Age differences in patterns and confidence of using internet and social media for cancer-care among cancer survivors

被引:15
作者
Eng, Lawson [1 ,2 ,6 ]
Bender, Jackie [2 ,4 ]
Hueniken, Katrina [3 ]
Kassirian, Shayan [2 ]
Mitchell, Laura [1 ]
Aggarwal, Reenika [2 ]
Paulo, Chelsea [2 ]
Smith, Elliot C. [2 ]
Geist, Ilana [2 ]
Balaratnam, Karmugi [2 ]
Magony, Alexander [2 ]
Liang, Mindy [2 ]
Yang, Dongyang [3 ,4 ]
Jones, Jennifer M. [2 ,4 ]
Brown, M. Catherine [2 ]
Xu, Wei [2 ,3 ,4 ]
Grover, Samir C. [7 ]
Alibhai, Shabbir M. H. [6 ]
Liu, Geoffrey [1 ,2 ,3 ,4 ,6 ]
Gupta, Abha A. [1 ,5 ]
机构
[1] Univ Toronto, Princess Margaret Canc Ctr, Dept Med, Div Med Oncol & Hematol,Univ Hlth Network, Toronto, ON, Canada
[2] Ontario Canc Inst, Toronto, ON, Canada
[3] Univ Toronto, Princess Margaret Canc Ctr, Dept Biostat, Univ Hlth Network, Toronto, ON, Canada
[4] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[5] Hosp Sick Children, Dept Pediat Oncol, Toronto, ON, Canada
[6] Univ Hlth Network, Dept Med, Toronto, ON, Canada
[7] St Michaels Hosp, Div Gastroenterol, Toronto, ON, Canada
关键词
Internet use; Social media; Cancer survivorship; Patient education; Adolescent and young adults; Geriatric oncology; HEALTH INFORMATION; PATIENT; ONCOLOGY; QUALITY; SEEKING; OLDER; TECHNOLOGIES; CHEMOTHERAPY; IMPACT; NEEDS;
D O I
10.1016/j.jgo.2020.02.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objectives: The internet and social media provide information and support to cancer survivors, and adolescent and young adults (AYA, age < 40 years), adults, and older (age 65+ years) cancer survivors may have different needs. We evaluated the impact of age on cancer-related internet and social media use and confidence in evaluating online information for cancer-care decision making. Materials and Methods: Cancer survivors completed a convenience cross-sectional survey evaluating their cancer-related internet and social media use and their confidence in using these resources for decision making. Multivariable regression models evaluated the impact of age on usage patterns and confidence. Results: Among 371 cancer survivors, 58 were older adults and 138 were AYA; 74% used the internet and 39% social media for cancer care; 48% felt confident in using online information for cancer-care decisions. Compared to adult survivors, there was a non-significant trend for older survivors to be less likely to use the internet for cancer-care information(aOR = 0.49, 95% CI[0.23-1.03], P = .06), while AYA were more likely to use social media for cancer-care (aOR 1.79[1.08-2.99], P = .03). Although confidence at using online information for cancer-care decision making did not differ between age groups, increasing age had a non-significant trend towards reduced confidence (aOR 0.99 per year [0.97-1.00], P .09). Most commonly researched and desired online information were causes/risk factors/symptoms, treatment options, and prognosis/outcomes. Conclusions: Age may influence the use of internet and social media for cancer-care, and older cancer survivors may be less confident at evaluating online information for cancer-care decision making. Future research should explore other strategies at meeting the informational needs of older cancer survivors. (C) 2020 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1011 / 1019
页数:9
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