健康焦虑人群的网络健康信息搜索行为影响因素研究  

A Study on the Influencing Factors of Online Health Information Search Behavior of Health Anxiety Population

作　　者：罗爱静 陈阳[2,4] 谢文照[2,4] 彭小青[2,3] Luo Aijing;Chen Yang;Xie Wenzhao;Peng Xiaoqing(The Second Xiangya Hospital of Central South University,Changsha,410012;The Third Xiangya Hospital of Central South University,Changsha,410011;Xiangya School of Public Health of Central South University,Changsha,410000;Key Laboratory of Medical Information Research,the Third Xiangya Hospital of Central South University,Changsha,410013)

机构地区：[1]中南大学湘雅二医院,长沙410012 [2]中南大学湘雅三医院,长沙410011 [3]中南大学湘雅公共卫生学院,长沙410000 [4]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,长沙410013

出　　处：《情报资料工作》2022年第2期66-75,共10页Information and Documentation Services

基　　金：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);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。

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。[Purpose/significance]To investigate the level and characteristics of online health information seeking behavior 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 predictor 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.

关 键 词：健康焦虑 网络健康信息 网络健康信息搜索行为 

分 类 号：G252.7[文化科学—图书馆学]