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1.
Rev Med Suisse ; 16(691): 784-788, 2020 Apr 22.
Artículo en Francés | MEDLINE | ID: mdl-32320154

RESUMEN

Digital media are central in our modern society and, as such, have an impact not only on teenagers but on most of us. Adolescents are among the most observed and stigmatized in terms of screens use. The encounter between the crucial developmental phase they cross and the neurobiological changes in their brains can be relatively «â€…noisy ¼. Because of the pervasive nature of screens in our daily lives and the potential effect on adolescent health, it is essential for health professionals to offer a systematic assessment of media use when consulting with an adolescent. This article provides practical tools for screening the use of media in consultation with the -adolescent and illustrates with a clinical story what lies behind the screens.


Asunto(s)
Conducta del Adolescente , Internet/estadística & datos numéricos , Anamnesis/métodos , Derivación y Consulta , Tiempo de Pantalla , Adolescente , Salud del Adolescente , Humanos
2.
Rev Saude Publica ; 54: 12, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32049209

RESUMEN

OBJECTIVE: To verify the compliance with Law No. 11,265/2006 in the promotion strategies for infant formula in Brazilian websites of manufacturers and drugstore networks. METHODS: This was a cross-sectional study conducted in 2017. We analyzed the compliance to attributes of the Law No.11,265/2006 (Law for Marketing of Foods for Infants and Toddlers, Feeding Bottles, Teats and Pacifiers) in five websites of infant formula manufacturers and nine websites of drugstore networks. The main attributes assessed were: the presence of drawings or representations of children, the presence of warning statements displayed in conspicuous and prominent spaces informing if products are intended for infants aged under or over 6 months, the adequate display of infant formulas/similar products, and the presence of pop-ups with other infant formulas or links to websites for children's products. All compliances and non compliances verified were described in absolute and relative frequencies. RESULTS: We verified that 80% of the websites of infant formula manufacturers displayed advertisements for other children's food products. The main non compliance in infant formula manufacturer's websites was the absence of warning statements about products intended for infants over 6 months of age. Only 33% of the drugstores' websites complied with Law No. 11,265/2006. The main non compliances in these websites were the absence of warning statements on products intended for infants over 6 months of age (100%), the presence of pop-up advertisements for other infant foods (77%) and the presence of advertisements for other children's food products (92%). CONCLUSION: We identified non compliances with the Law No. 11,256/2006 in almost all websites of infant formula manufacturers and in all the websites of drugstore networks. Most promotion strategies were found at drugstore websites, which are the main channels for online sales.


Asunto(s)
Lactancia Materna , Industria Farmacéutica , Promoción de la Salud/legislación & jurisprudencia , Fórmulas Infantiles/legislación & jurisprudencia , Farmacias , Publicidad , Brasil , Estudios Transversales , Adhesión a Directriz , Humanos , Lactante , Recién Nacido , Internet/estadística & datos numéricos
4.
J Altern Complement Med ; 26(3): 204-211, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31971812

RESUMEN

Objectives: Considering high prevalence of use of dietary supplements and their easy access on the internet, the aim of this research was to examine and assess the prevalence of the internet marketing of heart-protective supplements as the most popular supplements of today, and to investigate the quality and quantity of information that are available to consumers on the sale websites. Design: Three major search engines (Google, Yahoo, and Bing) and keywords "cardiovascular supportive supplements online buy" were used to identify websites that sell cardioprotective dietary supplements. Content of first 50 listed websites in each engine was evaluated for its compliance with regulatory acts while information about supplements' efficacy and safety was compared with the results of the latest scientific research. Results: Of a total of 150 listed websites, 89 selling supplements for the specific indication underwent further analysis. The most commonly registered cardioprotective dietary supplements on the internet were supplements based on omega-3 fatty acids (omega-3) (57 websites, 64.05%). Related to the websites selling omega-3 supplements, risk reduction claims were presented at 23 (40.35%), whereas structure or function claims were present at 50 (87.72%) analyzed websites, but followed with Food and Drug Administration disclaimer only on 68.00% of them. Information about adverse effects were rarely pointed out (1 website, 1.75%) unlike warnings, which were significantly more available to consumers (38, 66.67%). Conclusions: According to obtained results, most of the analyzed websites that sell omega-3 supplements did not contain all important medical information required by Dietary Supplement Health and Education Act. Since use of internet marketing is in expansion and since consumers have no access to relevant medical information about dietary supplements on the selling websites, there is a clear need for better quality control of websites and greater public awareness of these widely used products.


