Broadband Access Research Articles

Reducing Digital Inequities: The Role of Helping Professionals in Designing Just and Inclusive Strategies

This policy brief calls on social workers and other helping professionals to participate in efforts to address broadband internet access inequities. We first highlight continuing access inequities and their consequences for low-income persons, as well as older persons, minority group members, those with disabilities, and those living in rural areas. We then describe new initiatives to improve broadband access and digital literacy through state and local programs funded by the 2021 $65 billion federal Infrastructure Investment and Jobs Act. Finally, strategies are discussed for social worker engagement in such work, which include policy advocacy, contributing to the implementation of emerging programs, and serving as information conveyors to their clients concerning digital access and literacy training opportunities.

Does ICT adoption influence the bank’s risk-taking behavior? Evidence from advanced, developing and emerging nations

PurposeThis is the first attempt to investigate the impact of information and communication technology (ICT) on the risk-taking behavior of banks.Design/methodology/approachThis study considers 74 advanced, developing and emerging countries in the period of 2010–2021. The study considers internet use, mobile subscriptions, broadband access and ATM availability as ICT indicators, while using bank Z_score as a proxy for risk-taking. To get comprehensive insights, pooled OLS, fixed effect models and generalized methods of moments (GMM) are applied.FindingsIt is found that ICT has a consistently positive influence on the risk-taking behavior of banks in advanced, developing and emerging countries. Notably, internet users and broadband access have a bigger impact in advanced economies, but mobile cellular subscriptions and ATMs are more significant in developing and emerging countries. Other factors, such as GDP growth and market capitalization, positively influence the bank’s risk-taking approaches, but the cost-to-income ratio and inflation have an inverse connection.Practical implicationsThis will provide useful advice to the government, bank executives, financial regulators, policymakers, regulators, academicians, technology developers and other relevant stakeholders who want to maximize the advantages of ICT in the banking sector while reducing related risks.Originality/valueThis is the first study to examine the impact of ICT on banks’ risk-taking approaches in advanced, developing and emerging countries.

Virtual Mental Health Care and Suicide-Related Events

The rising suicide rates in the US emphasize the need for effective prevention. While telehealth has transformed access to mental health care, the impact of telehealth on suicide outcomes is unknown. To evaluate the association of virtual mental health services with individual-level suicide-related events (SREs). This retrospective cohort study using broadband access as an instrumental variable assessed a national sample of Veterans Health Administration patients who received mental health care between March 1, 2020, and December 31, 2021. Participants were recently separated (ie, discharged or released from active duty) veterans who completed their active duty service between March 1, 2019, and December 31, 2020, and who received at least 2 outpatient or inpatient diagnoses related to major depressive disorder, substance use disorder, or posttraumatic stress disorder within the year before their most recent separation date. Data were analyzed May 1 to October 31, 2023. Percentage of a patient's total mental health visits that were conducted virtually by psychiatrists, psychologists, or social workers within a calendar month. Binary measure indicating whether the patient had experienced an SRE (defined as a nonfatal suicide attempt, intentional self-harm, or suicide death) in a specific month and year as evaluated an instrumental variable probit model. The sample included 66 387 data points from 16 236 unique recently separated veterans. Among these entries, 44 766 were for male veterans (67.4%), the mean (SD) age across the sample was 32.9 (8.9) years, and the sample was representative of the US veteran population. There were 929 SREs (1.4%). Virtual mental health visits comprised a mean (SD) of 44.6% (46.1%) of all mental health visits. In instrumental variable probit analyses accounting for factors simultaneously associated with use of virtual mental health care and SRE risk, a 1% increase in the probability of virtual mental health visits was associated with a 2.5% decrease in SREs. Findings from this cohort study using a retrospective quasi-experimental design found that an increase in virtual mental health visits relative to total visits was associated with a statistically significant decrease in SREs, suggesting that providing virtual mental health services may reduce suicide-related outcomes.

