Telehealth use by older New Yorkers during the COVID-19 Pandemic
Telehealth during the COVID-19 pandemic grew expansively and provided patients with care when there were substantial movement restrictions. We examined access to internet and telehealth services as well as factors associated with telehealth use among older New York City residents. From December 2020...
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description | Telehealth during the COVID-19 pandemic grew expansively and provided patients with care when there were substantial movement restrictions. We examined access to internet and telehealth services as well as factors associated with telehealth use among older New York City residents. From December 2020 to March 2021, we conducted a random digit dial phone survey, calling listed New York City landline phone numbers. A total of 676 individuals 70 years or older were recruited; 62% were ages 70–79 and 38% were 80 years or older. Forty-five percent self-identified as White, 21% as Non-Hispanic Black or African American, 20% as Latinx, and 14% as another race. Sixty-three percent were female and 37% were male. Twenty percent did not have access to internet. During the prior three months, 44% indicated having a phone or video telehealth visit. Compared to White participants, Black participants had 2.15-fold higher telehealth use (CI: 1.33–3.44,
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doi_str_mv | 10.1007/s12126-024-09572-x |
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P
-Value: < .001), Latinx participants had 2.27-fold higher telehealth usage (1.19–4.27,
P
-Value: < .001), and those of another race had 3.45-fold higher telehealth usage (CI: 1.67–7.08,
P
-Value: < .001). Older Black, Latinx, and those of another race were more likely to use telehealth than White older New Yorkers. However, overall, a substantial percent did not have access to the internet, limiting their access to telehealth and their ability to seek pandemic related resources.</description><identifier>ISSN: 0163-5158</identifier><identifier>EISSN: 1936-606X</identifier><identifier>DOI: 10.1007/s12126-024-09572-x</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Access ; African Americans ; Aging ; COVID-19 ; Health care access ; Hispanic Americans ; Internet ; Internet access ; Older people ; Pandemics ; Patient-centered care ; Patients ; Physicians ; Race ; Social Sciences ; Telemedicine ; Telephone communications ; Telephone surveys ; Telephones ; Value</subject><ispartof>Ageing international, 2024-12, Vol.49 (4), p.737-748</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c244t-93e54ab3831b4e13470319a4787126afd047413cab38301547d4b2c3806f22183</cites><orcidid>0000-0001-5568-6327</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12126-024-09572-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12126-024-09572-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27924,27925,30999,33774,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Chan, Kiana</creatorcontrib><creatorcontrib>Millington, Monique</creatorcontrib><creatorcontrib>Low, Andrea</creatorcontrib><creatorcontrib>Farley, Shannon M.</creatorcontrib><creatorcontrib>Hoos, David</creatorcontrib><creatorcontrib>El-Sadr, Wafaa M.</creatorcontrib><creatorcontrib>Reyes, Melissa</creatorcontrib><creatorcontrib>Greenleaf, Abigail R.</creatorcontrib><title>Telehealth use by older New Yorkers during the COVID-19 Pandemic</title><title>Ageing international</title><addtitle>Ageing Int</addtitle><description>Telehealth during the COVID-19 pandemic grew expansively and provided patients with care when there were substantial movement restrictions. We examined access to internet and telehealth services as well as factors associated with telehealth use among older New York City residents. From December 2020 to March 2021, we conducted a random digit dial phone survey, calling listed New York City landline phone numbers. A total of 676 individuals 70 years or older were recruited; 62% were ages 70–79 and 38% were 80 years or older. Forty-five percent self-identified as White, 21% as Non-Hispanic Black or African American, 20% as Latinx, and 14% as another race. Sixty-three percent were female and 37% were male. Twenty percent did not have access to internet. During the prior three months, 44% indicated having a phone or video telehealth visit. Compared to White participants, Black participants had 2.15-fold higher telehealth use (CI: 1.33–3.44,
P
-Value: < .001), Latinx participants had 2.27-fold higher telehealth usage (1.19–4.27,
P
-Value: < .001), and those of another race had 3.45-fold higher telehealth usage (CI: 1.67–7.08,
P
