scholarly journals Internet Use, Electronic Health Literacy, and Hypertension Control among the Elderly at an Urban Primary Care Center in Thailand: A Cross-Sectional Study

Author(s):  
Auswin Rojanasumapong ◽  
Wichuda Jiraporncharoen ◽  
Nopakoon Nantsupawat ◽  
Mary Ellen Gilder ◽  
Chaisiri Angkurawaranon ◽  
...  

This study aimed to explore the internet usage and electronic health literacy (eHL) among adults aged 60 and older with hypertension and to explore the associations between eHL and blood pressure control. A cross-sectional survey was conducted at an out-patient primacy care clinic in the urban city center of Chiang Mai, Thailand. eHL was measured using the eHealth Literacy Scale (eHEALS). Logistic regression was used to identify the association between eHL and blood pressure, adjusting for age and sex as a priori confounders and key sociodemographic factors previously identified in univariable analysis. A total of 110 older adult patients with a history of diagnosed hypertension agreed to participate. The mean age of the participants was 67 years old. Fifty-six participants (50.9%) had used the internet in their lifetime. Among internet users, 37 out of 56 participants (66%) could be classified as having high eHL. However, there was insufficient evidence for associations among internet use, eHL and hypertension control. This result potentially creates new opportunities for eHealth education and interventions. Efforts to produce centralized clear, reliable health information targeting this demographic would be worthwhile to help manage chronic diseases such as hypertension in Thailand in the future.

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Jared P. Schprechman ◽  
Emily C. Gathright ◽  
Carly M. Goldstein ◽  
Kate A. Guerini ◽  
Mary A. Dolansky ◽  
...  

Background. The internet offers a potential for improving patient knowledge, and e-mail may be used in patient communication with providers. However, barriers to internet and e-mail use, such as low health literacy and cognitive impairment, may prevent patients from using technological resources.Purpose. We investigated whether health literacy, heart failure knowledge, and cognitive function were related to internet and e-mail use in older adults with heart failure (HF).Methods. Older adults (N=119) with heart failure (69.84±9.09years) completed measures of health literacy, heart failure knowledge, cognitive functioning, and internet use in a cross-sectional study.Results. Internet and e-mail use were reported in 78.2% and 71.4% of this sample of patients with HF, respectively. Controlling for age and education, logistic regression analyses indicated that higher health literacy predicted e-mail (P<.05) but not internet use. Global cognitive function predicted e-mail (P<.05) but not internet use. Only 45% used the Internet to obtain information on HF and internet use was not associated with greater HF knowledge.Conclusions. The majority of HF patients use the internet and e-mail, but poor health literacy and cognitive impairment may prevent some patients from accessing these resources. Future studies that examine specific internet and email interventions to increase HF knowledge are needed.


Author(s):  
Krittai Tanasombatkul ◽  
Kanokporn Pinyopornpanish ◽  
Chaisiri Angkurawaranon ◽  
Nida Buawangpong ◽  
Auswin Rojanasumapong ◽  
...  

Medical students tend to use the internet as a primary resource when seeking health information. This study aims to assess the patterns of internet use, eHL level, and learning outcomes with eHL among medical students at Chiang Mai University. A cross-sectional study was conducted among 88 medical students in the first clinical year. The eHL level was determined using the Thai version of the electronic Health Literacy Scale or eHEALS. The patient case report scores were obtained representing the learning outcome. Linear regression was used to identify factors influencing their eHL level and case report scores. Students recognized the importance and usefulness of the internet. The mean eHEALS score was 33.45. There was a lower degree of agreement on questions regarding internet usage, having skills to evaluate the resources, and confidence in using health information to make health decisions. The eHEALS score had no statistically significant association with most variables and case report scores, but with the longer time of internet use (p-value = 0.014). Although medical students perceived that they have high eHL levels, they report lower confidence in using the information. Including critical thinking skills for electronic health information in the medical curriculum could be useful.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lina Bergman ◽  
Ulrica Nilsson ◽  
Karuna Dahlberg ◽  
Maria Jaensson ◽  
Josefin Wångdahl

