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Digital Disparities and the Health Care Internet: Race, Ethnicity, and Online Information Searches in the United States

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Abstract:

Concomitant with growing recognition of racial and ethnic disparities in health care, there is growing appreciation of the digital divide, which may lead to inequities in the use of online health resources. Given the absence of studies examining the moderating influence of race and ethnicity on health Internet use, this article seeks to determine use of health websites by race and ethnicity—whether non-Hispanic White, African American, Hispanic, or Other, and to identify variation in characteristics associated with website use across each group examined. Data derive from 828 respondents to a November 2005 national survey. Findings indicate that the percentage of non-Hispanic Whites using the Internet (33.7%) exceed the percentage of African Americans (31.0%) and Hispanics (20.4%). Whereas better perceived health was associated with greater website use among Hispanics and Whites, stronger health literacy was associated with greater use among Hispanics. No African American or Hispanic respondents aged 65 years or older reported going online. The relationship between education and use was more than twice as strong for African Americans and Hispanics than other groups. From a young age members of underprivileged groups need to be taught not only to be active participants in their own health but to use the Internet as one tool toward achieving that goal.

Most Common Document Word Stems:

health (184), use (80), hispan (74), american (70), inform (54), internet (54), care (53), ethnic (53), p (50), white (50), african (50), websit (46), respond (42), j (39), racial (39), literaci (34), educ (33), survey (31), associ (31), age (30), among (29),

Author's Keywords:

Internet, Digital Divide, E-Health, African American, Hispanic, E-Government
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MLA Citation:

Miller, Edward. "Digital Disparities and the Health Care Internet: Race, Ethnicity, and Online Information Searches in the United States" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL, Aug 30, 2007 <Not Available>. 2009-05-27 <http://www.allacademic.com/meta/p210575_index.html>

APA Citation:

Miller, E. A. , 2007-08-30 "Digital Disparities and the Health Care Internet: Race, Ethnicity, and Online Information Searches in the United States" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL Online <APPLICATION/PDF>. 2009-05-27 from http://www.allacademic.com/meta/p210575_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Abstract: Concomitant with growing recognition of racial and ethnic disparities in health care, there is growing appreciation of the digital divide, which may lead to inequities in the use of online health resources. Given the absence of studies examining the moderating influence of race and ethnicity on health Internet use, this article seeks to determine use of health websites by race and ethnicity—whether non-Hispanic White, African American, Hispanic, or Other, and to identify variation in characteristics associated with website use across each group examined. Data derive from 828 respondents to a November 2005 national survey. Findings indicate that the percentage of non-Hispanic Whites using the Internet (33.7%) exceed the percentage of African Americans (31.0%) and Hispanics (20.4%). Whereas better perceived health was associated with greater website use among Hispanics and Whites, stronger health literacy was associated with greater use among Hispanics. No African American or Hispanic respondents aged 65 years or older reported going online. The relationship between education and use was more than twice as strong for African Americans and Hispanics than other groups. From a young age members of underprivileged groups need to be taught not only to be active participants in their own health but to use the Internet as one tool toward achieving that goal.

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Associated Document Available Political Research Online
Associated Document Available American Political Science Association

Document Type: application/pdf
Page count: 29
Word count: 7399
Text sample:
Digital Disparities and the Health Care Internet: Race Ethnicity and Online Information Searches in the United States *Edward Alan Miller Ph.D. M.PA.1 *Darrell M. West Ph.D.2 *Melanie Wasserman Ph.D.3 1 Corresponding Author: From the A. Alfred Taubman Center for Public Policy and American Institutions Departments of Community Health and Political Science and Center for Gerontology and Health Care Research Brown University Providence RI (edward_a_miller@brown.edu 401-863-9311) 2 From the A. Alfred Taubman Center for Public Policy and American Institutions and
58 54 46 *** P<0.01; ** P<0.05 * P<0.10 Note. The odds ratios (95% confidence intervals) were derived from logistic regression models analyzed independently from 20 replicate data sets generated from multiple imputation. The mean pseudo R-squared and -2 log likelihood statistics (range) were generated from the 20 replicate data sets. Overall significance was consistent across all 20 models estimated for White African American and Hispanic subgroups. Overall significance varied for the Other race and ethnicity subgroup with two


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