scholarly journals Progress on Broadband Access to the Internet and Use of Mobile Devices in the United States

2016 ◽  
Vol 132 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Katrina J. Serrano ◽  
Chan L. Thai ◽  
Alexandra J. Greenberg ◽  
Kelly D. Blake ◽  
Richard P. Moser ◽  
...  
Keyword(s):  
Health Information ◽  
Mobile Devices ◽  
Cellular Network ◽  
The United States ◽  
The Internet ◽  
Broadband Access ◽  
Improve Population Health ◽  
The Us ◽  
Healthy People 2020 ◽  
National Trends

Healthy People 2020 (HP2020) aims to improve population health outcomes through several objectives, including health communication and health information technology. We used 7 administrations of the Health Information National Trends Survey to examine HP2020 goals toward access to the Internet through broadband and mobile devices (N = 34 080). We conducted descriptive analyses and obtained predicted marginals, also known as model-adjusted risks, to estimate the association between demographic characteristics and use of mobile devices. The HP2020 target (7.7% of the US population) for accessing the Internet through a cellular network was surpassed in 2014 (59.7%), but the HP2020 target (83.2%) for broadband access fell short (63.8%). Sex and age were associated with accessing the Internet through a cellular network throughout the years (Wald F test, P <.05). The increase in the percentage of people accessing the Internet through mobile devices presents an opportunity for technology-based health interventions that should be explored.

scholarly journals Tracking Healthy People 2020 Internet, Broadband, and Mobile Device Access Goals: An Update Using Data From the Health Information National Trends Survey (Preprint)

2019 ◽  
Author(s):  
Alexandra J Greenberg-Worisek ◽  
Shaheen Kurani ◽  
Lila J Finney Rutten ◽  
Kelly D Blake ◽  
Richard P Moser ◽  
...  
Keyword(s):  
Digital Divide ◽  
Health Information ◽  
Race And Ethnicity ◽  
Cellular Network ◽  
Internet Access ◽  
Healthy People ◽  
Broadband Access ◽  
Healthy People 2020 ◽  
National Trends ◽  
Over Time

BACKGROUND As the year 2020 approaches, there is a need to evaluate progress toward the United States government’s Healthy People 2020 (HP2020) health information technology and communication objectives to establish baselines upon which Healthy People 2030 objectives can be based. OBJECTIVE The aim of this study was to use the National Cancer Institute’s (NCI) Health Information National Trends Survey (HINTS) to benchmark progress toward HP2020 goals related to increasing internet access using broadband, and to assess the state of the digital divide for various sociodemographic groups. METHODS We merged and analyzed data from 8 administrations of HINTS (2003-2017). Descriptive statistics were generated, and predicted marginals were calculated using interaction terms between survey year and selected sociodemographic variables of interest, including age, sex, race and ethnicity, income, education, and geography (rural versus urban), to test for differential change over time. RESULTS The number of users having access to the internet increased between 2003 and 2014 (63.15% [3982/6358] to 83.41% [2802/3629]); it remained relatively steady from 2014 to 2017 (81.15% [2533/3283]). Broadband access increased between 2003 and 2011 (from 32.83% [1031/3352] to 77.87% [3375/4405]), but has been declining since (55.93% [1364/2487] in 2017). Access via cellular network increased between 2008 and 2017 (from 6.86% [240/4405] to 65.43% [1436/2489]). Statistically significant disparities in overall internet access were noted in the predicted marginals for age, sex, race and ethnicity, income, and education; for age, sex, income, and geography for broadband access; and for age and sex for cellular network. CONCLUSIONS The targets set forth in HP2020 were met for overall internet access and for internet access via cellular network; however, the target was not met for internet access via broadband. Furthermore, although the digital divide persisted by sociodemographic characteristics, the magnitude of many disparities in access decreased over time.

scholarly journals Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey

2020 ◽  
Vol 17 (18) ◽  
pp. 6856 ◽  
Author(s):  
Rose Calixte ◽  
Argelis Rivera ◽  
Olutobi Oridota ◽  
William Beauchamp ◽  
Marlene Camacho-Rivera
Keyword(s):  
Social Media ◽  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
Secondary Data ◽  
The United States ◽  
The Internet ◽  
Health Related ◽  
Demographic Patterns ◽  
National Trends

National surveys of U.S. adults have observed significant increases in health-related internet use (HRIU), but there are documented disparities. The study aims to identify social and demographic patterns of health-related internet use among U.S. adults. Using data from the Health Information National Trends Survey (HINTS) 4 cycle 3 and HINTS 5 cycle 1, we examined HRIU across healthcare, health information seeking, and participation on social media. Primary predictors were gender, race/ethnicity, age, education, income, and nativity with adjustments for smoking and survey year. We used multivariable logistic regression with survey weights to identify independent predictors of HRIU. Of the 4817 respondents, 43% had used the internet to find a doctor; 80% had looked online for health information. Only 20% had used social media for a health issue; 7% participated in an online health support group. In multivariable models, older and low SES participants were significantly less likely to use the internet to look for a provider, use the internet to look for health information for themselves or someone else, and less likely to use social media for health issues. Use of the internet for health-related purposes is vast but varies significantly by demographics and intended use.

