J. Med. Internet Res. - Subdividing the digital divide: differences in internet access and use among rural residents with medical limitations.


{ age(1611) year(1155) adult(843) }
{ inform(2794) health(2639) internet(1427) }
{ process(1125) use(805) approach(778) }
{ spatial(1525) area(1432) region(1030) }
{ howev(809) still(633) remain(590) }
{ patient(2315) diseas(1263) diabet(1191) }
{ control(1307) perform(991) simul(935) }
{ patient(2837) hospit(1953) medic(668) }
{ health(3367) inform(1360) care(1135) }
{ group(2977) signific(1463) compar(1072) }
{ use(2086) technolog(871) perceiv(783) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
{ high(1669) rate(1365) level(1280) }
{ can(774) often(719) complex(702) }
{ studi(1119) effect(1106) posit(819) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ activ(1452) weight(1219) physic(1104) }
{ system(1976) rule(880) can(841) }
{ method(1219) similar(1157) match(930) }
{ studi(2440) review(1878) systemat(933) }
{ error(1145) method(1030) estim(1020) }
{ general(901) number(790) one(736) }
{ visual(1396) interact(850) tool(830) }
{ research(1218) medic(880) student(794) }
{ cost(1906) reduc(1198) effect(832) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }


CKGROUND: Access to health care is often contingent upon an individual's ability to travel for services. Certain groups, such as those with physical limitations and rural residents, have more travel barriers than other groups, reducing their access to services. The use of the Internet may be a way for these groups to seek care or information to support their health care needs.OBJECTIVE: The purpose of this study was to examine Internet use among those whose are, for medical reasons, limited in their ability to travel. We also examined disparities in Internet use by race/ethnicity and rural residence, particularly among persons with medical conditions.METHODS: We used data from the 2001 National Household Travel Survey (NHTS), a nationally representative sample of US households, to examine Internet use among individuals with medical conditions, rural residents, and minority populations. Internet use was defined as any use within the past 6 months; among users, frequency of use and location of use were explored. Control variables included sociodemographics, family life cycle, employment status, region, and job density in the community. All analyses were weighted to reflect the complex NHTS sampling frame.RESULTS: Individuals with medical conditions were far less likely to report Internet use than those without medical conditions (32.6% vs 70.3%, P < .001). Similarly, rural residents were less likely to report Internet access and use than urban residents (59.7% vs 69.4%, P < .001). Nationally, 72.8% of white respondents, versus 65.7% of persons of "other" race, 51.5% of African Americans, and 38.0% of Hispanics reported accessing the Internet (P < .001). In adjusted analyses, persons with medical conditions and minority populations were less likely to report Internet use. Rural-urban differences were no longer significant with demographic and ecological characteristics held constant.CONCLUSIONS: This analysis confirmed previous findings of a digital divide between urban and rural residents. Internet use and frequency was also lower among those reporting a medical condition than among those without a condition. After we controlled for many factors, however, African Americans and Hispanics were still less likely to use the Internet, and to use it less often, than whites. Policy makers should look for ways to improve the access to, and use of, the Internet among these populations.

Resumo Limpo

ckground access health care often conting upon individu abil travel servic certain group physic limit rural resid travel barrier group reduc access servic use internet may way group seek care inform support health care needsobject purpos studi examin internet use among whose medic reason limit abil travel also examin dispar internet use raceethn rural resid particular among person medic conditionsmethod use data nation household travel survey nhts nation repres sampl us household examin internet use among individu medic condit rural resid minor popul internet use defin use within past month among user frequenc use locat use explor control variabl includ sociodemograph famili life cycl employ status region job densiti communiti analys weight reflect complex nhts sampl frameresult individu medic condit far less like report internet use without medic condit vs p similar rural resid less like report internet access use urban resid vs p nation white respond versus person race african american hispan report access internet p adjust analys person medic condit minor popul less like report internet use ruralurban differ longer signific demograph ecolog characterist held constantconclus analysi confirm previous find digit divid urban rural resid internet use frequenc also lower among report medic condit among without condit control mani factor howev african american hispan still less like use internet use less often white polici maker look way improv access use internet among popul

