{"title":"Health Information Technology Use among Foreign-Born Adults of Middle Eastern and North African Descent in the United States.","authors":"Alexandra Smith, Tiffany B Kindratt","doi":"10.1007/s10903-024-01617-2","DOIUrl":null,"url":null,"abstract":"<p><p>Health information technology (HIT) use among foreign-born adults of Middle Eastern and North African (MENA) descent is understudied. MENA Americans are currently categorized as \"White\" in the United States (US) on federal forms. Our purpose was to uncover the prevalence of HIT use among MENA immigrants compared to US- and foreign-born White adults before and after adjusting for covariates. The 2011-2018 National Health Interview Survey data (n = 161,613; ages 18 + years) were analyzed. HIT uses evaluated were searching for health information, filling prescriptions, scheduling appointments, and communicating with healthcare providers via email (last 12 months). Crude and multivariable logistic regression models were used to estimate the odds of each HIT use (searching for health information, filling prescriptions, scheduling appointments, and/or communicating with healthcare providers via email), and overall use of any HIT before and after adjustment. The most common HIT use was looking up health information (46.4% foreign-born MENA, 47.8% foreign-born White, 51.2% US-born White; p = .0079). Foreign-born adults of MENA descent had lower odds (OR = 0.64; 95% CI = 0.56-0.74) of reporting any HIT use, but no difference in reporting all HIT uses compared to US-born White adults. This is the first study to explore HIT use among MENA Americans. Results contribute to growing body of literature showing the health of MENA Americans differs from White Americans. A separate racial/ethnic identifier is needed to better capture HIT uses among populations of MENA descent.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1016-1024"},"PeriodicalIF":2.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606791/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Immigrant and Minority Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10903-024-01617-2","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Health information technology (HIT) use among foreign-born adults of Middle Eastern and North African (MENA) descent is understudied. MENA Americans are currently categorized as "White" in the United States (US) on federal forms. Our purpose was to uncover the prevalence of HIT use among MENA immigrants compared to US- and foreign-born White adults before and after adjusting for covariates. The 2011-2018 National Health Interview Survey data (n = 161,613; ages 18 + years) were analyzed. HIT uses evaluated were searching for health information, filling prescriptions, scheduling appointments, and communicating with healthcare providers via email (last 12 months). Crude and multivariable logistic regression models were used to estimate the odds of each HIT use (searching for health information, filling prescriptions, scheduling appointments, and/or communicating with healthcare providers via email), and overall use of any HIT before and after adjustment. The most common HIT use was looking up health information (46.4% foreign-born MENA, 47.8% foreign-born White, 51.2% US-born White; p = .0079). Foreign-born adults of MENA descent had lower odds (OR = 0.64; 95% CI = 0.56-0.74) of reporting any HIT use, but no difference in reporting all HIT uses compared to US-born White adults. This is the first study to explore HIT use among MENA Americans. Results contribute to growing body of literature showing the health of MENA Americans differs from White Americans. A separate racial/ethnic identifier is needed to better capture HIT uses among populations of MENA descent.
对在国外出生的中东和北非(MENA)裔成年人使用医疗信息技术(HIT)的情况研究不足。在美国,中东和北非裔美国人目前在联邦表格中被归类为 "白人"。我们的目的是揭示中东和北非移民与美国和外国出生的白人成年人相比,在调整协变量之前和之后使用 HIT 的流行率。我们分析了 2011-2018 年全国健康访谈调查数据(n = 161,613 人;18 岁以上)。评估的 HIT 使用情况包括搜索健康信息、配药、安排预约以及通过电子邮件与医疗服务提供者沟通(过去 12 个月)。使用粗略和多变量逻辑回归模型估算了每种 HIT 使用(搜索健康信息、配药、安排预约和/或通过电子邮件与医疗服务提供者交流)的几率,以及调整前后任何 HIT 的总体使用情况。最常使用的 HIT 是查找健康信息(46.4% 在国外出生的中东和北非裔、47.8% 在国外出生的白人、51.2% 在美国出生的白人;p = .0079)。在国外出生的中东和北非裔成年人报告使用任何 HIT 的几率较低(OR = 0.64;95% CI = 0.56-0.74),但与在美国出生的白人成年人相比,报告使用所有 HIT 的几率没有差异。这是第一项探讨中东和北非裔美国人使用 HIT 的研究。研究结果为越来越多显示中东和北非裔美国人的健康状况不同于美国白人的文献做出了贡献。需要一个单独的种族/族裔标识符来更好地捕捉中东和北非后裔使用 HIT 的情况。
期刊介绍:
Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.