Information and Communication Technology Use Among Low-Income Pregnant and Postpartum Women by Race and Ethnicity: A Cross-Sectional Study.
J Med Internet Res
; 17(7): e163, 2015 Jul 03.
Article
en En
| MEDLINE
| ID: mdl-26142162
ABSTRACT
BACKGROUND:
Pregnancy and the postpartum period provide windows of opportunity to impact perinatal and lifelong preventive health behavior for women and their families, but these opportunities are often missed. Understanding racial/ethnic differences in information and communication technology (ICT) use could inform technology-based interventions in diverse populations.OBJECTIVE:
The objective of the study was to evaluate differences in the use of ICT between racial and ethnic groups as well as by English language proficiency.METHODS:
We conducted a cross-sectional study of 246 women who were aged 18 years or older and pregnant or within 1 year of delivery. They were recruited from 4 hospital-based outpatient clinics and completed a self-administered survey. We used multivariate regression analysis to evaluate the association between race/ethnicity and ICT (mobile phone/short message service [SMS] text message, Internet, and social network) usage by race/ethnicity and perceived English language proficiency after adjusting for age, income, marital status, and insurance status.RESULTS:
In all, 28% (69/246) of participants were Latina, 40% (98/246) were African American, 23% (56/246) were white, and 9% (23/246) from other racial/ethnic groups. Of the Latinas, 84% (58/69) reported limited English language proficiency and 59% (41/69) were uninsured. More than 90% of all participants reported mobile phone use, but more than 25% (65/246) had changed phone numbers 2 or more times in the past year. Compared to white women, African American women were less likely to SMS text message (OR 0.07, 95% CI 0.01-0.63) and Latinas were less likely to use the Internet to find others with similar concerns (OR 0.23, 95% CI 0.08-0.73). Women with limited English language proficiency were less likely to use the Internet overall (OR 0.30, 95% CI 0.09-0.99) or use email (OR 0.22, 95% CI 0.08-0.63) compared to women with adequate English language proficiency.CONCLUSIONS:
Mobile phones are widely available for the delivery of health interventions to low-income, racially diverse pregnant and postpartum women, but disparities in Internet use and SMS text messaging exist. Interventions or programs requiring Web-based apps may have lower uptake unless alternatives are available, such as those adapted for limited English proficiency populations.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
10_ODS3_salud_sexual_reprodutiva
/
11_ODS3_cobertura_universal
/
1_ASSA2030
/
2_ODS3
Problema de salud:
10_adolescent_pregnacy
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10_safe_abortion_services
/
11_delivery_arrangements
/
11_multisectoral_coordination
/
1_acesso_equitativo_servicos
/
1_desigualdade_iniquidade
/
1_medicamentos_vacinas_tecnologias
/
2_cobertura_universal
Asunto principal:
Internet
/
Teléfono Celular
/
Periodo Posparto
/
Información de Salud al Consumidor
Tipo de estudio:
Observational_studies
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Prevalence_studies
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Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
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Equity_inequality
/
Patient_preference
Límite:
Adolescent
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Adult
/
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
J Med Internet Res
Asunto de la revista:
INFORMATICA MEDICA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Estados Unidos