Stacy Cooper Bailey|Rachel O’Conor|Elizabeth A. Bojarski|Rebecca Mullen|Rachel E. Patzer|Daniel P. Vicencio|Kara L. Jacobson|Ruth M. Parker|Michael S. Wolf
Literacy disparities in patient access and health?related use of <scp>I</scp>nternet and mobile technologies
University of North Carolina at Chapel Hill|Northwestern University|Northwestern University|Northwestern University|Emory University|Mercy Hospital and Medical Center|Emory University|Emory University|Northwestern University
age racerelated disparities technology use well documented less known health literacy influences technology access useto assess association patients literacy skills mobile phone ownership use text messaging internet access use internet healthrelated purposesa secondary analysis utilizing data 1077 primary care patients enrolled two multisite studies 20112013 patients administered inperson structured interviewpatients adequate health literacy likely mobile phone smartphone comparison patients marginal low literacy mobile phone ownership 968 vs 952 vs 901 respectively p 0001 smartphone ownership 706 vs 625 vs 401 p 0001 report text messaging 786 vs 752 vs 531 p 0001 also likely access internet home 921 vs 747 vs 449 p 0001 report using internet email 930 vs 757 vs 385 p 0001 browsing web 939 vs 802 vs 445 p 0001 accessing health information 863 vs 755 vs 408 p 0001 communicating providers 542 vs 298 vs 130 p 0001 relationships remained significant multivariable analyses controlling relevant covariatesresults reveal literacyrelated disparities technology access use widespread lower literate patients less likely smartphones access use internet particularly health reasons future interventions consider disparities ensure health promotion activities exacerbate disparities