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dc.contributor.authorHansen, Anne Helen
dc.contributor.authorBradway, Meghan
dc.contributor.authorBrož, Jan
dc.contributor.authorClaudi, Tor
dc.contributor.authorHenriksen, Øystein
dc.contributor.authorWangberg, Silje C
dc.contributor.authorÅrsand, Eirik
dc.date.accessioned2019-10-08T09:04:05Z
dc.date.available2019-10-08T09:04:05Z
dc.date.issued2019-05-29
dc.description.abstract<p><i>Background - </i>The prevalence of diabetes and the use of electronic health (eHealth) are increasing. People with diabetes need frequent monitoring and follow-up of health parameters, and eHealth services can be highly valuable. However, little is known about the use of eHealth in different socioeconomic groups among people with diabetes. <p><i>Objective - </i>The aim of this study was to investigate the use of 4 different eHealth platforms (apps, search engines, video services, and social media sites) and the association with socioeconomic status (SES) among people diagnosed with type 1 and type 2 diabetes mellitus (T1D and T2D, respectively). <p><i>Methods - </i>We used email survey data from 1250 members of the Norwegian Diabetes Association (aged 18-89 years), collected in 2018. Eligible for analyses were the 1063 respondents having T1D (n=523) and T2D (n=545). 5 respondents reported having both diabetes types and thus entered into both groups. Using descriptive statistics, we estimated the use of the different types of eHealth. By logistic regressions, we studied the associations between the use of these types of eHealth and SES (education and household income), adjusted for gender, age, and self-rated health. <p><i>Results - </i>We found that 87.0% (447/514) of people with T1D and 77.7% (421/542) of people with T2D had used 1 or more forms of eHealth sometimes or often during the previous year. The proportion of people using search engines was the largest in both diagnostic groups, followed by apps, social media, and video services. We found a strong association between a high level of education and the use of search engines, whereas there were no educational differences for the use of apps, social media, or video services. In both diagnostic groups, high income was associated with the use of apps. In people with T1D, lower income was associated with the use of video services. <p><i>Conclusions - </i>This paper indicates a digital divide among people with diabetes in Norway, with consequences that may contribute to sustaining and shaping inequalities in health outcomes. The strong relationship between higher education and the use of search engines, along with the finding that the use of apps, social media, and video services was not associated with education, indicates that adequate communication strategies for audiences with varying education levels should be a focus in future efforts to reduce inequalities in health outcomes.en_US
dc.description.sponsorshipNorthern Norway Health Authorities University Hospital of North Norwayen_US
dc.descriptionSource at <a href=https://doi.org/10.2196/13615>https://doi.org/10.2196/13615</a>.en_US
dc.identifier.citationHansen, A.H., Bradway, M., Brož, J., Claudi, T., Henriksen, Ø., Wangberg, S.C. & Årsand, E. (2019). Inequalities in the Use of eHealth Between Socioeconomic Groups Among Patients With Type 1 and Type 2 Diabetes: Cross-Sectional Study. <i>Journal of Medical Internet Research, 21</i>(5), e13615. https://doi.org/10.2196/13615en_US
dc.identifier.cristinIDFRIDAID 1704305
dc.identifier.doi10.2196/13615
dc.identifier.issn1438-8871
dc.identifier.urihttps://hdl.handle.net/10037/16354
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.journalJournal of Medical Internet Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.subjectinequalitiesen_US
dc.subjecteHealthen_US
dc.subjectinterneten_US
dc.subjecthealth care utilizationen_US
dc.subjectcross-sectional studyen_US
dc.subjectdiabetes mellitus, type 1en_US
dc.subjectdiabetes mellitus, type 2en_US
dc.subjecteducationen_US
dc.subjectincomeen_US
dc.subjectNorwayen_US
dc.titleInequalities in the Use of eHealth Between Socioeconomic Groups Among Patients With Type 1 and Type 2 Diabetes: Cross-Sectional Studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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