Asunto(s)
Cardiotónicos , Suplementos Dietéticos , Internet/estadística & datos numéricos , Mercadotecnía/estadística & datos numéricos , Cardiotónicos/economía , Cardiotónicos/normas , Suplementos Dietéticos/economía , Suplementos Dietéticos/normas , Suplementos Dietéticos/estadística & datos numéricos , Ácidos Grasos Omega-3 , Humanos , Seguridad del Paciente
5.
J Homosex ; 67(2): 265-283, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-30582736

RESUMEN

Researchers have often considered the impact that online dating has had on gay communities; with some arguing that changes in social behavior may impact the spread of HIV. However, these conclusions are based on the premise that the Internet has fundamentally changed the way gay and bisexual men connect with their communities. Addressing this issue, we searched the PubMed and Web of Science databases for studies examining Internet use and interpersonal connectedness among gay and bisexual men to determine whether those who used the Internet to find sexual partners exhibited different patterns of community connectedness. Though sporadic, findings suggest that Internet use may be associated with lower gay identity, community attachment, and social embeddedness. However, recent reports have suggested that online sex seeking might be associated with greater, not less, interpersonal connectedness. We conclude that additional longitudinal analyses and consistent measurement of gay men's social behavior are needed to draw more definite conclusions.


Asunto(s)
Bisexualidad , Homosexualidad Masculina , Internet , Relaciones Interpersonales , Conducta Sexual , Infecciones por VIH , Humanos , Internet/estadística & datos numéricos , Masculino , Narración , Parejas Sexuales , Conducta Social
6.
Am J Public Health ; 110(1): 90-97, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31622157

RESUMEN

Objectives. To examine demand for abortion medications through an online telemedicine service in the United States.Methods. We examined requests from US residents to the online telemedicine abortion service Women on Web (WoW) between October 15, 2017, and August 15, 2018. We calculated the population-adjusted rate of requests by state and examined the demographics, clinical characteristics, and motivations of those seeking services, comparing those in states with hostile versus supportive abortion policy climates.Results. Over 10 months, WoW received 6022 requests from US residents; 76% from hostile states. Mississippi had the highest rate of requests (24.9 per 100 000 women of reproductive age). In both hostile and supportive states, a majority (60%) reported a combination of barriers to clinic access and preferences for self-management. Cost was the most common barrier (71% in hostile states; 63% in supportive states; P < .001). Privacy was the most common preference (49% in both hostile and supportive states; P = .66).Conclusions. Demand for self-managed medication abortion through online telemedicine is prevalent in the United States. There is a public health justification to make these abortions as safe, effective, and supported as possible.


Asunto(s)
Abortivos/administración & dosificación , Aborto Inducido/métodos , Aborto Inducido/estadística & datos numéricos , Automanejo/estadística & datos numéricos , Telemedicina/estadística & datos numéricos , Aborto Inducido/economía , Aborto Inducido/psicología , Adulto , Confidencialidad , Femenino , Edad Gestacional , Accesibilidad a los Servicios de Salud/economía , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Humanos , Internet/estadística & datos numéricos , Persona de Mediana Edad , Motivación , Embarazo , Privacidad , Automanejo/psicología , Factores Socioeconómicos , Estados Unidos , Adulto Joven
7.
J Surg Res ; 245: 510-515, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31446193