Abstract Background Health inequities arise when the public cannot access and understand health information in an easy, accessible, and understandable way. Evidence supports that health literacy (HL) is a determinant for health outcomes, and when HL is limited this may have a major impact on morbidity as well as mortality. Migrants are known to have limited HL. Therefore, this study aimed to explore comprehensive health literacy (CHL) and electronic health literacy (eHL) among Arabic-speaking migrants in Sweden. Methods This was a cross-sectional observational study conducted in Sweden. A total of 703 persons were invited to participate between February and September 2019. Two questionnaires – the Health Literacy Survey European Questionnaire (HLS-EU-Q16) and the eHealth Literacy Scale (eHEALS) – and questions about self-perceived health and Internet use were distributed in Swedish and Arabic. Various statistical analyses were performed to determine the associations for limited CHL and eHL. Results A total of 681 respondents were included in the analysis. Of these, 334 (49%) were native Arabic-speaking migrants and 347 (51%) were native Swedish-speaking residents. CHL and eHL differed between the groups. The Arabic speakers had significantly lower mean sum scores in eHL 28.1 (SD 6.1) vs 29.3 (6.2), p = 0.012 and lower proportion of sufficient CHL 125 (38.9%) vs 239 (71.3%), p < 0.001 compared to Swedish speakers. Multiple regression analysis showed on associations between limited CHL and eHL and being Arabic speaking, less Internet use, and not finding the Internet to be important or useful. Furthermore, longer time spent in Sweden was associated with higher levels of CHL among the Arabic speakers, (OR 0.94, 95% CI 0.91–0.98, p < 0.01). Conclusions CHL and eHL differ between Arabic-speaking migrants and native Swedish speakers, but also between Arabic speakers who have lived different lengths of time in Sweden. Though it seems that the eHealth literacy is less affected by language spoken, the Internet is suggested to be an appropriate channel for disseminating health information to Arabic-speaking migrants.


2019 ◽  
Author(s):  
Francesco Brigo ◽  
Simona Lattanzi ◽  
Giorgia Giussani ◽  
Laura Tassi ◽  
Nicola Pietrafusa ◽  
...  

BACKGROUND The Internet has become one of the most important sources of health information, accessed daily by an ever-growing number of both patients and physicians, seeking medical advice and clinical guidance. A deeper insight into the current use of the Web as source of information on epilepsy would help in clarifying the individual attitude towards this medium by Internet users. OBJECTIVE We investigated views towards the Internet in a sample of Italian healthcare specialists involved in epilepsy field, to explore factors which explained the influence of information found on the internet. METHODS This study was a self-administered survey conducted in a group of members of the Italian Chapter of the International League Against Epilepsy (ILAE) in January 2018. RESULTS 184 questionnaires were analyzed. 97.8% of responders reported to seek online information on epilepsy. The Internet was most frequently searched to obtain new information (69.9%) or to confirm a diagnostic or therapeutic decision (37.3%). The influence of consulting the Internet on clinical practice was associated with registration to social network(s) (OR: 2.94; 95%CI: 1.28-6.76; p=0.011), higher frequency of Internet use (OR: 3.66; 95%CI: 1.56-9.21; p=0.006) and higher confidence in reliability of online information (OR: 2.61; 95%CI: 1.09-6.26; p=0.031). No association was found with age, sex, years in epilepsy practice or easiness to find online information. CONCLUSIONS Internet is frequently used among healthcare professionals involved in the epilepsy to obtain information about this disease. The attitude of being influenced by the Internet for diagnostic and/or therapeutic decisions in epilepsy is independent on age and years of experience in epilepsy, and probably reflects an individual approach towards the Web.