scholarly journals Caring for Older Patients With Cancer: Estimates of the Prevalence, Burden, and Unmet Needs of Caregivers in the United States

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 690-690
Author(s):  
Erin Kent
Keyword(s):  
Family Caregivers ◽  
Older Patients ◽  
Unmet Needs ◽  
The United States ◽  
Population Based ◽  
Data Sources ◽  
Behavioral Risk ◽  
Ripple Effect ◽  
The Us ◽  
National Trends

Abstract In 2020, ~1.8 million Americans are expected to be newly diagnosed with cancer, with approximately 70% of cases diagnosed over the age of 65. Cancer can have a ripple effect, impacting not just patients themselves, but their family caregivers. This presentation will provide an overview of the estimates of the number of family caregivers caring for individuals with cancer in the US, focusing on older patients, from several population-based data sources: Caregiving in the US 2020, the Health Information National Trends Survey (HINTS, 2017-2019), the Behavioral Risk Factors Surveillance System (BRFSS, 2015-2019), and the National Health and Aging Trends (NHATS) Survey. The presentation will compare features of the data sources to give a comprehensive picture of the state of cancer caregiving. In addition, the presentation will highlight what is known about the experiences of cancer caregivers, including caregiving characteristics, burden, unmet needs, and ideas for improving support for family caregivers.

Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

2021 ◽  
pp. e1-e4
Author(s):  
Chelsea L. Ratcliff ◽  
Melinda Krakow ◽  
Alexandra Greenberg-Worisek ◽  
Bradford W. Hesse
Keyword(s):  
Public Health ◽  
Health Information ◽  
Health Care Providers ◽  
Digital Health ◽  
Smart Device ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
The Us ◽  
National Trends

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )

Why the Institutional Access Digital Divide Might Be More Significant than the Home Broadband Divide

2020 ◽  
pp. 61-79
Author(s):  
Christopher McConnell ◽  
Joseph Straubhaar
Keyword(s):  
Social Context ◽  
Internet Use ◽  
The United States ◽  
Descriptive Statistics ◽  
The Internet ◽  
Broadband Access ◽  
Digital Inclusion ◽  
The Family ◽  
Use Of The Internet ◽  
Policy Priority

Digital-inclusion policy in the United States has historically emphasized home broadband access as both its policy priority and goal. Supplying households with broadband access may not do much to improve the ability of individuals to make meaningful use of the Internet, however, since it provides Internet access with little social context beyond the family. Drawing on Bourdieu's concepts of disposition, habitus, and multiple forms of capital, this paper endeavors to situate Internet use in its broader social context and explores the importance of institutional access, Internet use at work or school, in developing the dispositions and competencies needed to use the Internet in instrumental ways, such as applying for educational programs or communicating with governments. Through descriptive statistics, it identifies which segments of a US city lack institutional access, and, using multivariate analysis, it highlights the role institutional access plays in developing these abilities and its role in further inequality.

Trends in Terminology

2022 ◽  
pp. 193-203
Keyword(s):  
United States ◽  
Information Technology ◽  
Computer Science ◽  
The United States ◽  
The Internet ◽  
The Us ◽  
Key Concepts

The purpose of this chapter is to analyze and review trends in digital terminology. The chapter begins by examining the origins of computerization in the United States during the 19th and 20th centuries. Next, the chapter examines the key concepts punch cards and computer science. The chapter then discusses how the term computer science is misleading. This is followed by a discussion of how information technology became the most popular term in the US. The chapter then switches focus to Europe and discusses France's promotion of informatique as well as Europe's switch from informatics to ICT. Next, the chapter considers how the internet has given rise to terms like e-commerce. The chapter concludes by considering the transition from ICT to digital informing and informing technology.

scholarly journals 3095 Perceived Knowledge of Palliative Care among Immigrants: A Secondary Data Analysis from the Health Information National Trends Survey

2019 ◽  
Vol 3 (s1) ◽  
pp. 136-137
Author(s):  
Amelia Barwise ◽  
Andrea Cheville ◽  
Mark Wieland ◽  
Ognjen Gajic ◽  
Alexandra Greenberg-Worisek
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Information ◽  
Secondary Outcome ◽  
Sociodemographic Characteristics ◽  
Care Providers ◽  
Perceived Knowledge ◽  
The Us ◽  
National Trends ◽  
Source Of Information

