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Summary

Digital inequalities in health are not just about access but also about how different user types seek and use online health information, leading to varied health behaviors. A new typology identifies six distinct user groups to improve digital inclusion strategies.

Keywords:
digital dividedigital inequalitieseHealthhealth information seekinghealth outcomeshealth service useperceived health

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Area of Science:

  • Health Informatics
  • Digital Health
  • Health Services Research

Background:

  • Digital inclusion is a key challenge for health systems.
  • Digital inequalities are often viewed through access and usage, but these don't fully explain health behavior differences from internet use.

Purpose of the Study:

  • To develop a new typology of health internet users based on motivations and enablers.
  • To explain how individual orientations influence health behavior through online health information seeking.

Main Methods:

  • Mixed-methods design combining qualitative interviews (n=43) and quantitative survey data (Oxford Internet Surveys, n=2150).
  • Hierarchical cluster analysis used to derive a typology of health information seekers based on identified motivations and enablers.

Main Results:

  • Identified six distinct user types: Learners, Pragmatists, Skeptics, Worriers, Delegators, and Adigitals.
  • Each type exhibits unique motivations, internet usage patterns, and approaches to health information, influencing their health perceptions and decisions.

Conclusions:

  • The study highlights an 'outcomes divide' in digital health, beyond access and usage.
  • A new typology of health internet users can inform digital inclusion policies for health systems.