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National-Level Disparities in Internet Access Among Low-Income and Black and Hispanic Youth: Current Population Survey

Journal of medical Internet research, 2021-10, Vol.23 (10), p.e27723-e27723 [Peer Reviewed Journal]

2021. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;M Margaret Dolcini, Jesse A Canchola, Joseph A Catania, Marissa M Song Mayeda, Erin L Dietz, Coral Cotto-Negrón, Vasudha Narayanan. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 12.10.2021. 2021 ;ISSN: 1438-8871 ;ISSN: 1439-4456 ;EISSN: 1438-8871 ;DOI: 10.2196/27723 ;PMID: 34636728

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  • Title:
    National-Level Disparities in Internet Access Among Low-Income and Black and Hispanic Youth: Current Population Survey
  • Author: Dolcini, M Margaret ; Canchola, Jesse A ; Catania, Joseph A ; Song Mayeda, Marissa M ; Dietz, Erin L ; Cotto-Negrón, Coral ; Narayanan, Vasudha
  • Subjects: Access ; Black people ; Computer based ; COVID-19 ; Dissemination ; Ethnic differences ; Ethnicity ; Health disparities ; Health education ; Health information ; Health promotion ; Households ; Internet ; Internet access ; Low income groups ; Minority & ethnic groups ; Mobile phones ; Original Paper ; Polls & surveys ; Race ; Racial inequalities ; Smartphones ; Social classes ; Socioeconomic status ; Teenagers ; Youth
  • Is Part Of: Journal of medical Internet research, 2021-10, Vol.23 (10), p.e27723-e27723
  • Description: Background Internet access is increasingly critical for adolescents with regard to obtaining health information and resources, participating in web-based health promotion, and communicating with health practitioners. However, past work demonstrates that access is not uniform among youth in the United States, with lower access found among groups with higher health-related needs. Population-level data yield important insights about access and internet use in the United States. Objective The aim of this study is to examine internet access and mode of access by social class and race and ethnicity among youth (aged 14-17 years) in the United States. Methods Using the Current Population Survey, we examined internet access, cell phone or smartphone access, and modes of connecting to the internet for adolescents in 2015 (unweighted N=6950; expanded weights N=17,103,547) and 2017 (unweighted N=6761; expanded weights N=17,379,728). Results Internet access increased from 2015 to 2017, but socioeconomic status (SES) and racial and ethnic disparities remained. In 2017, the greatest disparities were found for youth in low-income households (no home access=23%) and for Black youth (no home access=18%) and Hispanic youth (no home access=14%). Low-income Black and Hispanic youth were the most likely to lack home internet access (no home access, low SES Black youth=29%; low SES Hispanic youth=21%). The mode of access (eg, from home and smartphone) and smartphone-only analyses also revealed disparities. Conclusions Without internet access, web-based dissemination of information, health promotion, and health care will not reach a significant segment of youth. Currently, SES and racial and ethnic disparities in access prolong health inequalities. Moreover, the economic impact of COVID-19 on Black, Hispanic, and low-income communities may lead to losses in internet access for youth that will further exacerbate disparities.
  • Publisher: Toronto: Gunther Eysenbach MD MPH, Associate Professor
  • Language: English
  • Identifier: ISSN: 1438-8871
    ISSN: 1439-4456
    EISSN: 1438-8871
    DOI: 10.2196/27723
    PMID: 34636728
  • Source: GFMER Free Medical Journals
    PubMed Central
    Coronavirus Research Database
    ProQuest Central
    DOAJ Directory of Open Access Journals
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