OBJECTIVES/SPECIFIC AIMS: Immigrants to North America receive more interventions at end of life.The reasons for this are not entirely clear but may potentially be due to knowledge gaps. The primary objective of this study was to measure and describe levels of perceived knowledge about palliative care among immigrants to the US compared to those born in the US. Our secondary objective was to identify trusted sources for seeking information about palliative care among immigrants and compare these trusted sources with those born in the US. We hypothesized that immigrants would have less knowledge of palliative care than those born in US and would trust different sources for information about palliative care. METHODS/STUDY POPULATION: We analyzed data from the nationally representative 2018 Health Information National Trends Survey (HINTS 5, cycle 2). Questionnaires were administered via mail between January and May 2018 to a population-based sample of adults. The primary outcome of interest was assessed using the item “How would you describe your level of knowledge about palliative care?” The secondary outcome of interest was determined using the item “Imagine you had a strong need to get information about palliative care, which of the following would you most trust as a source of information about palliative care?” All analyses were complete case analyses and conducted with survey commands using SAS 9.3 (SAS Institute Inc, Cary, NC, USA). Descriptive statistics were calculated, and bivariate analyses run between the outcomes of interest and sociodemographic characteristics (age, sex, education, race/ethnicity, nativity, English language proficiency). Multivariable logistic regressions were conducted to assess the role of nativity, controlling for statistically significant and relevant sociodemographic variables. Jackknife weighting was used to generate population-level estimates. RESULTS/ANTICIPATED RESULTS: The response rate was 33% (n=3384) and included 2846 (85.3% weighted) born in the US and 492 (14.7% weighted) not born in the USA. About 70% of those born in the US and 77% of immigrants (weighted) responded that they had “never heard of palliative care.” Trusted sources of palliative care were very similar between the groups (all p > 0.05). Both groups’ preferred trusted source of palliative care knowledge was “health care provider,” with over 80% of respondents in each group selecting this option. Printed materials and social media were the least popular trusted sources among both groups. After adjusting for relevant sociodemographic characteristics, we found no association between poor knowledge of palliative care and nativity (p=0.22). Female respondents had 2.5-fold increased odds of reporting low levels of perceived knowledge of palliative care (OR = 2.58, 95% CI = 1.76-3.78; p<0.001). Education was an important predictor of perceived knowledge of palliative care; as education level increased, so did perceived knowledge of palliative care (p < 0.001). DISCUSSION/SIGNIFICANCE OF IMPACT: Perceived knowledge of palliative care is poor generally, regardless of birthplace. Trusted sources for palliative care are similar between immigrants and those born in the US. Education is important and is a strong predictor of perceived knowledge of palliative care. Women perceive they have lower levels of knowledge of PC than men. Differences in end of life care between immigrants and non-immigrants cannot be explained by knowledge differences. Further research is needed to examine the potential factors including suboptimal communication between providers and immigrant patients to understand why these differences are noted. Future strategies for improving knowledge of palliative care should target health care providers as the key trusted source of information to help address deficits noted in this study.

Is Social Support From Family Associated With PSA Testing? An Exploratory Analysis Using the Health Information National Trends Survey (HINTS) 2005

2008 ◽  
Vol 4 (1) ◽  
pp. 50-59 ◽  
Author(s):  
Kamilah B. Thomas ◽  
Sean L. Simpson ◽  
Will L. Tarver ◽  
Clement K. Gwede
Keyword(s):  
Prostate Cancer ◽  
Social Support ◽  
Health Information ◽  
Specific Antigen ◽  
White Men ◽  
The United States ◽  
Social Contexts ◽  
Psa Testing ◽  
Instrumental Social Support ◽  
National Trends

African American and White men have the highest rates of prostate cancer in the United States. Families represent important social contexts within which illness occurs.The purpose of this study is to explore whether prostate-specific antigen (PSA) testing is associated with instrumental and informational social support from family members among a sample of Black and White men aged 45 and older. Data from the 2005 Health Information National Trends Survey were analyzed using logistic regression. The dependent variable was having a PSA test within the past year or less. The independent variables consisted of selected demographic and family informational and instrumental social support variables. The statistically significant variables included age and having a family member with cancer. Additional studies to elucidate the mechanisms of social support from family for prostate cancer are needed.

Cancer Information Seeking among Black and White Adults: Results from the 2003 and 2005 Health Information National Trends Surveys

2009 ◽  
Vol 15 (1_suppl) ◽  
pp. 16-29
Author(s):  
Jiali Ye ◽  
Zhiheng Xu ◽  
Bamidele Adesunloye
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Information Sources ◽  
Cancer Information ◽  
The Internet ◽  
Racial Groups ◽  
Black And White ◽  
National Trends ◽  
Cancer Information Seeking ◽  
White Adults

Information seeking has significant impact on improving cancer preventive activities and health decision making. This study sought to compare Black and White adults on cancer information seeking and the choice of primary information sources. Non-Hispanic Black and non-Hispanic White adults completed Health Information National Trends Surveys (HINTS) collected in 2003 and in 2005. The results of bivariate analyses showed that Whites were more likely than Blacks to be cancer information seekers for both years (2003: 49.0% vs. 40.8%, p < .001; 2005: 54.6% vs. 46.9%, p = .008). However, after controlling for sociodemographic variables, race was not significantly associated with cancer information seeking. Both racial groups increased their likelihood of cancer information seeking from 2003 to 2005, although the increase was only statistically significant for Whites ( p < .001). Health providers and the Internet were the top two most selected primary cancer information sources for both racial groups. These findings indicate that sociodemographic factors, such as gender, education, and cancer history, may shape the racial difference in health information seeking among the general population. Among all the information sources, health care providers and the Internet play the most important role in providing cancer-related information.

Sign in / Sign up

Export Citation Format

Share Document