Examining the determinants of eHealth usage among elderly people with disability: The moderating role of behavioural aspects

Ali, Mohammad Afshar ORCID: https://orcid.org/0000-0002-0831-9046 and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 and Taylor, Brad and Ashraf, Mahfuz (2021) Examining the determinants of eHealth usage among elderly people with disability: The moderating role of behavioural aspects. International Journal of Medical Informatics, 149:104411. pp. 1-8. ISSN 1386-5056


Abstract

Background
Existing studies have demonstrated that behavioural barriers impede eHealth usage among senior citizens. However, thus far, no analysis of how such barriers affect elderly people with disabilities (PwD) has been conducted. Thus, the study investigates the predictors of eHealth usage among elderly PwD.

Methods
Using data from a 2018 nationwide disability survey comprising 14,798 respondents in Australia, multivariate logistic regression models are used to predict the relationship between eHealth usage and the various characteristics of respondents, including access to information and communication technologies (ICTs), socioeconomic status, and level of education.

Results
Although most participants (approximately 88%) have access to ICTs, few (only around 9%) have used eHealth services. The results show a number of factors are associated with an increased likelihood of using eHealth services, including higher educational attainment (odds ratio [OR] = 3.12, 95% confidence interval [CI]: 2.38, 4.24), employment (OR = 1.43, 95% CI: 1.06, 1.94), higher household income (OR = 1.39, 95% CI: 1.00, 1.96), and ICT access (OR = 15.92, 95% CI: 10.51, 27.01). The probability of eHealth use is lower for the oldest-old (OR = 0.35, 95% CI: 0.22, 0.45). In addition, the estimates from interaction effects suggest the effect of ICT penetration on use of eHealth falls by a negligible amount because of resistive attitudinal barriers (OR = 0.01, 95% CI: 0.01, 0.06).

Conclusion
Given the challenges of ageing populations and pandemics, such as COVID-19, eHealth services are a vital part of an effective, inclusive, and robust health care system. This study demonstrates the presence of a significant digital divide among elderly PwD and suggests that public and private efforts should be made to increase the availability of ICT infrastructure. Training could also increase inclusion in this regard.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - School of Business (18 Jan 2021 -)
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - School of Business (18 Jan 2021 -)
Date Deposited: 10 Mar 2021 05:59
Last Modified: 10 Mar 2021 05:59
Uncontrolled Keywords: Digital disability divide; eHealth; Information and communication technology;Elderly people; Health care; Behavioural aspects
Fields of Research (2008): 08 Information and Computing Sciences > 0806 Information Systems > 080699 Information Systems not elsewhere classified
08 Information and Computing Sciences > 0807 Library and Information Studies > 080702 Health Informatics
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420302 Digital health
Identification Number or DOI: https://doi.org/10.1016/j.ijmedinf.2021.104411
URI: http://eprints.usq.edu.au/id/eprint/41535

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