Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey
Background: Use of healthcare wearable devices holds significant potential for improving the prevention and management of cardiovascular diseases (CVD). However, we have limited knowledge on the actual use of wearable devices by CVD patients and the key factors associated with their use. This study...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2023-11-01
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| Series: | Reviews in Cardiovascular Medicine |
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| Online Access: | https://www.imrpress.com/journal/RCM/24/11/10.31083/j.rcm2411307 |
| _version_ | 1827592815888039936 |
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| author | Ranganathan Chandrasekaran Pratik Sharma Evangelos Moustakas |
| author_facet | Ranganathan Chandrasekaran Pratik Sharma Evangelos Moustakas |
| author_sort | Ranganathan Chandrasekaran |
| collection | DOAJ |
| description | Background: Use of healthcare wearable devices holds significant potential for improving the prevention and management of cardiovascular diseases (CVD). However, we have limited knowledge on the actual use of wearable devices by CVD patients and the key factors associated with their use. This study aims to assess wearable device use and willingness to share health data among CVD patients, while identifying socio-demographic, health, and technology-related factors associated with wearable technology use. Methods: Using a national survey of 933 CVD patients, we assess use of wearable healthcare devices (use, frequency of use and willingness to share health data from wearable with a provider), and a set of socio-demographic factors (age, gender, race, education and household income), health-related variables (general health, presence of comorbid conditions: diabetes and high blood pressure, attitude towards exercise) and technology self-efficacy using logistic regression. Results: Of the 933 CVD patients, 18.34% reported using a healthcare wearable device in the prior 12 months. Of those, 41.92% indicated using it every day and another 19.76% indicated using it ‘almost every day’. 83.54% of wearable users indicated their willingness to share health data with their healthcare providers. Female CVD patients are more likely to use wearables compared to men (odds ratio (OR) = 1.65, 95% confidence interval (CI) = 1.04–2.63). The odds decrease with age, and are significantly high in patients with higher income levels. In comparison with non-Hispanic White, Hispanic (OR = 0.14, 95% CI = 0.03–0.70) and African Americans (OR = 0.17, 95% CI = 0.04–0.86) are less likely to use healthcare wearables. CVD patients who perceive their general health to be better (OR = 1.45, 95% CI = 1.11–1.89) and those who enjoy exercising (OR = 1.76, 95% CI = 1.22–2.55) are more likely to use wearables. CVD patients who use the internet for searching for medical information (OR = 2.10, 95% CI = 1.17–3.77) and those who use electronic means to make appointments with their providers (OR = 2.35, 95% CI = 1.48–3.74) are more inclined to use wearables. Conclusions: Addressing low wearable device usage among CVD patients requires targeted policy interventions to ensure equitable access. Variations in gender, age, race/ethnicity, and income levels emphasize the need for tailored strategies. Technological self-efficacy, positive health perceptions, and exercise enjoyment play significant roles in promoting wearable use. These insights should guide healthcare leaders in designing effective strategies for integrating wearables into cardiovascular care. |
| first_indexed | 2024-03-09T02:00:08Z |
| format | Article |
| id | doaj.art-d5c41e5899b242dfbd05612f4183acdd |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-03-09T02:00:08Z |
| publishDate | 2023-11-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-d5c41e5899b242dfbd05612f4183acdd2023-12-08T06:09:21ZengIMR PressReviews in Cardiovascular Medicine1530-65502023-11-01241130710.31083/j.rcm2411307S1530-6550(23)01079-7Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National SurveyRanganathan Chandrasekaran0Pratik Sharma1Evangelos Moustakas2Department of Information & Decision Sciences, University of Illinois at Chicago, IL 60607, USADepartment of Information & Decision Sciences, University of Illinois at Chicago, IL 60607, USAEdinburgh Business School, Heriot-Watt University, Dubai 38103, UAEBackground: Use of healthcare wearable devices holds significant potential for improving the prevention and management of cardiovascular diseases (CVD). However, we have limited knowledge on the actual use of wearable devices by CVD patients and the key factors associated with their use. This study aims to assess wearable device use and willingness to share health data among CVD patients, while identifying socio-demographic, health, and technology-related factors associated with wearable technology use. Methods: Using a national survey of 933 CVD patients, we assess use of wearable healthcare devices (use, frequency of use and willingness to share health data from wearable with a provider), and a set of socio-demographic factors (age, gender, race, education and household income), health-related variables (general health, presence of comorbid conditions: diabetes and high blood pressure, attitude towards exercise) and technology self-efficacy using logistic regression. Results: Of the 933 CVD patients, 18.34% reported using a healthcare wearable device in the prior 12 months. Of those, 41.92% indicated using it every day and another 19.76% indicated using it ‘almost every day’. 83.54% of wearable users indicated their willingness to share health data with their healthcare providers. Female CVD patients are more likely to use wearables compared to men (odds ratio (OR) = 1.65, 95% confidence interval (CI) = 1.04–2.63). The odds decrease with age, and are significantly high in patients with higher income levels. In comparison with non-Hispanic White, Hispanic (OR = 0.14, 95% CI = 0.03–0.70) and African Americans (OR = 0.17, 95% CI = 0.04–0.86) are less likely to use healthcare wearables. CVD patients who perceive their general health to be better (OR = 1.45, 95% CI = 1.11–1.89) and those who enjoy exercising (OR = 1.76, 95% CI = 1.22–2.55) are more likely to use wearables. CVD patients who use the internet for searching for medical information (OR = 2.10, 95% CI = 1.17–3.77) and those who use electronic means to make appointments with their providers (OR = 2.35, 95% CI = 1.48–3.74) are more inclined to use wearables. Conclusions: Addressing low wearable device usage among CVD patients requires targeted policy interventions to ensure equitable access. Variations in gender, age, race/ethnicity, and income levels emphasize the need for tailored strategies. Technological self-efficacy, positive health perceptions, and exercise enjoyment play significant roles in promoting wearable use. These insights should guide healthcare leaders in designing effective strategies for integrating wearables into cardiovascular care.https://www.imrpress.com/journal/RCM/24/11/10.31083/j.rcm2411307wearable devicescardiovascular caresocio-economic factorshealth factorsdigital literacywearable data sharing |
| spellingShingle | Ranganathan Chandrasekaran Pratik Sharma Evangelos Moustakas Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey Reviews in Cardiovascular Medicine wearable devices cardiovascular care socio-economic factors health factors digital literacy wearable data sharing |
| title | Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey |
| title_full | Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey |
| title_fullStr | Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey |
| title_full_unstemmed | Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey |
| title_short | Exploring Disparities in Healthcare Wearable Use among Cardiovascular Patients: Findings from a National Survey |
| title_sort | exploring disparities in healthcare wearable use among cardiovascular patients findings from a national survey |
| topic | wearable devices cardiovascular care socio-economic factors health factors digital literacy wearable data sharing |
| url | https://www.imrpress.com/journal/RCM/24/11/10.31083/j.rcm2411307 |
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