技術アクセス向上が医療格差是正に寄与(Better access to technology can help African Americans bridge the healthcare gap)

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2025-08-07 カリフォルニア大学サンタバーバラ校(UCSB)

UCSBの研究で、アフリカ系アメリカ人の医療格差是正には技術アクセス向上が重要と判明。815人を対象にHINTSデータをPLS-SEMで解析した結果、社会経済的地位(SES)が高いほど技術アクセスが向上し(β=0.424)、それが医療技術利用増加(β=0.260)につながった。さらにアクセス(β=-0.086)や利用(β=-0.180)の増加は医療格差縮小と関連。SESは技術アクセスと医療格差の関係を調整する効果も示し、低SES層にはアクセス改善と並行した構造的支援が不可欠と示唆された。

<関連情報>

米国アフリカ系アメリカ人における技術へのアクセス、利用、社会経済的地位、および医療格差
Technology access, use, socioeconomic status, and healthcare disparities among African Americans in the US

Ebenezer Larnyo,Sharon Tettegah,Jonathan Aseye Nutakor,Stephen Addai-Dansoh,Francisca Arboh
Frontiers in Public Health  Published:28 May 2025
DOI:https://doi.org/10.3389/fpubh.2025.1547189

技術アクセス向上が医療格差是正に寄与(Better access to technology can help African Americans bridge the healthcare gap)

Background: Healthcare disparities remain a significant challenge in addressing equitable healthcare access and outcomes for minority populations, including African Americans. Rooted in systemic racism and historical exclusion, these inequities persist as part of broader structural violence. Leveraging health technology holds promise in addressing these disparities by enhancing access to care, improving its quality, and reducing inequities. However, the association between health technology access, use, socioeconomic status (SES), and healthcare disparities among African Americans remains underexplored. This study aims to explore the potential role of technology in mitigating healthcare disparities by investigating the associations between technology access, healthcare technology use, socioeconomic status (SES), and health disparities among African Americans.

Methods: Using data from the Health Information National Trends Survey (HINTS) Wave 6 dataset, a sample of 815 African Americans was analyzed using Partial Least Squares-Structural Equation Modeling (PLS-SEM).

Findings: The results of the study showed that technology access had a significant positive effect on healthcare technology use (β = 0.260, p < 0.000). Technology access (β = -0.086, p = 0.034) and healthcare technology use (β = -0.180, p < 0.001) demonstrated a significant negative effect on healthcare disparity, respectively. Results also revealed SES had a significant positive effect on technology access (β = 0.424, p < 0.001). Additionally, SES was found to significantly moderate the relationship between technology access and healthcare disparities, indicating variability in the impact of technology access based on SES levels among African Americans.

Conclusion: These findings highlight the potential of technology in mitigating healthcare disparities among African Americans. By promoting enhanced health technology access and utilization, particularly in lower SES populations, the healthcare outcomes for vulnerable communities can be significantly improved. Policymakers, healthcare providers, and technology developers are encouraged to collaborate in providing conducive conditions for the adoption and use of technology to advance healthcare equity.

医療・健康
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