Older Adults’ Internet Use for Health Information: Digital Divide by Race/Ethnicity and Socioeconomic Status

Hyunwoo Yoon, Yuri Jang, Phillip W. Vaughan, Michael A. Garcia

Journal of Applied Gerontology · 2018 · 375 citations · 24 references

TL;DR

The study examined how race/ethnicity and socioeconomic status affect older adults’ use of the Internet for health information, including independent and interaction effects. The authors analyzed data from 17,704 California older adults, applying logistic regression to assess race/ethnicity, SES, and their interaction on health‑information Internet use. About 40% of participants used the Internet for health information; race/ethnicity, SES, and their interaction significantly predicted use, with minority status combined with low SES markedly reducing odds, highlighting a digital divide and informing targeted training.

Abstract

Building upon literature suggesting low Internet use among racial/ethnic minorities and socioeconomically disadvantaged groups, this study examined how race/ethnicity and socioeconomic status (SES) influence the Internet use for health information, addressing both independent and interactive effects. Using data from 17,704 older adults in the California Health Interview Survey, logistic regression models were estimated with race/ethnicity (Whites, African Americans, Latinos, and Asians), SES index, and the interaction between race/ethnicity and SES index. Overall, approximately 40% of participants were Internet-users for health information. Direct effects of race/ethnicity and SES—and their interactions—were all found to be significant. Minority status combined with the lowest levels of SES substantially reduced the odds of using Internet for health information. Findings suggest the combination of racial/ethnic minority status and low SES as a source of digital divide, and provide implications for Internet technology training for the target population.

References

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