Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/144975 |
Resumo: | OBJECTIVE: To describe the use of the internet and to identify the sociodemographic and health factors associated with changes in the use of the internet over four years in older adults participating in the Brazilian EpiFloripa Idoso study. METHODS: This is a longitudinal home-based, population-based study with 1,197 older adults who live in the urban area of Florianópolis, State of Santa Catarina, Brazil. We applied a faceto-face interview. We describe the use of internet according to frequency, place, devices, and motives of the use of the internet. To identify factors associated with changes in the use of the internet, we categorized the outcome as: non-use of the internet, stopped using the internet, started using the internet, and kept using the internet. The independent variables were sex, age, family income, education level, family arrangement, marital status, presence of caregiver, paid work, and cognitive impairment screening. We used multinomial logistic regression with risk ratio (RR) estimates and their respective confidence intervals (95%CI). RESULTS: The prevalence of the use of internet increased from 22.9% in 2009–2010 to 26.6% in 2013–2014. Of the total number of older adults who participated in the study, 7.5% started using the internet, 3.2% stopped using it, 19.1% kept their use, and 70.2% kept their non-use in the analyzed period. Of the older adults who used the internet, most used it every day or almost every day of the week, in their own home, on desktop or portable computers, mainly to send and receive messages, to search for information to learn or investigate something, to find information about goods and services, and to use news, social networking, and health information websites. The factors associated with the use of internet over four years were: being male (RR = 2.19, 95%CI 1.48–3.26), higher monthly family income (RR = 3.53, 95%CI 1.35–9.23), higher education level (RR = 2.64, 95%CI 1.57–4.43), and no presence of caregiver (RR = 0.08, 95%CI 0.02–0.31). CONCLUSIONS: Although the use of the internet is increasing among older adults, most of the population is still digitally excluded, especially women with lower income and education level. Strategies that promote the digital inclusion of older adults should be stimulated, aiming to universalize the use of the internet, and they should take into account socioeconomic and gender inequalities. |
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Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal studyFatores associados à manutenção do uso da internet, estudo longitudinal EpiFloripa IdosoIdoso. Conhecimentos em Informática. Computadoresutilização. Internetutilização. Atitude Frente aos Computadores. Exclusão Digital. Fatores Socioeconômicos.Aged. Computer Literacy. Computersutilization. internetutilization. Attitude to Computers. Digital Divide. Socioeconomic Factors.OBJECTIVE: To describe the use of the internet and to identify the sociodemographic and health factors associated with changes in the use of the internet over four years in older adults participating in the Brazilian EpiFloripa Idoso study. METHODS: This is a longitudinal home-based, population-based study with 1,197 older adults who live in the urban area of Florianópolis, State of Santa Catarina, Brazil. We applied a faceto-face interview. We describe the use of internet according to frequency, place, devices, and motives of the use of the internet. To identify factors associated with changes in the use of the internet, we categorized the outcome as: non-use of the internet, stopped using the internet, started using the internet, and kept using the internet. The independent variables were sex, age, family income, education level, family arrangement, marital status, presence of caregiver, paid work, and cognitive impairment screening. We used multinomial logistic regression with risk ratio (RR) estimates and their respective confidence intervals (95%CI). RESULTS: The prevalence of the use of internet increased from 22.9% in 2009–2010 to 26.6% in 2013–2014. Of the total number of older adults who participated in the study, 7.5% started using the internet, 3.2% stopped using it, 19.1% kept their use, and 70.2% kept their non-use in the analyzed period. Of the older adults who used the internet, most used it every day or almost every day of the week, in their own home, on desktop or portable