From Disparity to Opportunity: Racial Differences in Internet Access and Health App Usage Among Older Informal Caregivers
- 30 October 2025
- journal article
- Published by SAGE Publications in Journal of Applied Gerontology
- Vol. 45 (8) , 1633-1642
Abstract
This study examines Black–White disparities in Internet and smart device usage among older informal caregivers. Using pooled data from the 2017–2020 Health Information National Trends Survey ( N = 1,005, aged 50+), we employed logistic regression to assess racial disparities in Internet use, social media engagement, and smart device ownership. Among smart device owners, we further examined different health-related app usage. Older black caregivers were significantly less likely than White caregivers to use the Internet (OR = 0.23, 95% CI = [0.11, 0.46]). However, among smart device owners, Black caregivers were more likely to use apps for health-related goals (OR = 2.42, 95% CI = [1.42, 4.12]) and decision-making (OR = 1.87, 95% CI = [1.11, 3.15]). Despite lower Internet access, Black caregivers demonstrate high engagement with digital health tools when access is available. Bridging the digital divide in underserved communities may improve equity and expand support for older caregivers.Keywords
This publication has 29 references indexed in Scilit:
- Diverse demands and resources among racially/ethnically diverse caregiversEthnicity & Health, 2023
- Improving generalizability and study design of Alzheimer's disease cohort studies in the United States by including under‐represented populationsAlzheimer's & Dementia, 2022
- Racial and ethnic disparities in cancer caregiver burden and potential sociocultural mediatorsSupportive Care in Cancer, 2022
- Disparities in Health Care and the Digital DivideCurrent Psychiatry Reports, 2021
- Access to Broadband Internet and its Utilization for Health Information Seeking and Health Communication among Informal Caregivers in the United StatesJournal of Medical Systems, 2021
- Digital Health Information Disparities in Older Adults: a Mixed Methods StudyJournal of Racial and Ethnic Health Disparities, 2021
- Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 PandemicJAMA Network Open, 2020
- Informal Caregiving and Quality of Life Among Older Adults: Prospective Analyses from the Swedish Longitudinal Occupational Survey of Health (SLOSH)Social Indicators Research, 2020
- Effectiveness of health web-based and mobile app-based interventions designed to improve informal caregiver’s well-being and quality of life: A systematic reviewInternational Journal of Medical Informatics, 2020
- Friendsourcing Peer Support for Alzheimer’s Caregivers Using Facebook Social MediaJournal of Technology in Human Services, 2018