660-P: Understanding the Association between Health-Related Social Needs and Digital Health Use among People with Type 2 Diabetes

by sugaradmin



Introduction and Objective: Digital health can improve outcomes for people with type 2 diabetes (T2D). Use of digital health tools, however, vary across patient populations. How health related social needs (HRSN) impact digital health use is largely unknown.Methods: Data from the 2022 Health Information National Trends Survey were analyzed to investigate the association between HRSN and digital health use among people with T2D. HRSN variables of interest included self-report of 1) food insecurity, 2) housing instability, and 3) transportation challenges. Primary outcomes of digital health use included self-reported use of 1) telehealth and 2) patient portals in the previous 12 months. Logistic regressions, adjusted for age, gender, and race, produced Odds Ratios (OR) and 95% Confidence Intervals (CI) to estimate the association between HRSN and digital health use.Results: Among 1304 adults with T2D and mean age of 62.4 years, 18.2% reported food insecurity, 12.6% housing instability, and 15.4% transportation challenges. Among this group, 47.8% reported telehealth use and 56.1% patient portal use. Food insecurity was associated with increased telehealth use (OR 1.4, 95% CI 1.0-2.0) and decreased patient portal use (OR 0.7, 95% CI 0.5-0.9). Housing instability was associated with increased telehealth use (OR 1.6, 95% CI 1.1-2.3). Transportation challenges was associated with decreased patient portal use (OR 0.6, 95% CI 0.4-0.9). Non-significant associations were seen between transportation challenges and increased telehealth use (OR 1.4, 95% CI 1.0-1.9) and between housing instability and decreased patient portal use (OR 0.7, 95% CI 0.5-1.1).Conclusion: In this analysis of adults with T2D, differential relationships between HRSN and digital health use were observed with HRSN associated with increased telehealth use and decreased patient portal use. The observed increase in telehealth use may suggest that it is more of an essential digital health tool than the patient portal is for people who experience HRSN.

Disclosure

D. Elagi: None. J. Lee: None. D.J. Amante: None.

Funding

National Institutes of Health (K01DK131318)



Source link