Resumos Similares

J. Med. Internet Res. - Trust in the internet as a health resource among older adults: analysis of data from a nationally representative survey. ( 0,864233355831761 )
Telemed J E Health - E-health use in african american internet users: can new tools address old disparities? ( 0,839244206837758 )
J. Med. Internet Res. - Internet use among older adults: association with health needs, psychological capital, and social capital. ( 0,83456484660701 )
J. Med. Internet Res. - Who uses physician-rating websites? Differences in sociodemographic variables, psychographic variables, and health status of users and nonusers of physician-rating websites. ( 0,834058612541083 )
J. Med. Internet Res. - Consumers' perceptions about and use of the internet for personal health records and health information exchange: analysis of the 2007 Health Information National Trends Survey. ( 0,825913336966563 )
J. Med. Internet Res. - Internet access and use in adults with hearing loss. ( 0,813980203292487 )
Health Informatics J - Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden. ( 0,80930832131135 )
J. Med. Internet Res. - Using the Internet to help with diet, weight, and physical activity: results from the Health Information National Trends Survey (HINTS). ( 0,805403304771906 )
J. Med. Internet Res. - Computer skills and internet use in adults aged 50-74 years: influence of hearing difficulties. ( 0,801979448003347 )
J. Med. Internet Res. - Predictors of eHealth usage: insights on the digital divide from the Health Information National Trends Survey 2012. ( 0,794124789370893 )
J. Med. Internet Res. - Physician choice making and characteristics associated with using physician-rating websites: cross-sectional study. ( 0,793853455452758 )
J. Med. Internet Res. - Online schools and children with special health and educational needs: comparison with performance in traditional schools. ( 0,790188822470588 )
J. Med. Internet Res. - The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. ( 0,787910102889088 )
J. Med. Internet Res. - Online health-searching behavior among HIV-seropositive and HIV-seronegative men who have sex with men in the Baltimore and Washington, DC area. ( 0,784287719988617 )
J. Med. Internet Res. - Multiple information sources and consequences of conflicting information about medicine use during pregnancy: a multinational Internet-based survey. ( 0,779017958132819 )
J. Med. Internet Res. - Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. ( 0,776949914658385 )
Int J Med Inform - Internet skill-related problems in accessing online health information. ( 0,775167995397623 )
Inform Health Soc Care - Pregnant women's use of the internet in relation to their pregnancy in Izmir, Turkey. ( 0,77166886956012 )
J. Med. Internet Res. - Young men, mental health, and technology: implications for service design and delivery in the digital age. ( 0,770107278878582 )
J. Med. Internet Res. - Use of the internet as a health information resource among French young adults: results from a nationally representative survey. ( 0,770079396477455 )
Int J Med Inform - Who is NOT likely to access the Internet for health information? Findings from first-time mothers in southwest Sydney, Australia. ( 0,769765489038888 )
J. Med. Internet Res. - Acceptance of Internet-based health care services among households in Poland: secondary analysis of a population-based survey. ( 0,766345447166587 )
J. Med. Internet Res. - Older adult experience of online diagnosis: results from a scenario-based think-aloud protocol. ( 0,754735570673112 )
J. Med. Internet Res. - Internet use and eHealth literacy of low-income parents whose children have special health care needs. ( 0,749156630004317 )
J. Med. Internet Res. - Digital inequalities of family life information seeking and family well-being among Chinese adults in Hong Kong: a population survey. ( 0,745802322504089 )
Int J Med Inform - Health information seeking, diet and physical activity: an empirical assessment by medium and critical demographics. ( 0,739580469799484 )
Inform Health Soc Care - Use of and trust in health information on the Internet: a nationwide eight-year follow-up survey. ( 0,738046202431763 )
J. Med. Internet Res. - What are young adults saying about mental health? An analysis of Internet blogs. ( 0,737077051243766 )
Int J Health Geogr - Changing patterns in the association between regional socio-economic context and dental caries experience according to gender and age: a multilevel study in Korean adults. ( 0,73083810332957 )
J. Med. Internet Res. - Baby boomers' adoption of consumer health technologies: survey on readiness and barriers. ( 0,727704226779287 )
Telemed J E Health - Health literacy and willingness to use online health information by teens with asthma and diabetes. ( 0,721399826752455 )
Int J Med Inform - Internet health information seeking is a team sport: analysis of the Pew Internet Survey. ( 0,71258108435747 )
