A Study on the Influencing Factors of Online Health Information Search Behavior of Health Anxiety Population Luo Aijing 1,4 , Chen Yang 2,4 , Xie Wenzhao 2,4 , Peng Xiaoqing 2,3,4 1 The Second Xiangya Hospital of Central South University, Changsha, 410012; 2 The Third Xiangya Hospital of Central South University, Changsha, 410011; 3 Xiangya School of Public Health of Central South University, Changsha,410000; 4 Key Laboratory of Medical Information Research, the Third Xiangya Hospital of Central South University, Changsha 410013 摘要 [目的/意义]调查健康焦虑人群网络健康信息搜索行为的水平与特征,探讨健康焦虑对网络健康信息搜 索行为的影响。[方法/过程]2021年1月30日至2月12日,通过方便抽样向长沙市居民发放788份匿名问卷,使用 躯体症状严重程度量表(PHQ-15)、网络健康信息搜索行为量表(OHIB)、无法容忍不确定性量表(IUS)和健康焦 虑量表(SHAI)等收集用户信息,最终获得有效问卷699份,回收率为88.7%。对收集到的数据进行描述性统计、 方差分析、相关性分析和因子分析,构建结构方程模型进行假设验证。[结果/结论]本研究中①健康焦虑用户的 SHAI得分为22.94±6.99分,搜索行为得分为3.25±0.80分。②健康焦虑用户OHIB得分与HA总得分及患病可能 性、负面结果维度得分(r=0.117-0.184,P<0.05)存在正相关关系。③健康焦虑在搜索行为(搜索情景、动机、频 率、搜索信息类型、搜索疾病类型、搜索平台)上存在显著性差异(p<0.05)。④IU在健康焦虑与网络健康信息搜 索行为之间起中介作用。结论:①不同健康焦虑水平的搜索行为偏好不同,健康焦虑水平越高的用户,在线搜索 频率越高、持续时长越久。②健康焦虑与搜索行为存在因果关系,可作为预测搜索行为的因素。③健康焦虑通过 无法容忍不确定性对搜索行为产生影响,可通过缓解健康焦虑和对不确定性的容忍程度来优化搜索行为。 Abstract: [Purpose/significance] To investigate the level and characteristics of online health information seeking be? havior of people with health anxiety, and to explore the influence of health anxiety on online health information seeking behavior.[Method/process] On January 30, 2021, solstice and February 22, 788 anonymous online questionnaires were distributed to Changsha residents through convenience sampling, and 699 valid questionnaires were obtained by collecting user information using somatic symptom severity scale (PHQ-15), OHIB scale, Intolerable Uncertain Scale (IUS) and health anxiety scale (SHAI).The recovery rate was 88.7%.[Result/conclusion] In this study, ①The SHAI points.②There was a positive correlation between OHIB score and total HA score, likelihood of disease and negative outcome score (r=0.117-0.184, P<0.05).③Health anxiety inseeking behavior (search scenario, motivation, frequency, search information types, disease types, platform) there are significant differences (P<0.05). ④IU played a mediating role between health anxiety and online health information seeking behavior.Conclusions: ①Different levels of health anxiety have different search behavior preferences. The higher the level of health anxiety, the higher the frequency and duration of online search. ②Health anxiety has a causal relationship with search behavior and can be used as a predic? tor of search behavior. ③Health anxiety affects search behavior through the inability to tolerate uncertainty, and search behavior can be optimized by alleviating health anxiety and the degree of uncertainty tolerance. Key words: health anxiety online health information online health information seeking behavior 基金资助: *本文系2017年度国家社会科学基金重点项目“网络健康信息资源聚合与精准信息服务研究”(项目编号:17AZD037)、湖南省社会科学基金青 年项目“我省居民网络疑病症的现状、影响因素及治理策略研究”(项目编号:20YBQ106)和2019年湖南省自然科学基金项目“慢病患者药物信 息素养评价及干预研究”(项目编号:2019JJ80032)的研究成果。 作者简介: 罗爱静,女,1962年生,中南大学湘雅二医院,中南大学湘雅三医院医学信息研究湖南省高等学校重点实验室教授。 陈 阳,女,1994年生,中南大学湘雅三医院,中南大学湘雅三医 院医学信息研究湖南省高等学校重点实验室硕士研究生。 谢文照,女,1982年生,中南大学湘雅三医院,中南大学湘雅三医院医学信息研究湖南省高等学校重点实验室副研究员。 彭小青,女,1986年生,中南大学湘雅三医院助理研究员,中南大学湘雅公共卫生学院博士研究生(通讯作者)。 Liu Min. The Application of LibGuides in the 985 Project Universities: Status Quo and Development Strategy [J]. Information and Documentation Services, 2013, 34(4): 97 Yang Yafen. On the Development of the Mobile Government at Home and Abroad [J]. Information and Documentation Services, 2011, 32(6): 35 Gao Junkuan. Features and Innovation of the Textbooks on Basic Theories of Library Science in the New Century: for the 30 th . Anniversary of the Publication of Basis for Library Science [J]. Information and Documentation Services, 2011, 32(4): 45 Jia Lixia. The Support and Guarantee of the Conditions of Knowledge Service by Subject Librarian in Research Universities [J]. Information and Documentation Services, 2011, 32(4): 87 Liu Chen Tu Hang. On the Construction of Government Information Sharing System in Yangtze River Delta Region [J]. Information and Documentation Services, 2010, 31(4): 90 Cui Hongming. An Investigation of Information Resources Industry Chain Structure: A Case Study of Digital Publishing [J]. Information and Documentation Services, 2014, 35(1): 62 Yue Zenghui Fang Shu. Research on the SNA-based University Library Co-link Network [J]. Information and Documentation Services, 2012, 33(6): 61 Li Xiaoyuan. On the Fragmented Reading under Internet Environment [J]. Information and Documentation Services, 2011, 32(6): 84 Yang Guangfeng. LibQUAL+ and Insync Surveys: A Comparative Analysis [J]. Information and Documentation Services, 2011, 32(1): 88 Fu Wenqi Wang Haixia . Electronic Loan Service of Libraries in the United Kingdom: Status Quo, Obstacle and Countermeasure [J]. Information and Documentation Services, 2015, 36(1): 87 地址:北京市海淀区中关村大街甲59号文化大厦1301室 邮编:100086
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