ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Differences in Access to and Use of Electronic Personal Health Information Between Rural and Urban Residents in the United States.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
103 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Experiences of Patients With Cancer Using Electronic Symptom Management Systems: Qualitative Systematic Review and Meta-Synthesis.Journal of medical Internet research · 2024Pooled it
- Effects of Using Websites on Physical Activity and Diet Quality for Adults Living With Chronic Health Conditions: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2023Pooled it
- The role of digital health technology in rural cancer care delivery: A systematic review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Pooled it
- Willingness and Preferences for Mobile Health Versus In-Person Healthcare Services Among People Living With HIV: A Cross-Sectional Study.Health science reports · 2026Article
- Article
- Health Information Seeking Behavior Among American Indian and Alaska Native Peoples.American journal of health promotion : AJHP · 2026Article
- Patient Sharing of Digital Health Data in the Veterans Health Administration: Cross-Sectional Analysis.Journal of medical Internet research · 2026Article
- Gaps in artificial intelligence research for rural health in the United States: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Associations between digital health literacy and health inequalities among middle-aged and older adults: an urban-rural disparity perspective.Frontiers in public health · 2026Article
- Patient-Perceived feasibility of implementing OpenCap smartphone-based motion capture technology to remotely assess musculoskeletal movement in individuals with orthopedic disorders presenting to a rural midwestern tertiary center.Frontiers in digital health · 2026Article
- Evaluating the knowledge and usage of digital health tools in rural Oyo State, Nigeria: a cross-sectional study of healthcare professionals and residents.BMC public health · 2025Article
- Qualitative Evaluation of an Online Technology to Support Rural Caregivers of People with Dementia.Geriatrics (Basel, Switzerland) · 2025Article
- Investigating the early uptake of digital self-management interventions amongst Dutch cancer survivors using nationwide registry data-the OncoAppstore case.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Analysis of the impact of a university distance learning course on digitalization in medicine on students and healthcare professionals.Wiener klinische Wochenschrift · 2025Article
- Challenges for remote patient monitoring programs in rural and regional areas: a qualitative study.BMC health services research · 2025Article
- Article
- Mobile health in communication disorders: willingness to use, attitude, advantages, and challenges from the perspective of patients.BMC health services research · 2025Article
- High-resolution isotopic data link settlement complexification to infant diets within the Roman Empire.PNAS nexus · 2025Article
- Implementation and Retrospective Examination of a Lung Cancer Survivorship Clinic in a Comprehensive Cancer Center.Clinical lung cancer · 2025Article
- Digital health technologies in Primary Health Care in rural territories: A protocol for scoping review.PloS one · 2025Article
43 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeThe increase in use of health information technologies (HIT) presents new opportunities for patient engagement and self-management. Patients in rural areas stand to benefit especially from increased access to health care tools and electronic communication with providers. We assessed the adoption of 4 HIT tools over time by rural or urban residency.
methodsAnalyses were conducted using data from 7 iterations of the National Cancer Institute's Health Information National Trends Survey (HINTS; 2003-2014). Rural/urban residency was based on the USDA's 2003 Rural-Urban Continuum Codes. Outcomes of interest included managing personal health information online; whether providers maintain electronic health records (EHRs); e-mailing health care providers; and purchasing medicine online. Bivariate analyses and logistic regression were used to assess relationships between geography and outcomes, controlling for sociodemographic characteristics.
findingsIn total, 6,043 (17.6%, weighted) of the 33,749 respondents across the 7 administrations of HINTS lived in rural areas. Rural participants were less likely to report regular access to Internet (OR = 0.70, 95% CI = 0.61-0.80). Rural respondents were neither more nor less likely to report that their health care providers maintained EHRs than were urban respondents; however, they had decreased odds of managing personal health information online (OR = 0.59, 95% CI = 0.40-0.78) and e-mailing health care providers (OR = 0.62, 95% CI = 0.49-0.77).
conclusionsThe digital divide between rural and urban residents extends to HIT. Additional investigation is needed to determine whether the decreased use of HIT may be due to lack of Internet connectivity or awareness of these tools.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.