computers, mainly to send and receive messages, to search for information to learn or investigate something, to find information about goods and services, and to use news, social networking, and health information websites. The factors associated with the use of internet over four years were: being male (RR = 2.19, 95%CI 1.48–3.26), higher monthly family income (RR = 3.53, 95%CI 1.35–9.23), higher education level (RR = 2.64, 95%CI 1.57–4.43), and no presence of caregiver (RR = 0.08, 95%CI 0.02–0.31). CONCLUSIONS: Although the use of the internet is increasing among older adults, most of the population is still digitally excluded, especially women with lower income and education level. Strategies that promote the digital inclusion of older adults should be stimulated, aiming to universalize the use of the internet, and they should take into account socioeconomic and gender inequalities.OBJETIVO: Descrever o uso de internet e identificar os fatores sociodemográficos e de saúde associados a mudanças no uso de internet ao longo de quatro anos em idosos participantes do estudo EpiFloripa Idoso. MÉTODOS: Estudo longitudinal de base populacional e domiciliar com 1.197 idosos residentes na área urbana de Florianópolis, SC. Aplicou-se entrevista face a face. A descrição do uso de internet foi realizada segundo a frequêcia, o local, os aparelhos e os motivos de uso da internet. Para identificar os fatores associados a mudanças no uso de internet, o desfecho foi categorizado em: manteve o não uso de internet; passou a não usar internet; passou a usar internet; e manteve o uso de internet. As variáveis independentes foram sexo, idade, renda familiar, escolaridade, arranjo familiar, status conjugal, presença de cuidador, trabalho remunerado e rastreamento de déficit cognitivo. Utilizou-se regressão multinomial logística com estimativas de razão risco relativo (RRR) e seus respectivos intervalos de confiança (IC95%). RESULTADOS: A prevalência de uso de internet aumentou de 22,9% em 2009–2010 para 26,6% em 2013–2014. Do total de idosos participantes do estudo, 7,5% passaram a usar internet, 3,2% deixaram de usar, 19,1% mantiveram o uso e 70,2% mantiveram o não uso no período analisado. Dos idosos que usavam internet, a maioria usava todos os dias ou quase todos os dias da semana, em sua própria casa, em computadores de mesa ou portáteis, com o principal objetivo de enviar e receber mensagens, buscar informações para aprender ou investigar alguma coisa, encontrar informações sobre bens e serviços e usar sites de notícias, de redes sociais e de informações sobre saúde. Os fatores associados à manutenção, ao longo de quatro anos, do uso da internet foram: ser do sexo masculino (RRR = 2,19; IC95% 1,48–3,26), ter maior renda salarial mensal familiar (RRR = 3,53; IC95% 1,35–9,23), ter maior escolaridade (RRR = 2,64; IC95% 1,57–4,43) e não ter cuidador (RRR = 0,08; IC95% 0,02–0,31). CONCLUSÕES: Apesar de o uso da internet estar aumentando entre os idosos, a maior parte dessa população ainda é digitalmente excluída, especialmente as mulheres de menor renda e escolaridade. Estratégias que promovam a inclusão digital de idosos devem ser estimuladas visando à universalização do uso de internet e devem levar em consideração as desigualdades socioeconômicas e de gênero.Universidade de São Paulo. Faculdade de Saúde Pública2018-04-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14497510.11606/S1518-8787.2018052000216Revista de Saúde Pública; Vol. 52 (2018); 37Revista de Saúde Pública; Vol. 52 (2018); 37Revista de Saúde Pública; v. 52 (2018); 371518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/144975/139158https://www.revistas.usp.br/rsp/article/view/144975/139159https://www.revistas.usp.br/rsp/article/view/144975/148339Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessKrug, Rodrigo de RossoXavier, André Junqueirad’Orsi, Eleonora2018-07-20T11:44:52Zoai:revistas.usp.br:article/144975Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:52Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study Fatores associados à manutenção do uso da internet, estudo longitudinal EpiFloripa Idoso |
title |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study |
spellingShingle |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study Krug, Rodrigo de Rosso Idoso. Conhecimentos em Informática. Computadores utilização. Internet utilização. Atitude Frente aos Computadores. Exclusão Digital. Fatores Socioeconômicos. Aged. Computer Literacy. Computers utilization. internet utilization. Attitude to Computers. Digital Divide. Socioeconomic Factors. |
