소비자의 인터넷 건강정보 활용에 영향을 미치는 요인
Factors Affecting ComsumerKs Usage of Health Information on the Internet
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참고문헌
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초록
Objectives : The purpose of the study was to identify a gap between consumer characteristics and utilization of health information on the Internet. Methods : A telephone survey of nationally representative samples was conducted using structured questionnaires, and 1,000 of the 1,189 responses obtained were included in our analysis. The following variables were included in the analysis as potential predictors of health information use on the Internet: predisposing factors such as gender, age, and education status; enabling factors such as region and monthly household income; consumer need for health information; and attitude to health. Multiple logistic regression analysis was used to evaluate the association between utilization rate and the potential predictors. Results : Thirty-nine percent of consumers had obtained health information on the Internet over a one-year period. The utilization rates were higher for consumers who were young, educated, worked in the office setting, had higher incomes, wanted health information, and were able to use the Internet. The utilization rate was 5.35 times higher in the younger group (20-30 years) than in the elderly group (95% CI=2.21-12.97); 2.21 times higher for office workers than for manual workers (95% CI=1.16-4.20); 3.61 times higher for college graduates than for middle school graduates and below (95% CI=1.07-11.59); 1.99 times higher for people with monthly household incomes over 3,000,000 won than for those with monthly household incomes below 1,500,000 won (95% CI=1.01-3.92). Conclusions : There needs to be a paradigm shift, with consideration of not only Internet accessibility in the digital age, but also consumer ability and attitudes toward utilization of health information.
Abstract
Objectives : The purpose of the study was to identify a gap between consumer characteristics and utilization of health information on the Internet. Methods : A telephone survey of nationally representative samples was conducted using structured questionnaires, and 1,000 of the 1,189 responses obtained were included in our analysis. The following variables were included in the analysis as potential predictors of health information use on the Internet: predisposing factors such as gender, age, and education status; enabling factors such as region and monthly household income; consumer need for health information; and attitude to health. Multiple logistic regression analysis was used to evaluate the association between utilization rate and the potential predictors. Results : Thirty-nine percent of consumers had obtained health information on the Internet over a one-year period. The utilization rates were higher for consumers who were young, educated, worked in the office setting, had higher incomes, wanted health information, and were able to use the Internet. The utilization rate was 5.35 times higher in the younger group (20-30 years) than in the elderly group (95% CI=2.21-12.97); 2.21 times higher for office workers than for manual workers (95% CI=1.16-4.20); 3.61 times higher for college graduates than for middle school graduates and below (95% CI=1.07-11.59); 1.99 times higher for people with monthly household incomes over 3,000,000 won than for those with monthly household incomes below 1,500,000 won (95% CI=1.01-3.92). Conclusions : There needs to be a paradigm shift, with consideration of not only Internet accessibility in the digital age, but also consumer ability and attitudes toward utilization of health information.
참고문헌 (29)
- Eysenbach, G., "Consumer health informatics", BMJ, 320(7251), pp.1713~1716 (2000)
- Murray, E., "The impact of health information on the internet on health care and the physicianpatient relationship: National U.S. Survey among 1,050 U.S. Physicians", J Med Internet Res, 5(3), pp.17~ (2003)
- Kassirer, J.P., "Patients, physicians, and the internet", Health Aff, 19(6), pp.115~123 (2000)
- "The online health care revolution: how the Web helps Americans take better care of themselves"[URL]
- Ball, M.J., "E-health: Transforming the physician", patient relationship, 2001, pp.61, 1~10
- "Internet Use Continues To Climb In Most Markets. Web Access Not Just Routine, But Essential, Ipsos-Reid Study Shows"[URL]
- Suh, M.K., "Analysis and Evaluation of Online Health Information" (2000), Korea Institute for Health and Social Affairs
- The Korean Society of Medical Informatic, "Authorization of Ethics on Medical Informatics by The Korean Society of Medical Informatics. The 17th Annual Meeting for The Korean Society of Medical Informatics" (2001), The Korean Society of Medical Informatics
- Jadad, A.R., "Rating health information on the Internet. Navigating to knowledge or to Babel", JAMA, 279(8), pp.611~614 (1998)
- Kang, N.M., "Analysis of demands on information service through PC network to establish information systems for Korean womenKs health and nutrition", Korean Acad Womens Health Nurs, 4(3), pp.365~374 (1999)
- Chang, B.L., "Bridging the digital divide: Reaching vulnerable populations", J Am Med Inform Assoc, 11(6), pp.448~457 (2004)
- Wagner, T.H., "Free internet access, the digital divide, and health information", Med Care, 43(4), pp.415~420 (2005)
- Murray, E., "The impact of health information on the internet on the physicianpatient relationship: Patient perceptions", Arch Intern Med, 163(14), pp.1727~1734 (2003)
- Brodie, M., "Health information, the internet, and the digital divide", Health Affairs, 19(6), pp.255~265 (2000)
- "Bridging the digital divide in health: HINARI Information Outlook"[URL]
- Potts, H.W., "Survey of doctorsK experience of patients using the Internet", J Med Internet Res, 4(1), pp.5~ (2002)
- Park, K.R., "Utilization rate of online health information among university students in health-related departments", Health Educ Soc Health Promot, 21(2), pp.85~102 (2004)
- DiMaggio, P., "Social implications of the internet", Ann Rev Sociol, 27, pp.307~336 (2001)
- Haughton, L.T., "Digital divide and stability of access in African American women visiting urban public health centers", J Health Care Poor Underserved, 16(2), pp.362~374 (2005)
- Kiel, J.M., "The digital divide: Internet and e-mail use by the elderly", Med Inform Internet Med, 30(1), pp.19~23 (2005)
- Houston, T.K., "Users of internet health information: Differences by health status", J Med Internet Res, 4(2), pp.7~ (2002)
- Chae, Y.M., "Information searching behavior of health care consumers by sociodemographic characteristics", Korean J Prev Med, 34(4), pp.389~398 (2001)
- Smith-barbaro, P.A., "Factors associated with intended use of a Web site among family practice patients", J Med Internet Res, 3(2), pp.17~ (2001)
- Licciardone, J.C., "Use of the internet as a resource for consumer health information: Results of the second osteopathic survey of health care in America", J Med Internet Res, 3(4), pp.31~ (2001)
- Pingree, S., "Will the disadvantaged ride the information superhighway Hopeful answers from a computer-based health crisis system", J Broadcast Electron Media, 40(3), pp.331~353 (1996)
- Sohn, A.R., "Evaluating health information sites on the Internet in Korea: a cross-sectional survey", Asia Pac J Public Health, 13, pp.19~22 (2001)
- Gochman D.S., "Handbook of Health Behavior Research Vol. I: Personal and Social Determinants", pp.153~155 (1997), Plenum Press
- Dutta-Bergman, M., "Trusted online sources of health information: Differences in demographics, health beliefs, and health-information orientation", J Med Internet Res, 5(3), pp.21~ (2003)
- 박재현, "DISCERN을 이용한 우리나라 인터넷 건강정보 질 평가", 대한의료정보학회지, 11(3), pp.235~246 (2005), 대한의료정보학회