广州市大学生电子健康信息利用与健康行为的关联变化

Correlation changes between electronic health information utilization and health behavior of college students in Guangzhou City

目的 比较2015与2021年广州市大学生电子健康信息利用变化及与实际健康行为的关联。方法采用方便整群抽样方法,2015年、2021年分别对广州市1 567名、1 647名大学生进行现场纸质、在线问卷调查。结果2021年大学生电子健康信息利用3维度(如电子健康服务信息利用、搜索健康信息、在线健康信息互动)及各条目的人数比例均高于2015年,差异具有统计学意义(χ^(2)=56.40~499.28,P均<0.01)。高年级大学生在电子健康信息利用3维度的使用频率均高于低年级学生(OR=1.21、1.28、1.18,P均<0.01),来自城镇的大学生比来自乡村的大学生更多地利用电子健康服务信息和搜索健康信息(OR=1.22、1.24,P均<0.01),男生比女生更多地参与在线健康信息互动(OR=0.68,P=0.006),医学生更多地利用电子健康服务信息和在线健康信息互动(OR=1.71、1.62,P均<0.01)。2021年大学生利用电子健康服务信息、搜索健康信息、在线健康信息互动对每日适度运动(OR=1.72、1.98、1.59,P均<0.01)、每日饮食均衡规律(OR=1.83、1.67、1.69,P均<0.01)、每日适度睡眠(OR=1.60、1.65、1.91,P均<0.01)的影响变得更大。结论 广州市大学生电子健康信息利用呈上升趋势,对每日适度运动、每日饮食均衡规律与适度睡眠的影响变得更强。

Objective To compare the changes in the utilization of electronic health information among college students in Guangzhou City in 2015 and 2021 and its correlation to actual health behaviors.Methods In 2015 and 2021,1567 and 1647 college students in Guangzhou City were surveyed with on-site paper and online questionnaires,respectively.Results In 2021,the proportions of college students’electronic health information utilization in three dimensions,including electronic health service information utilization,health information search,online health information interaction,and the proportion of each item,were higher than those in 2015,and the differences were statistically significant(χ^(2)=56.40-499.28,all P<0.01).The frequencies of the utilization of electronic health information in the three dimensions of senior college students were higher than those of junior students(OR=1.21,1.28,1.18,all P<0.01),and college students from urban areas used electronic health service information and searched for health information more often than those from rural areas(OR=1.22,1.24,all P<0.01),male students interacted with online health information more than female students(OR=0.68,P=0.006),and medical students used electronic health service information and online health information more than other students(OR=1.71,1.62,all P<0.01).In 2021,college students used electronic health service information,health information search,and online health information interaction to evaluate daily moderate exercise(OR=1.72,1.98,1.59,all P<0.01) and daily balanced diet(OR=1.83,1.67,1.69,all P<0.01),and moderate daily sleep(OR=1.60,1.65,1.91,all P<0.01)became stronger.Conclusion The utilization of electronic health information among college students in Guangzhou City shows an upward trend,and the impact on daily moderate exercise,daily balanced diet,and moderate sleep becomes stronger.