{"id":"https://openalex.org/W7141073556","doi":"https://doi.org/10.21203/rs.3.rs-9004569/v1","title":"Digital Health Divide and Its Impact on Access to Preventive Healthcare Services in Urban India","display_name":"Digital Health Divide and Its Impact on Access to Preventive Healthcare Services in Urban India","publication_year":2026,"publication_date":"2026-03-27","ids":{"openalex":"https://openalex.org/W7141073556","doi":"https://doi.org/10.21203/rs.3.rs-9004569/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-9004569/v1","doi":"https://doi.org/10.21203/rs.3.rs-9004569/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-9004569/v1","pdf_url":"https://www.researchsquare.com/article/rs-9004569/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-9004569/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5126767433","display_name":"Nishanth Muppa","orcid":"https://orcid.org/0009-0009-6460-6312","observed_orcids":["https://orcid.org/0009-0009-6460-6312"]},"institutions":[{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Nishanth Muppa","raw_affiliation_strings":["Malla Reddy VishwaVidyapeeth"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Malla Reddy VishwaVidyapeeth","institution_ids":["https://openalex.org/I4405267936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116380695","display_name":"Sowmika Reddy Busireddy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sowmika Busireddy","raw_affiliation_strings":["Malla Reddy VishwaVidyapeeth"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Malla Reddy VishwaVidyapeeth","institution_ids":["https://openalex.org/I4405267936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094563174","display_name":"Sreeja Namilakonda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sreeja Namilakonda","raw_affiliation_strings":["Malla Reddy VishwaVidyapeeth"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Malla Reddy VishwaVidyapeeth","institution_ids":["https://openalex.org/I4405267936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126760032","display_name":"Ojal Maddipati","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ojal Maddipati","raw_affiliation_strings":["Malla Reddy VishwaVidyapeeth"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Malla Reddy VishwaVidyapeeth","institution_ids":["https://openalex.org/I4405267936"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5130753347","display_name":"Esha Velaga","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Esha Velaga","raw_affiliation_strings":["Malla Reddy VishwaVidyapeeth"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Malla Reddy VishwaVidyapeeth","institution_ids":["https://openalex.org/I4405267936"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5126767433"],"corresponding_institution_ids":["https://openalex.org/I4405267936"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"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/T10737","display_name":"Health Literacy and Information Accessibility","score":0.45730000734329224,"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"}},"topics":[{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.45730000734329224,"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"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.17430000007152557,"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/T13194","display_name":"ICT in Developing Communities","score":0.10100000351667404,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/digital-literacy","display_name":"digital literacy","score":0.8190000057220459},{"id":"https://openalex.org/keywords/digital-health-access","display_name":"digital health access","score":0.6620000004768372},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.9670000076293945},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.6660000085830688},{"id":"https://openalex.org/keywords/mobile-health-apps","display_name":"mobile health apps","score":0.824999988079071},{"id":"https://openalex.org/keywords/sociodemographic-factors","display_name":"sociodemographic factors","score":0.8050000071525574},{"id":"https://openalex.org/keywords/language-barriers","display_name":"language barriers","score":0.8130000233650208},{"id":"https://openalex.org/keywords/privacy-concerns","display_name":"privacy concerns","score":0.9789999723434448},{"id":"https://openalex.org/keywords/digital-inclusion","display_name":"digital inclusion","score":0.8100000023841858},{"id":"https://openalex.org/keywords/urban-india","display_name":"urban India","score":0.7879999876022339},{"id":"https://openalex.org/keywords/hyderabad","display_name":"Hyderabad","score":0.9879999756813049}],"concepts":[{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.7678999900817871},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.7034000158309937},{"id":"https://openalex.org/C173655357","wikidata":"https://www.wikidata.org/wiki/Q244752","display_name":"Digital divide","level":3,"score":0.483599990606308},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4577000141143799},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.44780001044273376},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.40209999680519104},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38909998536109924},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.38519999384880066},{"id":"https://openalex.org/C2777646416","wikidata":"https://www.wikidata.org/wiki/Q242069","display_name":"Digital