Bridging the Digital Divide in Mexico: A Critical Analysis of Telecommunications Infrastructure and Predictive Models for Policy Innovation

This work presents an in-depth evaluation of the telecommunications landscape in Mexico from 2015 to 2023. The study’s primary focus is on the disparities in broadband access, telecommunications infrastructure, and digital inclusion across various regions, particularly between urban and rural areas. By employing predictive models and correlation analysis, the paper identifies key factors influencing technology adoption and service bundling in households. A significant contribution of this research lies in its identification of strong correlations between broadband access, GDP growth, and the penetration of multiple telecommunication services such as fixed telephony, broadband internet, and television. The predictive models developed offer crucial insights into the regional inequalities of digital access, revealing patterns that policymakers can use to prioritize infrastructure investments. The findings underscore the essential role of public policy innovation in promoting digital inclusion, particularly in underdeveloped regions, and provide a robust analytical framework for understanding how advanced telecommunications services contribute to socio-economic development. Through this analytical approach, the study demonstrates the critical relationship between telecommunications infrastructure and regional economic performance, offering data-driven recommendations to bridge the digital divide and enhance connectivity in underserved areas. The results offer significant value for future research and policy initiatives aimed at fostering equitable access to Information and communication technologies, promoting economic growth, and ensuring broader societal inclusion in the digital age.

Randomised trial of Mentored ‘Planning to be Active+Family’ [MPBA+F] for Appalachian youth at risk for diabetes: virtual delivery protocol

IntroductionObesity (OB) in children remains a national epidemic. This trial targets children suffering from overweight (OW) and OB living in rural Appalachia. Rural Appalachia is fraught with unhealthy behaviours, high rates of OB, pre-diabetes and type 2 diabetes among children. Diabetes prevalence in Appalachia is nearly double that of other regions. The prevalence of Appalachian children suffering from OB and extreme obesity (EO) increases the severity of diabetes.Methods and analysisWe will conduct a stratified randomised-controlled trial to evaluateMentored Planning to be Active+Family (MPBA+F) among seventh grade children with OW/OB/EO from rural Appalachian counties. Based on the Social Cognitive Theory,MPBA+Fcurriculum is a self-regulation approach to physical activity (PA) developed at The Ohio State University and successfully tested for feasibility in rural Appalachian middle schools.MPBA+F(a) incorporates active skill-building activities; (b) reinforces self-regulating activities; (c) engages in individual and group PA; (d) builds the link between PA, hydration and physical health and (e) actively supports weekly PA goals. Weekly skills are incorporated into reinforcement assignments verified at the beginning the following week. The primary outcome is the average daily minutes of moderate-vigorous PA. We will stratify by sex assigned at birth and conduct intent-to-treat analysis. We use descriptive statistics to summarise cohort and group (MPBA+F or comparison) baseline characteristics and examine variable distributions. Bivariate tests examine the balance of baseline characteristics by intervention groups. Mixed-effects linear modelling will be our more primary regression strategy. A potential problem is loss of curricular integrity. Our process assessment, structured mentor training and Instructor’s Guide reduce this concern. Another concern may be the lack of reliable broadband access. Participating counties exceed 75% broadband access. Those who lose internet access may have materials mailed to their home or accessed on the study website.Ethics and disseminationThis study was reviewed and approved by the American Diabetes Association Grants Review Committee (Grant number 11-22-ICTSN-30), the host institution’s Social and Behavioral Human Subjects Review Committee (Protocol 2022B0149) and is registered on ClinicalTrials.gov (ProtocolNCT05758441). All data that can be shared without compromising human subject protections will be shared to an approved open data repository within six months of publication or 18 months of the conclusion of the funding period (November 2025) if the study remains unpublished. Dissemination to families and stakeholders is by project newsletters. Public presentation of findings will be shared at the Annual Appalachian Translational Research Network and local health department meetings.Trial registration numberNCT05758441.

Broadband Services Quality of Experience on Public Higher Educational Institution Users: A Research Direction

Internet access is crucial in facilitating effective learning and communication. However, disparities in internet quality persist, especially within Public Higher Educational Institutions (PHEIs). Despite efforts by broadband providers to enhance services, complaints regarding quality persist among students and staff. Thus, this research aims to investigate users' Quality of Experience (QoE) with broadband services in PHEI campuses, focusing on coverage, service quality, reliability, and usability. Additionally, it seeks to identify user preferences and usage patterns, correlate broadband quality with user satisfaction, and propose improvements. A comprehensive methodology integrating qualitative and quantitative approaches, including surveys, and interviews is proposed. The implications of this research extend to regulatory and policy actions, including infrastructure improvement, ensuring quality of service, supporting online learning, and encouraging research and innovation in broadband technologies. This study aims to inform stakeholders and contribute to enhancing broadband access and quality in PHEIs, ultimately improving educational outcomes and experiences.

Association of area-level broadband and non-small cell lung cancer diagnosis and guideline-concordant care in the US.