RESUMEN

BACKGROUND: The increasing use of review websites by consumers has become a crucial first step in choosing a physician with more than half of Americans consulting review sites before physician selection. We sought to identify whether differences exist in the quality and content of online reviews for men versus women surgeons. METHODS: Using a deliberate sampling algorithm of the two most populated physician review websites, RateMDs.com and Yelp.com, we purposefully sampled reviews for the top 20 surgeons per tercile from the four most populated urban areas in the United States: New York, Houston, Los Angeles, and Chicago. A grounded theory qualitative assessment was performed of major and minor thematic elements including global rating, communication, technical skills, and comments on ancillary elements. RESULTS: Four-hundred and thirty-one online patient reviews of 238 surgeons were identified from RateMDs.com (51%) and Yelp.com (49%) with available information on gender for analysis. Seventy-six percent of reviews were of male surgeons. Reviewers were more likely to mention a global rating and technical skill for men compared with women surgeons. Most reviews were positive with no difference in global rating by gender (83.7% positive for men and 74.3% positive for women, P = 0.08). Women surgeons were more likely to have positive comments on social interactions as compared with men (94.7% versus 88.0%, P = 0.03); whereas men surgeons were more likely to have a positive rating on technical skill compared with women (88.2% versus 76.2%, P = 0.04). CONCLUSIONS: The content and quality of online surgeon reviews differ by gender. There is no difference in global rating between men and women. Women are rated higher for social interaction domains and men are rated higher on technical skill domains.


Asunto(s)
Competencia Clínica/estadística & datos numéricos , Satisfacción del Paciente/estadística & datos numéricos , Relaciones Médico-Paciente , Cirujanos/estadística & datos numéricos , Comunicación , Femenino , Humanos , Internet/estadística & datos numéricos , Masculino , Investigación Cualitativa , Factores Sexuales , Estados Unidos
8.
Support Care Cancer ; 28(1): 131-140, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30993449

RESUMEN

OBJECTIVES: To investigate among patients treated with a total laryngectomy (TL) (1) Internet-use and Internet use to search for information on health and cancer (content); (2) which patients are most likely to use the Internet in general, for health-related and cancer-related purposes; (3) which other types of eHealth (community, communication, care) are used; and (4) preferences towards future use. METHODS: Patient members of the Dutch TL patient society were asked to complete a questionnaire on Internet use, health-related and cancer-related Internet use, types of eHealth, preferences towards future use, socio-demographics, clinical factors, and quality of life (QOL). Factors associated with Internet use and health-related and cancer-related Internet use were investigated using stepwise logistic regression analysis. RESULTS: In total, 279 TL patients participated, of whom 68% used the Internet. Of these, 63% used the Internet to search for information on health and 49% on cancer. Younger and higher educated TL patients and those with better QOL used the Internet more often. Patients with worse QOL searched more often for health-related information. Younger patients and those with shorter time since TL searched more often for cancer-related information. The current use of eHealth for communication, community, and care purposes among Internet users was limited (range, 2 to 15%). Many were interested in using these types of eHealth in the future (range, 21 to 72%). CONCLUSION: The majority used the Internet, especially to search for information on health and cancer, but only few for communication, community, or care purposes. Many were interested in future use.


Asunto(s)
Conducta en la Búsqueda de Información , Internet/estadística & datos numéricos , Neoplasias Laríngeas , Laringectomía , Aceptación de la Atención de Salud/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Comunicación , Estudios Transversales , Femenino , Humanos , Neoplasias Laríngeas/epidemiología , Neoplasias Laríngeas/psicología , Neoplasias Laríngeas/terapia , Laringectomía/rehabilitación , Laringectomía/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Aceptación de la Atención de Salud/psicología , Calidad de Vida , Apoyo Social , Encuestas y Cuestionarios , Telemedicina/estadística & datos numéricos , Calidad de la Voz
9.
BMC Health Serv Res ; 19(1): 977, 2019 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-31856812

