{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:48:06Z","timestamp":1787024886560,"version":"build-2736575974"},"reference-count":46,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Med Inform"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The Hispanic community represents a sizeable community that experiences inequities in the US health care system. As the system has moved toward digital health platforms, evaluating the potential impact on Hispanic communities is critical.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The study aimed to investigate demographic, socioeconomic, and behavioral factors contributing to low telehealth use in Hispanic communities.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We used a retrospective observation study design to examine the study objectives. The COVID-19 Research Database Consortium provided the Analytics IQ PeopleCore consumer data and Office Alley claims data. The study period was from March 2020 to April 2021. Multiple logistic regression was used to determine the odds of using telehealth services.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We examined 3,478,287 unique Hispanic patients, 16.6% (577,396) of whom used telehealth. Results suggested that patients aged between 18 and 44 years were more likely to use telehealth (odds ratio [OR] 1.07, 95% CI 1.05-1.1;\n P<\/jats:italic>\n <.001) than patients aged older than 65 years. Across all age groups, patients with high incomes were at least 20% more likely to use telehealth than patients with lower incomes (\n P<\/jats:italic>\n <.001); patients who had a primary care physician (\n P<\/jats:italic>\n =.01), exhibited high medical usage (\n P<\/jats:italic>\n <.001), or were interested in exercise (\n P<\/jats:italic>\n =.03) were more likely to use telehealth; patients who had unhealthy behaviors such as smoking and alcohol consumption were less likely to use telehealth (\n P<\/jats:italic>\n <.001). Male patients were less likely than female patients to use telehealth among patients aged 65 years and older (OR 0.94, 95% CI 0.93-0.95;\n P<\/jats:italic>\n <.001), while male patients aged between 18 and 44 years were more likely to use telehealth (OR 1.05, 95% CI 1.03-1.07;\n P<\/jats:italic>\n <.001). Among patients younger than 65 years, full-time employment was positively associated with telehealth use (\n P<\/jats:italic>\n <.001). Patients aged between 18 and 44 years with high school or less education were 2% less likely to use telehealth (OR 0.98, 95% CI 0.97-0.99;\n P<\/jats:italic>\n =.005). Results also revealed a positive association with using WebMD (WebMD LLC) among patients aged older than 44 years (\n P<\/jats:italic>\n <.001), while there was a negative association with electronic prescriptions among those who were aged between 18 and 44 years (\n P<\/jats:italic>\n =.009) and aged between 45 and 64 years (\n P<\/jats:italic>\n =.004).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study demonstrates that telehealth use among Hispanic communities is dependent upon factors such as age, gender, education, socioeconomic status, current health care engagement, and health behaviors. To address these challenges, we advocate for interdisciplinary approaches that involve medical professionals, insurance providers, and community-based services actively engaging with Hispanic communities and promoting telehealth use. We propose the following recommendations: enhance access to health insurance, improve access to primary care providers, and allocate fiscal and educational resources to support telehealth use. As telehealth increasingly shapes health care delivery, it is vital for professionals to facilitate the use of all available avenues for accessing care.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/57717","type":"journal-article","created":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T02:36:03Z","timestamp":1715481363000},"page":"e57717-e57717","source":"Crossref","is-referenced-by-count":4,"title":["Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study"],"prefix":"10.2196","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6249-1464","authenticated-orcid":false,"given":"Di","family":"Shang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8344-7427","authenticated-orcid":false,"given":"Cynthia","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0833-8917","authenticated-orcid":false,"given":"Hera","family":"Culiqi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"issue":"4","key":"R1","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1177\/0022146519884538","article-title":"Longer-but harder-lives?: the Hispanic health paradox and the social determinants of racial, ethnic, and immigrant-native health disparities from midlife through late life","volume":"60","author":"Boen","journal-title":"J Health Soc Behav"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1111\/ssqu.12551","article-title":"Update on racial disparities in access to healthcare: an application of nonlinear decomposition techniques","volume":"100","author":"Oguz","journal-title":"Soc Sci Quart"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s10620-021-06842-5","article-title":"Racial and socioeconomic disparities in utilization of telehealth in patients with liver disease during COVID-19","volume":"67","author":"Wegermann","journal-title":"Dig Dis Sci"},{"issue":"5","key":"R4","doi-asserted-by":"publisher","DOI":"10.2196\/23905","article-title":"Telehealth use by age and race at a single academic medical center during the COVID-19 pandemic: retrospective cohort study","volume":"23","author":"Stevens","journal-title":"J Med Internet Res"},{"issue":"1","key":"R5","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1177\/0194599820947667","article-title":"Telemedicine in minority and socioeconomically disadvantaged communities amidst COVID-19 pandemic","volume":"164","author":"Ramirez","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"9","key":"R6","doi-asserted-by":"publisher","DOI":"10.2196\/21012","article-title":"Understanding the intention to use telehealth services in underserved Hispanic border communities: cross-sectional study","volume":"22","author":"Ghaddar","journal-title":"J Med Internet Res"},{"issue":"10","key":"R7","doi-asserted-by":"publisher","first-page":"2732","DOI":"10.1111\/jgs.17354","article-title":"Older adults' access to primary care: gender, racial, and ethnic disparities in telemedicine","volume":"69","author":"Ryskina","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"R8","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1177\/1357633X211051677","article-title":"Disparities in telehealth utilization during the COVID-19 pandemic: findings from a nationally representative survey in the United States","volume":"30","author":"Zhang","journal-title":"J Telemed Telecare"},{"issue":"1","key":"R9","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/1357633X20963893","article-title":"Disparities in the use of telehealth at the onset of the COVID-19 public health emergency","volume":"29","author":"Pierce","journal-title":"J Telemed Telecare"},{"issue":"12","key":"R10","doi-asserted-by":"publisher","first-page":"1949","DOI":"10.1093\/jamia\/ocaa216","article-title":"Characteristics of telehealth users in NYC for COVID-related care during the coronavirus pandemic","volume":"27","author":"Weber","journal-title":"J Am Med Inform Assoc"},{"issue":"9","key":"R11","doi-asserted-by":"publisher","DOI":"10.2196\/29959","article-title":"Disparities in outpatient and telehealth visits during the COVID-19 pandemic in a large integrated health care organization: retrospective cohort study","volume":"23","author":"Qian","journal-title":"J Med Internet Res"},{"key":"R12","unstructured":"Increasing access to health insurance benefits everyone: health consequences of being uninsured. 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