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Internet-Based Health Care Communication Among Cancer Survivors, 2011-2018 National Health Interview Survey.

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Internet-based health care communication (IBHC) use is rising among cancer survivors, but disparities persist. Understanding these trends is crucial for equitable telehealth access in cancer care.

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Area of Science:

  • Health Services Research
  • Oncology
  • Digital Health

Background:

  • Patient reliance on telehealth and internet-based health care communication (IBHC) is increasing among cancer survivors.
  • Understanding trends and factors influencing IBHC use is vital for meeting evolving patient needs in cancer survivorship care.

Purpose of the Study:

  • To examine the trends and associated factors of IBHC utilization among adult cancer survivors in the United States.

Main Methods:

  • Analysis of the National Health Interview Survey data from 2011-2018, including adult cancer survivors aged 18-64 and 65+.
  • Calculation of temporal trends in self-reported IBHC (prescription refills, appointment scheduling, provider communication).
  • Multivariable logistic regression models were used to identify factors associated with IBHC use.

Main Results:

  • IBHC prevalence significantly increased from 2011 to 2018 in both younger (19.3% to 40.2%) and older (11.4% to 22.6%) survivor groups.
  • Lower educational attainment, lack of usual care source, and smoking were linked to less IBHC.
  • Factors like residing in the South/West, chronic conditions, and alcohol consumption were associated with higher IBHC.

Conclusions:

  • IBHC is common and growing among cancer survivors, but significant sociodemographic and behavioral disparities exist.
  • Addressing these disparities is essential for ensuring equitable access to telehealth and advanced digital health services for all cancer survivors.
  • Continued adoption of IBHC necessitates a focus on inclusivity and bridging the digital divide in cancer care delivery.