title_short |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study |
title_full |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study |
title_fullStr |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study |
title_full_unstemmed |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study |
title_sort |
Factors associated with maintenance of the use of internet, EpiFloripa Idoso longitudinal study |
author |
Krug, Rodrigo de Rosso |
author_facet |
Krug, Rodrigo de Rosso Xavier, André Junqueira d’Orsi, Eleonora |
author_role |
author |
author2 |
Xavier, André Junqueira d’Orsi, Eleonora |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Krug, Rodrigo de Rosso Xavier, André Junqueira d’Orsi, Eleonora |
dc.subject.por.fl_str_mv |
Idoso. Conhecimentos em Informática. Computadores utilização. Internet utilização. Atitude Frente aos Computadores. Exclusão Digital. Fatores Socioeconômicos. Aged. Computer Literacy. Computers utilization. internet utilization. Attitude to Computers. Digital Divide. Socioeconomic Factors. |
topic |
Idoso. Conhecimentos em Informática. Computadores utilização. Internet utilização. Atitude Frente aos Computadores. Exclusão Digital. Fatores Socioeconômicos. Aged. Computer Literacy. Computers utilization. internet utilization. Attitude to Computers. Digital Divide. Socioeconomic Factors. |
description |
OBJECTIVE: To describe the use of the internet and to identify the sociodemographic and health factors associated with changes in the use of the internet over four years in older adults participating in the Brazilian EpiFloripa Idoso study. METHODS: This is a longitudinal home-based, population-based study with 1,197 older adults who live in the urban area of Florianópolis, State of Santa Catarina, Brazil. We applied a faceto-face interview. We describe the use of internet according to frequency, place, devices, and motives of the use of the internet. To identify factors associated with changes in the use of the internet, we categorized the outcome as: non-use of the internet, stopped using the internet, started using the internet, and kept using the internet. The independent variables were sex, age, family income, education level, family arrangement, marital status, presence of caregiver, paid work, and cognitive impairment screening. We used multinomial logistic regression with risk ratio (RR) estimates and their respective confidence intervals (95%CI). RESULTS: The prevalence of the use of internet increased from 22.9% in 2009–2010 to 26.6% in 2013–2014. Of the total number of older adults who participated in the study, 7.5% started using the internet, 3.2% stopped using it, 19.1% kept their use, and 70.2% kept their non-use in the analyzed period. Of the older adults who used the internet, most used it every day or almost every day of the week, in their own home, on desktop or portable computers, mainly to send and receive messages, to search for information to learn or investigate something, to find information about goods and services, and to use news, social networking, and health information websites. The factors associated with the use of internet over four years were: being male (RR = 2.19, 95%CI 1.48–3.26), higher monthly family income (RR = 3.53, 95%CI 1.35–9.23), higher education level (RR = 2.64, 95%CI 1.57–4.43), and no presence of caregiver (RR = 0.08, 95%CI 0.02–0.31). CONCLUSIONS: Although the use of the internet is increasing among older adults, most of the population is still digitally excluded, especially women with lower income and education level. Strategies that promote the digital inclusion of older adults should be stimulated, aiming to universalize the use of the internet, and they should take into account socioeconomic and gender inequalities. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/144975 10.11606/S1518-8787.2018052000216 |
url |
https://www.revistas.usp.br/rsp/article/view/144975 |
identifier_str_mv |
10.11606/S1518-8787.2018052000216 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/144975/139158 https://www.revistas.usp.br/rsp/article/view/144975/139159 https://www.revistas.usp.br/rsp/article/view/144975/148339 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 52 (2018); 37 Revista de Saúde Pública; Vol. 52 (2018); 37 Revista de Saúde Pública; v. 52 (2018); 37 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221799232831488 |