Digital Divide Among Homebound and Semi-Homebound Older Adults

Area of Science:

• Gerontology
• Public Health
• Health Informatics

Background:

• 11% of older Medicare beneficiaries are homebound or semi-homebound.
• The digital divide disproportionately affects vulnerable older populations.
• Information and Communication Technology (ICT) access is vital for health and social engagement.

Purpose of the Study:

• To examine the digital divide among homebound and semi-homebound older adults.
• To identify factors contributing to the digital inequity in this population.
• To inform strategies for reducing digital disparities among homebound seniors.

Main Methods:

• Analysis of the 2022 National Health and Aging Trend Study data.
• Comparison of ICT access and usage between homebound and non-homebound older adults.
• Identification of demographic and health-related predictors of the digital divide.

Main Results:

• Homebound older adults were less likely to own cellphones compared to non-homebound peers.
• Among ICT users, homebound individuals showed lower rates of email/texting and internet use.
• Older age, low income, dementia, and mental health symptoms were associated with the digital divide.
• Hispanic ethnicity and limited English proficiency further exacerbated ICT use disparities among homebound adults.

Conclusions:

• Significant digital inequities exist for homebound older adults.
• Addressing social/structural factors (accessibility, affordability) and individual barriers is essential.
• Targeted interventions are needed to improve ICT access and digital literacy for vulnerable homebound seniors.