The Digital Divide in Health-Related Technology Use: The Significance of Race/Ethnicity

TLDR

Technology can improve health and quality of life, yet it is unclear whether older adults’ use of health‑related technology differs by race or ethnicity. This study analyzes nationally representative data to characterize racial and ethnic differences in health‑related technology use among community‑dwelling older Americans. Using Poisson regression and F‑tests on 1,336 white, black, and Hispanic adults aged 54 and older from the 2014 Health and Retirement Study technology module, the authors assessed overall and specific technology use differences. The results show that older blacks and Hispanics are less likely than whites to use health‑related technology overall and for phone calls, health‑management sites, web searches, and brain games, underscoring the need to tailor interventions to reduce disparities.

Abstract

Technology can enhance the health and quality of life of diverse populations and may play an important role in reducing health disparities. Although a "digital divide" between the young and the old has been noted, it is unclear whether the use of technology for managing health differs by race/ethnicity among older adults. This study uses nationally representative data from community-dwelling older Americans to characterize racial/ethnic differences in health-related technology use.Data came from 1,336 white, black, and Hispanic adults aged 54 and older who completed the 2014 technology module of the Health and Retirement Study. Racial/ethnic differences in overall health-related technology use were assessed using Poisson regression. Then, F-tests were used to assess differences in the use of phone calls, text messages, E-mails, social media, health management sites, health-related mobile applications, web searches, and brain games for health purposes.Compared to whites, older blacks and Hispanics were less likely to use technology for health-related purposes after accounting for demographic characteristics, education, and health conditions. They were also less likely to make or receive phone calls, use health management sites, search the web for health information, and use brain games for their health.Older racial and ethnic minorities are less likely than whites to use certain technologies when managing their health. These findings highlight the importance of understanding the patterns of health-related technology use across racially and ethnically diverse populations to appropriately tailor interventions aimed at improving minority health and eliminating health disparities.