老年人健康信息规避行为影响因素的Meta分析  

A meta-analysis of the influencing factors of health information avoidance behavior in the elderly

作　　者：吴尚 是沁 钱爱兵 WU Shang;SHI Qin;QIAN Aibing(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu,China)

机构地区：[1]南京中医药大学卫生经济管理学院,江苏南京210023

出　　处：《健康发展与政策研究》2024年第6期465-473,共9页Health Development and Policy Research

基　　金：国家社会科学基金项目(20BTQ053)。

摘　　要：目的深入探讨影响老年人健康信息规避行为的影响因素,为构建全方位、多维度的老年人健康管理体系,完善“适老化”健康信息服务提供理论支撑及实践指导。方法系统检索中国知网、万方、Embase、EBSCO、Pubmed、Web of Science等11个数据库中有关老年人健康信息规避行为的实证研究,检索时间为2024年9月30日,筛选文献进行Meta分析。利用漏斗图、Egger回归法、失安全系数检验是否存在发表偏倚,采用Q值检验、I-squared统计量进行异质性检验,并进行整体效应值分析和调节变量分析。结果共纳入16篇文献,影响老年人健康信息规避行为的因素可分为主体因素与情境因素2类。主体因素中,老年人健康信息规避行为与感知风险(r=0.265)、消极情感(r=0.389)、宿命论(r=0.146)呈正相关,与自我效能感(r=-0.309)呈负相关。与老年人健康信息规避行为相关的情境因素是技术障碍(r=0.405)、信息过载(r=0.247)、信息可信度(r=-0.268)、代际支持(r=-0.326)与污名化(r=0.101)。性别、国别、受教育程度以及消极情感对老年人健康信息规避行为起到一定的调节作用。结论建议建立细粒度的代际支持网络,提高老年群体自我效能感;提高健康服务渠道准入门槛,改善健康信息内容质量;开发适老化特征的健康信息服务,消除数字技术障碍,持续优化老年健康信息服务。Objective This study aims to explore the factors influencing health information avoidance behavior in the elderly,providing theoretical support and practical guidance for constructing a comprehensive,multi-dimensional health management system for them and improving age-friendly health information services.Methods A systematic review was conducted across 11 databases,including CNKI,Wanfang,Embase,EBSCO,PubMed,and WOS,to identify empirical studies related to health information avoidance behaviors in the elderly.The search period was set to end on September 30,2024.Eligible empirical studies were selected for meta-analysis.Publication bias was assessed using funnel plots,Egger’s regression test,and fail-safe N.Heterogeneity was examined through Q-tests and I-squared statistics,followed by an analysis of the overall effect size and moderator variables.Results The factors influencing health information avoidance behavior among older adults can be categorized into two types:individual factors and situational factors.Among the individual factors,health information avoidance behavior is positively correlated with perceived risk(r=0.265),negative emotions(r=0.389),and fatalism(r=0.146),while they are negatively correlated with self-efficacy(r=−0.309).The situational factors related to health information avoidance behavior include technological barriers(r=0.405),information overload(r=0.247),information credibility(r=−0.268),intergenerational support(r=−0.326),and stigma(r=0.101).Gender,region,educational level,and negative emotions also play a moderating role.Conclusion The findings suggest that the optimization of health information services for older adults can be achieved by establishing fine-grained intergenerational support networks to enhance the self-efficacy of the elderly;raising the entry threshold for health service channels to improve the quality of health information content;and developing age-friendly health information services to eliminate barriers related to digital technology.

关 键 词：健康信息 规避行为 老年人 META分析 

分 类 号：R19[医药卫生—卫生事业管理]