{"id":"https://openalex.org/W4402763090","doi":"https://doi.org/10.2196/preprints.66636","title":"Relationship Between Rural-Urban Status and Use of Digital Health Technology Among Older Cancer Survivors: An Analysis of the Health Information National Trends Survey (Preprint)","display_name":"Relationship Between Rural-Urban Status and Use of Digital Health Technology Among Older Cancer Survivors: An Analysis of the Health Information National Trends Survey (Preprint)","publication_year":2024,"publication_date":"2024-09-18","ids":{"openalex":"https://openalex.org/W4402763090","doi":"https://doi.org/10.2196/preprints.66636"},"language":"en","primary_location":{"id":"doi:10.2196/preprints.66636","doi":"https://doi.org/10.2196/preprints.66636","is_oa":true,"landing_page_url":"http://dx.doi.org/10.2196/preprints.66636","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://dx.doi.org/10.2196/preprints.66636","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023978465","display_name":"Samantha J. Werts","orcid":"https://orcid.org/0000-0002-5668-8321","observed_orcids":["https://orcid.org/0000-0002-5668-8321"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Samantha J. Werts-Pelter","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-5668-8321","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101840087","display_name":"Zhao Chen","orcid":"https://orcid.org/0000-0002-5659-0447","observed_orcids":["https://orcid.org/0000-0002-5659-0447"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhao Chen","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-5659-0447","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085932123","display_name":"Jennifer W. Bea","orcid":"https://orcid.org/0000-0002-9868-1574","observed_orcids":["https://orcid.org/0000-0002-9868-1574"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jennifer W. Bea","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-9868-1574","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061486398","display_name":"Amanda E. Sokan","orcid":"https://orcid.org/0000-0002-3744-3425","observed_orcids":["https://orcid.org/0000-0002-3744-3425"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amanda E. Sokan","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-3744-3425","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5049024242","display_name":"Cynthia A. Thomson","orcid":"https://orcid.org/0000-0003-3645-7048","observed_orcids":["https://orcid.org/0000-0003-3645-7048"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cynthia A. Thomson","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-3645-7048","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.011500000022351742,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.010300000198185444,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.6930000185966492},{"id":"https://openalex.org/keywords/older-cancer-survivors","display_name":"older cancer survivors","score":0.8299999833106995},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.9610000252723694},{"id":"https://openalex.org/keywords/health-data-sharing","display_name":"health data sharing","score":0.5329999923706055},{"id":"https://openalex.org/keywords/digital-device-ownership","display_name":"digital device ownership","score":0.7390000224113464},{"id":"https://openalex.org/keywords/internet-use","display_name":"internet use","score":0.625},{"id":"https://openalex.org/keywords/health-apps","display_name":"health apps","score":0.5870000123977661},{"id":"https://openalex.org/keywords/health-information-national-trends-survey","display_name":"Health Information National Trends Survey","score":0.6489999890327454},{"id":"https://openalex.org/keywords/rural-health-care-access","display_name":"rural healthcare access","score":0.503000020980835}],"concepts":[{"id":"https://openalex.org/C43169469","wikidata":"https://www.wikidata.org/wiki/Q580922","display_name":"Preprint","level":2,"score":0.8668573498725891},{"id":"https://openalex.org/C2776154706","wikidata":"https://www.wikidata.org/wiki/Q5690559","display_name":"Health Information National Trends Survey","level":4,"score":0.5229926109313965},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4651551842689514},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3970588743686676},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3889516294002533},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.37028321623802185},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32006600499153137},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.19945168495178223},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.17141035199165344},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.10193374752998352},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.07775825262069702},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.06784462928771973}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2196/preprints.66636","doi":"https://doi.org/10.2196/preprints.66636","is_oa":true,"landing_page_url":"http://dx.doi.org/10.2196/preprints.66636","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.2196/preprints.66636","doi":"https://doi.org/10.2196/preprints.66636","is