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Correlation of Internet Use for Health Care Engagement Purposes and HIV Clinical Outcomes Among HIV-Positive Individuals Using Online Social Media

机译:使用在线社交媒体将互联网用于卫生保健目的与艾滋病毒阳性患者之间的艾滋病毒临床结果之间的相关性

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The authors aimed to describe cell phone and Internet use and assess the correlation of Internet use for health care engagement purposes and HIV clinical outcomes among HIV-positive individuals. The authors conducted a national survey using online social media to examine cell phone and Internet use, self-reported HIV viral load (detectable vs. undetectable), and antiretroviral adherence rating (excellent vs. less than excellent). Participants (N=1,494) were asked about their Internet use for health care engagement purposes (including e-mailing health care providers, refilling medications online, and making medical appointments online). Approximately 95% of participants accessed the Internet nearly daily or daily in the past month (mean hours on Internet use per day=5.2) and 55.5% used the Internet for health care engagement purposes. Those who used the Internet for any health care engagement purposes had a 1.52-fold odds of reporting an undetectable viral load (p=.009) and a 1.49-fold odds of reporting excellent adherence (p=.001). Although Internet access and use were similar across racial/ethnic, educational, and socioeconomic groups, disparities existed with the use of the Internet for health care engagement purposes among racial/ethnic minorities, those with low to moderate financial stability, lower education, and history of incarceration. The authors' data reveal that among HIV-positive users of online social media, use of the Internet for health care engagement purposes is associated with better self-reported virologic and adherence outcomes.
机译:作者旨在描述手机和互联网的使用,并评估出于卫生保健目的而将互联网使用与HIV阳性个体之间的HIV临床结果之间的相关性。作者使用在线社交媒体进行了一项全国调查,以检查手机和互联网的使用情况,自我报告的HIV病毒载量(可检测与不可检测)以及抗逆转录病毒依从性评分(优异与差于优异)。向参与者(N = 1,494)询问了他们出于卫生保健目的使用Internet的情况(包括向卫生保健提供者发送电子邮件,在线补充药物以及在线进行医疗预约)。在过去一个月中,大约95%的参与者几乎每天或每天都访问Internet(每天平均使用Internet的小时数为5.2),而55.5%的参与者出于保健目的使用Internet。那些将互联网用于任何医疗保健目的的人,报告无法检测到病毒载量的机率是1.52倍(p = .009),报告了良好依从性的机率是1.49倍(p = .001)。尽管在种族/族裔,教育和社会经济群体之间互联网访问和使用情况相似,但是在种族/族裔,财务稳定程度低至中等,教育程度较低和历史悠久的少数民族中,互联网用于医疗保健参与方面仍然存在差异的监禁。作者的数据表明,在在线社交媒体的HIV阳性用户中,将互联网用于医疗保健目的与更好的自我报告的病毒学和依从性结果相关。

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