Background: Previous research has identified disparities in seeking and using web-based health information to inform health-related behaviors. Relatively few studies however have examined the correlations between web-based health information seeking and use based on race, gender, age, and the presence of chronic health conditions. Objective: In this study, we identify factors associated with seeking and using web-based health information among a uniquely vulnerable and intersectional population—middle-aged and older (40 years and older) African American and Hispanic men living with one or more chronic conditions. Methods: Survey responses were collected from a purposive sample of African American and Hispanic men using Qualtrics web-based survey management software. To qualify for inclusion in the study, respondents had to identify as African American or Hispanic men, report having at least one chronic condition, and be aged 40 years and older. A series of binary logistic regression models was created using backward elimination. Statistical significance was determined at P<.05 for all analyses. Results: Web-based health information seeking among African American and Hispanic men is a function of education, the presence of multiple chronic conditions, frustration with health care providers, internet use, and the perceived reliability of web-based health information. The use of web-based health information to inform interactions with health care providers was more common among African American and Hispanic men, who rated their health as relatively good, perceived barriers to care, used technology regularly, and took more daily medications. Conclusions: Understanding the factors that influence African American and Hispanic men seeking web-based health information may help improve the care and treatment of chronic conditions. African American and Hispanic men seek web-based health information as a substitute for routine care and to inform their discussions with health care providers.

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中文翻译：

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在患有慢性疾病的非洲裔美国人和西班牙裔男性中寻找基于网络的健康信息：横断面调查研究

背景：先前的研究已经确定了在寻求和使用基于网络的健康信息来告知健康相关行为方面的差异。然而，相对较少的研究调查了基于种族、性别、年龄和慢性健康状况存在的基于网络的健康信息搜索和使用之间的相关性。目标：在这项研究中，我们确定了与在一个独特的脆弱和交叉人群中寻求和使用基于网络的健康信息相关的因素——中年和老年人（40 岁及以上）非洲裔美国人和西班牙裔男性患有一种或多种慢性病. 方法：使用 Qualtrics 基于网络的调查管理软件从非裔美国人和西班牙裔男性的有目的的样本中收集调查答复。为了有资格参加研究，受访者必须确定为非裔美国人或西班牙裔男性，报告至少患有一种慢性病，并且年龄在 40 岁及以上。使用反向消除创建了一系列二元逻辑回归模型。所有分析的统计显着性确定为 P<.05。结果：在非裔美国人和西班牙裔男性中寻求基于网络的健康信息与教育、多种慢性病的存在、对医疗保健提供者的不满、互联网使用以及基于网络的健康信息的感知可靠性有关。使用基于网络的健康信息来告知与医疗保健提供者的互动在非裔美国人和西班牙裔男性中更为常见，他们认为自己的健康状况相对较好，认为存在护理障碍，经常使用技术，并服用更多的日常药物。结论：了解影响寻求基于网络的健康信息的非裔美国人和西班牙裔男性的因素可能有助于改善慢性病的护理和治疗。非裔美国人和西班牙裔男性寻求基于网络的健康信息作为常规护理的替代品，并为他们与医疗保健提供者的讨论提供信息。

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