Author(s):  
Priyanka . ◽  
R K Pal

Introduction: Excessive use of the Internet affects the academic achievements of students. This study aimed to investigate the prevalence of Internet addiction and the pattern of Internet use among undergraduate medical students. Method: This analytical cross-sectional study conducted on 177 undergraduate medical students in batch 2016, 2017 and 2018, who were included in this study by convenience sampling method. The study tool was  Young’s Internet Addiction Test containing questions regarding the pattern of Internet use. Data entry and analysis was done by using Microsoft excel and SPSS version 21. Qualitative data were described in terms of frequency and percentage while quantitative data were expressed as mean and standard deviation. Chi square test and multiple linear regression were used to find out the relationship between various factors and Internet Addiction (IA).  The significance level was considered 0.05. Results: The mean age of the participants was 20.3 years (± 1.19), and 62 % of the subjects were males. The prevalence rate of Internet Addiction (IA) was found to be 56.5% and 42.9% of them were in mild and 13.6% were in moderate addiction category. Being male (β= -0.143, p=0.038), staying at a hostel (β= 0.167, p=0.018), not having a time preference for using the Internet (β= -0.174, p=0.012), spending more time on the Internet everyday (β= 0.201, p=0.000), being always online (β= 0.276, p=0.000) and more years of using the Internet (β= 0.175, p=0.015) were significantly related with IA in students. Conclusion: A large proportion of medical students were found to be addicted to the Internet. Therefore, this issue should be addressed immediately.


Author(s):  
Cristina Elena Petre

There are three hypotheses regarding the relationship between Self-Concept Clarity (SCC) and Internet use. It was argued that Internet use: 1) decreases SCC, 2) increases SCC, 3) does not relate with SCC. The present study, in the form of a systematic and meta-analytic synthesis, aimed to explore: a) the extent empirical evidence can support each hypothesis; b) how Internet use-SCC relationship was addressed across studies; c) the intensity of the Internet use –SCC relationship; d) potential moderators. Twenty-one studies (N = 8,910) met the inclusion criteria for the systematic review (i.e., being quantitative, written in English, concerned with Internet use -SCC relationship) and 11 studies (N = 3,298) met the additional criteria for meta-analysis (i.e., being correlational, using self-evaluation instruments, quantifying general Internet use and including the information needed to calculate the meta-analysis specific indicators). Results emphasized that all three hypotheses are plausible, as distinct dimensions of Internet use related differently with SCC. However, the conclusions were limited by the extensive use of cross-sectional design. For general Internet use and SCC relationship the overall effect was -0.350, p < .01. Some moderators were significant: cultural background, Internet operationalization, age homogeneity, participants rewarding. This paper outlines the complexity of SCC – Internet relationship and underlines some of the gaps that should be further addressed. Implications and limits of the study (e.g., publication bias, excluded outcomes in the meta-analysis or possible omission of moderators) are discussed.


Author(s):  
Neha Priya ◽  
Samreen Khan ◽  
Sachin Lal

Background: Internet is a boon and has certainly helped to bring the world closer. It has been a great medium for students to communicate and get information by transforming the academic landscape. However the excessive and undisciplined use of internet by individuals especially in the last decade, has led to the emergence of the concept of internet addiction. Therefore, a cross sectional study has been conducted to investigate the use of internet facility among undergraduate students from Teerthankar Mahaveer University using a validated questionnaire. There were about 42 million active internet users in urban India in 2008 when compared to 5 million in 2000. India now has the world’s third-largest national digital population, with approximately, 159 million Internet users in 2014, which is projected to reach 314 million by 2017 (IMRB 2014). The aim was to study prevalence and pattern of internet usage among undergraduate students in Moradabad. Methods: A cross sectional study was conducted among medical students (n=382) belonging to all the professionals of medical college, to assess the pattern of internet usage. A semi-structured proforma along with Young’s internet addiction scale was used. Results: Of the 382 adolescents who took part in the study, 150 (39.27%) were female and 232 (60.73%) were males. Their mean age was 16.20 years. Using Young’s original criteria, 22 (5.76%) were found to be addicts, 230 (60.21%) were moderately addicted, 45 (11.78%) were average users while in 85 (22.25%) of student’s internet use was less than average. Most of internet use was for social networking 183(47.9%), downloading media files 125 (32.7%), online gaming 45 (11.8%), academic purposes 10 (2.6%) and others 19 (5%). About 275 (72%) of the students were using smart phones to access the internet. Conclusions: Most of the internet usage was for the purpose of social networking (Facebook, Whats App, Mails, etc). Availability of high speed free wi-fi internet on mobile phones as well as more reliance on virtual friendship than real may be the reason for spending more time on social network websites. 