RESUMEN

BACKGROUND: Long-term use of adjuvant endocrine therapy (AET) among women with early-stage, hormone receptor-positive breast cancer significantly reduces the risk of hospitalizations, cancer recurrence, and mortality. AET is associated with adverse symptoms that often result in poor adherence. A web-enabled app offers a novel way to communicate and manage symptoms for women on AET. In a region with significant racial disparities in breast cancer outcomes, our study tests the impact of a web-enabled app that collects and transmits patient-reported symptoms to healthcare teams to facilitate timely and responsive symptom management on medication adherence. METHODS: In this randomized controlled trial, we randomize 300 patients initiating AET to one of three arms: 1) an "App" group (n = 100) that receives weekly reminders to use the THRIVE study app; 2) an "App+Feedback" group (n = 100) that receives weekly reminders and tailored feedback based on their use of the app; or 3) a "Usual Care" group (n = 100) that receives usual care only. Participants are stratified by race: 50% White and 50% Black. The duration of the intervention is six months following enrollment, and outcomes are assessed at 12-months. The primary outcome is adherence, which is captured using an electronic monitoring pillbox. Secondary outcomes include symptom burden, quality of life, self-efficacy for managing symptoms, and healthcare costs. We also evaluate the impact of the intervention on racial disparities in adherence. Data are derived from three sources: electronic health record data to capture treatment changes, healthcare utilization, and health outcomes; self-report survey data related to adherence, symptom burden, and quality of life; and an electronic medication monitoring device that captures adherence. DISCUSSION: A successful web-enabled intervention could be disseminated across systems, conditions, and populations. By evaluating the impact of this intervention on a comprehensive set of measures, including AET adherence, patient outcomes, and costs, our study will provide valuable and actionable results for providers, policy makers, and insurers who strive to achieve the "Triple Aim" - reduce costs while improving health outcomes and the patient care experience. TRIAL REGISTRATION: NCT03592771. Prospectively registered on July 19, 2018.


Asunto(s)
Neoplasias de la Mama/tratamiento farmacológico , Aplicaciones Móviles , Afroamericanos/estadística & datos numéricos , Neoplasias de la Mama/psicología , Terapia Combinada , Grupo de Ascendencia Continental Europea/estadística & datos numéricos , Femenino , Humanos , Internet/estadística & datos numéricos , Cumplimiento de la Medicación/estadística & datos numéricos , Recurrencia Local de Neoplasia/tratamiento farmacológico , Cooperación del Paciente , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Sistemas Recordatorios/estadística & datos numéricos , Autoinforme , Encuestas y Cuestionarios
10.
Crit Care Resusc ; 21(4): 305-10, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31778639

RESUMEN

OBJECTIVES: To investigate the use, understanding, trust and influence of the internet and other sources of health information used by the next of kin (NOK) of patients admitted to the intensive care unit (ICU). DESIGN: Multicentre structured survey. SETTING: The ICUs of 13 public and private Australian hospitals. PARTICIPANTS: NOK who self-identified as the primary surrogate decision maker for a patient admitted to the ICU. MAIN OUTCOME MEASURES: The frequency, understanding, trust and influence of online sources of health information, and the quality of health websites visited using the Health on the Net Foundation Code of Conduct (HONcode) for medical and health websites. RESULTS: There were 473 survey responses. The median ICU admission days and number of ICU visits by the NOK at the time of completing the survey was 3 (IQR, 2-6 days) and 4 (IQR, 2-7), respectively. The most commonly reported sources of health information used very frequently were the ICU nurse (55.6%), ICU doctor (38.7%), family (23.3%), hospital doctor (21.4%), and the internet (11.3%). Compared with the 243 NOK (51.6%) not using the internet, NOK using the internet were less likely to report complete understanding (odds ratio [OR], 0.57; 95% CI, 0.38-0.88), trust (OR, 0.34; 95% CI, 0.19-0.59), or influence (OR, 0.58; 95% CI, 0.38-0.88) associated with the ICU doctor. Overall, the quality of the 40 different reported websites accessed was moderately high. CONCLUSIONS: A substantial proportion of ICU NOK report using the internet as a source of health information. Internet use is associated with lower reported understanding, trust and influence of the ICU doctor.


