Measuring Reliable Internet Connectivity Among Families with Children: Secondary Analysis of a US National Survey
Abstract
Abstract Background Reliable internet connectivity is crucial for family participation in pediatric digital health care, including telehealth. Lack of internet connectivity is a barrier to pediatric telehealth access. While surveys commonly inquire about metrics, such as internet plan or device ownership, fewer measures exist for the reliability of internet connectivity when needed. There is limited knowledge of the national prevalence of reliable internet connectivity among households with children and how reports of reliable internet connectivity are associated with use of internet plans and devices. Objective We examined the prevalence of reliable internet connectivity among households with children and its association with digital technology access and sociodemographic factors. Methods We performed a secondary data analysis of a US national cross-sectional survey examining parents’ health-seeking decisions for children younger than 18 years old. The respondent panel was hosted by the National Opinion Research Center (NORC) AmeriSpeak. This analysis focused on survey items on reliable internet connectivity, digital technology access (internet plan type and device ownership type), and sociodemographic characteristics (education, employment, geographic region, race and ethnicity, and disability) of parent respondents and their children. The dependent variable was a binary indicator of household reliable internet connectivity. Respondents were categorized as having…
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Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 1,158 participants or records.
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