Author(s):  
Ravikiran Kamate ◽  
Sulakshna Baliga ◽  
M. D. Mallapur

Background: Internet addiction is not clinical diagnosis, but a potentially pathological behavioral pattern with symptoms: a loss of control over the behavior, preoccupation with the Internet, using the Internet to modify mood, and withdrawal symptoms. Easy access and low cost of Internet packs- are main cause of development of increased internet use in India. Internet addiction – factors like gender, environmental factors, socioeconomic status, etc. have effect on internet use.Methods: Cross-sectional study conducted during January 2016 to February 2016. Data was collected among 500 engineering students of four engineering colleges of Belagavi city using young's questionnaire. Analysis was performed using SPS 20. Chi-square applied as statistical test of significance for the association between age, sex, residence, SES and schooling. P<0.01 was considered to be statistically significant.Results: The present study revealed that 16.2 and 6.2% of participants had moderate and severe form of internet addiction respectively. With increase in age prevalence of addiction increased. Internet addiction was more among Males when compared to females. Addiction was seen more in students whose both parents were working.Conclusions: Internet addiction is an emerging form of addiction among students with males more than females mostly among engineering students who are dependent on internet for their work, carrier and completion of course Hence it's time to develop comprehensive intervention approach to promote healthy and safe internet use from family, college and peers.


2018 ◽  
Vol 5 (5) ◽  
pp. 1750
Author(s):  
Sowndarya T. A. ◽  
Mounesh Pattar

Background: Adolescents use the Internet for a variety of activities besides gaming; they frequently engage themselves with social networking, instant messaging, blogging and downloading information. Heavy Internet use has been associated with potential side effects, such as loss of control over the use of the Internet, adverse effects on other daily activities, emotional status and communication among family members. Objective of present study to assess the prevalence of Internet Addiction (IA) and factors associated with Internet use among Urban and Rural school students.Methods: A school based cross sectional study was conducted in the urban and rural field practice area of a medical college hospital in Mangaluru. Internet addiction was assessed using Young’s Internet Addiction Test.Results: The prevalence of internet addiction among urban school students was found to be i.e. 83.3%, while it was 78% in rural school students. Mild IA was common among both.  Male gender, smart phones and hours spent on internet were common risk factor for IA in both groups.Conclusions: Young’s Internet Addiction Test (IAT) is a simple and easy tool to assess Internet addiction among adolescent school students. Need to give importance of outdoor activity and community level education needed to prevent Internet Addiction.


2019 ◽  
Vol 6 (1) ◽  
pp. 1 ◽  
Author(s):  
Bandar Faisal Al-Mifgai ◽  
Joseph Sharit ◽  
Arzu Onar-Thomas ◽  
Shihab Asfour

Objective: This study examined the ability for adults from a developing country to use a personal health record (PHR) to perform health-management tasks. The effects of gender differences as well as differences in attitudes about using the internet to manage health prior to and after exposure to the PHR were also investigated.Methods: A simulation of a PHR based on a well-established U.S. online patient portal was designed and tailored for this particular study population. Two hundred and three adults with a mean age of 40.9 years were recruited from various areas in Saudi Arabia and asked to perform seven common health-management tasks of varying degrees of difficulty. Their electronic health literacy and health numeracy, as well as their attitudes about using online health systems for managing their health prior to and following their interaction with the PHR, were assessed using questionnaires.Results: After controlling for education, perceived health status, and comfort using the internet, electronic health literacy and health numeracy were still found to be significant predictors of participants’ task performance, but only for the more challenging health-management tasks. No important differences based on gender were found. Exposure to the PHR significantly increased the acceptability of using the internet for managing their health.Conclusions: The change in attitudes following interaction with the PHR suggests that many adults in this society could benefit from these electronic health systems, including females who, due to cultural considerations, may desire greater control in managing their health. However, the importance of electronic health literacy and health numeracy suggests the need for designs that minimize the impact of these factors for successful performance of health-management tasks.


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