Public Health Reports · 2024 · 10 citations · 12 references
Public HealthCommunity HealthCommunity-based Participatory ResearchHousingRural HealthDemographic AnalysisDigital AccessDigital ParticipationRural Health WorkforceRural MigrationAccess To Community Health CentersAffordability Of Internet ServiceAffordable ConnectivityHousehold Internet AccessMobile Internet AccessOccupational Health For FarmworkersOnline Participation GapsVenue-based Sampling
OBJECTIVES: Migrant and seasonal farmworkers work in rural areas where internet access may be limited. We assessed internet access, cost of access, and devices available to farmworkers through a statewide survey in North Carolina. METHODS: During the 2023 agricultural season, we surveyed 1034 migrant and seasonal farmworkers during routine outreach visits in partnership with community health workers employed by 8 community health centers or by nonprofit health service agencies serving farmworkers in North Carolina. We surveyed participants aged ≥18 years by using time-venue sampling and surveyed up to 5 farmworkers at migrant housing locations. We weighted participants to the total population of farmworkers living in surveyed housing and calculated frequencies and percentages of internet access, internet speed, internet cost, available internet devices, and awareness and use of the Affordable Connectivity Program-a program that was run from 2021 through May 31, 2024, by the Federal Communications Commission to make internet access more affordable in the United States. We assessed predictors of internet access and ability to use online videos by using regression models. RESULTS: Participants were predominantly Spanish-speaking men who lived in housing provided by farm owners. Among participants, 9.8% had internet connections with a cable or digital subscriber line, and 23.5% did not have consistent internet access. Most participants used cellular network internet (84.9%) and mobile phone devices (93.9%). Even among farmworkers who lived in their housing year-round, few had heard of (34.4%), applied to (4.8%), or used (2.0%) the Affordable Connectivity Program. CONCLUSIONS: Interventions are needed to increase internet access and digital inclusion for migrant and seasonal farmworkers in North Carolina. Development of state and county broadband infrastructure should consider farmworker housing.
12
Digital inclusion as a social determinant of health
Cynthia J. Sieck, Amy R. Sheon, Jessica S. Ancker et al. · npj Digital Medicine · 2021 · 583 citations · Full text
Matthew Price, Deborah A. Williamson, Romina McCandless et al. · Journal of Medical Internet Research · 2013 · 103 citations · Full text