Evidence map›Paper›PMID 36319188›Full record

Observational studyBMJ open2022

Observational cross-sectional study of the association of poor broadband provision with demographic and health outcomes: the Wolverhampton Digital ENablement (WODEN) programme.

Fraser Philp, Alice Faux-Nightingale, James Bateman, Heather Clark, Oliver Johnson, Vijay Klaire, Alan Nevill, Emma Parry, Kate Warren, Anand Pandyan and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fraser PhilpSchool of Health Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0002-8552-7869
Alice Faux-NightingaleSchool of Medicine, Keele University, Keele, UK.ORCID 0000-0002-4865-181X
James BatemanNew Cross Hospital, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Heather ClarkCity of Wolverhampton Council, Wolverhampton, UK.
Oliver JohnsonPoint Topic, Wolverhampton, UK.
Vijay KlaireNew Cross Hospital, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Alan NevillSchool of Sport Performing Arts and Leisure, University of Wolverhampton, Wolverhampton, UK.ORCID 0000-0003-0506-3652
Emma ParryResearch Institute for Primary Care and Health Sciences, Keele University, Keele, UK.ORCID 0000-0003-0278-6898
Kate WarrenCity of Wolverhampton Council, Wolverhampton, UK.
Anand PandyanFaculty of Health & Social Sciences, Bournemouth University, Poole, UK.
Baldev M SinghNew Cross Hospital, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK baldev.singh@nhs.net.ORCID 0000-0003-3460-6759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe association between impaired digital provision, access and health outcomes has not been systematically studied. The Wolverhampton Digital ENablement programme (WODEN) is a multiagency collaborative approach to determine and address digital factors that may impact on health and social care in a single deprived multiethnic health economy. The objective of this study is to determine the association between measurable broadband provision and demographic and health outcomes in a defined population.

designAn observational cross-sectional whole local population-level study with cohorts defined according to broadband provision. SETTING/

participantsData for all residents of the City of Wolverhampton, totalling 269 785 residents. PRIMARY OUTCOMES: Poor broadband provision is associated with variation in demographics and with increased comorbidity and urgent care needs.

resultsBroadband provision was measured using the Broadband Infrastructure Index (BII) in 158 City localities housing a total of 269 785 residents. Lower broadband provision as determined by BII was associated with younger age (p<0.001), white ethnic status (p<0.001), lesser deprivation as measured by Index of Multiple Deprivation (p<0.001), a higher number of health comorbidities (p<0.001) and more non-elective urgent events over 12 months (p<0.001).

conclusionLocal municipal and health authorities are advised to consider the variations in broadband provision within their locality and determine equal distribution both on a geographical basis but also against demographic, health and social data to determine equitable distribution as a platform for equitable access to digital resources for their residents.

Indexed as

Economics, MedicalEthnicityCross-Sectional StudiesGeographyHumansSocial SupportCOVID-19epidemiologygeneral medicine (see internal medicine)health policyhealth services administration & managementorganisational development

Identifiers

PMID36319188
PMCPMC9660611

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Registered trials

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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.