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. 2020 May;24(5):1463-1475.
doi: 10.1007/s10461-019-02723-1.

Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH

Stephanie L Marhefka  1 , Elizabeth Lockhart  2 , DeAnne Turner  2 , Wei Wang  2   3 , M Margaret Dolcini  4 , Julie A Baldwin  5 , Regina Maria Roig-Romero  2 , Celia M Lescano  6 , Robert L Glueckauf  7
Affiliations

Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH

Stephanie L Marhefka et al. AIDS Behav. 2020 May.

Abstract

Objectives: Evaluate the relationships between social characteristics of Floridian persons living with HIV (PLWH) and both use of digital technologies and willingness to use eHealth for HIV-related information.

Methods: Ryan White case managers (N = 155) from 55 agencies in 47 Florida counties administered a survey to PLWH (N = 1268) from June 2016-April 2017. Multilevel logistic regression models were used to identify correlates of technology use and willingness.

Results: Use of mobile phones with text messaging was high (89%). Older (vs. younger) adults and non-Hispanic blacks (vs. whites) were less likely to use most technologies. These groups, along with Hispanics (vs. whites) were less likely to express willingness to use technologies for HIV-related information in models adjusting for use.

Conclusions: Among PLWH in Florida, eHealth-related inequities exist. Willingness to engage in HIV-related eHealth is affected by social determinants, even when considering technology access. Although eHealth may reduce some healthcare inequities, it may exacerbate others.

Keywords: Delivery of health care; HIV; Health equity; eHealth; mHealth.

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