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Disparities in Technology and Broadband Internet Access Across Rurality

Implications for Health and Education

Bibliographic Data

ID13853904
AuthorsJanessa M Graves (0000-0002-7659-2634, University of Macau, corresponding author), Demetrius A Abshire (0000-0002-4234-128X, University of Macau), Solmaz Amiri (0000-0002-1427-5756, University of Macau), Jessica L Mackelprang (0000-0001-9135-7811, University of Macau)
Year2021
Volume44
Issue4
Pages257-265
Publication date2021-07-14
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueFamily & Community Health (JOURNAL)
Journal identifiersISSN: 0160-6379 • E-ISSN: 1550-5057
PublisherLippincott Williams & Wilkins (PUBLISHER • US)
DOI10.1097/fch.0000000000000306
PMID34269696
OpenAlexW3179758100
LanguageEN
Citations received26
References cited18

Amidst the COVID-19 pandemic, interest in using telehealth to increase access to health and mental health care has grown, and school transitions to remote learning have heightened awareness of broadband inequities. The purpose of this study was to examine access and barriers to technology and broadband Internet service ("broadband") among rural and urban youth. Washington State public school districts were surveyed about youth's access to technology (ie, a device adequate for online learning) and broadband availability in spring 2020. Availability of and barriers to broadband (ie, geography, affordability, and smartphone-only connectivity) were assessed across rurality. Among responding districts, 64.2% (n = 172) were rural and 35.8% (n = 96) were urban. Rural districts reported significantly fewer students with access to an Internet-enabled device adequate for online learning (80.0% vs 90.1%, P < .01). Access to reliable broadband varied significantly across geography (P < .01). Compared with their urban peers, rural youth face more challenges in accessing the technology and connectivity needed for remote learning and telehealth. Given that inadequate broadband infrastructure is a critical barrier to the provision of telehealth services and remote learning in rural areas, efforts to improve policies and advance technology must consider geographical disparities to ensure health and education equity

Broadband · Business · Digital divide · Economic growth · Equity (law · Geography · Health care · Internet access · Political science · Rural area · Rurality · Telecommunications · Telehealth · Telemedicine · Telepsychiatry · The Internet · Computer Science · COVID-19 and Mental Health · Medicine · Mobile Health and mHealth Applications · Telemedicine and Telehealth Implementation

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Unique citing works26
Citations per year6.5
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 26

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