Determinants of Frequent Internet Use in an Urban Kidney Transplant Population in the United States: Characterizing the Digital Divide

2015 ◽  
Vol 25 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Mark Lockwood ◽  
Milda Saunders ◽  
Michelle A. Josephson ◽  
Yolanda T. Becker ◽  
Christopher Lee
Author(s):  
Gopal K. Singh ◽  
Mehrete Girmay ◽  
Michelle Allender ◽  
Ramey T Christine

Background: Despite the considerable increase in computer and internet use over the past two decades, few studies have examined socioeconomic, demographic, and health characteristics associated with computer and internet use in the United States. Community-level differences in computer and internet use and associated disparities in health and mor tality indicators have not been analyzed. This study examines these associations at the individual and community level using national census, health, and mortality data. Methods: We analyzed data from the 2017 American Community Survey (ACS) Micro-data Sample, the 2013-2017 ACS Summary File, 2013-2017 National Vital Statistics System, and 2019 County Health Rankings and Roadmaps. Health and socioeconomic characteristics associated with broadband internet and computer use among adults aged ≥18 were modeled by logistic regression (N=2,385,595). Results: In 2017, 89.7% of Asian/Pacific Islanders (APIs) had broadband internet service, compared with 66.0% of American Indians/Alaska Natives (AIANs), 77.2% of Blacks/African-Americans, 78.8% of Hispanics, and 83.5% of non-Hispanic Whites. APIs (97.4%) were more likely than other racial/ethnic groups to own or use a computer (including smartphones), while AIANs (80.3%) were less likely. Socioeconomic gradients in internet and computer use were marked. Those below the poverty level and with less than a high school education reported 18 and 15 percentage points lower rates of internet and computer use respectively. Compared to metropolitan areas, nonmetropolitan areas had lower internet access (80.3% vs. 69.7%) and computer use (88.4% vs. 80.5%). Rural areas and small urban towns had the lowest level of internet and computer use. Risks of disabilities and lack of health insurance were greater among persons with lower broadband internet and computer access. Communities with low internet and computer use had seven years shorter life expectancy than communities with high use and were at increased risks of mortality from various chronic conditions, poor health, mental distress, hospitalization, smoking, obesity, and physical inactivity. Conclusions and Implications for Translation: Significant socioeconomic and racial/ethnic disparities in internet and computer use and associated health inequalities exist in the US. Closing the social divide in internet and computer use can positively impact individual empowerment, educational attainment, economic growth, community development, access to health care and health-related information, and health promotions efforts. Key words: • Digital divide • broadband internet • computer use • disability • health insurance • causespecific mortality • morbidity • health behaviors   Copyright © 2020 Singh et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial.


2021 ◽  
Vol 23 (7) ◽  
pp. 1751-1772
Author(s):  
Jacob Ørmen ◽  
Rasmus Helles ◽  
Klaus Bruhn Jensen

Global Internet use is circumscribed by local political and economic institutions and inscribed in distinctive cultural practices. This article presents a comparative study of Internet use in China, the United States, and five European countries. The empirical findings suggest a convergence of cultures, specifically regarding interpersonal communication, alongside characteristic national and sociodemographic configurations of different prototypes of human communication. Drawing on the classic understanding of communication as a cultural process producing, maintaining, repairing, and transforming a shared reality, we interpret such configurations as cultures of communication, which can be seen to differ, overlap, and converge across regions in distinctive ways. Looking beyond traditional media systems, we call for further cross-cultural research on the Internet as a generic communication system joining global and local forms of interaction.


2021 ◽  
Author(s):  
Giuseppe Cullaro ◽  
Pratima Sharma ◽  
Jennifer Jo ◽  
Jasmine Rassiwala ◽  
Lisa VanWagner ◽  
...  

2018 ◽  
Vol 47 (2) ◽  
pp. 84-93 ◽  
Author(s):  
Donald F. Chute ◽  
Meghan E. Sise

Background: The opioid crisis has led to a dramatic increase in the number of drug overdose deaths in the United States. Little is known about the effect of the opioid crisis on the kidney transplant donor pool, particularly on hepatitis C virus (HCV)-infected donors. Methods: This is a retrospective analysis of the data from the Organ Procurement and Transplantation Network from 2010 to 2016. We determined the changes in characteristics of kidney transplant donors and evaluated which changes may be directly related to the opioid crisis. Results: Between 2010 and 2016, we found a 26% increase in overall donors, including a 277% increase in the number of donors who died from drug overdose. Nineteen percent of donors who died of drug overdose had HCV infection. Donors who die from drug overdose and donors with HCV infection are younger, less likely to have diabetes or hypertension, and have favorable kidney donor profile index scores compared to average donors. Despite these favorable characteristics, HCV-infected donors appear to be notably underutilized, with substantially lower kidneys per donor being transplanted compared to HCV uninfected donors. Conclusion: The opioid crisis in the United States has substantially altered the kidney donor pool. Strategies to increase utilization of all potentially viable kidneys for transplant are needed, particularly in this era of new, highly effective, direct-acting antiviral therapy for HCV infection.


2018 ◽  
Vol 19 (2) ◽  
pp. 414-424 ◽  
Author(s):  
Jesse D. Schold ◽  
Susana Arrigain ◽  
Stuart M. Flechner ◽  
Joshua J. Augustine ◽  
John R. Sedor ◽  
...  

2020 ◽  
Vol 135 ◽  
pp. 182-183
Author(s):  
Vardhmaan Jain ◽  
Mahmoud Al Rifai ◽  
Saleem Sayani ◽  
Ankur Kalra ◽  
Vera Bittner ◽  
...  

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