Telemed J E Health - Men calling healthline. ( 0,709247609945582 )
J. Med. Internet Res. - Paging Dr. Google: does technology fill the gap created by the prenatal care visit structure? Qualitative focus group study with pregnant women. ( 0,698611979985353 )
J Am Med Inform Assoc - Factors influencing use of an e-health website in a community sample of older adults. ( 0,694869360260914 )
J. Med. Internet Res. - Consumers' perceptions of patient-accessible electronic medical records. ( 0,693811739772816 )
J. Med. Internet Res. - Patient ability and willingness to participate in a web-based intervention to improve hypertension control. ( 0,692467517820858 )
J. Med. Internet Res. - The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. ( 0,689998369584195 )
J. Med. Internet Res. - Parents seeking health-related information on the Internet: cross-sectional study. ( 0,680415225468085 )
Telemed J E Health - Is the digital divide an obstacle to e-health? An analysis of the situation in Europe and in Italy. ( 0,679820530052136 )
BMC Med Inform Decis Mak - Surfing the internet for health information: an italian survey on use and population choices. ( 0,679002683364572 )
Telemed J E Health - Factors affecting electronic health information needs in primary care patients. ( 0,67556430023803 )
J. Med. Internet Res. - Relationship between health service use and health information technology use among older adults: analysis of the US National Health Interview Survey. ( 0,675033246180548 )
J. Med. Internet Res. - What do web-use skill differences imply for online health information searches? ( 0,673232979208313 )
Int J Health Geogr - Spatial epidemiology of dry eye disease: findings from South Korea. ( 0,672350978017641 )
J. Med. Internet Res. - Consumers' use of web-based information and their decisions about multiplex genetic susceptibility testing. ( 0,671369642777235 )
J. Med. Internet Res. - Promoting health in virtual worlds: lessons from second life. ( 0,670918315643817 )
J. Med. Internet Res. - Socioeconomic and geographic disparities in health information seeking and Internet use in Puerto Rico. ( 0,670556968372097 )
Int J Med Inform - Internet use by the public to search for health-related information. ( 0,67027855754247 )
Inform Health Soc Care - Internet use for health information among haematology outpatients: a cross-sectional survey. ( 0,66721670467626 )
Int J Med Inform - An exploratory study of inactive health information seekers. ( 0,665183722357391 )
Telemed J E Health - Rural adults' use of health-related information online: data from a 2006 National Online Health Survey. ( 0,664358293439892 )
J. Med. Internet Res. - Impact of internet use on loneliness and contact with others among older adults: cross-sectional analysis. ( 0,664013329430211 )
J. Med. Internet Res. - Keywords to recruit Spanish- and English-speaking participants: evidence from an online postpartum depression randomized controlled trial. ( 0,663493561401904 )
BMC Med Inform Decis Mak - Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan. ( 0,663429917153908 )
Int J Health Geogr - Association of duration of residence in the southeastern United States with chronic kidney disease may differ by race: the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study. ( 0,663258177827532 )
J Am Med Inform Assoc - Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally. ( 0,662489220390973 )
BMC Med Inform Decis Mak - Use of the internet as a source of health information by Spanish adolescents. ( 0,66208531337731 )
Health Informatics J - Developing mental health mobile apps: Exploring adolescents' perspectives. ( 0,654133962391892 )
Med Decis Making - Numbers matter to informed patient choices: a randomized design across age and numeracy levels. ( 0,650772886964209 )
Int J Med Inform - Market segmentation of health information use on the Internet in Korea. ( 0,646092219948538 )
Spat Spatiotemporal Epidemiol - The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia. ( 0,645583375390474 )
J Telemed Telecare - Access, use and completion of a brief disaster mental health intervention among Hispanics, African-Americans and Whites affected by Hurricane Ike. ( 0,645327308382995 )
Int J Health Geogr - Characteristics of residential areas and transportational walking among frail and non-frail Dutch elderly: does the size of the area matter? ( 0,642445267165026 )
J. Med. Internet Res. - Personal health record reach in the Veterans Health Administration: a cross-sectional analysis. ( 0,640859020713651 )
Med Biol Eng Comput - Quantitative differences in intervertebral disc-matrix composition with age-related degeneration. ( 0,639452931498926 )
Telemed J E Health - A U.K. case study of who uses NHS direct: investigating the impact of age, gender, and deprivation on the utilization of NHS direct. ( 0,639307539161604 )
Int J Health Geogr - Neighborhood level risk factors for type 1 diabetes in youth: the SEARCH case-control study. ( 0,638399658702882 )