Asunto(s)
Información de Salud al Consumidor , Toma de Decisiones , Conducta en la Búsqueda de Información , Unidades de Cuidados Intensivos , Internet/estadística & datos numéricos , Australia , Hospitalización , Humanos , Encuestas y Cuestionarios , Confianza
11.
BMC Public Health ; 19(1): 1474, 2019 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-31699057

RESUMEN

BACKGROUND: Emerging research on the use of new technology suggests that internet use is generally associated with high levels of efficiency among older adults in the following areas: quality of life, mood, positive psychological well-being, and the individual and societal costs of caring for them. However, there is little empirical evidence specifically concerning the causal effects of older adults' internet use on their depression level. There is a need for more replication studies to help confirm that the emerging evidence on the impact of internet use is accurate and applicable to different populations and in different situations. METHOD: Using national data from the China Family Panel Study in 2016, this study helps to fill the above mentioned research gap. This study followed a two-step analytical strategy to empirically examine the association between internet use and reported depression in older adults. In the first step, we estimated a binary logistic regression model with internet use as the dependent variable and 8 demographic and socioeconomic factors as the confounding variables. In the second step, we performed a propensity score analysis to control for potential bias using the confounding variables confirmed in the first step. RESULTS: The results show that older adults who reported internet use have lower depression levels than did those who did not use the internet, with adjustments made for gender, age, urban or rural residence, pension status, educational background, physical health, life satisfaction, and intelligence level. CONCLUSION: These findings suggest that it is critical to advocate for technology-based policies and programs that promote older adults' internet use to improve their social well-being, which can also serve as a policy strategy to help alleviate older adults' depression.


Asunto(s)
Depresión/etiología , Internet/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , China , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Puntaje de Propensión , Calidad de Vida , Factores Socioeconómicos
12.
Niger J Clin Pract ; 22(11): 1467-1474, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31719266

RESUMEN

Objective: This study aimed to identify the frequency and goals of Internet usage to access health-related information among primary health care service clients. Methods: The study was conducted in a primary health care centre with a sample of 788 adults. The data were collected through a questionnaire developed by the researchers. Results: The results showed that 81% (n = 640) of the participants used the Internet. All Internet user participants reported that they used the Internet to access health-related information. Of the participants, 67% reported that they used the Internet primarily to obtain information about diseases with 94% reporting that they found the online information reliable and 92% reported that they did not confirm the information they obtained online. The frequency of Internet use to obtain health-related information increased with increase in the level of education of participants. Participants with higher education found the online information to be more reliable and comprehensible. The results showed that while the use of Internet to obtain health-related information was high, the information presented online was not always checked for accuracy. Conclusion: Hence, provision of current and evidence-based information on health-related websites is crucial to preserve community health care.


Asunto(s)
Información de Salud al Consumidor , Servicios de Información/estadística & datos numéricos , Internet/estadística & datos numéricos , Atención Primaria de Salud , Adolescente , Adulto , Anciano , Servicios de Salud Comunitaria , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios
13.
Medicine (Baltimore) ; 98(38): e17283, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31568011

RESUMEN

BACKGROUND: Cognitive-behavioral therapy has been considered as a means for internet addiction, but its long-term effect and the impact of internet addiction types and culture are still unclear. OBJECTIVE: This study aims to assess the efficacy of cognitive-behavior therapy for internet addiction symptoms and associated other psychopathological symptoms. METHOD AND ANALYSIS: We will search PubMed, Web of Knowledge, Ovid Medline, Chongqing Vip Database, Wanfang, and China National Knowledge Infrastructure database. Random-effects model in comprehensive meta-analysis software will be used to conduct main meta-analysis. Cochran Q and I are be used to assess heterogeneity while funnel plots and the Egger test are used to assess publication bias. Risk of bias for each study included is assessed by using the Cochrane risk of bias tool. The primary outcome is internet addiction symptom while secondary outcomes are psychopathological symptoms, time spent online, and dropout. TRIALS REGISTRATION NUMBER: PROSPERO CRD42019125667.


