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

Research output: Contribution to journalArticlepeer-review

12 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 languageEnglish (US)
Pages (from-to)1463-1475
Number of pages13
JournalAIDS and Behavior
Volume24
Issue number5
DOIs
StatePublished - May 1 2020

Keywords

  • Delivery of health care
  • eHealth
  • Health equity
  • HIV
  • mHealth

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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