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Racial Differences in Patient Portal Activation and Research Enrollment Among Patients With Prostate Cancer.

Chanita Hughes Halbert1,2, Melanie Jefferson1, Caitlin G Allen3

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This summary is machine-generated.

African American prostate cancer patients had lower patient portal activation and research participation rates, especially those facing social deprivation. Targeted interventions are needed to improve health information technology access for these groups.

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Area of Science:

  • Oncology
  • Health Disparities
  • Health Informatics

Background:

  • Patient portals are crucial for health management and research engagement.
  • Racial and socioeconomic factors can influence access to and utilization of digital health tools.
  • Understanding these disparities is key to promoting health equity in prostate cancer care.

Purpose of the Study:

  • To investigate racial disparities in patient portal activation and research study enrollment.
  • To examine the impact of social deprivation on these digital health engagement metrics among prostate cancer patients.

Main Methods:

  • Retrospective analysis of electronic health records for 218 African American and White prostate cancer patients treated with radical prostatectomy.
  • Patient portal activation data extracted from electronic health records.
  • Research participation measured by completion of a social determinants survey.

Main Results:

  • 66% of patients activated a patient portal; 31% enrolled in the study.
  • African American patients showed significantly lower odds of patient portal activation (OR, 0.48) compared to White patients.
  • Increased social deprivation was independently associated with lower odds of both research participation (OR, 0.70) and patient portal activation (OR, 0.58).

Conclusions:

  • Patient portal activation rates were lower for African American patients and those in socially deprived areas.
  • Addressing social determinants of health is critical for improving digital health equity in prostate cancer care.
  • Interventions are necessary to enhance patient portal adoption among underserved African American prostate cancer patients.