Observational cross-sectional study of the association of poor broadband provision with demographic and health outcomes: the Wolverhampton Digital ENablement (WODEN) programme.
Philp, Fraser; Faux-Nightingale, Alice; Bateman, James; Clark, Heather; Johnson, Oliver; Klaire, Vijay; Nevill, Alan; Parry, Emma; Warren, Kate; Pandyan, Anand; Singh, Baldev M
Emma Parry email@example.com
Baldev M Singh
OBJECTIVES: The association between impaired digital provision, access and health outcomes has not been systematically studied. The Wolverhampton Digital ENablement programme (WODEN) is a multiagency collaborative approach to determine and address digital factors that may impact on health and social care in a single deprived multiethnic health economy. The objective of this study is to determine the association between measurable broadband provision and demographic and health outcomes in a defined population.
DESIGN: An observational cross-sectional whole local population-level study with cohorts defined according to broadband provision.
SETTING/PARTICIPANTS: Data for all residents of the City of Wolverhampton, totalling 269?785 residents.
PRIMARY OUTCOMES: Poor broadband provision is associated with variation in demographics and with increased comorbidity and urgent care needs.
RESULTS: Broadband provision was measured using the Broadband Infrastructure Index (BII) in 158 City localities housing a total of 269?785 residents. Lower broadband provision as determined by BII was associated with younger age (p<0.001), white ethnic status (p<0.001), lesser deprivation as measured by Index of Multiple Deprivation (p<0.001), a higher number of health comorbidities (p<0.001) and more non-elective urgent events over 12 months (p<0.001).
CONCLUSION: Local municipal and health authorities are advised to consider the variations in broadband provision within their locality and determine equal distribution both on a geographical basis but also against demographic, health and social data to determine equitable distribution as a platform for equitable access to digital resources for their residents.
|Journal Article Type||Article|
|Acceptance Date||Sep 15, 2022|
|Publication Date||Nov 1, 2022|
|Publisher||BMJ Publishing Group|
|Peer Reviewed||Peer Reviewed|
|Keywords||epidemiology; COVID-19; general medicine (see internal medicine); health services administration & management; health policy; organisational development|
|Additional Information||© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Observational cross-sectional study of the association of poor broadband provision with demographic and health outcomes.pdf
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