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AIDS and Behavior
Published in: AIDS and Behavior 5/2020

01-05-2020 | Human Immunodeficiency Virus | Original Paper

Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH

Authors: Stephanie L. Marhefka, Elizabeth Lockhart, DeAnne Turner, Wei Wang, M. Margaret Dolcini, Julie A. Baldwin, Regina Maria Roig-Romero, Celia M. Lescano, Robert L. Glueckauf

Published in: AIDS and Behavior | Issue 5/2020

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Abstract

Objectives

Evaluate the relationships between social characteristics of Floridian persons living with HIV (PLWH) and both use of digital technologies and willingness to use eHealth for HIV-related information.

Methods

Ryan White case managers (N = 155) from 55 agencies in 47 Florida counties administered a survey to PLWH (N = 1268) from June 2016-April 2017. Multilevel logistic regression models were used to identify correlates of technology use and willingness.

Results

Use of mobile phones with text messaging was high (89%). Older (vs. younger) adults and non-Hispanic blacks (vs. whites) were less likely to use most technologies. These groups, along with Hispanics (vs. whites) were less likely to express willingness to use technologies for HIV-related information in models adjusting for use.

Conclusions

Among PLWH in Florida, eHealth-related inequities exist. Willingness to engage in HIV-related eHealth is affected by social determinants, even when considering technology access. Although eHealth may reduce some healthcare inequities, it may exacerbate others.
Appendix
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Metadata
Title
Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH
Authors
Stephanie L. Marhefka
Elizabeth Lockhart
DeAnne Turner
Wei Wang
M. Margaret Dolcini
Julie A. Baldwin
Regina Maria Roig-Romero
Celia M. Lescano
Robert L. Glueckauf
Publication date
01-05-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02723-1

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