Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018)
BackgroundThe use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus. ObjectiveThis study aims to report the prevalence of HIT use in adults with diabetes in the United States and examin...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-01-01
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| Series: | JMIR Diabetes |
| Online Access: | https://diabetes.jmir.org/2022/1/e27220 |
| _version_ | 1797735408992256000 |
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| author | Seamus Y Wang Hsin-Chieh Yeh Arielle Apfel Stein Edgar R Miller |
| author_facet | Seamus Y Wang Hsin-Chieh Yeh Arielle Apfel Stein Edgar R Miller |
| author_sort | Seamus Y Wang |
| collection | DOAJ |
| description |
BackgroundThe use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus.
ObjectiveThis study aims to report the prevalence of HIT use in adults with diabetes in the United States and examine the factors associated with HIT use.
MethodsWe analyzed data from 7999 adults who self-reported a diabetes diagnosis as collected by the National Health Interview Survey (2016-2018). All analyses were weighted to account for the complex survey design.
ResultsOverall, 41.2% of adults with diabetes reported looking up health information on the web, and 22.8% used eHealth services (defined as filled a prescription on the web, scheduled an appointment with a health care provider on the web, or communicated with a health care provider via email). In multivariable models, patients who were female (vs male: prevalence ratio [PR] 1.16, 95% CI 1.10-1.24), had higher education (above college vs less than high school: PR 3.61, 95% CI 3.01-4.33), had higher income (high income vs poor: PR 1.40, 95% CI 1.23-1.59), or had obesity (vs normal weight: PR 1.11, 95% CI 1.01-1.22) were more likely to search for health information on the web. Similar associations were observed among age, race and ethnicity, education, income, and the use of eHealth services. Patients on insulin were more likely to use eHealth services (on insulin vs no medication: PR 1.21, 95% CI 1.04-1.41).
ConclusionsAmong adults with diabetes, HIT use was lower in those who were older, were members of racial minority groups, had less formal education, or had lower household income. Health education interventions promoted through HIT should account for sociodemographic factors. |
| first_indexed | 2024-03-12T12:58:40Z |
| format | Article |
| id | doaj.art-9a39f5b6ed3d4523a541c7d799d54de9 |
| institution | Directory Open Access Journal |
| issn | 2371-4379 |
| language | English |
| last_indexed | 2024-03-12T12:58:40Z |
| publishDate | 2022-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Diabetes |
| spelling | doaj.art-9a39f5b6ed3d4523a541c7d799d54de92023-08-28T20:21:00ZengJMIR PublicationsJMIR Diabetes2371-43792022-01-0171e2722010.2196/27220Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018)Seamus Y Wanghttps://orcid.org/0000-0002-7529-6147Hsin-Chieh Yehhttps://orcid.org/0000-0002-5738-0652Arielle Apfel Steinhttps://orcid.org/0000-0001-9568-4510Edgar R Millerhttps://orcid.org/0000-0003-0157-6258 BackgroundThe use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus. ObjectiveThis study aims to report the prevalence of HIT use in adults with diabetes in the United States and examine the factors associated with HIT use. MethodsWe analyzed data from 7999 adults who self-reported a diabetes diagnosis as collected by the National Health Interview Survey (2016-2018). All analyses were weighted to account for the complex survey design. ResultsOverall, 41.2% of adults with diabetes reported looking up health information on the web, and 22.8% used eHealth services (defined as filled a prescription on the web, scheduled an appointment with a health care provider on the web, or communicated with a health care provider via email). In multivariable models, patients who were female (vs male: prevalence ratio [PR] 1.16, 95% CI 1.10-1.24), had higher education (above college vs less than high school: PR 3.61, 95% CI 3.01-4.33), had higher income (high income vs poor: PR 1.40, 95% CI 1.23-1.59), or had obesity (vs normal weight: PR 1.11, 95% CI 1.01-1.22) were more likely to search for health information on the web. Similar associations were observed among age, race and ethnicity, education, income, and the use of eHealth services. Patients on insulin were more likely to use eHealth services (on insulin vs no medication: PR 1.21, 95% CI 1.04-1.41). ConclusionsAmong adults with diabetes, HIT use was lower in those who were older, were members of racial minority groups, had less formal education, or had lower household income. Health education interventions promoted through HIT should account for sociodemographic factors.https://diabetes.jmir.org/2022/1/e27220 |
| spellingShingle | Seamus Y Wang Hsin-Chieh Yeh Arielle Apfel Stein Edgar R Miller Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) JMIR Diabetes |
| title | Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) |
| title_full | Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) |
| title_fullStr | Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) |
| title_full_unstemmed | Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) |
| title_short | Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) |
| title_sort | use of health information technology by adults with diabetes in the united states cross sectional analysis of national health interview survey data 2016 2018 |
| url | https://diabetes.jmir.org/2022/1/e27220 |
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