Factors associated with first-time telehealth utilization for Marshallese living in the United States

JA Andersen, HC Felix, H Eswaran… - Telemedicine …, 2021 - liebertpub.com
Telemedicine Reports, 2021liebertpub.com
Background: Mitigation efforts to prevent the spread of COVID-19 included the robust
utilization of telehealth. However, racial/ethnic minority populations have demonstrated low
telehealth utilization in the past. The aim of this study was to examine the first-time use of
telehealth by Marshallese adults during the COVID-19 pandemic, using online survey data
collected from 109 Marshallese respondents between July and November of 2020. Methods:
To evaluate the relationships between sociodemographic characteristics, health care …
Background: Mitigation efforts to prevent the spread of COVID-19 included the robust utilization of telehealth. However, racial/ethnic minority populations have demonstrated low telehealth utilization in the past. The aim of this study was to examine the first-time use of telehealth by Marshallese adults during the COVID-19 pandemic, using online survey data collected from 109 Marshallese respondents between July and November of 2020.
Methods: To evaluate the relationships between sociodemographic characteristics, health care access, physical/mental health, and COVID-19-specific measures and the decision to use telehealth, we use bivariate analyses, including t-tests and chi-square analysis.
Results: Eighteen respondents (16.5%) indicated they utilized telehealth for the first time during the pandemic. The number of chronic conditions reported was positively associated with the first-time use of telehealth (p = 0.013). Although not statistically significant, a higher proportion of Marshallese first-time telehealth users reported limited English proficiency, changes in health status, and changes in health insurance.
Discussion: Although telehealth has been shown to reduce the absolute gaps in health disparities for minority populations, there is limited utilization by Marshallese communities.
Conclusions: Significant research remains on the utilization of telehealth by Marshallese during the COVID-19 pandemic and to increase utilization in the future.
Mary Ann Liebert
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