-Value: < .001). Older Black, Latinx, and those of another race were more likely to use telehealth than White older New Yorkers. However, overall, a substantial percent did not have access to the internet, limiting their access to telehealth and their ability to seek pandemic related resources.</description><subject>Access</subject><subject>African Americans</subject><subject>Aging</subject><subject>COVID-19</subject><subject>Health care access</subject><subject>Hispanic Americans</subject><subject>Internet</subject><subject>Internet access</subject><subject>Older people</subject><subject>Pandemics</subject><subject>Patient-centered care</subject><subject>Patients</subject><subject>Physicians</subject><subject>Race</subject><subject>Social Sciences</subject><subject>Telemedicine</subject><subject>Telephone communications</subject><subject>Telephone surveys</subject><subject>Telephones</subject><subject>Value</subject><issn>0163-5158</issn><issn>1936-606X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kMtOwzAQRS0EEqXwA6wssTbM2E7i7EDhVamiLAqClZXHhLakTbET0f49aYPEjtVs7rkzcxg7R7hEgOjKo0QZCpBaQBxEUmwO2ABjFYoQwrdDNgAMlQgwMMfsxPsFAGoVBgN2PaWKZpRWzYy3nni25XVVkONP9M3fa_dJzvOidfPVB29mxJPJ6-hWYMyf01VBy3l-yo7KtPJ09juH7OX-bpo8ivHkYZTcjEUutW5ErCjQaaaMwkwTKh2BwjjVkYm6w9OyAB1pVPk-AhjoqNCZzJWBsJQSjRqyi7537eqvlnxjF3XrVt1KqxAVGhMY6FKyT-Wu9t5Radduvkzd1iLYnSnbm7KdKbs3ZTcdpHrIr3d_kvur_of6AZFjaJ8</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Chan, Kiana</creator><creator>Millington, Monique</creator><creator>Low, Andrea</creator><creator>Farley, Shannon M.</creator><creator>Hoos, David</creator><creator>El-Sadr, Wafaa M.</creator><creator>Reyes, Melissa</creator><creator>Greenleaf, Abigail R.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>NAPCQ</scope><scope>WZK</scope><orcidid>https://orcid.org/0000-0001-5568-6327</orcidid></search><sort><creationdate>20241201</creationdate><title>Telehealth use by older New Yorkers during the COVID-19 Pandemic</title><author>Chan, Kiana ; Millington, Monique ; Low, Andrea ; Farley, Shannon M. ; Hoos, David ; El-Sadr, Wafaa M. ; Reyes, Melissa ; Greenleaf, Abigail R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c244t-93e54ab3831b4e13470319a4787126afd047413cab38301547d4b2c3806f22183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Access</topic><topic>African Americans</topic><topic>Aging</topic><topic>COVID-19</topic><topic>Health care access</topic><topic>Hispanic Americans</topic><topic>Internet</topic><topic>Internet access</topic><topic>Older people</topic><topic>Pandemics</topic><topic>Patient-centered care</topic><topic>Patients</topic><topic>Physicians</topic><topic>Race</topic><topic>Social Sciences</topic><topic>Telemedicine</topic><topic>Telephone communications</topic><topic>Telephone surveys</topic><topic>Telephones</topic><topic>Value</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chan, Kiana</creatorcontrib><creatorcontrib>Millington, Monique</creatorcontrib><creatorcontrib>Low, Andrea</creatorcontrib><creatorcontrib>Farley, Shannon M.</creatorcontrib><creatorcontrib>Hoos, David</creatorcontrib><creatorcontrib>El-Sadr, Wafaa M.</creatorcontrib><creatorcontrib>Reyes, Melissa</creatorcontrib><creatorcontrib>Greenleaf, Abigail R.</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Ageing international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chan, Kiana</au><au>Millington, Monique</au><au>Low, Andrea</au><au>Farley, Shannon M.</au><au>Hoos, David</au><au>El-Sadr, Wafaa M.</au><au>Reyes, Melissa</au><au>Greenleaf, Abigail R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Telehealth use by older New Yorkers during the COVID-19 Pandemic</atitle><jtitle>Ageing international</jtitle><stitle>Ageing Int</stitle><date>2024-12-01</date><risdate>2024</risdate><volume>49</volume><issue>4</issue><spage>737</spage><epage>748</epage><pages>737-748</pages><issn>0163-5158</issn><eissn>1936-606X</eissn><abstract>Telehealth during the COVID-19 pandemic grew expansively and provided patients with care when there were substantial movement restrictions. We examined access to internet and telehealth services as well as factors associated with telehealth use among older New York City residents. From December 2020 to March 2021, we conducted a random digit dial phone survey, calling listed New York City landline phone numbers. A total of 676 individuals 70 years or older were recruited; 62% were ages 70–79 and 38% were 80 years or older. Forty-five percent self-identified as White, 21% as Non-Hispanic Black or African American, 20% as Latinx, and 14% as another race. Sixty-three percent were female and 37% were male. Twenty percent did not have access to internet. During the prior three months, 44% indicated having a phone or video telehealth visit. Compared to White participants, Black participants had 2.15-fold higher telehealth use (CI: 1.33–3.44,
P
-Value: < .001), Latinx participants had 2.27-fold higher telehealth usage (1.19–4.27,
P
-Value: < .001), and those of another race had 3.45-fold higher telehealth usage (CI: 1.67–7.08,
P
-Value: < .001). Older Black, Latinx, and those of another race were more likely to use telehealth than White older New Yorkers. However, overall, a substantial percent did not have access to the internet, limiting their access to telehealth and their ability to seek pandemic related resources.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s12126-024-09572-x</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-5568-6327</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Access African Americans Aging COVID-19 Health care access Hispanic Americans Internet Internet access Older people Pandemics Patient-centered care Patients Physicians Race Social Sciences Telemedicine Telephone communications Telephone surveys Telephones Value |
title | Telehealth use by older New Yorkers during the COVID-19 Pandemic |
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