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Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH. | LitMetric

AI Article Synopsis

  • - The study aimed to assess how social characteristics of Floridians living with HIV (PLWH) relate to their use of digital technologies and willingness to engage with eHealth for HIV information.
  • - Data was gathered from 1268 PLWH through surveys administered by Ryan White case managers across Florida, revealing that while most used mobile phones, older adults and non-Hispanic blacks were less likely to use various technologies.
  • - Findings indicated that existing disparities in eHealth engagement exist among PLWH, suggesting that social factors significantly influence willingness to adopt eHealth solutions, potentially widening healthcare inequities despite improved access.

Article Abstract

Objectives: Evaluate the relationships between social characteristics of Floridian persons living with HIV (PLWH) and both use of digital technologies and willingness to use eHealth for HIV-related information.

Methods: Ryan White case managers (N = 155) from 55 agencies in 47 Florida counties administered a survey to PLWH (N = 1268) from June 2016-April 2017. Multilevel logistic regression models were used to identify correlates of technology use and willingness.

Results: Use of mobile phones with text messaging was high (89%). Older (vs. younger) adults and non-Hispanic blacks (vs. whites) were less likely to use most technologies. These groups, along with Hispanics (vs. whites) were less likely to express willingness to use technologies for HIV-related information in models adjusting for use.

Conclusions: Among PLWH in Florida, eHealth-related inequities exist. Willingness to engage in HIV-related eHealth is affected by social determinants, even when considering technology access. Although eHealth may reduce some healthcare inequities, it may exacerbate others.

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Source
http://dx.doi.org/10.1007/s10461-019-02723-1DOI Listing

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