Journal article
Racial and ethnic disparities in use of a personal health record by veterans living with HIV
Journal of the American Medical Informatics Association : JAMIA, Vol.26(8-9), pp.696-702
08/01/2019
DOI: 10.1093/jamia/ocz024
PMCID: PMC7647203
PMID: 30924875
Abstract
To examine sociodemographic characteristics associated with use of My HealtheVet (MHV) by veterans living with HIV.
Veterans Health Administration administrative data were used to identify a cohort of veterans living with HIV in fiscal years 2011-2017. Descriptive analyses were conducted to examine demographic characteristics and racial/ethnic differences in MHV registration and tool use. Chi-Square tests were performed to assess associations between race/ethnicity and MHV registration and tool use.
The highest proportion of registrants were non-Hispanic White veterans living with HIV (59%), followed by Hispanic/Latino (55%) and Black veterans living with HIV (40%). Chi-Square analyses revealed that: (1) MHV account registration was significantly lower for both Black and Hispanic/Latino veterans in comparison to White veterans and (2) Black MHV registrants were less likely to utilize any MHV tool compared with White MHV registrants including Blue Button record download, medication refills, secure messaging, lab, and appointment views.
In line with prior research on personal health record (PHR) use among non-veteran populations, these findings show racial and ethnic inequities in MHV use among veterans living with HIV. Racial and ethnic minorities may be less likely to use PHRs for a myriad of reasons, including PHR privacy concerns, decreased educational attainment, and limited access to the internet.
This is the first study to examine racial and ethnic disparities in use of MHV tools by veterans living with HIV and utilizing Veterans Health Administration health care. Future research should examine potential moderating factors linked to decreased PHR use among racial and ethnic minority veterans, which could inform strategies to increase PHR use among vulnerable populations.
Details
- Title: Subtitle
- Racial and ethnic disparities in use of a personal health record by veterans living with HIV
- Creators
- Sarah J Javier - VA Palo Alto Health Care SystemLara K Troszak - VA Palo Alto Health Care SystemStephanie L Shimada - Edith Nourse Rogers Memorial Veterans HospitalD Keith McInnes - Boston UniversityMichael E Ohl - University of IowaTigran Avoundjian - VA Palo Alto Health Care SystemTaryn A Erhardt - VA Palo Alto Health Care SystemAmanda M Midboe - VA Palo Alto Health Care System
- Resource Type
- Journal article
- Publication Details
- Journal of the American Medical Informatics Association : JAMIA, Vol.26(8-9), pp.696-702
- DOI
- 10.1093/jamia/ocz024
- PMID
- 30924875
- PMCID
- PMC7647203
- ISSN
- 1527-974X
- eISSN
- 1527-974X
- Grant note
- name: Merit, award: 101 HX002051-01A2; name: United States (US) Department of Veterans Affairs, Health Services Research and Development Service
- Language
- English
- Date published
- 08/01/2019
- Academic Unit
- Psychiatry; Internal Medicine
- Record Identifier
- 9984359960202771
Metrics
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