Factors associated with intended use of a Web site among family practice patients

J Med Internet Res. Apr-Jun 2001;3(2):E17. doi: 10.2196/jmir.3.2.e17.


Background: The World Wide Web has become a widely utilized source of health information. Although the frequency of health related queries is impressive, the demographics associated with patients making queries has not been clearly delineated.

Objective: This study s objective was to determine health related Internet usage patterns of family medicine patients.

Methods: Internet use among 824 eligible patients 18 years or older attending seven university based family practice clinics during a two week period in November of 1999 was studied. The survey instrument included 10 items and was designed to collect data in less than five minutes using a paper and pencil format. Statistical significance associated with intended Web site use was computed using a multiple logistic regression model.

Results: A response rate of 72.2% was observed with 63.1% being females and 36.9% being males. The mean and median age were 44.0 and 45.7 years, respectively. A steady decline in intended Web site use was observed with advancing age with significant differences observed above 65 years (OR = 0.30; 95% CI = 0.14 - 0.64; p<.002). Other significant findings associated with intended use of a Web site by clinic based patients included having a home computer (OR = 1.99; 95%, CI = 1.05 3.76; p<0.03) and having Internet access at home (OR=5.6, 95%, CI = 2.83-11.18; p<.001). A lack of association between intended Web site use and health insurance status was observed.

Conclusions: Results from this study suggest that Web sites are not likely to be alternative sources of health information for the uninsured or elderly in the near future.

MeSH terms

  • Academic Medical Centers / organization & administration
  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Family Practice / statistics & numerical data
  • Family Practice / trends*
  • Female
  • Health Education / methods
  • Humans
  • Internet / statistics & numerical data
  • Internet / trends*
  • Male
  • Medically Uninsured / statistics & numerical data
  • Middle Aged
  • Outpatient Clinics, Hospital / organization & administration
  • Patients*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Texas