Evaluation of a website that promotes social connectedness: lessons for equitable e-health promotion
Katy Osborne A B and Katherine Patel AA SA Community Health Research Unit, Flinders University of South Australia, GPO Box 2100, Adelaide, SA 5001, Australia.
B Corresponding author. Email: katy.osborne@flinders.edu.au
Australian Journal of Primary Health 19(4) 325-330 https://doi.org/10.1071/PY13038
Submitted: 15 March 2013 Accepted: 1 August 2013 Published: 30 August 2013
Abstract
The online provision of health information and services has been viewed as having the potential to inform and empower health consumers and, ultimately, to promote better health. The Internet can be an innovative tool to deliver services to ‘hard-to-reach’ population groups, including geographically isolated populations. However, the online platform raises questions regarding the equitable distribution of health services. In this paper we examine a case study of a website that aims to promote health by fostering social connectedness. The website provides information to connect people to locally based community events across Australia. We draw on evaluation findings to examine the socioeconomic and geographical distribution of website usage. A descriptive analysis of web usage statistics revealed a gradient whereby more information is listed and viewed about events in affluent socioeconomic areas. Furthermore, the analysis showed that a greater proportion of information listed and viewed related to urban areas. These results are consistent with broader gradients of Internet access and usage. Drawing on these findings, we identify implications for online health promotion across different population groups, particularly for interventions that do not incorporate an explicit equity focus.
References
Australian Bureau of Statistics (2008) Socio-economic indices for areas information paper. Catalogue no. 2039.0. (Australian Bureau of Statistics: Canberra) Available at http://www.abs.gov.au/ausstats/abs@.nsf/mf/2039.0/ [Verified 7 June 2013]Australian Bureau of Statistics (2011) Household use of information technology, Australia, 2010–11, data cube: Household Internet and computer access. Catalogue no. 8146.0 (Australian Bureau of Statistics: Canberra) Available at http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/8146.02010-11? [Verified 8 June 2012]
Australian Health Ministers’ Conference (2008) National e-health strategy: summary. (Victorian Department of Human Services on behalf of the Australian Health Ministers’ Conference: Melbourne) Available at http://www.ahmac.gov.au/cms_documents/National%20E-Health%20Strategy.pdf [Verified 17 June 2013]
Australian Population and Migration Research Centre (2012) ARIA (accessibility/remoteness index of Australia). (Australian Population and Migration Research Centre: Adelaide) Available at http://www.adelaide.edu.au/apmrc/research/projects/category/about_aria.html [Verified 8 June 2013]
Baum F, Newman L, Biedrzycki K (2012) Vicious cycles: digital technologies and determinants of health. Health Promotion International
| Vicious cycles: digital technologies and determinants of health.Crossref | GoogleScholarGoogle Scholar | 23144236PubMed |
De Silva M, McKenzie K, Harpham T, Huttly S (2005) Social capital and mental illness: a systematic review. Journal of Epidemiology and Community Health 59, 619–627.
| Social capital and mental illness: a systematic review.Crossref | GoogleScholarGoogle Scholar | 16020636PubMed |
Eysenbach G (2000) Consumer health informatics. British Medical Journal 320, 1713–1716.
| Consumer health informatics.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3czitlSlsg%3D%3D&md5=e2e523cdc45f96a8bd0e8578ea886847CAS | 10864552PubMed |
Frohlich KL, Potvin L (2008) The inequality paradox: the population approach and vulnerable populations. American Journal of Public Health 98, 216–221.
| The inequality paradox: the population approach and vulnerable populations.Crossref | GoogleScholarGoogle Scholar | 18172133PubMed |
Hargittai E (2002) Second level digital divide: differences in people’s skills. First Monday 7,
| Second level digital divide: differences in people’s skills.Crossref | GoogleScholarGoogle Scholar |
Hart JT (1971) The inverse care law. Lancet 297, 405–412.
| The inverse care law.Crossref | GoogleScholarGoogle Scholar |
Islam MK, Merlo J, Kawachi I, Lindstrom M, Gerdtham UG (2006) Social capital and health: does egalitarianism matter? A literature review. International Journal for Equity in Health 5, 3
| Social capital and health: does egalitarianism matter? A literature review.Crossref | GoogleScholarGoogle Scholar | 16597324PubMed |
Kawachi I (2006) Commentary: social capital and health: making the connections one step at a time. International Journal of Epidemiology 35, 989–993.
| Commentary: social capital and health: making the connections one step at a time.Crossref | GoogleScholarGoogle Scholar | 16870679PubMed |
Kawachi I, Berkman L (2001) Social cohesion, social capital and health. In ‘Social Epidemiology’. (Eds L Berkman, I Kawachi) pp. 174–190. (Oxford University Press: New York)
Newman L, Biedrzycki K, Baum F (2012) Digital technology use among disadvantaged Australians: implications for equitable consumer participation in digitally-mediated communication and information exchange with health services. Australian Health Review 36, 125–129.
| Digital technology use among disadvantaged Australians: implications for equitable consumer participation in digitally-mediated communication and information exchange with health services.Crossref | GoogleScholarGoogle Scholar | 22624630PubMed |
Osborne K, Patel K (2012) AroundYou evaluation report. (South Australian Community Health Research Unit, Flinders University: Adelaide) Available at http://www.flinders.edu.au/medicine/sites/sachru/publications/aroundyou-evaluation-report.cfm [Verified 8 August 2013]
Public Health Information and Development Unit (2008) ‘A social health atlas of Australia’, 3rd edn. (Public Health Information and Development Unit: Adelaide) Available at http://www.publichealth.gov.au/interactive-mapping/a-social-health-atlas-of-australia_-2010.html [Verified 5 June 2012]
Riggins F, Dewan S (2005) The digital divide: current and future research directions. Journal of the Association for Information Systems 6, 13
Wei L (2012) Number matters: the multimodality of Internet use as an indicator of the digital inequalities. Journal of Computer-Mediated Communication 17, 303–318.
| Number matters: the multimodality of Internet use as an indicator of the digital inequalities.Crossref | GoogleScholarGoogle Scholar |