Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH

Stephanie L. Marhefka; Elizabeth Lockhart; De Anne Turner; Wei Wang; M. Margaret Dolcini; Julie A. Baldwin; Regina Maria Roig-Romero; Celia M. Lescano; Robert L. Glueckauf

doi:10.1007/s10461-019-02723-1

Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH

Stephanie L. Marhefka, Elizabeth Lockhart, De Anne Turner, Wei Wang, M. Margaret Dolcini, Julie A. Baldwin, Regina Maria Roig-Romero, Celia M. Lescano, Robert L. Glueckauf

Health Sciences

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1463-1475
Number of pages	13
Journal	AIDS and Behavior
Volume	24
Issue number	5
DOIs	https://doi.org/10.1007/s10461-019-02723-1
State	Published - May 1 2020

Keywords

Delivery of health care
HIV
Health equity
eHealth
mHealth

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-019-02723-1

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Marhefka, S. L., Lockhart, E., Turner, D. A., Wang, W., Dolcini, M. M., Baldwin, J. A., Roig-Romero, R. M., Lescano, C. M., & Glueckauf, R. L. (2020). Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH. AIDS and Behavior, 24(5), 1463-1475. https://doi.org/10.1007/s10461-019-02723-1

Marhefka, SL, Lockhart, E, Turner, DA, Wang, W, Dolcini, MM, Baldwin, JA, Roig-Romero, RM, Lescano, CM & Glueckauf, RL 2020, 'Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH', AIDS and Behavior, vol. 24, no. 5, pp. 1463-1475. https://doi.org/10.1007/s10461-019-02723-1

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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.",

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author = "Marhefka, {Stephanie L.} and Elizabeth Lockhart and Turner, {De Anne} and Wei Wang and Dolcini, {M. Margaret} and Baldwin, {Julie A.} and Roig-Romero, {Regina Maria} and Lescano, {Celia M.} and Glueckauf, {Robert L.}",

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AB - 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.

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Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH

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