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
Volume24
Issue5
Pagination1463-1475
Date Published05/2020
ISSN1573-3254
Abstract

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.
DOI10.1007/s10461-019-02723-1
Alternate JournalAIDS Behav
PubMed ID31828450
Grant ListR21 MH108468 / MH / NIMH NIH HHS / United States
5R21MH108468-02 / MH / NIMH NIH HHS / United States