96 Background: Access to broadband is a social determinant of health facilitating connections with healthcare services and other resources and alleviating burdens of travel distance, time, and cost. We used nationwide data to examine the association of zip code-level broadband usage and stage at diagnosis, as well as the receipt of quality care among individuals newly diagnosed with non-small cell lung cancer (NSCLC). Methods: Individuals ≥18 years newly diagnosed with first primary NSCLC between April - December of 2019-2021, were identified from the National Cancer Database (January - March were excluded to match the COVID-19 timeframe in 2020). Broadband usage percentage (the percentage of individuals per zip code with access to fixed broadband at speeds of 25 Mbps/3 Mbps in 2020) were combined with the cohort based on individual’s residential zip code. Multivariable logistic regression models examined associations between broadband usage quartiles and stage at diagnosis, as well as the receipt of guideline-concordant care based on National Comprehensive Cancer Network guidelines, including surgery and radiation, ≥10 lymph nodes sampling, chemotherapy, and neoadjuvant chemoradiation (NACR). Analyses were conducted overall and stratified by metropolitan status and year, adjusting for age group, sex, race and ethnicity, comorbidity, distance to facility, state, and zip code-level social deprivation index (SDI). Results: Cohort included 305,198 individuals newly diagnosed with NSCLC. Individuals living in areas with the highest broadband usage were more likely to be aged 65-74 years, female, non-Hispanic White, with Medicare coverage, living in metropolitan and low SDI areas. In adjusted models, individuals living in areas with the highest broadband usage were more likely to be diagnosed with stage I NSCLC (adjusted odds ratio [AOR] = 1.10, 95% confidence interval [95%CI] = 1.01-1.20) and to receive guideline-concordant NACR (AOR = 1.38, 95%CI = 1.09-1.73) compared with those living in areas with the lowest broadband usage in 2020. When stratified by metropolitan status, associations of broadband and diagnosis and receipt of NACR were only observed among individuals living in non-metropolitan areas with medium-low and medium-high broadband usage, respectively (AOR = 1.15, 95%CI = 1.01-1.32; AOR = 1.80, 95%CI = 1.25-2.58). No significant associations were identified for other care modalities or during 2019 and 2021. Conclusions: Increased access to broadband usage is associated with earlier stage NSCLC diagnosis and receiving guideline-concordant NACR in 2020. Our results suggest that increased broadband access, combined with the expansion of telehealth services during the COVID-19 pandemic, may have improved telehealth utilization throughout 2020, leading to enhanced quality of cancer care, particularly benefiting individuals residing in non-metropolitan areas.

Identifying barriers to being offered and accepting a telehealth visit for cancer care: Unpacking the multi-levels of documented racial disparities in telehealth use.

382 Background: The use of telehealth visits in cancer care can improve accessibility, timeliness, and convenience for patients. However, disparities in its use persist with few studies having evaluated both patient- and community-level factors in relation to telehealth visit use in cancer care. Methods: We assembled a cohort of adults with an upcoming healthcare visit related to their cancer treatment at two academic medical centers (one in central NC and one in southeast MI) and their community affiliates. Black adults and those with a scheduled telehealth visit were oversampled during recruitment. Pre-visit surveys administered by telephone (N=773, RR=15%) collected information on sociodemographic characteristics, use of telehealth visits, healthcare access concerns, and patient symptoms/visit goals. We linked participant residential address to community-level measures, including broadband access. The two patient-reported outcomes of interest were 1) whether a choice in visit type (virtual or in-person) was offered and 2) scheduled visit type among those offered a choice. Associations of each outcome with sociodemographic characteristics and barriers (individual- and census tract-level) were assessed through estimation of unadjusted and adjusted prevalence differences (PDs). Results: 773 adults (RR=15%) were included in the cohort, mostly from the central NC site (N=621, RR=23%). After excluding non-recall for being offered a choice, the analytic sample (N=725) was 46% aged <65 years, 42% Black, and 67% women. Black participants were less likely than non-Black participants to be offered a choice (15% vs 23%, PD= -8.7 (-14.4, -3.0), and if offered a choice, less likely to accept a telehealth visit: 20% vs 67%, PD= -47.0 (-62.0, -32.0). Similarly, women were less likely to be offered a choice (16% vs 27%, PD= -10.9 (-17.4, -4.4)) and accept a telehealth visit 42% vs 63%, PD= -20.8 (-36.8, -4.7). Those who expressed technology-related worries were less likely to schedule a telehealth visit, such as those who were worried about internet access: 33% vs 57%, PD adj = -11.9 (-32.9, 9.2). Participants who indicated their insurance did not cover telehealth visits were less likely to be offered a choice (10% vs 24%, PD ad = -9.4 (-23.1, 4.4). Lower community technology access (e.g. broadband ownership) and higher area-level poverty were associated with both outcomes, although these estimates were attenuated after adjustment. Conclusions: Not being offered a choice in visit type and/or not accepting a telehealth visit were associated with individual- and community-level barriers as well as demographic characteristics which may reflect additional unmeasured structural inequities (namely racism and sexism). Interventions to improve access to telehealth visits in cancer care should consider patient- and community-level barriers to care.

