Literacy disparities in patient access and health-related use of Internet and mobile technologies.
Background: Age and race‐related disparities in technology use have been well documented, but less is known about how health literacy influences technology access and use. Objective: To assess the association between patients’ literacy skills and mobile phone ownership, use of text messaging, Intern...
| Publicado en: | Health Expectations Vol. 18; no. 6; pp. 3079 - 3088 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112339282&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112339282 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Dec2015 vid: 18 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 112339282 112339282 112339282 10.1111/hex.12294 112339282 ppf: 3079 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Literacy disparities in patient access and health-related use of Internet and mobile technologies. aug: au: Bailey, Stacy C. O'Conor, Rachel Bojarski, Elizabeth A. Mullen, Rebecca Patzer, Rachel E. Vicencio, Daniel Jacobson, Kara L. Parker, Ruth M. Wolf, Michael S. affil: Division of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina, Chapel Hill NC, USA sug: subj: Literacy Evaluation Access to Information Internet Mobile Applications Technology Patient Education Evaluation Human Medical Organizations Interviews Data Analysis Data Analysis Software Logistic Regression Age Factors Race Factors Income Male Female Demography Descriptive Statistics Aging Funding Source Male Female ab: Background: Age and race‐related disparities in technology use have been well documented, but less is known about how health literacy influences technology access and use. Objective: To assess the association between patients’ literacy skills and mobile phone ownership, use of text messaging, Internet access, and use of the Internet for health‐related purposes. Methods: A secondary analysis utilizing data from 1077 primary care patients enrolled in two, multisite studies from 2011–2013. Patients were administered an in‐person, structured interview. Results: Patients with adequate health literacy were more likely to own a mobile phone or smartphone in comparison with patients having marginal or low literacy (mobile phone ownership: 96.8 vs. 95.2 vs. 90.1%, respectively, P < 0.001; smartphone ownership: 70.6 vs. 62.5 vs. 40.1%, P < 0.001) and to report text messaging (78.6 vs. 75.2 vs. 53.1%, P < 0.001). They were also more likely to have access to the Internet from their home (92.1 vs. 74.7 vs. 44.9%, P < 0.001) and to report using the Internet for email (93.0 vs. 75.7 vs. 38.5%, P < 0.001), browsing the web (93.9 vs. 80.2 vs. 44.5%, P < 0.001), accessing health information (86.3 vs. 75.5 vs. 40.8%, P < 0.001), and communicating with providers (54.2 vs. 29.8 vs. 13.0%, P < 0.001). Relationships remained significant in multivariable analyses controlling for relevant covariates. Conclusions: Results reveal that literacy‐related disparities in technology access and use are widespread, with lower literate patients being less likely to own smartphones or to access and use the Internet, particularly for health reasons. Future interventions should consider these disparities and ensure that health promotion activities do not further exacerbate disparities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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