Asunto(s)
Conducta Adictiva/terapia , Terapia Cognitivo-Conductual , Internet/estadística & datos numéricos , Humanos
15.
J Addict Nurs ; 30(3): 201-210, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31478968

RESUMEN

The study is a descriptive and relational study carried out with an aim to analyze the effects of Internet use and Internet addiction on cyber victimization and cyberbullying among adolescents.The universe of the study consists of the students (N = 3,978) studying at high schools in a city center located in the Black Sea Region. The students were determined by a stratified and simple random sampling method, whereas the sample of the study included 2,422 voluntary high school students. The data were collected through the Adolescent Information Form, Internet Addiction Scale, and Cyber Victim and Bullying Scale. In the analysis of the data, descriptive statistics such as number, percentage, average, and standard deviation were used, whereas independent samples t test, one-way analysis of variance, and correlation coefficients were used to compare the groups. The predictive effects of independent variables on cyber victimization and cyberbullying were investigated with multiple linear regression analysis. The average age of the adolescents participating in the study is 16.23 ± 1.11 years. The mean scores were calculated as 25.59 ± 15.88 for Internet addiction, 29.47 ± 12.65 for cyber victimization, and 28.58 ± 12.01 for cyberbullying. In our study, it was found that the Internet addiction, cyber victimization, and cyberbullying scores of the adolescents were low, but cyber victimization and cyberbullying were related to Internet usage characteristics and Internet addiction. Internet usage characteristics, cyber victimization, and bullying prevalence and relational studies should be done in adolescents. It is recommended to raise awareness of the harmful use of the Internet to families.


Asunto(s)
Conducta Adictiva/psicología , Víctimas de Crimen/psicología , Ciberacoso/psicología , Internet/estadística & datos numéricos , Adolescente , Conducta Adictiva/epidemiología , Niño , Víctimas de Crimen/estadística & datos numéricos , Ciberacoso/estadística & datos numéricos , Femenino , Humanos , Masculino , Turquia/epidemiología
16.
Nihon Koshu Eisei Zasshi ; 66(8): 426-438, 2019.
Artículo en Japonés | MEDLINE | ID: mdl-31548451

RESUMEN

Objectives The purpose of this study was to investigate the association between home environment and long hours of internet use among Japanese elementary school and junior high school students.Methods We used data from the Survey on Parent-child Relationship in the Internet Age conducted by the Japanese National Institute for Youth Education in 2017. In the analysis, 2062 children between fifth grade of elementary school and second grade of junior high school from 20 prefectures in Japan were retained after excluding 210 children with no internet use. Exposure variables included children's ownership of internet devices (e.g., smartphones), parents' ways of using a mobile phone or smartphone at home, and the child's relationship to his or her parents. Outcomes were long hours of internet use on a weekday and a weekend day and experiencing a lack of sleep. We defined long hours as three or more hours on a weekday and five or more hours on a weekend day. Odds ratios (OR) and 95% confidence intervals (95%CI) were estimated using logistic regression analyses.Results Children's ownership of a smartphone or tablet was associated with long hours of internet use and experiencing lack of sleep. Compared to non-owners, adjusted odds ratios for smartphone owners were 2.55 [95%CI: 1.92-3.38] for long hours of internet use on a weekday and 1.66 [95%CI: 1.17-2.34] for lack of sleep. Spending long hours on the internet on the weekend was associated with parents using mobile phones while talking to their children [OR=1.59, 95%CI: 1.03-2.44] and children who do not enjoy being with family [OR=2.05, 95%CI: 1.00-4.18]. Additional analysis showed that situations such as parents' frequent use of mobile phones during talking, family members' frequent use of mobile phones even during family time, and not enjoying being with family were associated with not setting rules for children's use of mobile phones and personal computers at home.Conclusion Our findings suggest that factors such as ownership of devices and the ways parents use their mobile phones are associated with children's hours of internet use at home. To create an environment where children use internet appropriately, parental practices regarding mobile device use and rule setting at home may be important.


