The Relationship Between Broadband Internet Adoption and Self-reported Diabetes Prevalence in US Counties.
The Internet provides many populations access to virtual health services, social resources, and health education. It is not understood how lack of household Internet adoption impacts the risk of negative health outcomes. Our study aimed to examine the relationship between Internet adoption and self-...
| Publicado en: | CIN: Computers, Informatics, Nursing Vol. 43; no. 11; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Nov2025
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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=189079805&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189079805 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15382931 KXN jtl: CIN: Computers, Informatics, Nursing issn: 15382931 maglogo: N pubinfo: dt: Nov2025 vid: 43 iid: 11 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 189079805 189079805 189079805 10.1097/CIN.0000000000001355 189079805 ppf: 1 ppct: 11 formats: tig: atl: The Relationship Between Broadband Internet Adoption and Self-reported Diabetes Prevalence in US Counties. aug: au: Farmer, Matthew S. Powell, Kimberly R. Sales, Anne Popejoy, Lori L. Reeder, Blaine affil: Sinclair School of Nursing, University of Missouri, Columbia sug: subj: Diabetes Mellitus Epidemiology Self Report Social Determinants of Health Internet Access Diabetes Mellitus Risk Factors Risk Assessment Human United States Retrospective Design Record Review Cross Sectional Studies Ecological Research Comparative Studies Descriptive Statistics Data Analysis Software Linear Regression Information Resources Access to Information Health Information Machine Learning Decision Trees Random Forest Neural Networks (Computer) Health Literacy Poverty Residence Characteristics Diabetes Mellitus Prevention and Control Obesity Mental Disorders Smoking Age Factors Health Behavior Telehealth ab: The Internet provides many populations access to virtual health services, social resources, and health education. It is not understood how lack of household Internet adoption impacts the risk of negative health outcomes. Our study aimed to examine the relationship between Internet adoption and self-reported diabetes prevalence in US counties, while controlling for social determinants of health. This cross-sectional, retrospective study used US national county-level data obtained from the 2021 American Communities Survey and the 2021 Behavioral Risk Factors Surveillance System. Analysis included descriptive statistics, two-stage linear regression, and machine learning. A total of 3076 counties were analyzed. The results show that, in 2021, Internet adoption had a significant inverse relationship (β = −.20, P < .001) with diabetes prevalence in US counties while controlling for other social determinants of health. The results suggest that as household Internet adoption rates increase, diabetes prevalence decreases, at the county level. The relationships between social characteristics, Internet adoption, and health behaviors on diabetes prevalence in US counties warrant future research including individual-level validation and integration of health behaviors related to diabetes risk. These findings provide evidence of Internet adoption as a social determinant of health. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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