Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents

Abstract Background Rural and remote communities faced unique access challenges to essential services such as healthcare and highspeed infrastructure pre-COVID, which have been amplified by the pandemic. This study examined patterns of COVID-related challenges and the use of technology among rural-l...

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Main Authors: Sarah J. Dow-Fleisner, Cherisse L. Seaton, Eric Li, Katrina Plamondon, Nelly Oelke, Donna Kurtz, Charlotte Jones, Leanne M. Currie, Barb Pesut, Khalad Hasan, Kathy L. Rush
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-13254-1
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author Sarah J. Dow-Fleisner
Cherisse L. Seaton
Eric Li
Katrina Plamondon
Nelly Oelke
Donna Kurtz
Charlotte Jones
Leanne M. Currie
Barb Pesut
Khalad Hasan
Kathy L. Rush
author_facet Sarah J. Dow-Fleisner
Cherisse L. Seaton
Eric Li
Katrina Plamondon
Nelly Oelke
Donna Kurtz
Charlotte Jones
Leanne M. Currie
Barb Pesut
Khalad Hasan
Kathy L. Rush
author_sort Sarah J. Dow-Fleisner
collection DOAJ
description Abstract Background Rural and remote communities faced unique access challenges to essential services such as healthcare and highspeed infrastructure pre-COVID, which have been amplified by the pandemic. This study examined patterns of COVID-related challenges and the use of technology among rural-living individuals during the first wave of the COVID-19 pandemic. Methods A sample of 279 rural residents completed an online survey about the impact of COVID-related challenges and the role of technology use. Latent class analysis was used to generate subgroups reflecting the patterns of COVID-related challenges. Differences in group membership were examined based on age, gender, education, race/ethnicity, and living situation. Finally, thematic analysis of open-ended qualitative responses was conducted to further contextualize the challenges experienced by rural-living residents. Results Four distinct COVID challenge impact subgroups were identified: 1) Social challenges (35%), 2) Social and Health challenges (31%), 3) Social and Financial challenges (14%), and 4) Social, Health, Financial, and Daily Living challenges (19%). Older adults were more likely to be in the Social challenges or Social and Health challenges groups as compared to young adults who were more likely to be in the Social, Health, Financial, and Daily Living challenges group. Additionally, although participants were using technology more frequently during the COVID-19 pandemic to address challenges, they were also reporting issues with quality and connectivity as a significant barrier. Conclusions These analyses found four different patterns of impact related to social, health, financial, and daily living challenges in the context of COVID. Social needs were evident across the four groups; however, we also found nearly 1 in 5 rural-living individuals were impacted by an array of challenges. Access to reliable internet and devices has the potential to support individuals to manage these challenges.
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spelling doaj.art-f52d5efa73f44857a82b9ef6367ffda22022-12-22T03:03:39ZengBMCBMC Public Health1471-24582022-04-0122111110.1186/s12889-022-13254-1Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residentsSarah J. Dow-Fleisner0Cherisse L. Seaton1Eric Li2Katrina Plamondon3Nelly Oelke4Donna Kurtz5Charlotte Jones6Leanne M. Currie7Barb Pesut8Khalad Hasan9Kathy L. Rush10School of Social Work and Centre for the Study of Services to Children and Families, University of British Columbia OkanaganSchool of Nursing, University of British Columbia OkanaganFaculty of Management and Principal’s Research Chair (Tier 2) in Social Innovation for Health Equity and Food Security, University of British Columbia OkanaganSchool of Nursing, University of British Columbia OkanaganSchool of Nursing, University of British Columbia OkanaganSchool of Nursing, University of British Columbia OkanaganFaculty of Medicine, University of British Columbia OkanaganSchool of Nursing, University of British ColumbiaSchool of Nursing, University of British Columbia OkanaganComputer Science, University of British Columbia OkanaganSchool of Nursing, University of British Columbia OkanaganAbstract Background Rural and remote communities faced unique access challenges to essential services such as healthcare and highspeed infrastructure pre-COVID, which have been amplified by the pandemic. This study examined patterns of COVID-related challenges and the use of technology among rural-living individuals during the first wave of the COVID-19 pandemic. Methods A sample of 279 rural residents completed an online survey about the impact of COVID-related challenges and the role of technology use. Latent class analysis was used to generate subgroups reflecting the patterns of COVID-related challenges. Differences in group membership were examined based on age, gender, education, race/ethnicity, and living situation. Finally, thematic analysis of open-ended qualitative responses was conducted to further contextualize the challenges experienced by rural-living residents. Results Four distinct COVID challenge impact subgroups were identified: 1) Social challenges (35%), 2) Social and Health challenges (31%), 3) Social and Financial challenges (14%), and 4) Social, Health, Financial, and Daily Living challenges (19%). Older adults were more likely to be in the Social challenges or Social and Health challenges groups as compared to young adults who were more likely to be in the Social, Health, Financial, and Daily Living challenges group. Additionally, although participants were using technology more frequently during the COVID-19 pandemic to address challenges, they were also reporting issues with quality and connectivity as a significant barrier. Conclusions These analyses found four different patterns of impact related to social, health, financial, and daily living challenges in the context of COVID. Social needs were evident across the four groups; however, we also found nearly 1 in 5 rural-living individuals were impacted by an array of challenges. Access to reliable internet and devices has the potential to support individuals to manage these challenges.https://doi.org/10.1186/s12889-022-13254-1TechnologyCOVID-19ChallengesInternet useLatent class analysis
spellingShingle Sarah J. Dow-Fleisner
Cherisse L. Seaton
Eric Li
Katrina Plamondon
Nelly Oelke
Donna Kurtz
Charlotte Jones
Leanne M. Currie
Barb Pesut
Khalad Hasan
Kathy L. Rush
Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents
BMC Public Health
Technology
COVID-19
Challenges
Internet use
Latent class analysis
title Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents
title_full Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents
title_fullStr Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents
title_full_unstemmed Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents
title_short Internet access is a necessity: a latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents
title_sort internet access is a necessity a latent class analysis of covid 19 related challenges and the role of technology use among rural community residents
topic Technology
COVID-19
Challenges
Internet use
Latent class analysis
url https://doi.org/10.1186/s12889-022-13254-1
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