Asunto(s)
Internet/estadística & datos numéricos , Relaciones Padres-Hijo , Psicología Infantil , Medio Social , Estudiantes/psicología , Adolescente , Factores de Edad , Niño , Femenino , Humanos , Japón/epidemiología , Modelos Logísticos , Masculino , Instituciones Académicas , Privación de Sueño/etiología , Teléfono Inteligente/estadística & datos numéricos , Factores de Tiempo
17.
Int J Med Inform ; 130: 103951, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31473534

RESUMEN

BACKGROUND: Online healthcare has become an important part of healthcare services. Patients can access unlimited information reflecting a doctor's service quality in online health communities (OHCs). This information can reduce information asymmetry between patients and doctors, and further promote patient decisions. In this study, we focus on the patient's decision to switch from a doctor's online medical service to the same doctor's offline service. OBJECTIVES: We classify OHC information into objective information and subjective information. Following this, we investigate how these two types of information influence patient decisions to switch from a doctor's online to offline medical service, and explore the nature of interaction between the two types of influence. METHODS: We collected data from a leading OHC in China and constructed a longitudinal dataset to examine our research questions. To control for doctor heterogeneity and common trends across time, we leveraged fixed effects at the doctor level and monthly fixed effects in our models, respectively. RESULTS: Our findings demonstrate a strong relationship between OHC information and patient decisions to switch from a doctor's online to offline medical service. Patients are more likely to switch from online to offline medical services with doctors whose subjective and objective information on their homepages indicate a higher quality (ßSubjective = 0.001, p < 0.001; αObjective = 0.019, p < 0.002). We also observe that patients prefer doctors who do not exhibit objective information that indicates low-quality service over those who show such information on their homepages, even though the chosen doctor provides a lower-quality service (αLow_Objective = -0.032, p < 0.006). Further, we find that the influence of subjective information on patient decisions crowds out the influence of objective information. CONCLUSION: This study investigates the role of subjective and objective information on patient decisions to switch from a doctor's online to offline medical service and the interaction effect between these two types of information. This study provides valuable theoretical and practical implications.


Asunto(s)
Información de Salud al Consumidor/estadística & datos numéricos , Toma de Decisiones , Servicios de Salud/normas , Servicios de Información/estadística & datos numéricos , Internet/estadística & datos numéricos , Médicos/estadística & datos numéricos , Salud Pública/normas , China , Conocimientos, Actitudes y Práctica en Salud , Humanos , Relaciones Médico-Paciente
18.
Invest Educ Enferm ; 37(2)2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-31487443

RESUMEN

OBJECTIVES: To evaluate the pattern of internet use and factors that facilitate or dissuade its use among nursing students from a university in Urmia, Iran. METHODS: A cross-sectional, descriptive study was conducted with 162 nursing students selected through simple random sampling. RESULTS: The findings indicated that 49.1% of the students used the internet from 15 to 60 min per day. The principal use of the internet was to search for scientific content in the Web. Factors that facilitated internet use were "ease of use" and "Access to experts to solve problems and answer questions", while the dissuasive factors were "lack of concentration", "cost of internet services", and preference for information provided by professors or available directly in textbooks. Internet use by the students was related with the use of this tool in classroom activities and with English fluency. CONCLUSIONS: Students have an internet use pattern aimed at self-study that should be strengthened with knowledge of English, assignments online, familiarization with the use of electronic databases, and other strategies to motivate them to use this technology with greater frequency.


