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Digital Communication Inequalities Among U.S. Adults Reporting Current Cigarette Use
Sylvia E Long1, Yuki Lama1, Heather D'Angelo1
1National Cancer Institute, Rockville, Maryland.
American Journal of Preventive Medicine
|October 4, 2023
Summary
Digital divides limit access to smoking cessation resources for many smokers, particularly those with lower education or income. Addressing these inequalities is crucial for effective public health interventions.
Area of Science:
- Public Health
- Health Communication
- Digital Health Equity
Background:
- Reducing tobacco-related health issues requires effective outreach to smokers.
- Digital communication inequalities may hinder access to online smoking cessation information and treatment.
Purpose of the Study:
- To examine digital device ownership, high-speed internet access, and online health information-seeking among adults who smoke.
- To identify disparities in digital access and online health information seeking based on demographics.
Main Methods:
- Analysis of data from the Health Information National Trends Survey (n=847) collected in 2019-2020.
- Multivariable logistic regression models were used to assess associations between demographics, digital technology access, and online health information-seeking.
Main Results:
- Significant disparities in high-speed internet access were observed among older adults (65+), Black/African American adults, and those with lower educational attainment.
- Lower educational attainment was strongly associated with reduced odds of digital device ownership and high-speed internet access.
- High-speed internet access was a significant predictor of increased odds of seeking health information online.
Conclusions:
- Digital communication inequalities persist among adults who smoke.
- Understanding digital technology access in lower-income populations is vital for developing targeted interventions and health communication strategies to improve health outcomes.
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