Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

Am J Public Health. 2021 Jul;111(7):1348-1351. doi: 10.2105/AJPH.2021.306282. Epub 2021 May 20.

Abstract

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698-3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one's health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09-4.21; P value range < .001-.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Consumer Health Information / methods*
  • Cross-Sectional Studies
  • Digital Technology / statistics & numerical data*
  • Female
  • Fitness Trackers / statistics & numerical data
  • Health Behavior*
  • Humans
  • Male
  • Middle Aged
  • Mobile Applications / statistics & numerical data
  • Public Health
  • Sex Factors
  • Socioeconomic Factors