Asunto(s)
Educación en Enfermería/estadística & datos numéricos , Internet/estadística & datos numéricos , Multilingüismo , Estudiantes de Enfermería/estadística & datos numéricos , Estudios Transversales , Femenino , Humanos , Irán , Factores de Tiempo , Universidades , Adulto Joven
19.
Int J Med Inform ; 131: 103958, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31521012

RESUMEN

BACKGROUND: There is an increasing population of health information consumers (HIC) with multiple conditions (multimorbid). Previous studies explored the online behavior of HIC in general or HIC with a specific disease; however, the behavior of multimorbid HIC remains poorly researched. OBJECTIVES: This research aims to investigate the behaviors of the multimorbid HIC on community Q&A platforms. METHODS: Using kidney disease, a prevalent disease with high likelihood of multimorbidity as a case, we analyzed the online interaction behaviors of HIC with multimorbidity in Quora, a community Q&A platform, and compared them to those of single-disease HIC. RESULTS: The findings of this study reveal significant differences in the online interaction behavior between HIC of single vs. multimorbid diseases. Compared with single-disease HIC, multimorbid HIC are more active in multiple aspects, such as asking questions, following different topics or users, and providing suggestions for improvement of questions and answers. Additionally, multimorbid HIC are more likely to add topics to their questions, and their questions tend to attract more answers than those of single-disease HIC. On the other hand, questions and answers provided from single disease HIC had more views, followers, and upvotes than those from multimorbid HIC. CONCLUSION: The high level of activity among multimorbid HIC can be explained by their complex needs for information, driving an increased number of questions and drawing more attention from the whole community in answering them. Multimorbid HIC appear to be valuable contributors to the online community and reasons for the reduced visibility and upvoting of their answers should be investigated.


Asunto(s)
Comportamiento del Consumidor/estadística & datos numéricos , Información de Salud al Consumidor/estadística & datos numéricos , Intercambio de Información en Salud , Conducta en la Búsqueda de Información , Internet/estadística & datos numéricos , Enfermedades Renales/terapia , Enfermedad Crónica , Humanos , Enfermedades Renales/epidemiología , Multimorbilidad , Encuestas y Cuestionarios
20.
Environ Sci Pollut Res Int ; 26(32): 32977-32992, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31512130

RESUMEN

By employing China's provincial panel data covering period 2001-2016, the present study empirically investigates the impact of ICT on CO2 emission intensity. Specifically, this paper utilizes Internet penetration and mobile phone penetration as proxies to measure ICT respectively and employs quantile regression method to estimate the benchmark model at five quantiles (0.1, 0.25, 0.5, 0.75, and 0.9). It is demonstrated that Internet penetration at the national level has a significant negative effect on the CO2 emission intensity for all quantiles. In addition, Internet penetration has a significant negative effect on CO2 emission intensity at all quantiles except for 0.1 quantile for China's eastern provinces and has a significant negative effect on CO2 emission intensity at all quantiles for China's central provinces, whereas Internet penetration has no significant negative impact on CO2 emission intensity at all quantiles for China's western provinces. By comparison, the reduction effect of Internet penetration on CO2 emission intensity in China's eastern and central provinces is more obvious and in contrast with the reduction effect of Internet penetration on CO2 emission intensity in China's eastern provinces, it is greater in China's central provinces. Finally, the impact of mobile phone penetration on CO2 emission intensity is generally consistent with the impact of Internet penetration. This study provides further evidence that developing countries can simultaneously achieve economic development and reduce carbon emissions through ICT.


Asunto(s)
Dióxido de Carbono/análisis , Tecnología de la Información , Uso del Teléfono Celular/estadística & datos numéricos , China , Desarrollo Económico , Gases de Efecto Invernadero/análisis , Tecnología de la Información/estadística & datos numéricos , Internet/estadística & datos numéricos , Análisis de Regresión
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