J Am Med Inform Assoc - Comparing the information seeking strategies of residents, nurse practitioners, and physician assistants in critical care settings. ( 0,637903310805806 )
Inform Health Soc Care - Seeking health advice on the Internet in patients with health problems: a cross-sectional population study in Slovenia. ( 0,634726553299057 )
J. Med. Internet Res. - eHealth literacy: extending the digital divide to the realm of health information. ( 0,634715472208212 )
J. Med. Internet Res. - Recruitment via the Internet and social networking sites: the 1989-1995 cohort of the Australian Longitudinal Study on Women's Health. ( 0,634662782270133 )
J. Med. Internet Res. - Web-based counseling for problem gambling: exploring motivations and recommendations. ( 0,634552720798648 )
Int J Health Geogr - People living in hilly residential areas in metropolitan Perth have less diabetes: spurious association or important environmental determinant? ( 0,633515551906045 )
J. Med. Internet Res. - Smoking behavior and use of tobacco industry sponsored websites among medical students and young physicians in Argentina. ( 0,629781632697139 )
AMIA Annu Symp Proc - A mobile/web app for long distance caregivers of older adults: functional requirements and design implications from a user centered design process. ( 0,629061401923331 )
J. Med. Internet Res. - eHealth literacy interventions for older adults: a systematic review of the literature. ( 0,628355938010387 )
Int J Comput Assist Radiol Surg - Use of normative distribution of gray to white matter ratio in orthogonal planes in human brain studies and computer-assisted neuroradiology. ( 0,62292832005385 )
Med Decis Making - Subjective numeracy and preference to stay with the status quo. ( 0,622395561115007 )
J Med Syst - DigiSwitch: a device to allow older adults to monitor and direct the collection and transmission of health information collected at home. ( 0,620902820759114 )
J. Med. Internet Res. - Utilization patterns and user characteristics of an ad libitum Internet weight loss program. ( 0,620519677027661 )
Int J Med Inform - Online health information seeking by people with physical disabilities due to neurological conditions. ( 0,620137021466187 )
J. Med. Internet Res. - Internet use for health-related information via personal computers and cell phones in Japan: a cross-sectional population-based survey. ( 0,620101413314158 )
J. Med. Internet Res. - Internet use frequency and patient-centered care: measuring patient preferences for participation using the health information wants questionnaire. ( 0,619621442386612 )
J. Med. Internet Res. - How patients with schizophrenia use the internet: qualitative study. ( 0,617162763445048 )
J. Med. Internet Res. - Impact of the presence of medical equipment in images on viewers' perceptions of the trustworthiness of an individual on-screen. ( 0,613447716347242 )
J Am Med Inform Assoc - Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. ( 0,61338151157241 )
J. Med. Internet Res. - Online activity and participation in treatment affects the perceived efficacy of social health networks among patients with chronic illness. ( 0,6103314479902 )
Telemed J E Health - Delivering healthcare information via the internet: cardiac patients' access, usage, perceptions of usefulness, and web site content preferences. ( 0,609533802316423 )
Int J Med Inform - Knowledge, use and attitude toward eHealth among patients with chronic lung diseases. ( 0,608783985904361 )
J Med Syst - Application of data mining on the development of a disease distribution map of screened community residents of Taipei county in Taiwan. ( 0,608668288321864 )
J Am Med Inform Assoc - Seeking health information online: does limited healthcare access matter? ( 0,607288772194459 )
J. Med. Internet Res. - Improving access to information and support for patients with less common cancers: hematologic cancer patients' views about Web-based approaches. ( 0,606364334353231 )
Int J Health Geogr - The proportion of youths' physical inactivity attributable to neighbourhood built environment features. ( 0,603538555287358 )
J. Med. Internet Res. - How an online intervention to prevent excessive gestational weight gain is used and by whom: a randomized controlled process evaluation. ( 0,603060443004352 )
Med Decis Making - Health-Related Quality of Life in HIV-Infected and At-Risk Women: The Impact of Illicit Drug Use and Hepatitis C on a Community Preference Weighted Measure. ( 0,60130022781644 )
Telemed J E Health - A Holistic approach to assess older adults' wellness using e-health technologies. ( 0,599392772504167 )
J. Med. Internet Res. - Prevalence and characteristics of smokers interested in internet-based smoking cessation interventions: cross-sectional findings from a national household survey. ( 0,599190986996017 )
J. Med. Internet Res. - Content and functionality of alcohol and other drug websites: results of an online survey. ( 0,598689348989513 )
J. Med. Internet Res. - Correlates of health-related social media use among adults. ( 0,59677011670084 )