Examining the Relationship between Broadband Access, Parent Technology Beliefs, and Student Academic Outcomes

Examining the Relationship between Broadband Access, Parent Technology Beliefs, and Student Academic Outcomes

Digital discrimination under disparate impact: A legal and economic analysis

The lack of broadband in many rural and Tribal communities in the U.S. is widely recognized, but there are also claims of a lack of broadband availability in predominantly Minority and urban communities, sometimes labeled digital redlining or digital discrimination. Motivated by such claims, the bi-partisan Infrastructure Investment and Jobs Act of 2021 includes a provision addressing digital discrimination and directing the Federal Communications Commission to write rules implementing the statutory provision. The Commission's rules adopt two legal discrimination standards including intentional discrimination (differential treatment) and disparate impact (differential effect). Using data from the Commission's new broadband fabric data, we test for differences in broadband availability between predominantly minority and majority neighborhoods (measured as census block groups) and find no evidence of digital discrimination against minorities.

Telehealth insights from an integrated care system.

The COVID-19 pandemic accelerated telehealth expansion trends as policy makers instituted flexibilities and coverage changes. Federal telehealth flexibilities expire, however, at the end of 2024. To decide whether to extend those flexibilities, policy makers need information about consumer telehealth preferences, impacts of telehealth on care usage and quality, and telehealth accessibility for the full diversity of patients. Research from one of the nation's largest integrated, value-based health systems provides insights. Findings suggest that telehealth utilization has dropped since the peak of the pandemic but remains higher than prepandemic levels. Telehealth appears to be replacing in-person visits rather than leading to more total visits. Patients generally prefer in-person care but many like having the option to use video- and phone-based telehealth, and both video- and phone-based care appear to be helping patients access primary care. An integrated, value-based care approach may assist a diverse range of patients in accessing telehealth services. Action is still needed, however, to ensure that the full diversity of patients can easily access telehealth offerings. Based on experiences within our health system, we recommend that policy makers maintain public and private payer coverage for video- and phone-based telehealth services; encourage well-designed value-based payment models to simplify and expand telehealth access; improve broadband accessibility and broadband and device affordability so that all patients can access telehealth services; and hold digital health to equivalent high standards for care quality, safety, patient satisfaction, clinical outcomes, and health equity as in-person care.

Predictors of telehealth use after the Minnesota Telehealth Act: analysis using the Minnesota All Payer Claims Database.

During the COVID-19 pandemic, the federal government and many state governments instituted expanded coverage for telehealth (TH) services and since have maintained it. Using data from the Minnesota All Payer Claims Database and publicly available data sources, we examined TH use among commercially insured and Medicare Advantage (MA) patients in Minnesota. In 2022, 30.4% of commercially insured patients and 24.4% of MA patients used TH services. Living in a metropolitan area, an area with a high proportion of Black, Indigenous, and People of Color residents, having greater disease burden, and being younger were associated with a greater likelihood of using TH. Living in an area with limited broadband access reduced the likelihood of TH use. Two patient subgroups more likely to use TH-younger patients in metropolitan areas and high-risk patients with depression-received a similar proportion of ambulatory visits via TH.

Comparing Federal Communications Commission and Microsoft Estimates of Broadband Access for Mental Health Video Telemedicine Among Veterans: Retrospective Cohort Study.

