Abstract
BackgroundQuantifying disparities in health information technology (HIT) use among head and neck cancer (HNC) patients may help clinicians reduce care gaps and improve outcomes. MethodsRelationships between HIT usage and sociodemographic characteristics were studied for adults with HNC between 2011 and 2018 through a retrospective analysis of the US National Health Interview Survey. ResultsMultivariate logistic regression indicated HIT usage disparities based on race, age, educational attainment, and insurance status. Black (aOR 0.07, 95% CI 0.01–0.52, P = 0.010), uninsured (aOR 0.21, 95% CI 0.06–0.79, P = 0.022), and senior patients (aOR 2.72, 95% CI 1.55–4.80, P < 0.001) emailed providers less than non-Hispanic White, privately insured, and middle-aged (45–64) patients, respectively. Similar disparities were found among patients searching for health information, scheduling appointments, and filling prescriptions online. ConclusionBlack, older, less educated, and un/underinsured HNC patients use HIT less than their counterparts. Reducing these inequities may help improve their outcomes.
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