Investigating the Social Determinants of Online Technology Use for Seeking Health Information among Black Belt Residents in Alabama

Abstract

Geographic barriers and long travel distances contribute significantly to urban/rural health disparities, making online technology use a vital tool for improving individual and community health in rural areas. However, factors related to technology use, particularly in the Deep South (a historically under-resourced U.S. region characterized by high poverty, limited access to healthcare and education, and a predominantly African American population), remain understudied. Guided by the notion of a digital divide, we explore social determinants of online technology use for seeking health information among rural residents through a cross-sectional survey (N=157). Multiple linear regression analysis (R2=.52) revealed that lower social isolation was associated with reduced online technology use. In contrast, greater social media use, higher education, and improved health literacy were linked to increased use. These findings underscore the need for coordinated efforts among researchers, practitioners, and policymakers to expand access to (and engagement with) health-related online technologies in rural communities.