The COVID-19 pandemic highlighted the importance of telemedicine in health care. However, video telemedicine requires adequate broadband internet speeds. As video-based telemedicine grows, variations in broadband access must be accurately measured and characterized. This study aims to compare the Federal Communications Commission (FCC) and Microsoft US broadband use data sources to measure county-level broadband access among veterans receiving mental health care from the Veterans Health Administration (VHA). Retrospective observational cohort study using administrative data to identify mental health visits from January 1, 2019, to December 31, 2020, among 1161 VHA mental health clinics. The exposure is county-level broadband percentages calculated as the percentage of the county population with access to adequate broadband speeds (ie, download >25 megabits per second) as measured by the FCC and Microsoft. All veterans receiving VHA mental health services during the study period were included and categorized based on their use of video mental health visits. Broadband access was compared between and within data sources, stratified by video versus no video telemedicine use. Over the 2-year study period, 1,474,024 veterans with VHA mental health visits were identified. Average broadband percentages varied by source (FCC mean 91.3%, SD 12.5% vs Microsoft mean 48.2%, SD 18.1%; P<.001). Within each data source, broadband percentages generally increased from 2019 to 2020. Adjusted regression analyses estimated the change after pandemic onset versus before the pandemic in quarterly county-based mental health visit counts at prespecified broadband percentages. Using FCC model estimates, given all other covariates are constant and assuming an FCC percentage set at 70%, the incidence rate ratio (IRR) of county-level quarterly mental video visits during the COVID-19 pandemic was 6.81 times (95% CI 6.49-7.13) the rate before the pandemic. In comparison, the model using Microsoft data exhibited a stronger association (IRR 7.28; 95% CI 6.78-7.81). This relationship held across all broadband access levels assessed. This study found FCC broadband data estimated higher and less variable county-level broadband percentages compared to those estimated using Microsoft data. Regardless of the data source, veterans without mental health video visits lived in counties with lower broadband access, highlighting the need for accurate broadband speeds to prioritize infrastructure and intervention development based on the greatest community-level impacts. Future work should link broadband access to differences in clinical outcomes.

Link attributes based multi-service routing for software-defined satellite networks

As the potential complement to terrestrial networks, satellite networks are expected to facilitate full coverage and broadband access at anytime and anywhere. However, satellite networks are characterized by highly dynamic topology and load, and how to design an adaptive routing algorithm to meet diverse application needs faces significant challenges. In this paper, we propose a Link-Attributes-based multi-service On-Demand Routing (LAODR) algorithm to provide highly reliable and service-aware data forwarding for Software -Defined Satellite Networks (SDSN). Specifically, we construct a quantitative model of link reliability which provides a fine-grained state description of the dynamic topology. Furthermore, we select the K-shortest path as the solution space and plan routing paths based on NSGA-II to allocate link resources reasonably. Extensive experiments on the Iridium validate that LAODR outperforms state-of-art routing algorithms in terms of end-to-end average latency, packet loss, throughput and node congestion degree, as well as meets the requirements of diverse services.

Evaluating the Impact of Telemedicine on Diabetes Management in Rural Communities: A Systematic Review.

Telemedicine is the delivery of healthcare services using information and communication technologies to diagnose, treat, and prevent diseases. The COVID-19 pandemic has accelerated the adoption of telemedicine, transforming how healthcare is delivered, especially in remote and underserved areas. Despite its potential, no systematic reviews have been conducted in the last five years to assess the effectiveness of telemedicine for managing diabetes in rural populations. This review addresses this gap by evaluating studies on telemedicine's impact on glycemic control among diabetic patients in these settings. We searched five databases: PubMed, Google Scholar, ClinicalTrials.gov, ScienceDirect, and Science.gov, covering studies published in the last five years. Of the 331 articles identified, 10 met our inclusion criteria: English-language studies from the past five years involving adults in rural areas or comparing rural and urban settings, focusing on telemedicine's impact on glycemic control in diabetic patients. In many studies, the findings revealed that telemedicine interventions integrated into structured programs significantly improved HbA1c levels. Successful implementation requires local infrastructure and consistent patient-provider interactions, although increased healthcare provider workloads may affect sustainability. Telemedicine alone was less effective for patients with complex comorbidities, suggesting that a combined approach with in-person visits may be more effective. This review highlights telemedicine's potential to replace routine in-person visits for diabetes management in rural areas, demonstrating significant improvements in HbA1c levels, medication adherence, and timely care managementsupport. Future research should focus on randomized controlled trials in rural settings, hybrid care models that optimize in-person visit frequency and remote monitoring, and addressing technological challenges such as broadband access and platform usability to ensure sustainable telehealth interventions.

