Table 2.
Univariate and multivariate logistic models of willingness to use personal health records (PHRs).
| Characteristic | Univariate model (N=2307) | Multivariate model (n=2020) | |||||||
|
|
Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | |||||
| (Intercept) |
|
|
0.06 (0.03-0.10) | <.001 | |||||
| Gender (male vs female) | 1.81 (1.51-2.16) | <.001 | 1.52 (1.22-1.90) | <.001 | |||||
| Age (≥60 years vs <60) | 0.36 (0.30-0.44) | <.001 | N/Aa |
|
|||||
| Employment status (employed vs not employed) | 2.58 (2.15-3.08) | <.001 | 1.30 (1.03-1.64) | .03 | |||||
| Medical history (yes vs no) |
|
|
|
|
|||||
|
|
Hypertension | 0.81 (0.68-0.96) | .02 | N/Aa |
|
||||
|
|
Diabetes | 1.15 (0.95-1.38) | .15 | N/Ab |
|
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|
|
Dyslipidemia | 1.38 (1.11-1.71) | .004 | 1.25 (0.97-1.62) | .09 | ||||
|
|
Angina pectoris or myocardial infarction | 0.91 (0.69-1.20) | .52 | N/Ab |
|
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|
|
Arrhythmia | 1.02 (0.75-1.38) | .90 | N/Ab |
|
||||
|
|
Kidney disease | 1.01 (0.71-1.46) | .94 | N/Ab |
|
||||
|
|
Hyperuricemia | 1.43 (0.99-2.06) | .054 | N/Aa |
|
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|
|
Cerebrovascular disorder | 0.74 (0.50-1.09) | .13 | N/Ab |
|
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|
|
Hospitalization experience | 0.86 (0.72-1.03) | .10 | N/Ab |
|
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|
|
Metabolic syndrome | 1.73 (1.41-2.12) | <.001 | N/Aa |
|
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| What patients considered important for their health management (yes vs no) |
|
|
|
||||||
|
|
Exercise | 1.98 (1.51-2.61) | <.001 | 1.57 (1.12-2.21) | .009 | ||||
|
|
Diet | 1.84 (1.34-2.52) | <.001 | N/Aa |
|
||||
|
|
Sleep | 1.39 (1.15-1.69) | <.001 | N/Aa |
|
||||
|
|
Prescription drugs | 0.95 (0.80-1.13) | .60 | N/Ab |
|
||||
|
|
Over-the-counter drugs | 0.73 (0.38-1.39) | .34 | N/Ab |
|
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|
|
Health food and supplements | 0.79 (0.58-1.08) | .15 | N/Ab |
|
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| What patients were willing to incorporate into daily life in managing health (yes vs no) |
|
|
|||||||
|
|
Exercise | 1.19 (0.99-1.42) | .06 | N/Aa |
|
||||
|
|
Diet | 1.12 (0.89-1.41) | .34 | N/Ab |
|
||||
|
|
Sleep | 1.07 (0.90-1.27) | .46 | N/Ab |
|
||||
|
|
Prescription drugs | 1.09 (0.91-1.30) | .34 | N/Ab |
|
||||
|
|
Over-the-counter drugs | 1.37 (0.69-2.69) | .37 | N/Ab |
|
||||
|
|
Health food and supplements | 0.99 (0.75-1.30) | .94 | N/Ab |
|
||||
| Health information sources (yes vs no) |
|
|
|
|
|||||
|
|
Doctors | 1.37 (1.07-1.75) | .01 | 1.36 (1.01-1.83) | .04 | ||||
|
|
Nurses | 1.06 (0.78-1.42) | .72 | N/Ab |
|
||||
|
|
Pharmacists | 1.45 (1.16-1.82) | .001 | 1.63 (1.24-2.13) | <.001 | ||||
|
|
Dieticians | 1.45 (0.96-2.20) | .08 | N/Aa |
|
||||
|
|
Acquaintances | 1.05 (0.80-1.38) | .73 | N/Ab |
|
||||
|
|
Family | 1.22 (0.95-1.57) | .12 | N/Ab |
|
||||
|
|
Books or magazines | 1.35 (1.09-1.67) | .006 | 1.23 (0.96-1.59) | .10 | ||||
|
|
Newspapers | 0.93 (0.74-1.15) | .49 | N/Ab |
|
||||
|
|
Television | 0.97 (0.81-1.16) | .74 | N/Ab |
|
||||
|
|
Internet | 3.98 (3.29-4.82) | <.001 | 1.45 (1.13-1.87) | .004 | ||||
| Understanding of one’s diseases (yes vs no) |
|
|
|
|
|||||
|
|
Understanding one’s diseases or symptoms well | 2.61 (1.84-3.70) | <.001 | 1.37 (0.92-2.05) | .13 | ||||
|
|
Understanding treatment methods well | 1.39 (1.16-1.67) | <.001 | N/Aa |
|
||||
|
|
Understanding how to deal with deterioration of health | 1.30 (1.07-1.58) | .008 | N/Aa |
|
||||
|
|
Entrusting doctors with disease and health-related matters | 0.81 (0.68-0.97) | .02 | 1.21 (0.98-1.51) | .08 | ||||
|
|
Not paying much attention to one’s disease | 0.60 (0.40-0.90) | .01 | N/Aa |
|
||||
| Information terminals (yes vs no) |
|
|
|
|
|||||
|
|
Personal computer | 3.54 (2.95-4.25) | <.001 | 1.85 (1.46-2.35) | <.001 | ||||
|
|
Smartphone | 4.19 (3.48-5.04) | <.001 | 2.04 (1.61-2.59) | <.001 | ||||
|
|
Basic cell phone | 0.63 (0.52-0.77) | <.001 | N/Aa |
|
||||
|
|
Tablet device | 3.44 (2.65-4.47) | <.001 | 1.36 (0.99-1.86) | .06 | ||||
| Number of regularly prescribed medications (≥3 vs <3) | 0.75 (0.62-0.91) | .003 | N/Aa |
|
|||||
| Number of doses per day (≥2 vs <2) | 0.80 (0.67-0.96) | .02 | N/Aa |
|
|||||
| Monthly visit frequency to a pharmacy (≥2 vs <2) | 1.10 (0.88-1.38) | .41 | N/Ab |
|
|||||
| Medication adherence (good vs poor) | 0.76 (0.62-0.94) | .010 | N/Aa |
|
|||||
| Experience using a PHR (yes vs no) | 30.30 (15.90-57.80) | <.001 | 16.60 (8.52-32.20) | <.001 | |||||
aN/A: not applicable; variables were considered candidates in the multivariate analyses (P<.10) but were discarded from the final model.
bN/A: not applicable; variables were not considered candidates for explanatory variables in multivariate analyses (P>.10).