literacy","level":2,"score":0.37880000472068787},{"id":"https://openalex.org/C52207206","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Preventive healthcare","level":3,"score":0.3546000123023987},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.3531000018119812},{"id":"https://openalex.org/C1304207","wikidata":"https://www.wikidata.org/wiki/Q7189582","display_name":"Physical access","level":3,"score":0.35089999437332153},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.3190999925136566},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.30959999561309814},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.3086000084877014},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.2824999988079071},{"id":"https://openalex.org/C2777382242","wikidata":"https://www.wikidata.org/wiki/Q6017816","display_name":"Index (typography)","level":2,"score":0.2761000096797943},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.26489999890327454},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.2632000148296356},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2597000002861023},{"id":"https://openalex.org/C147268084","wikidata":"https://www.wikidata.org/wiki/Q5635796","display_name":"HRHIS","level":4,"score":0.2549000084400177},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-9004569/v1","doi":"https://doi.org/10.21203/rs.3.rs-9004569/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-9004569/v1","pdf_url":"https://www.researchsquare.com/article/rs-9004569/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-9004569/v1","doi":"https://doi.org/10.21203/rs.3.rs-9004569/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-9004569/v1","pdf_url":"https://www.researchsquare.com/article/rs-9004569/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.9629999995231628,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.4943999946117401,"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7141073556.pdf","grobid_xml":"https://content.openalex.org/works/W7141073556.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7164802806","https://openalex.org/W7217924002","https://openalex.org/W4214746354","https://openalex.org/W7135394357","https://openalex.org/W7169097352","https://openalex.org/W4401368950","https://openalex.org/W4388037430","https://openalex.org/W7212179335","https://openalex.org/W7167495473","https://openalex.org/W4415028623"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Rapid":[2],"expansion":[3],"of":[4,33,56,70,113,183,198,226],"telemedicine,":[5],"mobile":[6],"health":[7,34,37,52,131,213,231,246],"applications,":[8],"and":[9,25,54,65,96,118,160,205,219,243],"AI-based":[10],"tools":[11],"has":[12],"transformed":[13],"healthcare":[14,43,58,116,139,186,228],"delivery":[15],"in":[16,62,84,144,216],"urban":[17,63,217],"India.":[18],"However,":[19],"unequal":[20],"access":[21,40,53,132,177,251],"to":[22,41,66,110,248,252],"digital":[23,26,36,51,72,120,130,162,169,176,199,212,235,241,245],"technologies":[24],"literacy":[27,163],"may":[28],"create":[29],"a":[30,87,97],"new":[31],"form":[32],"inequity\u2014the":[35],"divide\u2014potentially":[38],"limiting":[39],"preventive":[42,57,115,185,227,253],"services.":[44,229],"Objective":[45],"To":[46],"examine":[47],"the":[48,124,145],"association":[49],"between":[50],"utilization":[55,117,140,187,225],"services":[59,247],"among":[60,81],"adults":[61,83],"Hyderabad,":[64],"identify":[67,111],"socio-demographic":[68],"determinants":[69],"poor":[71,119,168],"access.":[73,121,137,170],"Methods":[74],"A":[75,90,210],"community-based":[76,240],"cross-sectional":[77],"study":[78],"was":[79,108,141,178],"conducted":[80],"1,482":[82,125],"Hyderabad":[85],"using":[86],"structured":[88],"questionnaire.":[89],"Digital":[91],"Health":[92],"Access":[93],"Index":[94,101],"(DHAI)":[95],"Preventive":[98,138],"Healthcare":[99],"Utilization":[100],"(PHUI)":[102],"were":[103,164],"constructed.":[104],"Multivariable":[105],"logistic":[106],"regression":[107],"used":[109],"predictors":[112],"low":[114,136,175],"Results":[122],"Of":[123],"participants,":[126],"58.7%":[127],"demonstrated":[128],"high":[129],"while":[133],"41.3%":[134],"had":[135],"significantly":[142],"lower":[143,156,158],"low-access":[146],"group":[147],"(32.4%":[148],"vs":[149],"68.9%,":[150],"p":[151],"<":[152],"0.001).":[153],"Older":[154],"age,":[155],"education,":[157],"income,":[159],"limited":[161],"independently":[165],"associated":[166,179,222],"with":[167,180,223],"After":[171],"adjustment":[172],"for":[173],"confounders,":[174],"reduced":[181,224],"odds":[182],"adequate":[184],"(adjusted":[188],"OR":[189],"0.41,":[190],"95%":[191],"CI":[192],"0.33\u20130.52).":[193],"Major":[194],"barriers":[195],"included":[196],"lack":[197],"skills":[200],"(46.2%),":[201],"language":[202,238],"limitations":[203],"(38.4%),":[204],"privacy":[206],"concerns":[207],"(34.1%).":[208],"Conclusion":[209],"substantial":[211],"divide":[214],"exists":[215],"India":[218],"is":[220],"strongly":[221],"Public":[230],"strategies":[232],"must":[233],"integrate":[234],"inclusion,":[236],"regional":[237],"support,":[239],"training,":[242],"assisted":[244],"ensure":[249],"equitable":[250],"care.":[254]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-03-28T00:00:00"}