Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey
BackgroundAtherosclerotic cardiovascular disease (ASCVD) is the leading cause of morbidity and mortality in the United States. Health information technologies (HITs) have recently emerged as a viable intervention to mitigate the burden of ASCVD. Approximately 60% of US adults...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-08-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2021/8/e23765 |
| _version_ | 1827859068883042304 |
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| author | Uchenna Nwokeji Erin M Spaulding Rongzi Shan Ruth-Alma Turkson-Ocran Diana Baptiste Binu Koirala Timothy B Plante Seth S Martin Yvonne Commodore-Mensah |
| author_facet | Uchenna Nwokeji Erin M Spaulding Rongzi Shan Ruth-Alma Turkson-Ocran Diana Baptiste Binu Koirala Timothy B Plante Seth S Martin Yvonne Commodore-Mensah |
| author_sort | Uchenna Nwokeji |
| collection | DOAJ |
| description |
BackgroundAtherosclerotic cardiovascular disease (ASCVD) is the leading cause of morbidity and mortality in the United States. Health information technologies (HITs) have recently emerged as a viable intervention to mitigate the burden of ASCVD. Approximately 60% of US adults report searching the internet for health information; however, previous research has not examined the prevalence of general technology or HIT use among adults with and without ASCVD. In addition, social determinants in HIT use among adults with ASCVD are not well understood.
ObjectiveThe aim of this study was to evaluate the prevalence and social determinants of HIT use among US adults with versus without self-reported ASCVD.
MethodsWe pooled cross-sectional data from the 2011-2018 National Health Interview Survey (NHIS) to examine the general technology and HIT use among adults aged ≥18 years with and without self-reported ASCVD (coronary heart disease, stroke, or both). General technology use was defined as mobile phone ownership, internet use, and computer use. HIT use was defined as looking up health information on the internet, filling a web-based prescription, scheduling a medical appointment on the internet, communicating with a health care provider by email, or using web-based group chats to learn about health topics. We evaluated sociodemographic differences in HIT use among respondents by using Poisson regression. Analyses were weighted according to NHIS standards.
ResultsA total sample of 256,117 individuals were included, of which 2194 (0.9%) reported prior ASCVD. Among adults with prior ASCVD, the mean age was 70.6 (SD 11.5) years, and 47.4% (1048/2194) of the adults were females. General technology use differed between participants with and without prior ASCVD, with 36.0% (614/1826) and 76.2% (157,642/213,816) indicating internet usage and 24.6% (374/1575) and 60.7% (107,742/184,557) indicating using a computer every day, respectively. Similarly, adults with ASCVD were less likely to use HIT than those without ASCVD (515/2194, 25.1% vs 123,966/253,923, 51.0%; P<.001). Among adults with prior ASCVD, social determinants that were associated with HIT use included younger age, higher education, higher income, being employed, and being married.
ConclusionsHIT use was low among adults with a history of ASCVD, which may represent a barrier to delivering care via emerging HIT. Given the associations with social determinants such as income, education, and employment, targeted strategies and policies are needed to eliminate barriers to impact HIT usage. |
| first_indexed | 2024-03-12T13:04:01Z |
| format | Article |
| id | doaj.art-08b5364de4d44ac18ee3c4e5e1caaf91 |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T13:04:01Z |
| publishDate | 2021-08-01 |
| publisher | JMIR Publications |
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| series | Journal of Medical Internet Research |
| spelling | doaj.art-08b5364de4d44ac18ee3c4e5e1caaf912023-08-28T18:30:59ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-08-01238e2376510.2196/23765Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview SurveyUchenna Nwokejihttps://orcid.org/0000-0003-0208-5215Erin M Spauldinghttps://orcid.org/0000-0001-8390-2277Rongzi Shanhttps://orcid.org/0000-0002-0445-5702Ruth-Alma Turkson-Ocranhttps://orcid.org/0000-0001-9932-052XDiana Baptistehttps://orcid.org/0000-0001-8902-6255Binu Koiralahttps://orcid.org/0000-0001-7771-8422Timothy B Plantehttps://orcid.org/0000-0001-9992-9597Seth S Martinhttps://orcid.org/0000-0002-7021-7622Yvonne Commodore-Mensahhttps://orcid.org/0000-0002-5054-3025 BackgroundAtherosclerotic cardiovascular disease (ASCVD) is the leading cause of morbidity and mortality in the United States. Health information technologies (HITs) have recently emerged as a viable intervention to mitigate the burden of ASCVD. Approximately 60% of US adults report searching the internet for health information; however, previous research has not examined the prevalence of general technology or HIT use among adults with and without ASCVD. In addition, social determinants in HIT use among adults with ASCVD are not well understood. ObjectiveThe aim of this study was to evaluate the prevalence and social determinants of HIT use among US adults with versus without self-reported ASCVD. MethodsWe pooled cross-sectional data from the 2011-2018 National Health Interview Survey (NHIS) to examine the general technology and HIT use among adults aged ≥18 years with and without self-reported ASCVD (coronary heart disease, stroke, or both). General technology use was defined as mobile phone ownership, internet use, and computer use. HIT use was defined as looking up health information on the internet, filling a web-based prescription, scheduling a medical appointment on the internet, communicating with a health care provider by email, or using web-based group chats to learn about health topics. We evaluated sociodemographic differences in HIT use among respondents by using Poisson regression. Analyses were weighted according to NHIS standards. ResultsA total sample of 256,117 individuals were included, of which 2194 (0.9%) reported prior ASCVD. Among adults with prior ASCVD, the mean age was 70.6 (SD 11.5) years, and 47.4% (1048/2194) of the adults were females. General technology use differed between participants with and without prior ASCVD, with 36.0% (614/1826) and 76.2% (157,642/213,816) indicating internet usage and 24.6% (374/1575) and 60.7% (107,742/184,557) indicating using a computer every day, respectively. Similarly, adults with ASCVD were less likely to use HIT than those without ASCVD (515/2194, 25.1% vs 123,966/253,923, 51.0%; P<.001). Among adults with prior ASCVD, social determinants that were associated with HIT use included younger age, higher education, higher income, being employed, and being married. ConclusionsHIT use was low among adults with a history of ASCVD, which may represent a barrier to delivering care via emerging HIT. Given the associations with social determinants such as income, education, and employment, targeted strategies and policies are needed to eliminate barriers to impact HIT usage.https://www.jmir.org/2021/8/e23765 |
| spellingShingle | Uchenna Nwokeji Erin M Spaulding Rongzi Shan Ruth-Alma Turkson-Ocran Diana Baptiste Binu Koirala Timothy B Plante Seth S Martin Yvonne Commodore-Mensah Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey Journal of Medical Internet Research |
| title | Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey |
| title_full | Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey |
| title_fullStr | Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey |
| title_full_unstemmed | Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey |
| title_short | Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey |
| title_sort | health information technology use among persons with self reported atherosclerotic cardiovascular disease analysis of the 2011 2018 national health interview survey |
| url | https://www.jmir.org/2021/8/e23765 |
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