TitleSocial Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH.
Publication TypeJournal Article
Year of Publication2020
AuthorsMarhefka, SL, Lockhart, E, Turner, DA, Wang, W, Dolcini, MM, Baldwin, JA, Roig-Romero, RMaria, Lescano, CM, Glueckauf, RL
JournalAIDS Behav
Date Published05/2020

OBJECTIVES: Evaluate the relationships between social characteristics of Floridian persons living with HIV (PLWH) and both use of digital technologies and willingness to use eHealth for HIV-related information.

METHODS: Ryan White case managers (N = 155) from 55 agencies in 47 Florida counties administered a survey to PLWH (N = 1268) from June 2016-April 2017. Multilevel logistic regression models were used to identify correlates of technology use and willingness.

RESULTS: Use of mobile phones with text messaging was high (89%). Older (vs. younger) adults and non-Hispanic blacks (vs. whites) were less likely to use most technologies. These groups, along with Hispanics (vs. whites) were less likely to express willingness to use technologies for HIV-related information in models adjusting for use.

CONCLUSIONS: Among PLWH in Florida, eHealth-related inequities exist. Willingness to engage in HIV-related eHealth is affected by social determinants, even when considering technology access. Although eHealth may reduce some healthcare inequities, it may exacerbate others.

Alternate JournalAIDS Behav
PubMed ID31828450
Grant ListR21 MH108468 / MH / NIMH NIH HHS / United States
5R21MH108468-02 / MH / NIMH NIH HHS / United States