_oa":true,"landing_page_url":"http://dx.doi.org/10.2196/preprints.66636","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.7307999730110168,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W1503739865","https://openalex.org/W2023874036","https://openalex.org/W2068157902","https://openalex.org/W2122619254","https://openalex.org/W2499226780","https://openalex.org/W2531118712","https://openalex.org/W2573637362","https://openalex.org/W2623069818","https://openalex.org/W2944244290","https://openalex.org/W3090735596","https://openalex.org/W3097842296","https://openalex.org/W3123905791","https://openalex.org/W3163140923","https://openalex.org/W4210549916","https://openalex.org/W4220887577","https://openalex.org/W4229448828","https://openalex.org/W4247140078","https://openalex.org/W4283313052","https://openalex.org/W4283735692","https://openalex.org/W4288073185","https://openalex.org/W4308965139","https://openalex.org/W4317939685","https://openalex.org/W4367284804","https://openalex.org/W4367853357","https://openalex.org/W4384828247","https://openalex.org/W4387115792"],"related_works":["https://openalex.org/W4406437875","https://openalex.org/W4367284804","https://openalex.org/W7212383496","https://openalex.org/W4390065611","https://openalex.org/W7162650202","https://openalex.org/W7046090989","https://openalex.org/W4406928617","https://openalex.org/W3198098052","https://openalex.org/W4367853357","https://openalex.org/W4416141826"],"abstract_inverted_index":{"BACKGROUND":[0],"Though":[1],"telehealth":[2,318],"has":[3],"been":[4,37],"a":[5,44,113,206,263],"promising":[6],"avenue":[7],"for":[8,65,79,103,115,123,337,344],"engaging":[9],"cancer":[10,21,84,160,169,224,329,360],"survivors":[11,22,85,170,250,256,281,330],"with":[12,358],"health":[13,66,116,194,264,292,315],"care":[14,354],"and":[15,19,31,61,89,101,110,125,179,192,213,241,309,334,355],"lifestyle":[16],"programming,":[17],"older":[18,83,159,328,359],"rural-dwelling":[20],"may":[23],"have":[24,34],"additional":[25],"challenges":[26],"to":[27,42,52,150,168,186,257,285,351],"accessing":[28],"digital":[29,58,76,107,155,193,237,349],"devices":[30],"tools":[32],"that":[33,259,287],"not":[35],"yet":[36],"described.":[38],"This":[39],"study":[40],"aims":[41],"utilize":[43],"robust,":[45],"nationally":[46],"representative":[47],"sample":[48,165,203,216],"collected":[49],"in":[50,67,86,205,268,304,319],"2022":[51],"provide":[53],"an":[54],"updated":[55],"view":[56],"of":[57,63,75,95,120,128,134,154,174,201,209,227,233,307,325,347],"technology":[59,64,77,156,335],"use":[60,62,78,102,119,127,157,244],"this":[68],"population.":[69],"OBJECTIVE":[70],"To":[71],"examine":[72,151],"the":[73,135,152,164,172,188,202,210,214,269,305,320,345],"prevalence":[74,153,232],"health-related":[80,104,338],"activities":[81],"among":[82,158],"both":[87],"rural":[88,207,249,280,308],"urban":[90,255,310],"settings.":[91],"The":[92],"primary":[93],"outcomes":[94],"interest":[96],"included:":[97],"(1)":[98],"internet":[99,234,333],"access":[100],"activities,":[105],"(2)":[106],"device":[108,238],"ownership":[109,239],"utilization":[111,336],"as":[112],"tool":[114,195],"behaviors,":[117],"(3)":[118],"social":[121,242,295],"media":[122,243,296],"health,":[124],"(4)":[126],"telehealth.":[129],"METHODS":[130],"A":[131],"cross-sectional":[132],"analysis":[133],"National":[136,141],"Cancer":[137],"Institute\u2019s":[138],"Health":[139],"Information":[140],"Trends":[142],"Survey":[143],"Cycle":[144],"6":[145],"(HINTS":[146],"6)":[147],"was":[148,166,218],"completed":[149],"survivors.":[161,361],"For":[162],"analysis,":[163],"restricted":[167],"over":[171],"age":[173,217],"60":[175],"years":[176],"(n=710).":[177],"Unadjusted":[178],"adjusted":[180,278],"logistic":[181],"regression":[182],"models":[183],"were":[184,251,282,301],"used":[185,262],"test":[187],"association":[189],"between":[190],"rurality":[191],"use.":[196],"RESULTS":[197],"Overall,":[198],"17%":[199],"(n=125/710)":[200],"lived":[204],"area":[208],"United":[211],"States":[212],"mean":[215],"73.0":[219],"(\u00b1":[220],"8.2)":[221],"years.":[222],"Older":[223],"survivors,":[225],"regardless":[226],"rural-urban":[228],"status,":[229,327],"reported":[230,313],"high":[231,332],"usage":[235],"(79.9%),":[236],"(94.9%),":[240],"(66.6%).":[245],"In":[246,277],"unadjusted":[247],"models,":[248,279],"less":[252],"likely":[253,284],"than":[254],"report":[258,286,331],"they":[260,288],"had":[261,289],"or":[265],"wellness":[266,356],"application":[267],"previous":[270,321],"year":[271],"(odds":[272],"ratio":[273],"[OR]:":[274],"0.56;":[275],"p=0.04).":[276],"more":[283],"shared":[290],"personal":[291],"information":[293],"on":[294],"(OR:":[297],"2.64;":[298],"p=0.03).":[299],"There":[300],"no":[302],"differences":[303],"proportion":[306],"respondents":[311],"who":[312],"receiving":[314],"services":[316],"via":[317],"year.":[322],"CONCLUSIONS":[323],"Regardless":[324],"residential":[326],"activities.":[339],"These":[340],"results":[341],"show":[342],"promise":[343],"feasibility":[346],"using":[348],"technologies":[350],"implement":[352],"supportive":[353],"programming":[357]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2024-09-25T00:00:00"}