行为的健康相关信息，而且是社会人口统计特征形式是否与不信任和患者不遵守相关的机制。电子健康信息消费者总体上不可信，更有可能偏离医疗保健提供者治疗。非白人女性更为宣称，那些消耗电子健康信息的人之间的不遵守。受过良好教育的非白人男性更有可能从他们的医疗服务提供者的治疗建议中分歧，而不是白人。鉴于美国人口的人口统计概况的多样化，了解动态，虽然与互联网使用的健康相关的互联网使用，但性别是对互联网和健康的文学的关键贡献。

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