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Urology Patients and the Internet: Socioeconomic Status and Language Skills Significantly Impact Use

机译：泌尿科患者和互联网：社会经济地位和语言技能对使用产生重大影响

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Introduction: Patient Internet use and resources are likely multifactorial. We assess how socioeconomic factors and language skills affect Internet use by patients.Methods: We prospectively surveyed 116 patients with a bilingual questionnaire before they underwent urological surgery from July to September 2013. We obtained institutional review board approval for this study. Patients were surveyed for demographic data, English abilities, Internet use, anxiety level and understanding of the surgery.Results: Patients with low English abilities were significantly more likely to have lower incomes and education (p <0.05). In addition, patients with low English abilities were significantly more likely neither to have Internet access nor to have used it to research their surgery. On multivariate analysis those with low confidence in English were 2.8 times more likely not to have used the Internet to research their surgery when controlling for age. Increased age remained statistically associated with a lower likelihood of using the Internet even when controlling for all demographic data. Lastly, patients with low confidence in English were significantly less likely to report increased anxiety before surgery (OR 0.147) when controlling for all demographic data including ethnicity.Conclusions: In our community those patients with low confidence in their English abilities are less likely to have access to, and use, the Internet before undergoing surgery. Older patients also use the Internet less often. Urologists should be aware of this potential language and age gap. Those with low English skills should likely be provided with additional counseling.
机译：简介：耐心的Internet使用和资源可能是多因素的。我们评估了社会经济因素和语言技能如何影响患者对互联网的使用。方法：我们对2013年7月至2013年9月接受泌尿外科手术的双语患者进行了前瞻性调查，共116例患者。我们获得了机构审查委员会的批准。对患者进行人口统计学，英语能力，互联网使用，焦虑程度和对手术的了解的调查。结果：英语能力低的患者收入和受教育程度较低的可能性明显更高（p <0.05）。此外，英语能力低下的患者也很可能既无法访问互联网，也没有将其用于研究手术的可能性。在多变量分析中，对英语缺乏信心的人在控制年龄时不使用互联网进行手术研究的可能性要高2.8倍。从统计学上讲，即使控制所有人口统计学数据，年龄增长仍然与使用互联网的可能性较低相关。最后，在控制包括族裔在内的所有人口统计数据时，对英语缺乏信心的患者在手术前报告焦虑的可能性大大降低（OR 0.147）。结论：在我们社区中，对英语能力缺乏信心的患者不太可能具有进行手术之前可以访问和使用互联网。老年患者也较少使用互联网。泌尿科医师应意识到这种潜在的语言和年龄差距。那些英语水平较低的人可能应该得到额外的辅导。

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