Rural Online Learning During COVID 19

There are few times in the history of education that yield circumstances so unique that the impacts have the potential to resonate for years, if not decades. The fall of the 2020 school year was just such an historical moment. Due to the COVID-19 pandemic, many brick and mortar school buildings were closed forcing schools and families to reexamine traditional school instruction. This article will describe the quantitative results of an online survey completed during the critical timeframe of fall 2020. Rural educational leaders who participated in the survey provided insights on access to teaching and learning technologies that affected students with and without disabilities. Impacts of the digital divide on rural schools are examined, including broadband access and reliability. The article will also provide an update on relevant changes to the digital divide that have taken place since the deployment of the survey.

The Association of Broadband Internet Use With Drug Overdose Mortality Rates in the United States: Cross-Sectional Analysis.

The availability and use of broadband internet play an increasingly important role in health care and public health. This study examined the associations between broadband internet availability and use with drug overdose deaths in the United States. We linked 2019 county-level drug overdose death data in restricted-access multiple causes of death files from the National Vital Statistics System at the US Centers for Disease Control and Prevention with the 2019 county-level broadband internet rollout data from the Federal Communications Commission and the 2019 county-level broadband usage data available from Microsoft's Airband Initiative. Cross-sectional analysis was performed with the fixed-effects regression method to assess the association of broadband internet availability and usage with opioid overdose deaths. Our model also controlled for county-level socioeconomic characteristics and county-level health policy variables. Overall, a 1% increase in broadband internet use was linked with a 1.2% increase in overall drug overdose deaths. No significant association was observed for broadband internet availability. Although similar positive associations were found for both male and female populations, the association varied across different age subgroups. The positive association on overall drug overdose deaths was the greatest among Hispanic and Non-Hispanic White populations. Broadband internet use was positively associated with increased drug overdose deaths among the overall US population and some subpopulations, even after controlling for broadband availability, sociodemographic characteristics, unemployment, and median household income.

Cybercrime and Digital Transactions Law in Nigeria: A Review

The internet is a tool that drives globalization and enhances global inclusion and integration. It has become imperative to make use of information and communication technology in this era of increased broadband access to the internet. The use of information and communication technology has increased the commission of cybercrime such as data breaches, identity theft and cyber fraud. This paper aims to identify the relevance, authenticity and nexus between digital transactions and cybercrimes in Nigeria. This paper seeks to give a summary of cybercrime and digital transaction laws in Nigeria, as well as the challenges inherent in applying them. The methodology adopted is the doctrinal method of legal research approach in literature review, analysis of cases and access to internet sources. This paper made use of primary sources of data such as such as enabling laws, acts and secondary sources of data, conventions, journal articles and the study is also analytical and comparative in nature. The paper finds that the legal and institutional framework for digital transaction laws in Nigeria is somewhat limited. Some digital forensic tools have not been recognized by our laws in Nigeria. The paper concludes that the extant legal framework for digital transaction laws in Nigeria has lapses that impair the evidence emanating from digital tools/records. This paper recommends amongst others; training of prosecution officers, legal practitioners and judicial officers in the collection and use of forensic/digital evidence in court of law, review of some of our extant laws and creation of institutional framework for digital transaction laws in Nigeria.

Broadband access and agritourism operations in the United States

AbstractAn online presence is crucial for agritourism operators to connect with consumers. In this study, we use count data regression models to examine the correlation between average broadband speed adopted and the number of agritourism operations. We found that adoption of fast broadband in 2012 was associated with a significantly higher number of agritourism operations nationally in 2017, underscoring the role of broadband connectivity in facilitating interactions between farmers and consumers, as well as in promoting agritourism. However, only a weak association exists in rural counties, indicating that the broadband–agritourism relationship does not extend to less populated areas.

Socioeconomic benefits of high-speed broadband availability and service adoption: A survey

Ubiquitous high-speed fiber-based and mobile broadband availability is a key economic policy goal in the European Union and other developed countries. Policymakers seek to boost economic growth, productivity, and employment, especially in remote areas, through ambitious broadband targets and substantial public funding. This paper reviews the existing (empirical) literature on high-speed broadband Internet and its socioeconomic impact on key outcome variables. Our main findings are that (i) the socioeconomic benefits in terms of economic growth, productivity, house prices, and education, as well as economic resilience, are high but are also subject to diminishing returns beyond a certain broadband quality level, (ii) the effects on employment are more ambiguous, (iii) the positive socioeconomic effects take hold only after broadband adoption on the demand side, but not with mere availability on the supply side, and (iv) the effects of broadband differ significantly for urban vs. rural and high-skilled vs. low-skilled workers for some of the outcome variables. Based on these findings, we develop recommendations for a cost-effective and efficient broadband policy and identify an agenda for research.