ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Literacy disparities in patient access and health-related use of Internet and mobile technologies.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 4 of them syntheses that pooled it.
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Who cites it
70 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Remote consultations in sexual and reproductive health services: a systematic review of evidence on effectiveness, cost-effectiveness, experiences, access and equity.Sexually transmitted infections · 2026Pooled it
- Chatbot Artificial Intelligence for Genetic Cancer Risk Assessment and Counseling: A Systematic Review and Meta-Analysis.JCO clinical cancer informatics · 2023Pooled it
- Health Literacy in Web-Based Health Information Environments: Systematic Review of Concepts, Definitions, and Operationalization for Measurement.Journal of medical Internet research · 2018Pooled it
- Are cancer-related decision aids appropriate for socially disadvantaged patients? A systematic review of US randomized controlled trials.BMC medical informatics and decision making · 2016Pooled it
- Enhanced Participation in Diabetes Screening and Care After Gestational Diabetes Through Community Health Workers: Results from the Es Mejor Saber Randomized Controlled Trial.Journal of immigrant and minority health · 2024Trial
- Addressing Implementation Challenges to Digital Care Delivery for Adults With Multiple Chronic Conditions: Stakeholder Feedback in a Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Development and rationale for a multifactorial, randomized controlled trial to test strategies to promote adherence to complex drug regimens among older adults.Contemporary clinical trials · 2017Trial
- Parents' Use of Technologies for Health Management: A Health Literacy Perspective.Academic pediatricsTrial
- Racial and immunologic disparities impact access to kidney rewaitlisting and retransplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026Article
- Smartphone Ownership Among Cardiology Inpatients Pre-COVID-19 and Post-COVID-19 Pandemic: Secondary Analysis of Randomized Controlled Trials.JMIR cardio · 2026Article
- Update on Education for Families and Patients With Pediatric Heart Disease: A Focus on Technological Advancements, Procedures, and Transitions of Care: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2026Review
- Maternal Health Literacy among Migrant Women: A Co-Design Study in Portugal.Portuguese journal of public health · 2026Article
- Bridging the gap: technology-driven solutions to overcome food insecurity and improve nutrition access for older adults.Frontiers in public health · 2026Review
- Artificial intelligence in cardiology: implications for healthcare outcomes.Frontiers in artificial intelligence · 2026Review
- Comparing Community-Level Social Determinants of Health With Patient Race in Total Hip Arthroplasty Outcomes.Arthritis care & research · 2025Article
- Addressing Cancer Screening Disparities in Little Haiti, Miami, USA: A Literature Review on Barriers and Solutions.Cureus · 2025Review
- How Inclusive Are Patient Decision Aids for People with Limited Health Literacy? An Analysis of Understandability Criteria and the Communication about Options and Probabilities.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Article
- The impact of an AIPER on health behavior improvement among sedentary adults: a longitudinal extension of the TAM.Frontiers in psychology · 2025Article
- Post COVID-19 waitlist reduction in a memory disorder clinic.Frontiers in health services · 2025Article
- Option talk and risk communication with people with limited health literacy: A qualitative focus group study with key stakeholders.PloS one · 2025Article
10 more citing papers are in PubMed but not listed here.
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Authors and funding
9 authors.
Funding
Abstract
backgroundAge and race-related disparities in technology use have been well documented, but less is known about how health literacy influences technology access and use.
objectiveTo assess the association between patients' literacy skills and mobile phone ownership, use of text messaging, Internet access, and use of the Internet for health-related purposes.
methodsA secondary analysis utilizing data from 1077 primary care patients enrolled in two, multisite studies from 2011-2013. Patients were administered an in-person, structured interview.
resultsPatients with adequate health literacy were more likely to own a mobile phone or smartphone in comparison with patients having marginal or low literacy (mobile phone ownership: 96.8 vs. 95.2 vs. 90.1%, respectively, P < 0.001; smartphone ownership: 70.6 vs. 62.5 vs. 40.1%, P < 0.001) and to report text messaging (78.6 vs. 75.2 vs. 53.1%, P < 0.001). They were also more likely to have access to the Internet from their home (92.1 vs. 74.7 vs. 44.9%, P < 0.001) and to report using the Internet for email (93.0 vs. 75.7 vs. 38.5%, P < 0.001), browsing the web (93.9 vs. 80.2 vs. 44.5%, P < 0.001), accessing health information (86.3 vs. 75.5 vs. 40.8%, P < 0.001), and communicating with providers (54.2 vs. 29.8 vs. 13.0%, P < 0.001). Relationships remained significant in multivariable analyses controlling for relevant covariates.
conclusionsResults reveal that literacy-related disparities in technology access and use are widespread, with lower literate patients being less likely to own smartphones or to access and use the Internet, particularly for health reasons. Future interventions should consider these disparities and ensure that health promotion activities do not further exacerbate disparities.
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